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  1. 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
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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.
  11. 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
  12. 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
  13. 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.
  14. 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
  15. 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.
  16. 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 ClaimsClaims 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
  17. 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.
  18. 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
  19. 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…
  20. 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 ClaimsClaims 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

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