-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-qi-kickoff.pdf
August 12, 2018 - Kick-off Visit Check List
KICK-OFF VISIT CHECK LIST
PRACTICE ENHANCEMENT ASSISTANT ACADEMIC DETAILER
Four weeks before visit
Contact AD and introduce yourself
Determine ABCS assignment
Print Baseline Reports & send to AD
Four weeks before visit
Negotiate with Nicole Travis date/time
Record ABCS …
-
www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Data-Dictionary-Pharmacy-Variables-2024mar.csv
April 01, 2024 - Variable Label,Variable Name,Medicare File,Medicaid File,Commercial File,Variable Type,Variable Length,Variable Format,Synthesized,Masked,Suppressed (DID),Note / Rule
Claim Number,CLM_CNTL_NUM,X,,,NUM,8,BEST12.,No,Yes,No,
Fill Date,FILL_DT,X,X,X,NUM,4,MMDDYY10.,No,No,No,
Generic drug name,GENERIC_DRUG_NAME,X,X,X,CHA…
-
www.ahrq.gov/news/newsroom/case-studies/ktcdom13.html
October 01, 2014 - State employees participating in the workshop reviewed claims data related to several common chronic … A pilot program targeting asthma was implemented in retail pharmacies in the Bronx, where Medicaid claims
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-technicalspecs.pdf
October 16, 2019 - Exclusions
• Denominator Exclusions
o Exclusions based on ICD-9-CM codes captured in administrative claims … obtained
Suspected abuse and neglect or other head trauma (IMG9 or the presence of an
E-code in claims
-
www.ahrq.gov/research/findings/final-reports/prospectscare/prospectsapd.html
October 01, 2018 - All-payer claims databases (APCD)
The APCD Council is a federation of government, private, non-profit … academic organizations focused on improving the development and deployment of State-based all payer claims
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/cmsqualconf0615.pdf
September 01, 2015 - Dailey
The National Evaluation Team
2
Updates on data collection: site visits, claims, and … patients
and primary care physicians, and others
7
Site Visits: Early Observations
Claims
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
October 01, 2011 - Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance … Using ICD-9-CM Codes in Hospital Claims Data
to Detect Adverse Events in Patient
Safety Surveillance … Identification of in-hospital complications from claims
data – Is it valid? … Enhancement
of claims data to improve risk adjustment of hospital
mortality.
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-6-b.pdf
November 26, 2013 - 2
(Percentage of Children in State with SCD Receiving Antibiotics by 3 Months
of Age)
Medicaid
Claims
-
www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-stat-brief-2-postpartum-opioid-rx.pdf
March 01, 2024 - These files include claims from the commercially insured population, covering
those who had commercial … 0008-2-EF
March 2024
www.ahrq.gov
About SyH-DR
SyH-DR is an all-payer, nationally representative claims … The database consists
of a sample of inpatient, outpatient, and prescription drug claims, including … SyH-DR is a synthetic database that preserves the structure and statistical properties of
the original claims
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-139-section-2.pdf
January 01, 2014 - Claims in the administrative records for any of the sickle cell disease variants listed in Table … Select cases
with TCD
Select cases
with TCD
IPOT2008
_TCD
Merge files,
eliminate
duplicate
claims … by date
of service for
each ID
IPOT2008_
Meas13Had
3
Select cases
that had 3 or
more claims … This frequency is for syntax testing only*/
/*Delete duplicate IDs (this not only deletes multiple claims
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
August 01, 2022 - Slide 4
Say:
It is important that clinical practitioners, risk management/claims, and financial … For the internal organizational resources, clinical, claims/finance, and legal personnel must be coordinated … Staff who need to participate, coordinate, and align among internal groups include:
Insurance/Claims
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-tin-linkage-file-tech-doc.pdf
October 01, 2019 - Medicare claims ..................................................................................... … Medicare claims
We used billing information in 2016 Medicare fee-for-service claims to create an analytic … analogous to
those used to create the MD-PPAS data, including only claims:
1. … indicated on the claims
along with the individual NPI and TIN. … Medicare claims
4. Healthcare Organization Services database
III. Methodology
A.
-
www.ahrq.gov/patient-safety/reports/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
-
www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Commercial-Pharmacy-Weighted.pdf
September 26, 2023 - Weighted Summary Statistics: PUF Commercial Pharmacy File (Version 2)
15:39 Tuesday, September 26, 2023 1
Weighted Summary Statistics: PUF Commercial Pharmacy File
Variable Variable Label
Count of
Non-missing
Values
(Unweighted)
Count of
Missing
Values
(Unweighted) Minimum Maximum Mean
Standard
Deviation
…
-
www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicaid-Pharmacy-Weighted.pdf
September 26, 2023 - Weighted Summary Statistics: PUF Medicaid Pharmacy File (Version 2)
15:39 Tuesday, September 26, 2023 1
Weighted Summary Statistics: PUF Medicaid Pharmacy File
Variable Variable Label
Count of
Non-missing
Values
(Unweighted)
Count of
Missing
Values
(Unweighted) Minimum Maximum Mean
Standard
Deviation
PER…
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/CHSP_2016_GPLF_tech_Dec2020.pdf
January 01, 2016 - Medicare claims ..................................................................................... … Medicare claims
We used billing information in 2016 Medicare fee-for-service claims to create an analytic … analogous to
those used to create the MD-PPAS data, including only claims:
1. … is indicated on the
claims along with the individual NPI and TIN. … Medicare claims
4. Healthcare Organization Services (HCOS) database
III. Methodology
A.
-
www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicare-Pharmacy-Weighted.pdf
September 26, 2023 - Weighted Summary Statistics: PUF Medicare Pharmacy File (Version 2)
15:39 Tuesday, September 26, 2023 1
Weighted Summary Statistics: PUF Medicare Pharmacy File
Variable Variable Label
Count of
Non-missing
Values
(Unweighted)
Count of
Missing
Values
(Unweighted) Minimum Maximum Mean
Standard
Deviation
PER…
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
July 14, 2023 - Claims denials violate the prudent layperson standard, but they are
not the only bad practice by payers … HRSA • Medical Claims Review Panel
o Annual review of malpractice claims paid shows a similar pattern
-
www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-data-brief-birth-rates-payments.pdf
October 17, 2023 - The
intramural files include claims from the commercially insured population, covering
those who … About SyH-DR
SyH-DR is an all-payer, nationally representative claims database. … The database
consists of a sample of inpatient, outpatient, and prescription drug claims, including … SyH-DR is a synthetic database that preserves the structure and statistical properties of
the original claims
-
www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-data-brief-birth-rates-payments-rev.pdf
October 17, 2023 - The
intramural files include claims from the commercially insured population, covering
those who had … State Variation in Birth Rates 13
About SyH-DR
SyH-DR is an all-payer, nationally representative claims … The database consists
of a sample of inpatient, outpatient, and prescription drug claims, including … SyH-DR is a synthetic database that preserves the structure and statistical properties of
the original claims