AHRQ--Agency for Healthcare Research and Quality: Advancing Excellence in Health Care

National Quality Forum (NQF)
Endorsed Individual and Composite Measures

Last updated June, 2020

Inpatient Quality Indicators (IQIs) Endorsed by NQF

Indicator NQF Number
IQI 2 Pancreatic Resection Volume Retired in v2019 366
IQI 4 Abdominal Aortic Aneurysm (AAA) Repair Volume Retired in v2019 357
IQI 9 Pancreatic Resection Mortality Rate 365
IQI 11 Abdominal Aortic Aneurysm (AAA) Repair Mortality Rate 359
IQI 15 Acute Myocardial Infarction (AMI) Mortality Rate 730
IQI 16 Heart Failure Mortality Rate 358
IQI 17 Acute Stroke Mortality Rate 467
IQI 18 Gastrointestinal Hemorrhage Mortality Rate 2065
IQI 19 Hip Fracture Mortality Rate 354
IQI 20 Pneumonia Mortality Rate 231
IQI 25 Bilateral Cardiac Catheterization Rate Retired in v7.0 355

Patient Safety Indicators (PSIs) Endorsed by NQF

Indicator NQF Number
PSI 2 Death Rate in Low-Mortality Diagnosis Related Groups (DRGs) 347
PSI 4 Death Rate among Surgical Inpatients with Serious Treatable Complications 2- Indicator withdrawn from NQF endorsement in 2017 N/A
PSI 5 Retained Surgical Item or Unretrieved Device Fragment Count 363
PSI 6 Iatrogenic Pneumothorax Rate 346
PSI 11 Postoperative Respiratory Failure Rate 533
PSI 12 Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate 450
PSI 15 Accidental Puncture or Laceration Rate 345
PSI 16 Transfusion Reaction Volume Count1 Retired in v2019 349
1 PSI 04 or Death Rate Among Surgical Inpatients with Serious Treatable Complications was submitted to the National Quality Forum (NQF) for continued endorsement. After three rounds of intensive review at both the NQF Surgery Standing Committee and the NQF Consensus Standards Approval Process (CSAC), AHRQ withdrew the measure from further consideration at NQF. AHRQ conducted rigorous testing which demonstrated that the measure is valid and reliable. Our findings were included in the materials submitted and reviewed at NQF (http://www.qualityforum.org/Publications/2017/04/Surgery_2015-2017_Final_Report.aspx). However, AHRQ has chosen not to continue with the NQF review process, pending a review of competing priorities. As with any measure withdrawn from consideration at NQF, endorsement was removed from the measure.

Pediatric Quality Indicators (PDIs) Endorsed by NQF

Indicator NQF Number
NQI 3 Neonatal Blood Stream Infection Rate 478
PDI 1 Accidental Puncture or Laceration Rate 344
PDI 2 Pressure Ulcer Rate Retired in v2019 337
PDI 3 Retained Surgical Item or Unretrieved Device Fragment Count Retired in v2019 362
PDI 5 Iatrogenic Pneumothorax Rate 348
PDI 6 RACHS-1 Pediatric Heart Surgery Mortality Rate Retired in v2019 339
PDI 7 RACHS-1 Pediatric Heart Surgery Volume Retired in v2019 340
PDI 13 Transfusion Reaction Volume Count1 Retired in v2019 350
PDI 14 Asthma Admission Rate 728
PDI 16 Gastroenteritis Admission Rate 727

Prevention Quality Indicators (PQIs) Endorsed by NQF

Indicator NQF Number
PQI 1 Diabetes Short-Term Complications Admission Rate 272
PQI 2 Perforated Appendix Admission Rate Retired in v2019 273
PQI 3 Diabetes Long-Term Complications Admission Rate 274
PQI 5 Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate 275
PQI 8 Heart Failure Admission Rate 277
PQI 9 Low Birth Weight Rate No longer endorsed 278
PQI 10 Dehydration Admission Rate Retired in v2019 280
PQI 11 Community-Acquired Pneumonia Admission Rate 279
PQI 12 Urinary Tract Infection Admission Rate 281
PQI 14 Uncontrolled Diabetes Admission Rate 638
PQI 15 Asthma in Younger Adults Admission Rate 283
PQI 16 Lower-Extremity Amputation among Patients with Diabetes Rate 285

Composite Indicators Endorsed by NQF

Indicator NQF Number1
IQI 91 Mortality for Selected Conditions
IQI 15 Acute Myocardial Infarction (AMI) Mortality Rate
IQI 16 Heart Failure Mortality Rate
IQI 17 Acute Stroke Mortality Rate
IQI 18 Gastrointestinal Hemorrhage Mortality Rate
IQI 19 Hip Fracture Mortality Rate
IQI 20 Pneumonia Mortality Rate
No longer endorsed 530
730
358
467
2065
354
231
PSI 90 Patient Safety for Selected Indicators2
PSI 3 Pressure Ulcer Rate
PSI 6 Iatrogenic Pneumothorax Rate
PSI 7 Central Venous Catheter-Related Blood Stream Infection Rate
PSI 8 Postoperative Hip Fracture Rate
PSI 12 Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate
PSI 13 Postoperative Sepsis Rate
PSI 14 Postoperative Wound Dehiscence Rate
PSI 15 Accidental Puncture or Laceration Rate
No longer endorsed 531
 
346
 
 
450
 
 
345
PDI 19 Pediatric Patient Safety for Selected Indicators3
PDI 01 - Accidental Puncture or Laceration Rate
PDI 02 - Pressure Ulcer Rate
PDI 05 - Iatrogenic Pneumothorax Rate
PDI 10 - Postoperative Sepsis Rate
PDI 11 - Postoperative Wound Dehiscence Rate
PDI 12 - Central Venous Catheter-Related Blood Stream Infection Rate
Retired in v2019 532
344
337
348
 
 
 
1 Individual measures within each composite that do not have an NQF Number are not individually endorsed by NQF.
2 PSI 9, PSI 10, and PSI 11 are not part of the NQF Endorsed Composite, but they are components of the AHRQ QITM Composite measure.
3 PDI 8 and PDI 9 are not part of the NQF Endorsed Composite, but they are components of the AHRQ QITM Composite measure.

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