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81. Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Tables 12 - 15 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-tables12-15.pdf
    October 16, 2019 - 7.2 (10.2) 8.5 (12.5) 0.2 (0.6) 75.1 (18.7) 3.2 (2.2) 5.4 (7) Subset following claims … missing or unmatched ZIP code, yielding n=458 (97.4%). ** Among the subset of children following claims … ‡ Mean (SD) Eligible children who had a febrile seizure (n=458)* 13.7 (15.8) Subset following claims … missing or unmatched ZIP code, yielding n=458 (97.4%). ** Among the subset of children following claims … missing or unmatched ZIP code, yielding n=457 (97.2%). ** Among the subset of children following claims

82. Appendix B: Prioritization of Conditions for Measure Inventory | Agency for Healthcare Research and Quality
    www.ahrq.gov/data/apcd/backgroundrpt/app-b.html
    November 01, 2020 - Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims … Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims … Databases Introduction Reviewing the Landscape of All-Payer Claims Databases Measure Inventory … Data Evaluation of All-Payer Claims Databases Discussion Conclusion and Future Directions References

83. Transcranial Doppler Ultrasonography (TCD) Screening Among Children with Sickle Cell Anemia Toolkit (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/tcd-toolkit.pdf
    January 01, 2020 - It also required the development of a valid claims-based case definition. … A lag in claims availability at the state level may create a delay in use of Medicaid claims. … The detailed measure specification may be used on administrative claims in any context. … Identify the denominator: Determine the eligible population using administrative claims. … The lag in claims availability at the state level creates a delay in use of Medicaid claims.

84. Eligibility Criteria | Agency for Healthcare Research and Quality
    www.ahrq.gov/sdoh-challenge/eligibility_criteria.html
    February 01, 2019 - obtain liability insurance, or demonstrate financial responsibility, in the amount of $500,000, for claims … Participants agree to indemnify the Federal Government against third party claims for damages arising … Participants agree to assume any and all risks and waive claims against the Federal Government and its … Participants must indemnify, defend, and hold harmless the Federal Government from and against all third-party claims

85. Eligibility Criteria | Agency for Healthcare Research and Quality
    www.ahrq.gov/predictive-analytics-challenge/eligibility-criteria.html
    March 01, 2019 - obtain liability insurance, or demonstrate financial responsibility, in the amount of $500,000, for claims … Participants agree to indemnify the Federal Government against third party claims for damages arising … Participants agree to assume any and all risks and waive claims against the Federal Government and its … Participants must indemnify, defend, and hold harmless the Federal Government from and against all third-party claims

86. Evaluation Issues | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/issues.html
    August 01, 2022 - their demonstration project, two Principal Investigators answered “time to resolution of [malpractice] claims … Among the threshold challenges identified was the problem of the malpractice “claims tail” (i.e., that … malpractice claims frequently take years from the occurrence of an adverse event to surface and/or resolve … across projects made it difficult for many of the PSML projects to document direct patient safety or claims-based … need to be funded for longer grant periods (6–10 years), allowing for the maturation of the “tail” of claims

87. Final Progress Report: Conference on Medical Error Communication and Dispute Resolution (pdf file)
    www.ahrq.gov/sites/default/files/2024-07/liebman-hyman-report.pdf
    January 01, 2024 - events, use of alternative dispute resolution rather than litigation to resolve medical malpractice claims … error or adverse event; 2) alternative methods, including mediation, to resolve medical malpractice claims … family as early as possible and of using mediation as an alternative to litigating medical malpractice claims … Key Words: Apology, mediation, medical malpractice claims, patient safety, disclosure of medical error … The third panel on mediating medical malpractice claims allowed the attendees to hear the actual experiences

88. Appendix A: Technical Expert Panel and Learning Network Members | Agency for Healthcare Research and Quality
    www.ahrq.gov/data/apcd/backgroundrpt/app-a.html
    April 01, 2017 - Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims … Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims … Databases Introduction Reviewing the Landscape of All-Payer Claims Databases Measure Inventory … Data Evaluation of All-Payer Claims Databases Discussion Conclusion and Future Directions References

89. Tables 8-11 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-tables%208-11.pdf
    December 18, 2019 - 2,918)** 0.5 (1.0) 4.9 (7.9) 8.0 (12.6) 0.1 (0.2) 80.2 (16.8) 2.6 (1.4) 3.7 (6.1) Subset following claims … )*** 0.5 (1.0) 4.8 (7.8) 8.2 (12.7) 0.1 (0.2) 80.3 (16.8) 2.6 (1.4) 3.6 (6.0) Subset following claims … headache (n=5,807)* 9.7 (13.5) Subset who had a CT or MRI (n=2,918)** 9.8 (13.6) Subset following claims … denominator exclusions (n=2,386)*** 9.5 (13.3) Subset following claims numerator exclusions (n=1,985 … CT or MRI (n=2,917)** $69,540 $29,624 $16,036 $47,028 $63,542 $85,462 $219,688 Subset following claims

90. Clinical Database to Support Comparative Effectiveness Studies of Complex Patients (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/blaum_r24grant.pdf
    September 01, 2013 - the University of Michigan Health System (UMHS), a large academic healthcare system, to multi-payer claims … Link multi-payer claims to the population of patients in the UMHS EMR, including claims for low-income … Goal Develop a unique relational database, linking chronic condition clinical data to multi- payer claims … Data Sources Electronic medical record clinical data and multi-payer claims data for more than 20,000 … “Missingness” occurs because of gaps in registries and claims data when patients do not have or do not

91. Opportunities for Future Measurement of Care Coordination with Electronic Data | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/prospectscare/prospects2.html
    July 01, 2018 - For example, claims data would be needed to identify when patients were discharged from the hospital … Using Claims Data for Measurement Panelists suggested several ways in which claims data, particularly … from all-payer claims databases, could be used to evaluate care coordination. … All-payer claims databases would be particularly useful for such measures because they aggregate claims … If these measures relied on only claims data, they would be limited by lack of clinical context.

92. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/capacity/candor/demo-program/plan-grants/appa.html
    May 01, 2016 - First, an actuarial review of claims concluded that the use of an ACEx2 system might stabilize claims … inflation and reduce costs through an accelerated claims process. … The RMCM was modeled after the University of Michigan Claims Management Model. … During this time period, 41 claims had sufficient data for analysis. … Claims were categorized by six unique claim types that ranged from grievances to formal claims against

93. Oregon Uses AHRQ Training to Establish an All-Payer Database | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/ktcdom51.html
    October 01, 2014 - 2008, attendees from Oregon successfully persuaded their legislature to establish an all-payer, all-claims … legislation provides authority for the Office for Oregon Health Policy and Research (OHPR) to collect claims … attended the AHRQ workshop and returned to Oregon with information about the value of an all-payer, all-claims … The Oregon database includes Medicaid claims and information from Medicare.

94. Findings | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/capacity/candor/demo-program/plan-grants/findings.html
    May 01, 2016 - Of the 230 claims examined, 13 (5.7%) were determined to involve a potential transition of care event … was instituted in 2008 based on the successful University of Michigan Claims Management Model. … In the first part of the study, researchers surveyed patients and medical staff involved in 41 claims … In the second part of the study, researchers compared the same 41 claims closed under the new system … and (2) a safe harbor rule could have altered the course or outcome of medical liability claims; and

95. Section 6-B, Table 6 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-section-6b.pdf
    December 01, 2013 - Validity Table 6: Michigan Validation Testing (Claims Data vs. … Antibiotic Prescriptions for Children with Sickle Cell Disease Antibiotic Prescription in Medicaid Claims … Medical Record (n=34) Yes No Total Yes No 30 4 0 0 30 4 Total 34 0 34 Note: Claims

96. Transcranial Doppler Ultrasonography Screening Among Children With Sickle Cell Anemia (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-139-fullreport.pdf
    May 01, 2017 - This measure is part of the QMETRIC Sickle Cell Disease Administrative Claims set. 3. … For children who have dual enrollment in other health plans, their claims may not be complete since … Administrative claims If other, please list all other data sources in the field below. … Data Collection Strategy This measure was tested using Medicaid administrative claims data. … This measure is implemented with Medicaid administrative claims data.

97. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
    May 01, 2016 - First, an actuarial review of claims concluded that the use of an ACEx2 system might stabilize claims … inflation and reduce costs through an accelerated claims process. … The RMCM was modeled after the University of Michigan Claims Management Model. … During this time period, 41 claims had sufficient data for analysis. … Claims were categorized by six unique claim types that ranged from grievances to formal claims against

98. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
    www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
    May 01, 2016 - First, an actuarial review of claims concluded that the use of an ACEx2 system might stabilize claims … inflation and reduce costs through an accelerated claims process. … The RMCM was modeled after the University of Michigan Claims Management Model. … During this time period, 41 claims had sufficient data for analysis. … Claims were categorized by six unique claim types that ranged from grievances to formal claims against

99. Data & Analytics | Agency for Healthcare Research and Quality
    www.ahrq.gov/data/index.html
    January 01, 2001 - Determinants of Health Synthetic Healthcare Database for Research (SyH-DR) All-Payer Claims … Databases All-payer claims databases (APCDs) are large State databases that include medical claims … , pharmacy claims, dental claims, and eligibility and provider files collected from private and public

100. Nearly One in Four Antibiotic Prescriptions Were Unnecessary in Study of Privately Insured Patients in 2016 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/press-releases/antibiotic-prescriptions-study.html
     January 01, 2019 - Their findings were based on a combined analysis of a U.S. medical claims database and the 2016 version … Researchers studied whether antibiotic prescriptions listed in the claims database were appropriate using … Some may have been sent to pharmacies after telephone or online consultations that do not result in claims … could have been prescribed during visits that were paid out of pocket and not captured in the medical claims