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

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