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41. Chapter 2. Developing the Topic and Structuring Systematic Reviews of Medical Tests: Utility of PICOTS, Analytic Frameworks, Decision Trees, and Other Frameworks | Effective Health Care (EHC) Program
    effectivehealthcare-admin.ahrq.gov/products/methods-guidance-tests-topics/methods
    December 01, 2019 - Examples of initially ambiguous claims that were clarified through the process of topic development

42. Blueprint for a Distributed Research Network To Conduct Population Studies and Safety Surveillance | Effective Health Care (EHC) Program
    effectivehealthcare-admin.ahrq.gov/products/distributed-network-blueprint/research
    January 01, 2019 - (e.g., developing a distributed practice-based data network, linked longitudinal administrative and claims … For example, an encounter-based patient-level model (a model consistent with claims and electronic medical … The best sources are ones that maintain administrative and claims data together with EMR data. … Although the combination of administrative, claims, and EMR data for defined populations is preferred … New data sources could include additional health plans with administrative and claims data.

43. Hypertension-Drugs-Utilization Research (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/hypertension-drugs-utilization_research.pdf
    January 25, 2011 - Definition of Hypertension: Individuals were determined to have hypertension if they had one or more claims … of Payments for Antihypertensive Drugs: For each of the study years of interest, we used Part D claims … vaccine administration fee (which only became effective in 2008) across all antihypertensive drug claims … pay, true out-of-pocket amount, and the low-income subsidy amount across all antihypertensive drug claims … Antihypertensive Drugs, by 2006-2009 HRR; Adjusted by Age Category, Gender, Number of Prescription Claims

44. Comparative Effectiveness and Safety of New Therapies (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/diabetes-glucose-control_research.pdf
    July 01, 2010 - The data, from i3Innovus, includes pharmacy claims and inpatient and outpatient services. … Additionally, a separate, linkable file is available which includes pharmacy claims for prescription … We requested all available data from the medical claims file and the prescription drug file, and limited … A limitation of this study is under-coding of diagnoses in claims data; obesity is often under-coded … Identifying persons with diabetes using Medicare claims data.

45. Using the Principles of Randomized Controlled Trial Design to Guide Test Evaluation | Effective Health Care (EHC) Program
    effectivehealthcare-admin.ahrq.gov/products/rtc-design-principles/research
    January 01, 2019 - Evaluation begins by stating the major claims for the new test and determining whether it will be used … as a replacement, add-on, or triage test to achieve these claims. … Describe whether it will be used as a replacement, add-on, or triage test to achieve these claims. … Design a hypothetical RCT of the test-and-treatment strategy to investigate these claims. … new tests, and a clear definition of the evidence needed to support these claims or prove them false

46. Real World Effectiveness of Carotid Artery Stenting (CAS) in Medicare Patients | Effective Health Care (EHC) Program
    effectivehealthcare-admin.ahrq.gov/products/coronary-stents-effectiveness/abstract
    December 01, 2019 - Aim 6: Investigate the potential of linking imaging data with medical record and claims data and write … Medicaid Services (CMS) CAS registry; 2) the Society of Vascular Surgery (SVS-VR) data; 3) Medicare claims

47. Newly Medicare-Eligible Elders: Data Points #12 (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/medicare-utilization-seniors_research.pdf
    June 01, 2012 - We included all Medicare claims for the initial six months of eligibility for these individuals. … ” and thus the appropriate focus of a Medicare claims-based analysis.5 Therefore, we restricted our … analysis of health care use and diagnoses to individuals likely to have complete claims. … In Acute Inpatient claims, the third digit of the provider number is 0 or the third and fourth digits … Among new enrollees with observable claims histories, we found a con- sistently higher percentage of

48. Data-Points-7-Tables (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/data-points-7-tables.pdf
    August 22, 2011 - 1 Table 1. Proportion of Beneficiaries With and Without Cancer Diagnosis Prior to First Biologics Order Among Beneficiaries Satisfying a Period of Continuous AB FFS Enrollment Prior to First Relevant Claim by Class of Drug, Active Ingredient, and Period of Continuous Enrollment, 2006-2009 Note: An asterisk (*) sign…

49. Data-Points-7-Tables1 (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/data-points-7-tables1.pdf
    August 22, 2011 - 1 Table 1. Proportion of Beneficiaries With and Without Cancer Diagnosis Prior to First Biologics Order Among Beneficiaries Satisfying a Period of Continuous AB FFS Enrollment Prior to First Relevant Claim by Class of Drug, Active Ingredient, and Period of Continuous Enrollment, 2006-2009 Note: An asterisk (*) sign…

50. PowerPoint Presentation (ppt file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/medical-test-reviews-frameworks.ppt
    June 01, 2012 - An ambiguous description of the claims regarding the test that does not identify: The target population … Test accuracy is often used as an intermediate outcome to support claims about tests. he reviewer must … The initial claims in each case are ambiguous. … topic development must involve the stakeholders in an interactive and iterative process to clarify the claims … setting) typology, analytic frameworks, and decision trees should be used to minimize ambiguity in test claims

51. PowerPoint Presentation (ppt file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/medical-test-reviews-frameworks.ppt
    June 01, 2012 - An ambiguous description of the claims regarding the test that does not identify: The target population … Test accuracy is often used as an intermediate outcome to support claims about tests. he reviewer must … The initial claims in each case are ambiguous. … topic development must involve the stakeholders in an interactive and iterative process to clarify the claims … setting) typology, analytic frameworks, and decision trees should be used to minimize ambiguity in test claims

52. BLUEPRINT FOR A FUTURE DISTRIBUTED RESEARCH NETWORK (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/distributed-network-blueprint_research.pdf
    June 01, 2010 - e.g., developing a distributed practice-based data network, linked longitudinal administrative and claims … For example, an encounter-based patient-level model (a model consistent with claims and electronic medical … The best sources are ones that maintain administrative and claims data together with EMR data. … Although the combination of administrative, claims, and EMR data for defined populations is preferred … New data sources could include additional health plans with administrative and claims data.

53. Newly Medicare-Eligible Disabled: Data Points #11 (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/medicare-eligible-disabled_research.pdf
    June 01, 2011 - We extracted all Medicare claims for the initial six months of eligibility for these individuals. … ” and thus are the appropriate focus of a Medicare claims-based analysis.11 Therefore, we restricted … our analysis of health care use and diagnoses to persons likely to have complete claims. … In Acute Inpatient claims, the third digit of the provider number is 0 or the third and fourth digits … Among those likely to have complete claims, depres- sion and diabetes were the most common comorbidities

54. Hi Les, (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/rtc-design-principles_research.pdf
    January 01, 2009 - Evaluation begins by stating the major claims for the new test and determining whether it will be used … as a replacement, add-on, or triage test to achieve these claims. … • Describe whether it will be used as a replacement, add-on, or triage test to achieve these claims … • Design a hypothetical RCT of the test-and-treatment strategy to investigate these claims. … It should always involve scrutiny of the clinical situation, identification of the health claims of

55. Making Healthcare Safer IV: Programs for Responding to Harms Experienced by Patients during Clinical Care | Effective Health Care (EHC) Program
    effectivehealthcare-admin.ahrq.gov/products/clinical-care/protocol
    August 01, 2024 - description of the comparator Outcome Patient safety outcomes Malpractice experience (e.g. number of new claims … Liability claims and costs before and after implementation of a medical error disclosure program. … Effect of a health system's medical error disclosure program on gastroenterology-related claims rates … Effects Of A Communication-And-Resolution Program On Hospitals' Malpractice Claims And Costs.

56. App-D-Opioid-Chronic-Pain-Surveill-Report-1 (xls file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/app-d-opioid-chronic-pain-surveill-report-1.xlsx
    September 30, 2015 - Main Results Funding Source Quality Agnoli, 2021 Retrospective cohort study; medical and pharmacy claims … vs. 34.0 Benzodiazepine use: 29.6% vs. 37.5% No overdoses previous year: 95.9% vs. 97.0% Review of claims … p<0.001 Institutional Fair Hallvik, 2021 Retrospective cohort study Oregon Medicaid beneficiaries' claims … 95% CI 1.06 to 1.35) Insurance Fair Salkar, 2021 Case-control, Medicare 5% National Sample 2012-2016 claims … parts A, B, and D 12 months prior to cohort entry to end of followup, no history of cancer, and ≥2 claims

57. Making Healthcare Safer IV: Programs for Responding to Harms Experienced by Patients during Clinical Care (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/clinical-care-protocol.pdf
    January 01, 2024 - of the comparator Outcome • Patient safety outcomes • Malpractice experience (e.g. number of new claims … Liability claims and costs before and after implementation of a medical error disclosure program. … Effect of a health system's medical error disclosure program on gastroenterology-related claims rates … Effects Of A Communication-And-Resolution Program On Hospitals' Malpractice Claims And Costs.

58. Symposium on Methods for Developing and Analyzing Clinically Rich Data for Patient-Centered Outcomes Research - Part III | Effective Health Care (EHC) Program
    effectivehealthcare-admin.ahrq.gov/products/patient-outcomes-symposium/overview
    November 01, 2018 - Hernán Identification of Metastatic Cancer in Claims Data . B. L. Nordstrom, J. L. Whyte, M. … Kallich Linkage of Routinely Collected Oncology Clinical Data with Health Insurance Claims Data—an

59. Diabetes-Foot-Ulcer-Amputation-Prevalence Research (pdf file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/diabetes-foot-ulcer-amputation-prevalence_research.pdf
    February 01, 2011 - Algorithm 1: An individual was determined to have diabetes if he or she had one or more claims with … Algorithm 3: An individual was determined to have diabetes if he or she had two or more claims with … Algorithm 4: An individual was determined to have diabetes if he or she had two or more claims with

60. App-D-Opioid-Chronic-Pain-Surveillance-Report-2 (xls file)
    effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/app-d-opioid-chronic-pain-surveillance-report-2.xlsx
    September 30, 2015 - Main Results Funding Source Quality Agnoli, 2021 Retrospective cohort study; medical and pharmacy claims … vs. 34.0 Benzodiazepine use: 29.6% vs. 37.5% No overdoses previous year: 95.9% vs. 97.0% Review of claims … reference University Fair Hallvik, 2021 Retrospective cohort study Oregon Medicaid beneficiaries' claims … 95% CI 1.06 to 1.35) Insurance Fair Salkar, 2021 Case-control, Medicare 5% National Sample 2012-2016 claims … parts A, B, and D 12 months prior to cohort entry to end of followup, no history of cancer, and ≥2 claims