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41. Lessons Learned From Implementation Challenges | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/capacity/candor/demo-program/grants/lessons.html
    May 01, 2016 - new clinical or policy interventions for patient safety that will impact meaningfully on malpractice claims … resources are poorly aligned to support future PSML initiatives, particularly so on the malpractice claims … PSML projects. 1 Perhaps the most important of these for national evaluations is the fact that NDPB claims … to track locally and are not dependent on these national data pipelines to collect (e.g., numbers of claims … and/or time to resolution of claims in the context of a DRP intervention).

42. Tables 1-7 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-tables%201-7.pdf
    December 18, 2019 - Contingency Table for Presence of Seizure in Administrative Claims and Charts Seizure in Claims … Contingency Table for Presence of Indicators of Increased Intracranial Pressure in Administrative Claims … and Charts Indicators of Increased Intracranial Pressure in Claims Based on ICD-9-CM Codes … Sensitivity Analysis with Variation in Claims-Based Exclusion Criteria among Children with Neuroimaging … Overuse Percentage within the Chart Review Sample using Claims or Chart Review Criteria Chart Review

43. Synthetic Healthcare Database for Research (SyH-DR) | Agency for Healthcare Research and Quality
    www.ahrq.gov/data/syh-dr.html
    July 01, 2022 - The Synthetic Healthcare Database for Research (SyH-DR) is an all-payer, nationally representative claims … The database consists of a sample of inpatient, outpatient, and prescription drug claims, including utilization … SyH-DR is a synthetic database that replicates the structure and statistical properties of the original claims … SyH-DR The Agency for Healthcare Research and Quality (AHRQ) created SyH-DR from eligibility and claims … Claims Files Commercial Inpatient File Commercial Outpatient File Commercial Person-Level File

44. Sampling, Weighting, and Synthetization Methodologies (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Sampling-Weighting-Synthetization-Methodologies-rev.pdf
    June 01, 2022 - Therefore, the claims in the SyH-DR are the original claims with some data elements partially or fully … Multiple claims might be observed for each person, and diagnosis codes might recur across claims—for … , 1,200 most frequent for outpatient claims, and 300 most frequent for ED claims. … Pharmacy Claims Files Generic Drug Name The source pharmacy claims files contain National Drug Codes … and pharmacy claims.

45. Appendix C. Environmental Scan Resources Included | Agency for Healthcare Research and Quality
    www.ahrq.gov/data/apcd/envscan/app-c.html
    November 01, 2020 - Massachusetts all-payer claims database. Overview. … Overview of the Massachusetts all-payer claims database. … Hawaii all-payer claims database request for information. … Massachusetts all payer claims database (APCD). … All Payer Claims Database Group. http://www.linkedin.com/groups/All-Payer-Claims-Database-Group-3362505

46. Electronic Health Records (EHRs) | Agency for Healthcare Research and Quality
    www.ahrq.gov/topics/electronic-health-records-ehrs.html
    Accurate Reports from Electronic Health Records (EHRs) Developing and Assessing the Validity of Claims-based

47. Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Tables 14-17 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-tables14-17.pdf
    October 16, 2019 - 522)** 0.5 (1.4) 5.5 (8.8) 8.5 (13.2) 0.1 (0.5) 78.2 (17.8) 2.8 (2.0) 4.3 (6.6) Subset following claims … (7.0) 7.9 (12.1) 0.1 (0.3) 80.6 (15.7) 2.6 (1.5) 4.0 (5.8) Subset following claims … missing or unmatched ZIP code, yielding n=522 (98.1%). *** Among the subset of children following claims … missing or unmatched ZIP code, yielding n=293 (99.0%). **** Among the subset of children following claims … denominator exclusions (n=293)*** 10.5 (14.5) Subset following claims numerator exclusions (n=243)*

48. CHIPRA 194: Section 7, Tables 15-18 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-section-7-tables-15-18.pdf
    April 17, 2019 - (8.1) 7.6 (12.2) 0.1 (0.2) 80.6 (16.7) 2.5 (1.4) 3.7 (6.0) Subset following claims … (8.0) 7.7 (12.1) 0.1 (0.2) 81.1 (16.4) 2.5 (1.4) 3.4 (5.6) Subset following claims … missing or unmatched ZIP code, yielding n=4,312 (98.2%). *** Among the subset of children following claims … missing or unmatched ZIP code, yielding n=2,626 (98.2%). **** Among the subset of children following claims … denominator exclusions (n=2,626)*** 9.1 (12.7) Subset following claims numerator exclusions (n=2,156

49. Hospital Claims Data May Be Inadequate To Track Infection Rates, Study Says | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsletters/e-newsletter/646.html
    January 01, 2019 - Hospital Claims Data May Be Inadequate To Track Infection Rates, Study Says Issue Number … Today's Headlines: Hospital Claims Data May Be Inadequate To Track Infection Rates, Study Says . … Hospital Claims Data May Be Inadequate To Track Infection Rates, Study Says A new analysis finds that … hospital claims data may be inadequate in tracking surgical site infections compared with the Centers … Effects of a communication-and-resolution program on hospitals' malpractice claims and costs .

50. Methods | Agency for Healthcare Research and Quality
    www.ahrq.gov/data/apcd/envscan/methods.html
    June 01, 2017 - and Evidence Methods Previous Page Next Page Table of Contents All-Payer Claims … data  claims database AND charges claims database price transparency claims data measure … price transparency taskforce claims database report price transparency report claims … data taskforce quality AND cost claims database (+ state) quality AND price claims database … data” OR “claims data.”

51. Exhibit 7.4. Core measures for asthma, diabetes, and congestive heart failure | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/exh7-4.html
    October 01, 2014 - who received at least one prescription for an appropriate medication in the measurement year Claims … Percentage of members who followed up with a physician after an ER visit or hospital admission Claims … AQA and HEDIS Measure) Percentage of members with diabetes with most recent LDL-C <130 mg/dl Claims … Percentage of members who received at least one LDL-C screening during the measurement year Claims … Percentage of members who received one dilated retinal examination in the measurement year Claims

52. Data | Agency for Healthcare Research and Quality
    www.ahrq.gov/topics/data.html
    December 12, 2020 - All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices

53. Tables 11-14 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-section-7.pdf
    December 18, 2019 - 1,585)*** 0.4 (0.7) 5.7 (8.6) 6.9 (10.5) 0.1 (0.2) 80.4 (16.0) 2.6 (1.4) 3.9 (6.1) Subset following claims … (7.2) 8.4 (13.1) 0.1 (0.2) 81.5 (16.6) 2.4 (1.4) 3.0 (4.9) Subset following claims … missing or unmatched ZIP code, yielding n=1,585 (98.3%). **** Among the subset of children following claims … a CT scan (n=2,977)** 9.4 (13.3) Subset who had an MRI (n=1,585)*** 10.2 (13.2) Subset following claims … CT exclusions (n=1,781)**** 8.2 (11.8) Subset following claims MRI exclusions (n=1,363)***** 10.0 (

54. AHRQ Physician and Physician Practice Research Database Methodology Report (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/data/3P-RD-Methodology-Report.pdf
    February 01, 2023 - Patient panel • Patient characteristics of those with submitted claims. Table 3.3. … Patient panel • Patient characteristics of those with submitted claims. … Regardless of the claims data source, merging between the Core physician file and the claims data was … ID (a unique number for each payor submitting claims to AR APCD) in the processing. … An initial assessment of the presence of spillover claims identified no spillover claims with a start

55. Table 4. Near-term Measure Opportunities | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/prospectscare/prosptab4.html
    July 01, 2018 - Contents of CCD/CCR not examined) Numerator: EHR or HIE * Denominator: claims data (APCD, HIE * … [if includes claims data], payer files) Use EHR data to confirm inclusion of key information … data) or payer files Use claims data to examine instances of redundant testing Repetition … Numerator and denominator: APCDs or HIE * (if includes claims data) or payer files Would be enhanced … by addition of clinical data from EHR or HIE * APCD—all-payer claims database; CCD—continuity

56. Appendix B. References | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appb.html
    August 01, 2022 - Liability claims and costs before and after implementation of a medical error disclosure program. … The far side of tort reform: Experience and opportunities for improving resolution of malpractice claims … Eliminating Preventable Perinatal Injuries and Reducing Malpractice Claims. Final Progress Report.

57. Quality Measures | Agency for Healthcare Research and Quality
    www.ahrq.gov/topics/quality-measures.html
    All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices

58. Introduction | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/prospectscare/prospintro.html
    April 01, 2020 - ) systems such as electronic health records (EHR), health information exchanges (HIE) and all-payer claims … All-Payer Claims Databases (APCD) —Large-scale databases that systematically collect health care claims … data (medical claims, pharmacy claims, eligibility files, provider files, and dental claims) from a … However, APCDs are limited in their reliance on claims data. … Adapted from APCD Council All-Payer Claims Database Fact Sheet.

59. Section 6, Tables 2 and 3 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/section-6-table-2-3.pdf
    June 28, 2017 - Other ≥ 1 claim per body system for 2 different body systems during the measurement period* ≥ 2 claims … claim for a single body system not flagged as progressive during the measurement period* ≥ 2 claims … specificity for PMCA in Seattle Children’s Hospital (SCH) discharge and Washington State (WA) Medicaid claims

60. Materials X (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-164-materials-x.pdf
    March 09, 2017 - A: Dental Prophy -­‐ 2 claims PREV_A_3 Prev. Grp. A: Dental Prophy -­‐ 3+ claims PREV_A_CLM Prev. … B: Fluoride  Tx -­‐ 2 claims PREV_B_3 Prev. Grp. B: Fluoride  Tx -­‐ 3 claims PREV_B_4 Prev. … B: Fluoride  Tx -­‐ 4+ claims PREV_B_CLM Prev. Grp. … B: Fluoride  Tx -­‐ Count of claims PREV_B_DENT Prev. Grp. … B: Fluoride Tx -­‐ (Med Prov) 2 claims PREV_B_MED_3 Prev. Grp.