BI Home BI on Campus UMHS PSI-CRS

UMHS Patient Safety Indicator – Case Review System (PSI-CRS)

Project Contact

If you have questions or would like more information, please contact Vinita Bahl (vbahl@umich.edu).

Project Description

The Patient Safety Indicator – Case Review System (PSI-CRS) enables identification of inpatients who acquired a medical condition after hospital admission. It sends information about each patient to clinicians who analyze the condition and determine if the problem was preventable.  The PSI-CRS enables UMHS to take corrective action and improve patient safety.

Business Need

• Identify inpatients with a condition acquired after hospital admission and refer cases to the appropriate clinician for review.
• Provide more accurate results than U.S. government indicators, which identified false positive cases.
• Prepare UMHS for new federal laws that will reduce Medicare reimbursement for hospital-acquired complications of care.

System/Application & Data Sources

The system uses data that are a by-product of the Hospital billing process.  These data include codes of patient diagnoses, some which describe complications of care. To identify potential patient-safety events, UMHS applies to this data a set of algorithms which are part of the Patient Safety Indicators developed by the U.S. Health & Human Services, Agency for Healthcare Research & Quality (AHRQ).

Project Purpose, Scope, & Deliverables

Design and pilot-test a system that:

• Identifies and analyzes otherwise unreported adverse events using readily available hospital data
• Improves on existing error reporting systems.
• Incorporates a diagnosis timing variable to exclude cases where inpatients have a condition acquired prior to hospital admission.
• Captures information about the preventability of these events to facilitate interventions and quality improvement in patient care.

Audience/Users

• Physicians in surgical and medical specialties
• Nurses
• Quality improvement and risk management specialists
• Infection control staff
• Health Information Management coding experts.

Note: The PSI-CRS has the potential for commercial development and licensing to other acute care hospitals.

Duration/Timeline

UMHS has pilot-tested the Patient Safety Indicator – Case Review System, and it plans to implement the system across U-M inpatient facilities for use by UMHS faculty and staff who are involved in clinical care and quality improvement.