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www.ahrq.gov/sites/default/files/2024-07/picone-jollis-report.pdfJanuary 01, 2024 - Paper 2: Estimating Treatment Effects from Medicare Claims Data. … The data are linked with Medicare claims data and with the national death index. … Severity of illness and coexisting conditions: An advantage of CCP compared to Medicare claims data … other types of hospital claims data. … Estimating Treatment Effects from Medicare Claims Data.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap2.htmlOctober 01, 2014 - Oklahoma employs claims and encounter data to create provider profiles, which the State develops and … Implementing clinical interventions for year two, based on claims data for both high-risk and low-risk … All measures except for smoking cessation are collected through claims data; nurse care managers report … Program Implementation Based on claims data provided by the State, McKesson's algorithm identified … To evaluate the program, the University of Washington used several data sources, including claims data
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www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/about.htmlJuly 01, 2021 - This allows measure implementers to choose and rename the input variables from the administrative claims … provides a visual map and representation of the data processing steps needed to take raw administrative claims
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb17.htmlDecember 01, 2017 - , added costs of medical treatment, and an increase in the nursing facility's costs to settle legal claims
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-p.pptxJanuary 01, 2015 - Understanding Hand Hygiene Product Evaluation Safety, efficacy, effectiveness Regulatory framework Label claims … Tips for evaluating claims Evaluating and Selecting Hand Hygiene Products | ‹#› AHRQ Safety Program … AHRQ Safety Program for Ambulatory Surgery Implementation Guide Appendix P Evaluating Manufacturer Claims
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CHIPRA 212 Technical Specifications (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-tech-specs.pdfSeptember 11, 2018 - This measure requires administrative claims and medical record data and is calculated as follows: … and were prescribed an ICS at the time of discharge Denominator Exclusions • Children with claims-based … evidence of current ICS use (Appendix 2) • Children with claims-based evidence of current controller -
www.ahrq.gov/research/findings/final-reports/ptmgmt/evaluation.htmlJuly 01, 2018 - Structural measures also may be used to assess whether claims about the program's success based on other … Programs that rely on claims data will limit the total to individuals who have been diagnosed (or received … An article on a plan's diabetes self-management support program reported per member per month paid claims … data. 54 Possible cost measures for which some benchmarks exist include hospital claims (total dollar … amount of hospital claims paid), pharmacy claims (total dollar amount of pharmacy claims paid), and
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www.ahrq.gov/ncepcr/reports/cost-guide/methodology-options.htmlFebruary 01, 2017 - Retrospective analysis of the costs of transformation to health care facilities or insurers Data Sources: Claims … variables, enhancing the applicability of results beyond study settings Drawbacks/Challenges: Claims
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3.htmlOctober 01, 2014 - States have employed various techniques to identify and stratify members, including claims data analysis … States should also consider using claims analysis to identify the most prevalent diseases specific among … North Carolina chose asthma as the first disease for care management based on a review of Medicaid claims … Many States employ predictive modeling (which will be addressed later in this section) or claims analysis … Programs that target high-utilization or high-cost members can identify eligible members through claims
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www.ahrq.gov/talkingquality/translate/organize/datasource.htmlNovember 01, 2018 - access to information from one particular source of data—a patient experience survey, administrative/claims
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Candor-Impguide (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdfApril 01, 2016 - Recent research shows a significant correlation between the frequency of adverse events and malpractice claims … the delivery of patient care should yield safer practices and potentially reduce medical liability claims … In the longer term, hospitals will experience fewer medical liability claims, improved patient safety … This team is responsible for working with legal counsel, claims, and risk management staff to establish … , educating, and implementing the resolution process for the organization Risk management staff, claims -
www.ahrq.gov/sites/default/files/wysiwyg/policy/eeo/eeo-complaints-process-memo-signed.pdfApril 12, 2021 - The official who receives such harassment claims will ensure the confidentiality of the individual making … the claims to the greatest extent possible. … This includes complainants, witnesses, and others who provide information concerning such claims.
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www.ahrq.gov/sites/default/files/wysiwyg/policy/eeo/eeo-complaints-process-memo-032023.pdfMarch 27, 2023 - The official who receives such harassment claims will ensure the confidentiality of the individual … making the claims to the greatest extent possible. … This includes complainants, witnesses, and others who provide information concerning such claims.
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www.ahrq.gov/patient-safety/resources/liability/waever.htmlAugust 01, 2017 - Studies of claims have shown that the perceived cause, context, outcome, and response to a given adverse … addition to studies that empirically examine the association of existing safety culture measures with claims … (e.g., error reporting, proactive risk analysis, disclosure), and outcomes (e.g., insurance costs, claims … Paid malpractice claims for adverse events in inpatient and outpatient settings. … Saber Tehrani AS, Lee H, Mathews SC, et al. 25-Year summary of U.S. malpractice claims for diagnostic
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www.ahrq.gov/patient-safety/reports/liability/waever.htmlAugust 01, 2017 - Studies of claims have shown that the perceived cause, context, outcome, and response to a given adverse … addition to studies that empirically examine the association of existing safety culture measures with claims … (e.g., error reporting, proactive risk analysis, disclosure), and outcomes (e.g., insurance costs, claims … Paid malpractice claims for adverse events in inpatient and outpatient settings. … Saber Tehrani AS, Lee H, Mathews SC, et al. 25-Year summary of U.S. malpractice claims for diagnostic
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www.ahrq.gov/es/topics/index.html?page=0October 01, 2008 - Pagination 1 2 next › ›› last » Last » All-Payer Claims … AHRQ activities focus on developing an effective, feasible approach for using all-payer claims databases
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www.ahrq.gov/es/topics/index.htmlOctober 01, 2008 - Pagination 1 2 next › ›› last » Last » All-Payer Claims … AHRQ activities focus on developing an effective, feasible approach for using all-payer claims databases
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/exh1.htmlOctober 01, 2015 - Retrospective analysis of the costs of transformation to health care facilities or insurers Data Sources: Claims … variables, enhancing the applicability of results beyond study settings Drawbacks/Challenges: Claims
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-6.htmlJune 01, 2021 - Learning from malpractice claims about negligent, adverse events in primary care in the United States … Serious misdiagnosis-related harms in malpractice claims: the “Big Three” – vascular events, infections
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section4.htmlOctober 01, 2015 - Working with States to ensure that we had the quantitative information necessary to develop claims-based … program activities, the State was in a position to conduct its own impact analyses using its Medicaid claims … and managed care encounter data (whereas we were able to use only its fee-for-services claims). 22 … Third, we used the baseline claims data received from three States to conduct an analysis of the association … in Massachusetts to help them develop an impact analysis of their PCMH intervention using Medicaid claims
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