Back to top
Top
U.S. flag

An official website of the United States government

Dot gov

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Https

Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

Hospital Harm - Pressure Injury

Compare Versions of: "Hospital Harm - Pressure Injury"

The Compare function compares two years of the measure specifications found in the header of the measure's HTML. It does not include a comparison of any information in the body of the HTML, e.g., population criteria, Clinical Quality Language, or value sets.

Strikethrough text highlighted in red indicates information changed from the previous version. Text highlighted in green indicates information updated in the new eCQM version.

Compare version to

Measure Information 2025 Reporting Period
Title Hospital Harm - Pressure Injury
CMS eCQM ID CMS826v1
Short Name HH-PI
NQF Number Not Applicable
Description

The proportion of inpatient hospitalizations for patients aged 18 and older who suffer the harm of developing a new stage 2, stage 3, stage 4, deep tissue, or unstageable pressure injury

Initial Population

Inpatient hospitalizations for patients aged 18 and older

Denominator

Equals Initial Population

Denominator Exclusions Inpatient hospitalizations for patients with a DTPI or stage 2, 3, 4 or unstageable pressure injury diagnosis present on admission, i.e., the diagnosis of pressure injury has a Present on Admission indicator = Y yes (Diagnosis was present at time of inpatient admission) or W (clinically undetermined)Inpatient hospitalizations for patients with a DTPI found on exam within 72 hours after the start of the encounterInpatient hospitalizations for patients with a stage 2, 3, 4, or unstageable pressure injury found on exam within 24 hours after the start of the encounterInpatient hospitalizations for patients with diagnosis of a COVID-19 infection during the encounter
Numerator

Inpatient hospitalizations for patients with a new deep tissue pressure injury (DTPI) or stage 2, 3, 4, or unstageable pressure injury, as evidenced by any of the following:

A diagnosis of DTPI with the DTPI not present on admission, i.e., the diagnosis of DTPI has a Present on Admission indicator = N no (Diagnosis was not present at time of inpatient admission) or U (documentation insufficient to determine if the condition was present at the time of inpatient admission)

A diagnosis of stage 2, 3, 4 or unstageable pressure injury with the pressure injury diagnosis not present on admission, i.e., the diagnosis of pressure injury has a Present on Admission indicator = N no (Diagnosis was not present at time of inpatient admission) or U (documentation insufficient to determine if the condition was present at the time of inpatient admission)

A DTPI found on exam greater than 72 hours after the start of the encounter

A stage 2, 3, 4 or unstageable pressure injury found on exam greater than 24 hours after the start of the encounter

Numerator Exclusions

Not Applicable

Denominator Exceptions

None

Measure Steward Centers for Medicare & Medicaid Services (CMS)
Measure Scoring Proportion measure
Measure Type Outcome measure
Improvement Notation

A lower proportion indicates better quality

Guidance

To calculate the hospital-level measure result, divide the total numerator events by the total number of qualifying encounters (denominator).

Only one harm (new qualifying pressure injury) is counted per encounter.

This eCQM is an episode-based measure. An episode is defined as each inpatient hospitalization or encounter that ends during the measurement period.

This version of the eCQM uses QDM version 5.6. Please refer to the eCQI resource center (https://ecqi.healthit.gov/qdm) for more information on the QDM.

Next Version No Version Available
Previous Version No Version Available
Last Updated: Dec 28, 2023