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Quality Definitions and Methodology

Collection Periods

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Measure Collection Period
From To
Surgical Complications 
Complications for Hip/Knee Replacements 04/01/2021 03/31/2024
PSI-10. Postoperative Acute Kidney Injury Rate 07/01/2022 06/30/2024
PSI-11. Postoperative Respiratory Failure Rate 07/01/2022 06/30/2024
PSI-12. Serious blood clots after surgery 07/01/2022 06/30/2024
PSI-13. Blood stream infection after surgery 07/01/2022 06/30/2024
PSI-14. A wound that splits open after surgery 07/01/2022 06/30/2024
PSI-15. Accidental cuts and tears from medical treatment 07/01/2022 06/30/2024
PSI-90. Serious Complications 07/01/2022 06/30/2024
Healthcare Associated Infections 
HAI-1-SIR. Central Line Associated Blood Stream Infections (CLABSI) 01/01/2024 12/31/2024
HAI-2-SIR. Catheter Associated Urinary Tract Infections (CAUTI) 01/01/2024 12/31/2024
HAI-3-SIR. Surgical Site Infections from colon surgery (SSI: Colon) 01/01/2024 12/31/2024
HAI-4-SIR. Surgical Site Infections from abdominal hysterectomy (SSI: Hysterectomy) 01/01/2024 12/31/2024
HAI-5-SIR. Methicillin-resistant Staphylococcus aureus (or MRSA) blood infections 01/01/2024 12/31/2024
HAI-6-SIR. Clostridium difficile (or C.diff.) Infections (intestinal infections) 01/01/2024 12/31/2024