HCPro, JustCoding Inpatient - 2016 Issue 30 (August)
PSI-90’s transformation into The Patient Safety and Adverse Events Composite
August 9th, 2016
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Article Overview
This article explains proposed updates to a hospital patient safety composite used in CMS pay-for-performance programs and discusses how the changes may affect CDI, quality reporting, and documentation review. It summarizes the broader measure redesign, the agencies involved, the adoption timeline, and the need to monitor revised specifications and risk adjustment materials as they become available.
Why This Topic Matters
Hospitals and CDI teams use this type of guidance to understand pending shifts in patient safety measurement, anticipate quality reporting impacts, and prepare documentation processes for evolving composite metrics.
Article Sections
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Nothing new here
Explains the overall purpose of the modified claims-based quality measure and its role in hospital-level quality assessment. Also notes its relationship to CMS pay-for-performance programs and risk adjustment.
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PSIs in the CMS composite will change
Summarizes the patient safety indicators included in the composite and describes proposed changes to the composite membership. The section also notes that some indicators are being re-specified.
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Composite weights are revised
Describes proposed changes to how the composite is weighted and the general factors considered in the revised algorithm. It highlights that the balance of influence among indicators will shift.
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Preparation challenges
Discusses implementation timing, draft specification availability, and the need to prepare for future revisions. The section focuses on planning concerns for hospitals and CDI programs.
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What to do in the interim?
Provides broad interim preparation themes for CDI, quality, and provider education teams. It emphasizes reviewing drafts, aligning internal stakeholders, and monitoring documentation processes.
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Summary
Wraps up the article’s emphasis on patient safety performance, data quality, and readiness for changing claims-based measurement. It reinforces the operational importance of these measures for improvement efforts.
What You Will Learn
- How the patient safety composite is changing at a high level
- Which organizations and programs are associated with the measure
- Why timing and draft specifications matter for hospital reporting
- What kinds of CDI and quality preparation themes the article emphasizes
- How measure changes can affect hospital performance monitoring
Who Should Read This
- Clinical documentation integrity professionals
- Hospital quality improvement staff
- Health information management professionals
- Coding and CDI trainers
- Patient safety and value-based purchasing teams
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