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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ptmgmt/evaluation-table3c.html
July 01, 2018 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Number or insurance claims for medication.
Productivity
Work limitations.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-event-checklist.pdf
April 01, 2016 - ■ Notify appropriate individuals of the event (e.g., claims management, legal counsel, any
liability … – Determine if it is appropriate to continue to withhold some or all claims to third parties
and
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-chsp-tin-linkage-file-tech-doc.pdf
January 01, 2018 - xvii Invalid TINs appear in the data when a valid TIN was not reported on MA claims. … Medicare claims
We used billing information in 2018 Medicare fee-for-service claims to create an analytic … used to create the MD-PPAS data, including only claims:
1. … A date of service can include more than one service and multiple Medicare claims. … Medicare claims
4. IQVIA OneKey database
III. Methodology
A.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-using-pqms.pdf
January 01, 2016 - Instead of using the specified denominator (an enrolled
health plan population based on claims data) … measures developed for use at the state or health plan level often rely on program
administrative or claims … At the health system,
hospital, or practice level, however, these claims data
are often unavailable … significant number of self-paid visits—documented in
electronic medical records (EMRs) but not in claims … One key
informant – a state Medicaid medical director
– noted that pharmacy claims, which are
available
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ce.effectivehealthcare.ahrq.gov/data/innovations.html
March 01, 2024 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Determinants of Health
Synthetic Healthcare Database for Research (SyH-DR)
All-Payer Claims
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ce.effectivehealthcare.ahrq.gov/cpi/about/nac/snac-shenkman.html
November 01, 2019 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … OneFlorida has a centralized Data Trust containing linked healthcare claims, electronic health record
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ce.effectivehealthcare.ahrq.gov/data/infographics/us-clinical-preventive-services.html
May 01, 2019 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
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ce.effectivehealthcare.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety.html
April 01, 2019 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … contribute to about 10 percent of patient deaths, and are the primary reason for medical liability claims
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ce.effectivehealthcare.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/introduction.html
July 01, 2021 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … This toolkit includes materials to support users in:
Utilizing a claims-based method for identifying
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-1.html
August 01, 2023 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … represent the most common medical factor contributing to pediatric closed (i.e., settled) malpractice claims
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-technicalspecs.pdf
October 16, 2019 - Exclusions
• Denominator Exclusions
o Exclusions based on ICD-9-CM codes captured in administrative claims … obtained
Suspected abuse and neglect or other head trauma (IMG9 or the presence of an
E-code in claims
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ce.effectivehealthcare.ahrq.gov/opioids/about.html
August 01, 2021 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
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ce.effectivehealthcare.ahrq.gov/data/innovations/3p-rd.html
April 01, 2024 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Determinants of Health
Synthetic Healthcare Database for Research (SyH-DR)
All-Payer Claims … The database was supplemented and enhanced using available state and national claims files.
3P-RD contains
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/cmsqualconf0615.pdf
September 01, 2015 - Dailey
The National Evaluation Team
2
Updates on data collection: site visits, claims, and … patients
and primary care physicians, and others
7
Site Visits: Early Observations
Claims
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ce.effectivehealthcare.ahrq.gov/data/innovations/sdoh.html
June 01, 2023 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Determinants of Health
Synthetic Healthcare Database for Research (SyH-DR)
All-Payer Claims
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen3.html
April 01, 2018 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Electronic records consisted of billing records, LVPHO claims, and EMRs. … For other practices, we were only able to use PHO claims data. … However, the PHO claims were a good source of data for tracking screening. … For the remaining practices, we were able to use a combination of billing records and PHO claims.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
October 01, 2011 - Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance … Using ICD-9-CM Codes in Hospital Claims Data
to Detect Adverse Events in Patient
Safety Surveillance … Identification of in-hospital complications from claims
data – Is it valid? … Enhancement
of claims data to improve risk adjustment of hospital
mortality.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-6-b.pdf
November 26, 2013 - 2
(Percentage of Children in State with SCD Receiving Antibiotics by 3 Months
of Age)
Medicaid
Claims
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-139-section-2.pdf
January 01, 2014 - Claims in the administrative records for any of the sickle cell disease variants listed in Table … Select cases
with TCD
Select cases
with TCD
IPOT2008
_TCD
Merge files,
eliminate
duplicate
claims … by date
of service for
each ID
IPOT2008_
Meas13Had
3
Select cases
that had 3 or
more claims … This frequency is for syntax testing only*/
/*Delete duplicate IDs (this not only deletes multiple claims
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ce.effectivehealthcare.ahrq.gov/practiceimprovement/delivery-initiative/bozicstudysnapshots/index.html
August 01, 2018 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … incentive to invest in needed infrastructure, including clinical care redesign (by providers) and automated claims … Inadequate infrastructure for claims processing: Health plans' existing automated claims systems could