How to Calculate PQI 07: Hypertension Admission Rate

The heart pumps blood into the arteries with enough force to push blood to the far reaches of each organ from the top of the head to the bottom of the feet. Blood pressure can be defined as the pressure of blood on the walls of the arteries as it circulates through the body. Blood pressure is highest as its leaves the heart through the aorta and gradually decreases as it enters smaller and smaller blood vessels (arteries, arterioles, and capillaries). Blood returns in the veins leading to the heart, aided by gravity and muscle contraction.

It is known as the "silent killer" since it has no initial symptoms but can lead to long-term disease and complications.. High Blood Pressure a.k.a. Hypertension can be controlled by outpatient means by either medication or lifestyle change. When someone is admitted to a hospital due to complications from hypertension, then preventative measures could have failed. However, the cause of failure is not represented here, and that can include both patient and provider based causes.

Prevention is an important role for all healthcare providers. Hypertension is a controllable condition using outpatient care and drug therapy. Prevention Quality Indicators (PQIs) are a set of measures that help identify quality of care for outpatient and other non-hospital care.

How to Calculate PQI 07 Hypertension Admission Rate?

Know About Ambulatory-Care-Sensitive Admissions or PQI

Ambulatory-Care-Sensitive Admissions (ACSAs) are those that can be prevented. This is also commonly known as Prevention Quality Indicators or in short ‘PQI’.

The Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QIs) are
one Agency response to this need for a multidimensional, accessible family of quality indicators.
They include a family of measures that providers, policy makers, and researchers can use with
inpatient data to identify apparent variations in the quality of either inpatient or outpatient care.

The PQI composites provide:
-Provide assessment of quality and disparity
-Provide baselines to track progress
-Identify information gaps
-Emphasize interdependence of quality and disparities
-Promote awareness and change

What AHRQ PQI Composite Measure:
PQI #01 Diabetes Short-Term Complications Admission Rate
PQI #03 Diabetes Long-Term Complications Admission Rate
PQI #05 Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate
PQI #07 Hypertension Admission Rate
PQI #08 Congestive Heart Failure (CHF) Admission Rate
PQI #10 Dehydration Admission Rate
PQI #11 Bacterial Pneumonia Admission Rate
PQI #12 Urinary Tract Infection Admission Rate
PQI #13 Angina without Procedure Admission Rate
PQI #14 Uncontrolled Diabetes Admission Rate
PQI #15 Asthma in Younger Adults Admission Rate
PQI #16 Rate of Lower-Extremity Amputation Among Patients With Diabetes

Acute Composite (PQI #91)
PQI #10 Dehydration Admission Rate
PQI #11 Bacterial Pneumonia Admission Rate
PQI #12 Urinary Tract Infection Admission Rate

Chronic Composite (PQI #92)
PQI #01 Diabetes Short-Term Complications Admission Rate
PQI #03 Diabetes Long-Term Complications Admission Rate
PQI #05 Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate
PQI #07 Hypertension Admission Rate
PQI #08 Congestive Heart Failure (CHF) Admission Rate
PQI #13 Angina without Procedure Admission Rate
PQI #14 Uncontrolled Diabetes Admission Rate
PQI #15 Asthma in Younger Adults Admission Rate
PQI #16 Rate of Lower-Extremity Amputation Among Patients With Diabetes