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ce.effectivehealthcare.ahrq.gov/topics/neonatal-intensive-care-unit-nicu.html
Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
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ce.effectivehealthcare.ahrq.gov/teamstepps/lep/handouts/lepactionplan.html
December 01, 2012 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
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ce.effectivehealthcare.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/activeesp.html
September 01, 2015 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
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ce.effectivehealthcare.ahrq.gov/policymakers/measurement/index.html
February 01, 2017 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
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ce.effectivehealthcare.ahrq.gov/teamstepps/primarycare/4_situation_monitoring_good/index.html
August 01, 2012 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
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ce.effectivehealthcare.ahrq.gov/teamstepps/lep/videos/opportunity/index.html
July 01, 2018 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
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ce.effectivehealthcare.ahrq.gov/teamstepps/primarycare/4_situation_monitoring_bad/index.html
August 01, 2012 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
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ce.effectivehealthcare.ahrq.gov/teamstepps/primarycare/3_mutual_support_good/index.html
August 01, 2012 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
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ce.effectivehealthcare.ahrq.gov/research/shuttered/toolkitchecklist/medancillary3.html
July 01, 2018 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
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ce.effectivehealthcare.ahrq.gov/pqmp/index.html
Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
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ce.effectivehealthcare.ahrq.gov/patients-consumers/diagnosis-treatment/hospitals-clinics/index.html
December 01, 2017 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
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ce.effectivehealthcare.ahrq.gov/research/shuttered/toolkitchecklist/adminadvcare.html
July 01, 2018 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-technicalspecs.pdf
October 16, 2019 - Denominator Exclusions
• Exclusions based on ICD-9-CM codes captured in administrative claims
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
April 01, 2016 - Safety
■ Risk management
■ Patient relations
■ Compliance
■ Performance improvement
Legal and Claims … Organizational chart showing connections among safety, risk, quality, credentialing, ethics, legal,
and claims … Are claims and lawsuits tracked and analyzed for lessons learned?
k. … Are claims and lawsuits tracked and analyzed for
lessons learned?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-testing-summary.pdf
February 22, 2019 - • State analyses
o 2008 claims data from the Medicaid Analytic eXtract (MAX) for 11 states
o 2011 … claims data from 2 MEDNET states
o 2012 claims data from 1 MEDNET state
• Health plan analyses
o … 2009 claims data from 17 New York State Medicaid health plans. … o 2013 claims data from 73 commercial health plans nationwide
Study Population
Our study population … prescription
Dually eligible for
Medicaid and Medicare
and those with inpatient
behavioral health
claims
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm4.html
October 01, 2014 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Tie the system to claims data. … If possible, create a system that allows providers to enter data for claims purposes. … The State adds claims and prescription data to the system weekly. … To send appropriate materials, program staff can identify members through claims.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-126-fullreport.pdf
May 01, 2018 - Administrative data (e.g., claims data). … Based on 2010 New York State Medicaid claims data, the average performance rate for health
plans was … foster care population of children and adolescents in Medicaid using
2010 New York State Medicaid claims … While there were
concerns about the lack of mental health providers and limitations of claims data, … Based on
2010 New York State Medicaid claims data, the average performance rate for health plans was
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-234-fullreport.pdf
June 17, 2014 - This measure is implemented with administrative claims data and is calculated as the rate of
dental … Administrative data (e.g., claims data). … Rendering/billing provider NPI – consistently collected through the processing of
administrative claims … These data are considered typical components of health care administrative claims information. … This measure is implemented with administrative claims
data; dental providers are identified by taxonomy
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p005-2-ef.pdf
October 01, 2014 - Caveats
● This measure is not specified for use with administrative claims data, because administrative … claims data
currently do not contain procedure codes that accurately represent the numerator; there
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-CC-19.pdf
December 14, 2010 - MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: CC-19
Completed by:
Page 1 12/14/2010
MEASURE SUMMARY
CHIPRA Core Set Candidate Measures
A. Control #: CC-19
B. Measure Name: Annual number of children with asthma (> 1 year) with > 1 asthma related ER visit(s)
C. Measure Definition
…