Newsroom & Reports

HQI Analysis Finds 10% Spike in Emergency Treatment for Gout

According to new research from HQI, the number of gout cases treated in California emergency departments increased in 2023, particularly among men aged 60-74. Gout — arthritis from high uric acid, causing joint pain and swelling — is often triggered by red meat, seafood; treatment involves diet changes and medication.   

Prostate Cancer Discharges Hit Six-Year High

Following significant disruption in patient care during the COVID-19 pandemic, prostate cancer discharges have rebounded to the highest level in nearly a decade. After a drop of 7% in 2020, discharges bounced back in 2021 and 2022. In 2023, however, discharges increased 11% above the previous average (excluding 2020). 

Uncovering the True Impact of ‘No Harm’ in Patient Safety Events

This post has been archived and contains information that may be out of date.

Key Points: 

  • The Collaborative Healthcare Patient Safety Organization (CHPSO) has seen dramatic improvement in reducing unclassified events on its platform, dropping from 16.8% in 2022 to just 6.9% in 2024. 
  • Even when patients experience additional suffering, extended recovery, or psychological trauma, these impacts are frequently mislabeled as “no harm” if they do not result in catastrophic outcomes. 
  • Harm misclassification skews safety data and masks the true burden of harm.  
  • CMS Patient Safety Structural Measure Reporting Begins This Year — HQI Can Help

    This post has been archived and contains information that may be out of date.

    Key Points:  

  • The Centers for Medicare & Medicaid Services’ (CMS) new Patient Safety Structural Measure is intended to improve hospital safety by focusing on structural elements that support a culture of safety. 
  • PSSM reporting begins in calendar year (CY) 2025. 
  • The Hospital Quality Institute’s (HQI’s) program HQI Cares: Implementing BETA HEART® helps hospitals meet this new requirement.  
  • Analysis Paper: How Methodological Choices Affect California’s 30-Day Hospital Readmission Rates

    This post has been archived and contains information that may be out of date.

    Key Points: 

  • The calculation of 30-day hospital-wide all-cause readmission rates varies significantly across organizations due to differences in inclusion/exclusion criteria, data sources, and operational definitions. For example, the Centers for Medicare & Medicaid Services (CMS) uses both encounter and claims data, while the California Department of Health Care Access and Information (HCAI) and the Hospital Quality Institute (HQI) rely on patient-level encounter data only.  
  • HQI’s adherence to CMS methodologies results in higher alignment with national benchmarks, whereas HCAI’s broader criteria — such as counting all readmissions within 30 days and crediting readmitting facilities — lead to inflated statewide rates and potential inconsistencies for benchmarking.  
  • HQI’s methodology, closely mirroring CMS standards, supports standardized benchmarking and state-level policy decisions, whereas HCAI’s approach, while operationally useful, lacks consistency for broader comparative analyses.  
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