In addition to these initiatives, there are five main ways that Medicare evaluates hospital quality using claims data : (i) AHRQ patient safety and inpatient quality indicators; (ii) hospital acquired conditions, (iii) mortality, (iv) readmissions, and (v) spending per beneficiary. A list of the quality measures that fall under each category are listed below.
PSI 04 – Death among surgical inpatients with serious treatable complications
PSI 06 – Iatrogenic pneumothorax
PSI 11 – Postoperative respiratory failure
PSI 12 – Postoperative pulmonary embolism or deep vein thrombosis
PSI 14 – Postoperative wound dehiscence
PSI 15 – Accidental puncture or laceration
PSI 90 composite – Patient safety for selected indicators