Quality Quarterly

HQI Quality Analytics System Expands with Enhanced Features to Better Serve Hospitals

As participation in the Hospital Quality Improvement Platform (HQIP) grows, HQI continues to improve the platform’s capabilities. Recent updates include new reports highlighting the top five quality of care measures that have degraded since COVID-19 (also detailed in a recent HQI analysis) and severe maternal morbidity and mortality, as well as updated 2023 data from the Centers for Medicare & Medicaid Services.

HQIP is a secure, web-based platform that provides quality measures for conditions most affected by hospital quality initiatives. Through the platform, hospitals gain access to clinically rich, timely reports to help easily identify opportunities for improvement and areas for focus. It is free to all California Hospital Association members, does not connect to hospitals’ electronic health records system, and uses data hospitals already report to the California Department of Health Care Access and Information (HCAI), the National Healthcare Safety Network (NHSN), and the California Maternal Quality Care Collaborative.    

Since launching in October 2019:  

  • 352 of 476 hospitals have seen a demo of the platform  
  • 167 hospitals have executed agreements  
  • 131 hospitals have participation agreements under legal review 


In addition to participation expansion, here’s what’s new to HQIP since the last update:  

  • HQI had its first HQIP Quarterly User Group Meeting on Feb. 22. The next meeting is scheduled for May 23 from 10 to 11 a.m. (PT).
  • Continued refinements to the integrated SpeedTrack Analytics reports to help hospitals meet the annual HCAI Hospital Equity Reporting requirements that start in September 2025. 
  • A new Top 5 Focus report, which highlights five historical quality-of-care measures that have degraded since the COVID-19 pandemic (also detailed in a recent HQI analysis).
  • A new Severe Maternal Morbidity and Mortality report based on the AIM Severe Maternal Morbidity Codes List

With feedback about features or measures, email HQIAnalytics@hqinstitute.org.  


HQI is working to add reports for two local health plans’ 2024 Hospital P4P Programs: Inland Empire Health Plan and Partnership HealthPlan of California (PHC). HQI is also developing a Sepsis 1-2-3 report presenting incidence and mortality for multiple sepsis definitions, along with readmissions. Automated reports are planned for later this year to streamline production of local health plan reports on data uploads and measure outcomes across network hospitals. Recruitment of PHC hospitals participating in their P4P program in additional counties is ongoing. HQI will begin to onboard L.A. Care Health Plan hospitals once the data use agreement is completed. 


Features include:   

  • Access to hospital performance data from various sources, integrated into a centralized platform  
  • Tools to understand your hospital’s quality performance and compare standardized measures to statewide benchmarks and peers  
  • The ability to explore same-year quality performance for your hospital, rather than waiting eight to 20 months for statewide files to be released  
  • An intuitive interface that provides a window into inpatient and emergency quality indicators  
  • Secure data within HIPAA-qualified encrypted data systems  

Quality measures include:   

  • Inpatient case mix demographics, comorbidities, index     
  • ED discharge analytics (comorbidities, volume, demographics, revisits)     
  • Ambulatory surgery demographics   
  • Agency for Healthcare Research and Quality patient safety indicators     
  • Sepsis incidence and mortality     
  • Maternity measures     
  • Discharge volume by source (inpatient, ED, ambulatory surgery)    
  • Social determinants of health    
  • Chronic physical and behavioral conditions    
  • NHSN measures, trends, and details   

There are many options for benchmarking your hospital’s performance:    

  • All CHA member hospitals     
  • Other critical access hospitals     
  • Other rural hospitals    
  • Other children’s hospitals     
  • Other teaching hospitals    
  • Other hospitals with the same payer (e.g., IEHP, PHC)   
  • Your hospital’s past performance     
  • Other CHA member hospitals:     
  • In the same health system     
  • In the same general region    
  • In the same health service area    
  • In the same metropolitan statistical area    
  • With similar bed size    
  • With the same type of control (e.g., non-profit)    
  • With the same license type    
  • With similar Medicare payer mix    
  • With similar Medi-Cal payer mix    
  • With the same adult/children’s trauma level designation     
  • With similar inpatient discharge volume    
  • With same ED service level (e.g., basic, standby)    
  • With similar outpatient visit volume    

For hospitals interested in participating, all it takes are three easy steps:     

  1. Execute the cost-free HQI-Hospital Service Agreement and  HQI-Hospital Business Associated Agreement.      
  1. Follow the HCAI Patient-Level Administrative Data (SIERA) HQIP Upload Instructions to securely submit copies of recent HCAI Patient-Level Administrative Data for ED, ambulatory surgery, and inpatient encounters.      
  1. Follow our NHSN HQIP Group Join Instructions to confer rights to HQI’s NHSN group on the Centers for Disease Control and Prevention’s Secure Access Management Services web portal.    

For more information about the HQIP or to schedule a 30-minute demo, visit the HQI website or email HQIAnalytics@HQInstitute.org.