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Table 2 Overview of Quality and Safety Measures, by Inclusion in Medicare Pay for Performance (P4P)a

From: Combined impact of Medicare’s hospital pay for performance programs on quality and safety outcomes is mixed

Quality and Safety Measures

Earliest Announcement (Implementation) of Inclusion in P4P

IQI/PSI (Study Measure)

30-Day Mortality, Patients Included in Medicare P4P

  

  AMI

FY2010b (FY2013)c

IQI15, IQI32

  HF

FY2010b (FY2013)c

IQI16

  PN

FY2010b (FY2013)c

IQI20

  Hip Replacement

FY2013 (FY2015)c

IQI14

30-Day Mortality for Clinically Similar Patients

  

  CABG

--

IQI12

  PCI

--

IQI30

30-Day Mortality for Not Clinically Similar Patients

  

  AAA Repair

--

IQI11

  Craniotomy

--

IQI13

  Stroke

--

IQI17

  Esophageal Resection

--

IQI18

  Pancreatic Resection

--

IQI19

Patient Safety Included in Medicare P4P

  

  Composite Patient Safety

FY2012 (FY2015)d

PSI90e

Patient Safety Not in Medicare P4P

  

  Mortality among surgical patients with serious treatable complications

--

PSI14

  1. aThrough FY2015
  2. bAnnounced with passage of the Affordable Care Act
  3. cArea implemented first under the Hospital Readmission Reduction Program
  4. dArea implemented simultaneously under both Hospital Acquired Condition Reduction Program and Hospital Value Based Purchasing
  5. eWeighted average of PSI3 and PSIs 6–15; pressure ulcer, CLABSI, pneumothorax, accidental laceration, two peri-operative and five post-operative complication rates; we used the original PSI90 definition in effect during study period