The Quality Quarterly


The Quality Quarterly

HQI produces a quarterly newsletter intended to support health care quality and patient safety professionals’ work by providing information on clinical developments, opportunities to learn from your peers, and new technologies to help you work more effectively. The newsletter is distributed in March, June, September, and December. To subscribe, please email

Quality Quarterly Article

Hospital-Level Relationships Between Risk Factors for Severe COVID-19 and COVID-19 Hospitalization Rates

Following up on our previous work on County-Level Relationships Between Risk Factors for Severe COVID-19 and Deaths, we applied similar methods to hospital-level data to explore the relationship between the prevalence of several hospital-level risk factors for severe COVID-19 and corresponding COVID-19 hospitalization rates at those hospitals. We used historical hospital inpatient, emergency department, and ambulatory surgery discharge records for California hospitals to estimate the patient population prevalence of several potential risk factors for developing severe COVID-19. In addition to the risk factors included in the prior analysis, we also included race/ethnicity in these analyses, though patient gender was excluded.  

Quality Quarterly Article

Perinatal Mental Health Learning Community Program Update

Perinatal mood and anxiety disorders continue to be the most common complication of childbirth. HQI’s Perinatal Mental Health (PMH) Learning Community seeks to strengthen hospital approaches to perinatal mental health through specially tailored learning and peer-exchange opportunities, which include webinars, group office hours, individual coaching, and online training and educational resources. These are all available to California hospitals free of charge, courtesy of a grant from the California Health Care Foundation. 

Quality Quarterly Article

Lessons Learned – Sepsis and Covid-19

One of the most popular educational offerings available to CHPSO members are the regularly scheduled Safe Table forums. Offered about two dozen times per year, these meetings are focused on safety and quality improvement topics, each with a specific clinical focus. As a members-only patient safety activity, these confidential forums occur within each participant’s patient safety evaluation system and provide a safe space in which to explore systematic concerns or issues and share lessons learned.  

Quality Quarterly Article

HQI President’s Message

“Quality is not an act; it is a habit.” – Aristotle 

As patient safety and quality improvement professionals, you understand those words better than most. The work you do isn’t defined by a sales metric or accomplishment of a task, but rather by incremental improvement — your journey from providing good patient care to great patient care. 

Quality Quarterly Article

Enrollment Continues for New HQI Data Analytics Platform
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Enrollment continues for HQI’s new Hospital Quality Improvement Platform — a quality analytics system that consolidates disparate data sources into a single, statewide platform. The platform is free to all California Hospital Association (CHA) members.   

Since launching in October 2019, 229 acute care hospitals have seen a demo of the platform. Of those, 46 have executed agreements and 143 have participation agreements under legal review to join.

Quality Quarterly Article

CHPSO, HQI Launch Series of Webinars on Suicide Prevention

National and global organizations such as the Centers for Disease Control and Prevention and the World Health Organization acknowledge that suicide is a significant public health issue that has escalated in recent years. The COVID-19 pandemic has increased concerns around suicide due to a variety of issues ranging from social isolation to financial hardship. In order to raise awareness and help promote suicide prevention, the CHPSO and HQI hosted the first in a series of webinars on the topic. 

Quality Quarterly Article

Ask CHPSO: Null Fields – Data Quality

In our previous newsletter, we discussed CHPSO’s new “No Nulls” initiative to improve data quality and how member organizations can help in the effort. This article will review the data pipeline involved in the process, touch on some of the challenges and successes we’ve observed in the effort so far, and suggest ways we can work together in a two-pronged approach to improve end-to-end data quality.  

Quality Quarterly Article

Updated Quality Transparency Dashboards Paused Until 3rd Quarter of 2020

Due to increased hospital workload and delays in data reporting as a result of the COVID-19 pandemic, HQI is delaying the release of updated Quality Transparency Dashboards until the third quarter of 2020. 

HQI, in cooperation with the Patient Safety Movement Foundation and the California Hospital Association (CHA), creates and distributes quarterly dashboards of publicly available quality data for each CHA acute-care member hospital. These model dashboards currently provide information on eight measures:  

Quality Quarterly Article

New Name, Same Mission for CHPSO

CHPSO, a division of HQI, has changed its name to the Collaborative Healthcare Patient Safety Organization. The change, which took effect Jan. 29, was made in order to better reflect the organization’s membership.

The organization remains dedicated to eliminating preventable harm and improving the quality of health care delivery in hospitals. 

Quality Quarterly Article

HQI/CHPSO Welcome Cerner As A New Member

As national leaders in the patient safety arena, HQI and its affiliate, Collaborative Healthcare Patient Safety Organization (CHPSO) are continually pursuing efforts to eliminate patient harm. We are always looking for new and innovative methods and partners and viewing patient safety issues through different lenses has always been an HQI/CHPSO attribute. 

In that light, CHPSO has recently entered into a member agreement with Cerner, a health care information technology company. 

Quality Quarterly Article

CHPSO 2019 Annual Report Released

The CHPSO 2019 Annual Report was released on May 13, 2020. This report, which covers the period of January 1–December 31, 2020, focuses on CHPSO’s year in review with highlights for 2020. The report is available online on the CHPSO website

Quality Quarterly Article

Early Enrollment Ramping Up for New HQI Data Analytics Platform
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Early adoption has surged for HQI’s new Hospital Quality Improvement Platform — a quality analytics system that consolidates disparate data sources into a single, statewide platform. The platform is available free of charge to all California Hospital Association (CHA) members.  

Since launching in October 2019, 33 hospitals have already completed the participation process and 128 have participation agreements under review to join them.  

Quality Quarterly Article

Does Your Hospital Z-Code?

The ICD-10 codes between Z55 and Z65 are the social determinants of health (SDOH) discharge codes. Social determinants of health include factors like:  

  • Socioeconomic status 
  • Education 
  • Neighborhood and physical environment 
  • Employment 
  • Social support networks  
  • Access to health care  

Addressing social determinants of health is important for improving health and reducing longstanding disparities in health and health care. 

Quality Quarterly Article

Webinar Recordings Available from Patient Safety Awareness Week

The Collaborative Healthcare Patient Safety Organization  (CHPSO) and the Hospital Quality Institute (HQI) celebrated Patient Safety Awareness Week with a series of very well attended and highly informative webinars. Many organizations took advantage of these educational offerings as opportunities to bring multidisciplinary teams together to learn more about these important patient safety and quality improvement topics. If you missed these sessions, we encourage you to take advantage of the recordings and associated materials. Here are recaps of each of the five webinars:

Quality Quarterly Article

Quality Transparency Dashboard Measure Revision: Call for Suggestions and Advisory Members

HQI, in cooperation with the Patient Safety Movement Foundation and the California Hospital Association, creates and distributes quarterly dashboards of publicly available quality data for each California Hospital Association acute-care member hospital. These model dashboards currently provide information on eight measures: 

Five outcome measures: