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www.ahrq.gov/cpi/about/nac/snac-shenkman.html
November 01, 2019 - OneFlorida has a centralized Data Trust containing linked healthcare claims, electronic health record
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/finalreportphase2.pdf
September 29, 2014 - ............................................................................................ 6
CMS Claims … ........................................................................ 21
NHSN Data and Medicare Claims … Data Sources
CMS Claims
The UM-KECC ESRD Database includes administrative and billing records for … The Medicare claims-based infection rate is defined as: Hemodialysis access-related infections per 100 … ICD-9 access-related infection rate from 2012 DFR;
• infection tertile (based on Medicare claims
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-fullreport.pdf
February 01, 2019 - Administrative data (e.g., claims data). … • 2011 claims data from two MEDNET States.
• 2012 claims data from one MEDNET State. … • 2009 claims data from 17 New York State Medicaid health plans.
11
• 2013 claims data from … This measure has been specified and tested in claims data alone. … provided in other sectors not found in claims.
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www.ahrq.gov/ncepcr/reports/cost-guide/synthesis-report.html
February 01, 2017 - Quantitative data provided by clinics and insurers: Quality indicators; claims/billing data; organizational … A1c levels for diabetes patients, and patient satisfaction surveys. 15 Martsolf and colleagues used claims … In one study, Kralewski and colleagues used claims data from a major health insurance plan to track patient-level … A gross-costing method uses aggregated data, such as general ledger or claims data, to retrospectively … When claims data are used, they may not reflect all of the costs related to transformation efforts incurred
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/report.html
October 01, 2015 - transformation activities
Quantitative data provided by clinics and insurers: Quality indicators; claims … A1c levels for diabetes patients, and patient satisfaction surveys. 15 Martsolf and colleagues used claims … In one study, Kralewski and colleagues used claims data from a major health insurance plan to track patient-level … A gross-costing method uses aggregated data, such as general ledger or claims data, to retrospectively … When claims data are used, they may not reflect all of the costs related to transformation efforts incurred
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-147-fullreport.pdf
February 01, 2019 - Administrative data (e.g., claims data).
3
If other, please list all other data sources in the … • 2008 claims data from the Medicaid Analytic eXtract (MAX) for 11 States
• 2011 claims data from … two MEDNET States
• 2012 claims data from one MEDNET State
• 2009 claims data from 17 New York State … A similar claims- and encounter-based measure is being implemented by New York State in a
web-based … This measure has been specified and tested in claims data only.
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www.ahrq.gov/ncepcr/communities/pbrn/registry/scalable-architecture-federated-translational-inquiries-network.html
January 01, 2012 - To build and sustain a distributed data network of existing clinical and claims data that can be used
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/DiagnosticSafety-flier.pdf
November 01, 2024 - healthcare costs, but the additional tests do not improve quality.16
■ Based on paid malpractice claims … Missed and
delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. … Mathews SC, Shore A, Makary MA, Pronovost PJ, Newman-Toker DE.
25-year summary of U.S. malpractice claims
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6n-price-transparency.html
March 01, 2020 - Another option for external benchmarks and other data are the all-payer claims databases (APCD) that … Based on BCBSNC claims data over a 12-month period, the tool reports the average total costs for the … with 18 self-insured employers, the study found that use of the tool was associated with lower total claims
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/bozicstudysnapshot/bozicstudysnapshot.pdf
February 01, 2015 - to invest in needed
infrastructure, including clinical care redesign (by providers) and automated
claims … f Inadequate infrastructure for claims processing: Health plans’ existing
automated claims systems could
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6t.html
June 01, 2014 - within 24 hours of discharge. 1
Format/Data Source: This process measure requires administrative claims … all of the specified elements. 1
Format/Data Source: This process measure requires administrative claims … missed a scheduled appointment. 1
Format/Data Source: This process measure requires administrative claims
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www.ahrq.gov/sites/default/files/publications/files/bozicstudysnapshot.pdf
February 01, 2015 - to invest in needed
infrastructure, including clinical care redesign (by providers) and automated
claims … f Inadequate infrastructure for claims processing: Health plans’ existing
automated claims systems could
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-medical-home-academyhealth.pdf
December 12, 2015 - Data
• MassHealth (Medicaid) claims, encounter, and
enrollment data, extracted from MMIS data
warehouse … Follow-up: July-December 2013 (overlaps end of LC)
• Exclusions:
Children enrolled but with no claims … modified to better specify complexity of chronic disease in
pediatric population
• Uses three-year claims
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www.ahrq.gov/research/findings/studies/index.html?page=197
January 01, 2024 - The goals of this study were to identify nontraditional risk factors coded in administrative claims data … among Medicare fee-for-service beneficiaries; researchers used nested Cox regression models to identify claims … authors conclude that risk-prediction models, which include nontraditional risk factors as identified in claims … The value of claims-based nontraditional risk factors in predicting long-term mortality after MitraClip … Using Medicare claims data, they found race/ethnicity variation in ED destination for patients using
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www.ahrq.gov/prevention/chronic-care/decision/mcc/oberst-grant.html
September 01, 2015 - Not specified
Study Design, Data Sources & Sample Size
2008-2011 linked Medicare and Medicaid claims
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/amermanslides.pdf
May 12, 2014 - Standardized processes
– E.g., perpetual inventory, patients calling their physician,
deleting rejected claims
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www.ahrq.gov/talkingquality/translate/organize/index.html
March 01, 2016 - process, outcome, patient experience)
Organizing Measures by Data Source (e.g., medical records, claims
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary2.html
September 01, 2015 - Access to fee-for-service claims data enables but does not guarantee that all administrative measures … However, given delays in claims processing and infrequent reporting periods, the reports were difficult
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-145-fullreport.pdf
July 01, 2016 - Administrative data (e.g., claims data). … Treatment outcomes with methylphenidate
formulations among patients with ADHD: retrospective claims … claims, was used to iteratively
test the enhanced ADHD Follow-up Care measure and assess reliability … Administrative Claims Data: The data elements required for this measure currently exist at this
time … The first limitation is that this measure uses administrative claims data and is therefore subject to
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www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/index.html
June 01, 2014 - Challenges
Building Capacity in HAI Prevention Research: NICHE and the STOP CAUTI Workgroup
Using Claims … Using Claims Data to Perform Surveillance for Surgical Site Infection: The Devil Is in the Details Katelin