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281. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=448
     January 01, 2024 - outcomes for individuals with chronic kidney disease (CKD) defined using laboratory measurements versus claims … They found that CKD, whether identified using a claims-based algorithm or through estimated glomerular … Validation study of medicare claims to identify older US adults with CKD using the Reasons for Geographic … The purpose of this study was to develop and validate an algorithm using administrative claims to identify … It found that claims data accurately reflected certain diagnoses and type of procedures, but were less

282. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=471
     January 01, 2024 - data: reasons for geographic and racial differences in stroke (REGARDS) study linked with medicare claims … linking data from the REasons for Geographic And Racial Differences in Stroke (REGARDS) Study to Medicare claims … They found that claims-based algorithms to identify stroke in a contemporary Medicare cohort had high … Validity of claims-based stroke algorithms in contemporary Medicare data: reasons for geographic and … racial differences in stroke (REGARDS) study linked with medicare claims.

283. Final Progress Report: Development of a community-wide real-time health information exchange–based hospital readmission risk prediction and notification system (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/kharrazi-report.pdf
     January 01, 2024 - Currently, RRPMs are very common, using post-facto health plan claims and hospital administrative databases … to 60+ million patients to help predict various healthcare events (including hospitalization) using claims … Currently, readmission risk predictive models (RRPMs) are very common using post-facto health plan claims … ACGs are mainly designed and deployed on claims data for prediction modeling (though outside the US … These features make HIEs an interesting alternative to claims and EHRs to explore the development of

284. Chapter 1: Background on Patient Safety and LEP Populations | Agency for Healthcare Research and Quality
     www.ahrq.gov/health-literacy/professional-training/lepguide/chapter1.html
     September 01, 2020 - A recent study analyzed medical malpractice claims of a malpractice carrier that insures in four States … to identify when language barriers may have resulted in harm to the patient. 14 In 35 claims (2.5 percent … These claims highlight several points related to the failure to provide appropriate language services … In the claims analyzed, 2.5 percent of malpractice suits were related to language/interpretation problems … Twelve of the claims involved the failure to translate important documents such as informed consent forms

285. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=76
     January 01, 2024 - Implementation, Patient Safety Tucher E , Keeney T , Bélanger E Leveraging survey and claims … utilized Round 5 (2015) of the National Health and Aging Trends Study (NHATS) linked with Medicare claims … Leveraging survey and claims data to identify high-need Medicare beneficiaries in the National Health … 65 years or older undergoing hip or knee joint replacement from fee-for-service inpatient (Part A) claims … Alabama Medicaid claims data from January 2010 to April 2018 for 52, 549 covered adults aged 19-64 with

286. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=133
     January 01, 2024 - Taylor A Identification of patients with nontraumatic intracranial hemorrhage using administrative claims … Identification of patients with nontraumatic intracranial hemorrhage using administrative claims data … practices in the 2017-2018 National Survey of Healthcare Organizations and Systems and 2017 Medicare claims … used the 2005 and 2012 Medicaid Analytic eXtract (MAX) database, a national compilation of Medicaid claims … which merges Medicare claims to identify hospital admissions.

287. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=174
     January 01, 2024 - Attribution of adverse events following coronary stent placement identified using administrative claims … link the National Cardiovascular Data Registry (NCDR) CathPCI Registry to Medicare fee-for-service claims … Attribution of adverse events following coronary stent placement identified using administrative claims … case data was extracted from the SEER-Medicare linked database from 2000 to 2013, and corresponding claims … The study used retrospective claims data from a large US commercial insurer of 347,356 patients who had

288. 3. Assessment Plan and Methodology | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen3.html
     April 01, 2018 - Electronic records consisted of billing records, LVPHO claims, and EMRs. … Since the PHO served as the central entity for the SATIS-PHI/CRC intervention, we had access to claims … For other practices, we were only able to use PHO claims data. … However, the PHO claims were a good source of data for tracking screening. … For the remaining practices, we were able to use a combination of billing records and PHO claims.

289. Patient Safety Research in Medical Group Practices: Measurement and Data Challenges (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Wilson.pdf
     December 01, 2004 - For example, a study of prescription drug errors in medical group practices using claims data from a … All of these attributes are available in the claims data. … Some of these variables might be available from claims data, but most would need to be obtained from … A useful signal from claims data that helps resolve this issue is the source of the bills. … Claims data Claims submitted by medical group practices for services provided to enrollees of a health

290. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=156
     January 01, 2024 - The authors used claims data of 51,278 newly diagnosed breast cancer (BC) patients from the BC subset … They then developed a list of diagnosis codes that were found more often in claims from BC patients than … in claims of a cohort of patients without a BC diagnosis. … From their findings they concluded that BC patients can be robustly identified within claims databases … Using diagnosis codes in claims data to identify cohorts of breast cancer patients following initial

291. National Strategy for Quality Improvement in Health Care 2015 Agency-Specific Plans (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/workingforquality/2015-ahrq-agency-specific-plan.pdf
     January 01, 2015 - This includes exploring measures that can be used with all-payer claims databases for price and quality … self-insured fund set-aside ($40 million to $8 million) • A 40 percent decline in the number of malpractice claims … the National Association of Health Data Organizations to explore and advance the use of all-payer claims

292. The IHA Bundled Episode Payment and Gainsharing Demonstration | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/bozicstudysnapshots/index.html
     August 01, 2018 - incentive to invest in needed infrastructure, including clinical care redesign (by providers) and automated claims … Inadequate infrastructure for claims processing: Health plans' existing automated claims systems could

293. Department of Veterans Affairs Emergency Airway Management Initiative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Stalhandske_71.pdf
     February 23, 2008 - We also conducted a review of the VA’s own tort claims settlement, which provided additional support … These claims included some cases that occurred within the operating room. … However, a review of closed malpractice claims performed by the American Society of Anesthesiologists … Closed Claims Project documented numerous cases in which trained anesthesiologists felt the tube had … A closed claims analysis. Anesthesiology 1991; 75: 932-939. 8.

294. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=466
     January 01, 2024 - cancer (CRC) testing across regions of North Carolina by using population-based Medicare and Medicaid claims … The authors conducted a cross-sectional study using claims data from 58 hospitals to create a benchmark … Adolescents, Asthma, Risk Gidengil C , Mangione-Smith R , Bailey LC Using Medicaid and CHIP claims … The investigators sought to explore the claims data-related issues relevant to quality measure development … Using Medicaid and CHIP claims data to support pediatric quality measurement: lessons from 3 centers

295. Gap Analysis Facilitator's Guide: Appendix A | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
     August 01, 2022 - Organizational chart showing connections among safety, risk, quality, credentialing, ethics, legal, and claims

296. Final Progress Report: Development of a community-wide real-time health information exchange–based hospital readmission risk prediction and notification system (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/22578-Kharrazi-report.pdf
     September 01, 2015 - Currently, RRPMs are very common, using post-facto health plan claims and hospital administrative databases … to 60+ million patients to help predict various healthcare events (including hospitalization) using claims … Currently, readmission risk predictive models (RRPMs) are very common using post-facto health plan claims … ACGs are mainly designed and deployed on claims data for prediction modeling (though outside the US … These features make HIEs an interesting alternative to claims and EHRs to explore the development of

297. Table 3c. Examples of Evaluation Measures; Additional Categories | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptmgmt/evaluation-table3c.html
     July 01, 2018 - Number or insurance claims for medication. Productivity Work limitations.

298. Exhibit 3.1. Care management population selection and enrollment process | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/exh3-1.html
     October 01, 2014 - Text Box 2 Identifying and Stratifying Members Claims Data. Risk Stratification.

299. Variability in Statin Use After Hospitalization for Cardiovascular Events or Procedures Among Medicare Beneficiaries Age 65 Years and Older (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-stat-brief-4-statins.pdf
     October 01, 2024 - These files include Medicare enrollment and claims data. … Variability in Statin Use in Medicare 11 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

300. Million Hearts® | Agency for Healthcare Research and Quality
     www.ahrq.gov/takeheart/beyond/million-hearts/index.html
     November 01, 2022 - Outpatient Cardiac Rehabilitation Use Surveillance Methodology and consider how it may be applied to a claims