PSI-90’s transformation into The Patient Safety and Adverse Events Composite

Why This Topic Matters

Changes to hospital safety composite measures can affect quality reporting, organizational performance assessment, and value-based payment outcomes. Understanding the evolving measure structure helps CDI, coding, and quality teams prepare for updated specifications and align internal processes with CMS reporting expectations.

Article Sections

1. Nothing new here

   Summarizes the purpose of the revised hospital safety composite and its continued role in CMS quality and value-based purchasing programs. It also describes the general approach used to assess performance and risk adjustment at a high level.

2. PSIs in the CMS composite will change

   Reviews which patient safety indicators are included in the composite and notes that the composition is being revised. The section also addresses proposed re-specification of selected indicators.

3. Composite weights are revised

   Describes proposed changes to the weighting approach used in the composite and the general factors affecting how measure performance contributes to the overall score.

4. Preparation challenges

   Explains implementation timing issues, draft specification availability, and the need to review evolving measure materials. The section highlights the planning challenges posed by delayed finalized guidance.

5. What to do in the interim?

   Provides broad preparation themes for CDI, quality, and coding teams while the measure remains under refinement. The section emphasizes coordination, education, and review of draft materials.

6. Summary

   Concludes with the broader significance of patient safety performance and the importance of data quality for improvement efforts. It also notes the value of existing CDI infrastructure for adapting to measure changes.