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www.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apa.html
August 01, 2022 - Analyze the organization's frequency of adverse events and malpractice claims to support the rationale … Number of claims asserted. … Number of law suits filed compared to the claims settled or dismissed for < $500. … calculate the projected costs of harm events in terms of reimbursement loss, penalties, risk management claims
-
www.ahrq.gov/chsp/about-chsp/centers-of-excellence/dartmouth.html
August 01, 2017 - The five projects will draw on a range of data sources, including claims data, survey data, and qualitative … The Dartmouth-led team will create claims databases using administrative claims from Medicare, Medicaid … relationships between organizational characteristics, types of health care innovations, and patient outcomes, claims … The Dartmouth Center of Excellence projects have a national focus and will use national claims and survey
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www.ahrq.gov/ncepcr/tools/pcmh/implement/section-2.html
September 01, 2021 - experts or a combination, ongoing support for the evaluation from internal staff—for example, to obtain claims … Expertise in designing the evaluation approach and analysis plan, creating files containing patient and claims … Data
Depending on the research questions, could include claims, electronic medical records, paper
-
www.ahrq.gov/news/newsroom/case-studies/ktcdom17.html
October 01, 2014 - It has been used as part of the State's successful push for an all-payer claims database. … and Senate Health Committees and during testimony before other committees in support of the all-payer claims … An all-payer claims database would include the additional information about what is or is not happening
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/news-and-events/events/workshops/chsp-annual-workshop1-slides.pdf
September 29, 2016 - 29th, 2016
Rockville, MD
5
Overview
• Conceptual Model
• Center of Excellence Data Warehouse
• Claims … Year 2
• Year 2 Deliverables
6
Conceptual Model
7
Center of Excellence Data Warehouse
• Claims … data
• CMS claims, Medicare A, B, A/B, D for years 2006-2015
• Commercial claims, e.g. large employer … Organizations (1-3)
• Clinical data
• Clinical data from HVHC (12 high performing systems), linked to claims … Data
• Claims data
• Survey data
• Clinical data
• Market data
• Medicare
• 100% claims from Medicare
-
www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Codebook-rev.pdf
June 01, 2022 - Synthetic Healthcare Database for
Research (SyH-DR)
A Synthetic Nationally Representative
All-Payer Claims … Data elements fall into these categories: person data elements, claims data elements (inpatient
and … All claims with admission type of “newborn” were removed from the SyH-DR to reduce
disclosure risk. … only).
41 Expired in a medical facility such as hospital, hospice (hospice claims only). … This claim
control number is only populated for inpatient and outpatient claims where a prescription
-
www.ahrq.gov/research/publications/search.html?page=6
August 01, 2017 - Publication Date: July 2017
Publication Number: 17-M018-1-EF
All-Payer Claims … Measurement of Care: Systematic Review and Environmental Scan of Current Practices and Evidence
All-payer claims … large-scale databases that systematically collect professional, facility, pharmacy, laboratory, and dental claims
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supln-slides.html
January 01, 2016 - MaineCare claims. … , and 8, 25, and 40 paid claims for 2 year olds. … In the rest of the state, there were 13, 50, and 68 paid claims for 1 year olds in these time periods … , and 9, 40, and 75 paid claims for 2 year olds. … Slide 78
Statewide Claims-based Developmental Screening Rates Increasing
Developmental Screening
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/chrischilles_r24grant.pdf
September 01, 2013 - Comparative Effectiveness
Research (continued)
A project analyst with no prior administrative claims … comorbidity: Expanding the definition and measurement of
complexity among older adults using administrative claims … comorbidity: Expanding the definition and measurement of
complexity among older adults using administrative claims
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-p.html
May 01, 2017 - Label claims.
Tips for evaluating claims. … Slide 9: Evaluating Manufacturer Claims
Inactive ingredients.
Other components.
-
www.ahrq.gov/rural-post-partum-challenge/rules.html
May 01, 2020 - Agrees to assume any and all risks and waive claims against the Federal Government and its related entities … Agrees to indemnify the Federal Government against third-party claims for damages arising from or related
-
www.ahrq.gov/mcctransitions-challenge/eligibility-criteria.html
February 01, 2020 - Agrees to assume any and all risks and waive claims against the Federal Government and its related entities … Agrees to indemnify the Federal Government against third-party claims for damages arising from or related
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap.html
October 01, 2014 - Finally, UAMS is working with birth certificate data and Medicaid claims data to analyze ANGELS program … Medicaid administrative claims.
Electronic medical records (Central Indiana only). … The system contains claims and pharmacy data updated weekly. … The claims-based evaluation will compare the program to a reference group in a similar Kansas county. … CCNC conducts both claims and chart audits to review outcomes and process data and measures.
-
www.ahrq.gov/news/newsroom/case-studies/201712.html
September 01, 2017 - CANDOR Helped Significantly Reduce Patient Safety Events, Malpractice Claims at MedStar Health
Search … significant component helping to contribute to reductions in serious safety events and malpractice claims
-
www.ahrq.gov/questions/resources/diagnosis/step4.html
November 01, 2020 - 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. … Claims of a "money-back guarantee." … Claims that others are trying to keep the product off the market.
-
www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Getting-Started-Guide-rev-20221108.pdf
November 01, 2022 - Synthetic Healthcare Database for
Research (SyH-DR)
A Synthetic Nationally Representative All-Payer
Claims … Claims Files
• Commercial Inpatient File
• Commercial Outpatient File
• Commercial Person-Level File … • All claims that directly identified a newborn were removed, so the SyH-DR cannot be used to
study … For example, total charges are not provided for commercial claims. … Therefore, claims for some payer types will
never have more than a certain number of codes if the source
-
www.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
August 01, 2022 - improve care in clinical areas that frequently are the subject of a large number of medical malpractice claims … Alternative Methods of Settling Claims.
-
www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreentab3-1.html
April 01, 2018 - Practice ID
Electronic Data Sources
Patients Included in Study
EMR
PHO Claims
-
www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Pharmacy-Level-claims-2024.pdf
January 01, 2024 - SyH-DR Data Dictionary: Pharmacy-Level Variables
SyH-DR Data Dictionary: Pharmacy-Level Variables
Variable Label Variable Name Medicare
File
Medicaid
File
Commercial
File
Variable
Type
Variable
Length
Synthesized,
Masked,
Suppressed
Note /
Rule**
Claim Number CLM_CNTL_NUM X NUM 8 Masked…
-
www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Getting-Started-Guide-rev.pdf
June 01, 2022 - Synthetic Healthcare Database for
Research (SyH-DR)
A Synthetic Nationally Representative All-Payer
Claims … Claims Files
• Commercial Inpatient File
• Commercial Outpatient File
• Commercial Person-Level File … • All claims that directly identified a newborn were removed, so the SyH-DR cannot be used to
study … For example, total charges are not provided for commercial claims. … Therefore, claims for some payer types will
never have more than a certain number of codes if the source