HQIP Resources

Getting Started / Summary

HQIP User Instructions – last updated June 2022

HQIP Comparison Group Matrix – last updated March 2025

HQIP Measure Data Dictionary – need to update

Encounter Data

SIERA Data

• Uploading HCAI Recent Data into HQIP (SIERA – How To Guide) – last updated March 2022

• Running HCAI Custom Reports to Obtain Corrected Recent Data (SIERA – Download) – last updated May 2022

Historical Data

• How to Request the Limited Data Set – v2023
• HCAI Justification Grid to Request Inpatient – v2023
• HCAI Justification Grid to Request ED/AS – v2023
• HCAI HQIP Upload Limited Data Set (AB2876) Instructions – need to update

HQIP Report Methodology and Codesets

Adverse Drug Events – last updated June 2021, no recent update as of April 2025.

• HSAG’s complete Compendium of Measures
• Anticoagulant Methodology
• Hypoglycemic Methodology
• Opioids Methodology
• Adverse Drug Events Codeset Excel

AHRQ’s Quality Indicators – last updated September 2024

• PSI Tech Specs
  • PSI Composite Methodology
  • PSI Codeset
• IQI Tech Specs
  • IQI Composite Methodology
  • IQI Codeset
• PDI Tech Specs
  • PDI Codeset

CDC National Healthcare Safety Network (NHSN)

• Conferring HAI Data Rights to HQI on the NHSN SAMS Portal

CMS Case Mix Index

CMS Chronic Conditions Data Warehouse – last updated July 2023

• CCW Chronic Conditions Algorithm
• CCW Other Chronic Health, Mental Health, and Potentially Disabling Conditions Algorithm
• CCW Codeset v2023 Excel

CMS Hospital-Acquired Condition

• Methodology
• Excel Codeset – last updated October 2023

California Maternal Quality Care Collaborative

Cancer Surgery Volumes

• Cancer Surgery Methodology
• Cancer Surgery Codeset

Demographics & Other Encounter Characteristics

Emergency Department (ED) Revisits

HCUP Comorbidity (Elixhauser) – last updated March 2024

• Website View Downloaded Page
• Comorbidity Methodology
• Comorbidity Codeset

Inpatient Encounter Outcome

• CCSR Mapping
  • Diagnosis
  • Procedure
• Modified MSDRG Family Mappings
• Distribution by Principal Diagnosis/Procedure
• Rates, Trends & Benchmarks by Principal Diagnosis/Procedure

Local Health Plan Reports

• Inland Empire Health Plan
  • In-Hospital Sepsis Case Mortality
    • Methodology
    • Excel Codeset – last updated September 2023
  • Hospital-Acquired Pressure Injuries
    • Methodology
    • Excel Codeset – last updated July 2022
  • Healthcare- Associated Infection Composite
    • CDC SAM’s Portal

Readmission Rates, Distributions & Volumes

• Hospital-Wide All-Cause 30-day Unplanned Readmission (HWR)
  • Methodology
  • Excel Codeset – last updated July 2024
• Condition-Specific Readmission
  • Methodology
  • Excel Codeset – last updated July 2024
• Procedure-Specific Readmission
  • Methodology
  • Excel Codeset – last updated July 2024
• Sepsis Readmission
  • Methodology
  • Excel Codeset – see below in the Sepsis & Septic Shock category
• Missed Sepsis Opportunities
  • Methodology
  • Excel Codeset – see below in the Sepsis & Septic Shock category

Sepsis & Septic Shock

• Methodology
• Excel Codeset – last updated July 2024

Social Determinants of Health

• Methodology – last updated January 2022
• Codeset – last updated June 2024

QTD Template

• QTD Empty Template