In-hospital deaths per 1,000 hospital discharges with a principal diagnosis of pneumonia or a principal diagnosis of sepsis with a secondary diagnosis of pneumonia present on admission, for patients ages 18 years and older. Excludes discharges with severe sepsis present on admission, transfers to another hospital, discharges admitted from a hospice facility, and obstetric discharges.

Number of deaths (DISP=20) among discharges meeting the inclusion and exclusion rules for the denominator.

Discharges, for patients ages 18 years and older, with either: • a principal ICD-10-CM diagnosis code for pneumonia (PNEUMD* ) or • a secondary ICD-10-CM diagnosis code for pneumonia (PNEUMD* ) that is present on admission, when the principal ICD-10-CM diagnosis code is for sepsis without severe sepsis (SEPPNEUD* )

Exclude discharges: • with any secondary listed ICD-10-CM diagnosis code for severe sepsis that is present on admission (SEVSEPD*) • transferring to another short-term hospital (DISP=2) • admitted from a hospice facility (PointOFOriginUB04=F) • with a principal ICD-10-CM diagnosis code assigned to MDC 14 Pregnancy, Childbirth & the Puerperium (Appendix B: MDC14PRINDX) • with a principal ICD-10-CM diagnosis code assigned to MDC 15 Newborns & Other Neonates with Conditions Originating in Perinatal Period (Appendix B: MDC15PRINDX) • with an ungroupable DRG (DRG=999) • with missing discharge disposition (DISP=missing), gender (SEX=missing), age Q103 (AGE=missing), quarter (DQTR=missing), year (YEAR=missing) or principal diagnosis (DX1=missing) • with missing MDC (MDC=missing) when user indicates that MDC is provided

By sex, age, severity of illness and comorbidities.

None

Uses patient data found in a typical hospital discharge abstract or data set

Nationwide comparative rates reported by AHRQ and some individual/hospital rates reported on state health websites.

qualityindicators.ahrq.gov/

qualityindicators.ahrq.gov/Downloads/Modules/IQI/V2024/TechSpecs/IQI20PneumoniaMortalityRate.pdf