Amino’s safety and quality measures are based on methods independently developed and endorsed by the Agency for Healthcare Research and Quality (AHRQ) and National Quality Forum (NQF).
Amino’s C-section rate is defined as the percentage of deliveries that are first-time C-sections without a hysterotomy to terminate pregnancy. As determined by the AHRQ, this rate excludes deliveries with these complications:
- Abnormal presentation
- Preterm delivery
- Fetal death
- Multiple gestation diagnoses
- Breech procedure
Amino’s sepsis rate is defined as the percentage of elective surgical discharges with a secondary diagnosis of postoperative sepsis. As determined by the AHRQ, this rate excludes cases with:
- A principal diagnosis of sepsis
- A secondary diagnosis of sepsis present on admission
- A principal diagnosis of infection
- A secondary diagnosis of infection present on admission (only if they also have a secondary diagnosis of sepsis)
- Obstetric discharges
To compute these measures, Amino analyzed proprietary claims data from January 1, 2014 to December 31, 2016. Claims that use ICD-10 codes were converted to ICD-9 codes using the Centers for Medicare and Medicaid Services (CMS) 2016 General Equivalence Mappings (GEM) for proceduresand diagnoses.
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