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www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article1.html
June 01, 2014 - Challenges
Building Capacity in HAI Prevention Research: NICHE and the STOP CAUTI Workgroup
Using Claims
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/22916-Arbaje-report.pdf
January 15, 2018 - Learning from Lawsuits: Using Malpractice Claims Data to Develop Care
Transitions Planning Tools.
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www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article1.html
June 01, 2014 - Challenges
Building Capacity in HAI Prevention Research: NICHE and the STOP CAUTI Workgroup
Using Claims
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/esrd-protocol-2019-amended.pdf
January 01, 2019 - RCTs have been recognized
as providing the highest standard of evidence and claims have been made that
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www.ahrq.gov/sites/default/files/publications2/files/diaginfo.pdf
July 01, 2005 - ”
• Claims that the product treats a wide range of ailments. … • Claims that the product is available from only one source, and for a limited
time only.
16
https … ://www.ahrq.gov/gam/index.html
• Claims of a “money-back guarantee … ”
• Claims that others are trying to keep the product off the market.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops-identifiable-confidentiality-agreement.pdf
November 01, 2021 - and the Participating
Organizations that provide Data to the SOPS Hospital Database from any or all claims … violation to the Director of AHRQ,
and the Data Requester agrees that he or she shall not have or make any claims
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/Hospital-Ident-SOPS-Conf-Agreement.pdf
January 01, 2023 - and the Participating
Organizations that provide Data to the SOPS Hospital Database from any or all claims … violation to the Director of AHRQ,
and the Data Requester agrees that he or she shall not have or make any claims
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-147-antipsychotics-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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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-149-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
-
www.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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www.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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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide2/implguide2pt3.html
September 01, 2014 - and Families 30
Analysis of administrative data (for example, enrollment, utilization, and claims … Potential Sources of Administrative Data to Analyze
Medicaid and CHIP claims and enrollment data
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www.ahrq.gov/policymakers/chipra/overview/background/appendix-b2.html
December 01, 2009 - members who turned age 2 during the reporting period and received a lead test (data from MaineCare claims … members who turned age 1 during the reporting period and received a lead test (data from MaineCare Claims
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/fig1.html
June 01, 2010 - Requires administrative data collection from single organizational source (e.g., claims, hospital discharge
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www.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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www.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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www.ahrq.gov/research/findings/final-reports/ptmgmt/design.html
July 01, 2018 - Members with asthma are identified through claims data and provider referrals. … Claims data are used to identify a high-risk subset of members defined by recent emergency room utilization … External program staff have access to large plan or employer databases with claims, pharmacy, and sometimes
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www.ahrq.gov/patient-safety/resources/liability/baker.html
August 01, 2017 - A prevailing strategy for reducing patient liability claims is full disclosure. … Research has shown that when health care professionals disclose their mistakes, payouts for claims against … that team training improved team performance in Labor and Delivery (L&D) and reduced the number of claims … to improving teamwork, another prevailing strategy for improving care quality and reducing liability claims … Research has shown that when providers disclose their mistakes, payouts for claims against the doctor
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www.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
…
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www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-preface.html
June 01, 2014 - Challenges
Building Capacity in HAI Prevention Research: NICHE and the STOP CAUTI Workgroup
Using Claims