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121. Using Patient Complaints to Promote Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Pichert_51.pdf
     March 22, 2008 - A higher index reflects higher risk for medical malpractice claims. … Finally, do feedback interventions change claims history and promote safety? … Rethinking peer review: Detecting and addressing medical malpractice claims risk. … Cause and effect analysis of closed claims in obstetrics and gynecology. … Claims, errors and compensation payments in medical malpractice litigation.

122. Quality Measure Tools & Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/tools/index.html
     July 01, 2019 - Resources Quality measures tools and resources AHRQ Quality and Safety Review System All-Payer Claims … Databases All-Payer Claims Databases Measurement of Care Building the Science of Public Reporting

123. Comparative Health System Performance Initiative: National Bureau of Economic Research Center of Excellence | Agency for Healthcare Research and Quality
     www.ahrq.gov/chsp/about-chsp/centers/nber.html
     July 01, 2019 - These States have different health systems and all-payer claims databases (APCDs), which have facilitated … sources (e.g., Medicare Provider Enrollment, Chain, and Ownership System [PECOS], Medicare and commercial claims … The team identifies health systems in claims data using tax identification numbers and Medicare provider … Administrative and claims data that can be used to measure the use of PCOR-based evidence, related clinical … These include Medicare claims data, national commercial insurance claims data, cancer registry data,

124. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/summary.html
     August 01, 2022 - clinical safety interventions; and (3) exploring resolution methods as a means to divert potential claims … Johns Hopkins University Analysis of hospital claims showed that suboptimal care at hospital discharge … accounted for a considerable proportion of malpractice claims and involved failures in multiple domains … Wishard Health Services (now subsumed under Eskenazi Health) The project evaluated a new claims model … Claims processed through the new system fared better than or the same as those processed through the

125. Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/apcd/envscan/findings.html
     July 01, 2022 - † Other claims include Medicare and Medicaid. … Use additional datasets aside from claims. … Furthermore, data are typically limited to claims only. … The basics of all-payer claims databases: a primer for states . … However, claims data are not available in real time.

126. Ratio of Magnetic Resonance Imaging Scans to Computed Tomography Scans for the Evaluation of Children with Atraumatic Seizure: Technical Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0197-technicalspecs.pdf
     October 29, 2019 - This measure requires administrative claims data and is calculated as follows: The ratio of the number … The determination of the eligible population for this measure requires administrative claims data … Table IMG9) or the presence of an E-code) on the day of or within the 7 days prior to imaging (from claims

127. Implementation Guide for the CANDOR Process: Appendix B | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/capacity/candor/impguide/apb.html
     February 01, 2017 - investigation and analysis process for the organization Risk management staff, nurse manager, legal, claims … developing, educating, and implementing the resolution process for the organization Risk management staff, claims … designee Risk Management Champion Reinforces goals of the CANDOR process; educates risk, legal, claims … process; serves as liaison to promote and support CANDOR process implementation with the risk, legal, and claims

128. Evidence Summary: Why focus on safety for patients with limited English proficiency? | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps/lep/handouts/lepevidencesum.html
     December 01, 2012 - case cost a hospital $71 million. 4 A malpractice carrier operating in four States found that LEP claims … accounted for 2.5 percent of all claims (35 claims total) and cost more than $5 million over a 4-year … period. 5 Almost all of these claims related to poor communication and failure to provide a competent

129. Dignity Health Expands Use of AHRQ's CANDOR Toolkit | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201620.html
     February 01, 2017 - "We have a claims department that philosophically agrees with informing patients and families right away … Following implementation of the CANDOR toolkit at several Dignity Health hospitals, claims teams were … able to work with patients and families to resolve claims more quickly. … Although it is too early to confirm that the amount of claims or awards was reduced, ample anecdotal

130. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/capacity/candor/demo-program/grants/summary.html
     May 01, 2016 - preventing harm through the use of best practices, and (3) exploring alternative methods of settling claims … Exploring alternative methods of settling claims. … One demonstration project (NY) sought to expedite the movement of malpractice cases through the claims … "Incurred" amounts (loss payments on closed claims and reserves set aside to pay pending claims) were … The grantee had access to more years of claims data due to its participation in Phase I of this study

131. Comparative Health System Performance Initiative: Dartmouth College Center of Excellence | Agency for Healthcare Research and Quality
     www.ahrq.gov/chsp/about-chsp/centers/dartmouth.html
     July 01, 2019 - The five research projects described above draw on a range of data sources, including claims data, survey … The Dartmouth-led team created claims databases using Medicare claims. … organizational characteristics, types of healthcare innovations, and patient outcomes, the team linked claims … The Dartmouth Center of Excellence projects have a national focus and will use national claims and survey

132. Chipra205-Materials Iiia (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_IIIA.pdf
     January 01, 2014 - Developer Measure Title Measure Description Type of Measure/Level of Measurement Data Source Claims … Process Administrative Claims & Medical Records ¥ Claims data: CPT code 96110 (Developmental testing … Important Note about Appropriate Use of Claims Data: This measure is anchored to standardized tools … Claims NOT Included in This Measure: It is important to note that modified 96110 claims [e.g. modifiers … Process Administrative Clinical Data or Paper Medical Records Claims/encounters that identify

133. Chipra204-Materials Iiia (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_IIIA.pdf
     January 01, 2014 - Developer Measure Title Measure Description Type of Measure/Level of Measurement Data Source Claims … Process Administrative Claims & Medical Records ¥ Claims data: CPT code 96110 (Developmental testing … Important Note about Appropriate Use of Claims Data: This measure is anchored to standardized tools … Claims NOT Included in This Measure: It is important to note that modified 96110 claims [e.g. modifiers … Process Administrative Clinical Data or Paper Medical Records Claims/encounters that identify

134. Chipra202-Materials Iiia (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_IIIA.pdf
     January 01, 2014 - Developer Measure Title Measure Description Type of Measure/Level of Measurement Data Source Claims … Process Administrative Claims & Medical Records ¥ Claims data: CPT code 96110 (Developmental testing … Important Note about Appropriate Use of Claims Data: This measure is anchored to standardized tools … Claims NOT Included in This Measure: It is important to note that modified 96110 claims [e.g. modifiers … Process Administrative Clinical Data or Paper Medical Records Claims/encounters that identify

135. Appendix B. Journal Articles Included in Literature Review | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/apcd/envscan/app-b.html
     June 01, 2017 - All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices … Included in Literature Review Previous Page Next Page Table of Contents All-Payer Claims … The value of all-payer claims databases to states. N C Med J 2014 May-Jun;75(3):211-3. … All payer claims database. Colo Nurse 2011 Nov;111(4):8. PMID:22216536. … Measuring care continuity: a comparison of claims-based methods. Med Care 2016 May;54(5):e30-4.

136. Analysis of Medicare Claims Data Reveals Significant Spending on Low-Value Services | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/729.html
     September 01, 2020 - Analysis of Medicare Claims Data Reveals Significant Spending on Low-Value Services Issue Number … Today's Headlines: Analysis of Medicare Claims Data Reveals Significant Spending on Low-Value Services … Analysis of Medicare Claims Data Reveals Significant Spending on Low-Value Services More than one in … The authors examined claims reflecting Choosing Wisely® recommendations and other guidelines for all

137. Appendix C. Obstacles to Impact Analysis of Category C Projects | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/appc.html
     October 01, 2015 - Illinois, Maine, Massachusetts, North Carolina, and South Carolina), including Medicaid enrollment and claims … would be unable to assess some of the key outcomes (for example, BMI screening) through analysis of claims … to the new data system (the Transformed Medicaid Statistical Information System, or T-MSIS) for all claims … Illinois halted MSIS production beyond that date and will not provide 2014 claims until CMS has transitioned … to and validated the T-MSIS claims, the timeline of which has been delayed and remains unknown.

138. TeamSTEPPS Limited English Proficiency Module: Evidence Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepevidencesum.pdf
     January 01, 2012 - case cost a hospital $71 million. 4 o A malpractice carrier operating in four States found that LEP claims … accounted for 2.5 percent of all claims (35 claims total) and cost more than $5 million over a 4-year … period. 5 Almost all of these claims related to poor communication and failure to provide a competent

139. SyH-DR Known Data Issue: Maryland Medicaid Diagnosis Codes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Maryland-Medicaid-Diagnoses-Codes-January2024.pdf
     January 01, 2024 - Modification (ICD-9-CM) to ICD-10-CM diagnosis codes, ICD-9 codes were still included in some Medicaid claims … In particular, the Maryland Medicaid claims records contain a large percentage of ICD-9 codes that are

140. Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Tables 11-13 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-tables11-13.pdf
     October 16, 2019 - edema 348.5 Table 12: Contingency Table for Presence of Status Epilepticus in Administrative Claims … Contingency Table for Presence of Signs or Symptoms of Increased Intracranial Pressure in Administrative Claims