Hospital Quality Metrics: Improve Performance, Reduce PSI Risk, and Strengthen Outcomes 

Hospitals across the country are under increasing pressure to improve hospital quality metrics—many of which are influenced by Patient Safety Indicators (PSIs).   


These challenges often sound familiar: 


• “Our PSI rates are too high because of coding errors.”    


• “Our CDI team isn’t sure when to query.”    


• “Hospital quality metrics keep declining even though processes seem correct.”    


In this must-read article, you'll  Discover how improved documentation and coding can reduce PSI reporting, stay ahead of CMS’s latest PSI 90 changes, and protect your hospital from costly penalties.

As CMS continues to tighten expectations around quality reporting, PSI 90, and documentation accuracy, organizations need stronger processes, better documentation, and improved coding accuracy to protect their performance and reimbursement outcomes. 

Common PSI Challenges That Impact Hospital Quality Metrics 

PSIs directly influence a hospital’s quality ratings, public reporting scores, and financial reimbursement.   


The root causes often include documentation gaps, inconsistent coding, and limited cross-department alignment across CDI, coding, and quality teams. 

The Financial & Patient Care Implications of PSIs

As a CFO or hospital decision-maker, your focus is on protecting both your hospital's bottom line and its reputation. Patient Safety Indicators (PSIs) directly impact reimbursement rates, readmission penalties, and operational costs, all of which can hinder your hospital’s growth.


  • Increased Costs: Readmissions following a PSI event are 71% more likely, adding to the financial burden.
  • CMS Penalties: PSI over-reporting can result in penalties, reducing your reimbursement rates.
  • Avoidable Risks: Over 200,000 deaths annually due to hospital errors and infections signal critical safety gaps that demand immediate attention.


Ready to Elevate Your PSI Program?

Our PSI Solutions: 
Explore the Right Fit for Your Needs

At UASI, we understand these challenges and have created a suite of solutions to help hospitals like yours regain control, enhance safety, and protect your bottom line.

PSI Foundations

For hospitals looking to strengthen PSI awareness and review practices.

  • Educational Content Access: Annual subscription to PSI-focused content library with CEUs.

  • Exclusion Criteria Tools: Decision trees and checklists for accurate reporting.

  • Consulting: Sessions to address PSI challenges.
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PSI Insights

For hospitals needing a targeted approach to address PSI hotspots.

  • Performance Assessment: Identifies high-risk PSIs without a full chart review.

  • Data Analysis: Trends and summary insights for informed decision-making.

  • Educational Content Access: Annual subscription to PSI-focused content library with CEUs.

  • Exclusion Criteria Tools: Decision trees and checklists for accurate reporting.

  • Consulting: multiple sessions per year for in-depth scenario reviews.
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PSI Mastery

For a comprehensive approach to long-term PSI management and improvement.

  • Comprehensive Assessment & Audit: Review past records and identify improvement opportunities.

  • Process Evaluation: Full review with actionable recommendations.

  • Educational Content Access: Annual subscription to PSI-focused content library with CEUs.

  • Exclusion Criteria Tools: Decision trees and checklists for accurate reporting.

  • Consulting: Several sessions annually with expert support.

  • Physician Education: Targeted sessions to address high-risk PSIs.

  • Data Reevaluation: Trend analysis and executive reporting for ongoing improvement.
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Why This Matters:


  • 71% higher readmission risk follows a PSI event.
  • Over 200,000 deaths annually due to hospital errors.
  • Significant increases in infections and falls post-pandemic.

Questions to Consider:

  • Does your current PSI reporting process truly safeguard patient safety?
  • Are inaccuracies in documentation causing PSI over-reporting?
  • Is your hospital prepared to meet evolving CMS safety standards?


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Why UASI is Your

Strategic Partner


UASI provides:

Data-Driven Insights:
Tailored analyses to highlight improvement opportunities.

Actionable Recommendations:
Strategies designed to mitigate risks and improve patient safety.

Clear ROI:
Improvements in PSI metrics directly correlate to financial savings and better patient outcomes.

Expert-Led Assessments:
Tailored to your hospital’s unique challenges and goals.

Proven Track Record:
A trusted partner for hospitals nationwide.

Scalable Solutions:
From foundational improvements to comprehensive management, we meet you where you are.

Measurable Results:
Clear KPIs for patient safety and financial health.