AHRQ Quality Indicators Workgroup on Inpatient and Patient Safety Composite Measures

April 4, 2006

AHRQ Quality Indicators Workgroup on Inpatient and Patient Safety Composite Measures

The following text is from a notice in the April 4, 2006 Federal Register. Please click on the link below to read the full notice.

The Agency for Healthcare Research and Quality (AHRQ) is seeking nominations for members of an AHRQ-convened Quality Indicators Workgroup on Composite Measures for the Inpatient Quality Indicators (IQIs) and the Patient Safety Indicators (PSIs) as part of a general workgroup on composite measures. The AHRQ QI Composite Measures General Workgroup and subsequent IQI and PSI sub-workgroups are being formed as part of a structured approach for developing composite measures from the IQI and PSI software tools for public reporting of quality of hospital care at the national and state level. The purpose of this project is to obtain input from interested organizations and individuals on the development of composite quality measures based on hospital discharge data, specifically using the IQI and PSI measures. The Workgroups will evaluate appropriate technical and methodological approaches currently available and will discuss and suggest strategies as to what composite measure methodology would best fit QI user needs. As part of this effort and using the AHRQ PSIs and IQIs, the Workgroup members will be addressing several key issues for the development of composite measures, including but not limited to:

- Identifying and defining the quality concept that each composite is intended to measure;

- Suggesting and considering the individual quality indicators that should be included in the composite;

- The manner of weighting with which individual quality indicators could or should be combined;

- Evaluation of using condition-specific quality of care composites (e.g., for cardiovascular disease, or diabetes) or population-specific composites (e.g., pediatrics, women, or geriatrics) or domain specific composites (e.g., surgical, or infections); and

- Discussion of the methodological considerations which are appropriate or important when combining quality indicators and the considerations when composites are used for publicly reporting data.

Read the full FR notice and submission criteria.