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21. CHIPRA 235: Section 6, Table 5. Reasons for Variance (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-235-section-6-table-5.pdf
    January 01, 2013 - code was added/updated after Analyst 1 data extraction 1 Data update: Specialty-related visit claims … code was added/updated after Analyst 1 data extraction 2 Data update: Specialty-related visit claims … code was added/updated after Analyst 1 data extraction 2 Data update: Specialty-related visit claims … code was added/updated after Analyst 1 data extraction 1 Data update: Specialty-related visit claims … taxonomy record was added after Analyst 1 data extraction 1 Data update: Specialty-related visit claims

22. Chipra-141-Section-2-Tech-Specs (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-section-2-tech-specs.pdf
    December 01, 2012 - Algorithm to identify children with complex and non-complex chronic conditions using Medicaid claims … file that includes all claims (inpatient, outpatient, managed care encounter data) and has at … The Process: 1) 'Claims' dataset: claims are read in and the decimals are stripped from the … ICD-9 codes with or without decimals are thus accommodated. 2) Claims are sorted by person … <---- 1) SET LOCATION OF CLAIMS DATA TO BE USED; %let icdnum=25;

23. Section 8.A, Data Availability (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-8a.pdf
    January 01, 2011 - Some states do not report enrollment data, and none reports claims for their state funded (S-CHIP) … Additionally, while some states usually provide managed care claims, others do not (Byrd and Verdier … Testing managed care claims data quality in each state Managed care claims data is sometimes absent … States highlighted in Gray did not meet criteria to be utilized for studying appendectomy claims. … All claims data in these states is reported via FFS or PCCM, wherein claims are billed as FFS.

24. Tables 7-10 (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-section-6.pdf
    January 01, 2006 - after the date of evaluation for atraumatic headache, was calculated using 5 consecutive years of claims … data drawn from Medicaid Analytic eXtract (MAX) administrative claims data provided by the Centers … range) 0.99 (0.90-1.00) Table 9: Contingency Table for Presence of Exclusions in Administrative Claims … Measurement Year Exclusion Documented in Charts Present Absent Total Exclusion present based on claims … 62 Total 18 48 66 Table 10: Contingency Table for Presence of Exclusions in Administrative Claims

25. Ratio of Magnetic Resonance Imaging Scans to Computed Tomography Scans for the Evaluation of Children with Atraumatic Seizure: Table 7 - 10 (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0197-tables7-10.pdf
    January 01, 2006 - days after the date of evaluation for atraumatic seizure, was calculated using 5 consecutive years of claims … data drawn from Medicaid Analytic eXtract (MAX) administrative claims data provided by the Centers … range) 0.98 (0.81-0.99) Table 9: Contingency Table for Presence of Exclusions in Administrative Claims … Measurement Year Exclusion Documented in Charts Present Absent Total Exclusion present based on claims … 97 Total 13 91 104 Table 10: Contingency Table for Presence of Exclusions in Administrative Claims

26. Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Tables 12 - 15 (pdf file)
    www.cahps.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

27. Section 6.A, Figures 1 to 4 and Table 5 (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-section-6a.pdf
    December 01, 2013 - tested using a sample drawn from 5 consecutive years of Medicaid Analytic eXtract (MAX) administrative claims … tested using a sample drawn from 5 consecutive years of Medicaid Analytic eXtract (MAX) administrative claims …                                                       Figure 3: Michigan Medicaid Claims … CHAMPS) compared with a corresponding sample drawn from Medicaid Analytic eXtract (MAX) administrative claims … Figure 4: Michigan Medicaid Claims Results Compared with MAX data for 350‐Day Rate 0% 5% 10%

28. Tables 8-11 (pdf file)
    www.cahps.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

29. Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/research/publications/search.html?page=5
    July 01, 2017 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Publication Date: July 2017 Publication Number: 17-M018-1-EF All-Payer Claims … large-scale databases that systematically collect professional, facility, pharmacy, laboratory, and dental claims … Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims … Databases AHRQ funded the All-Payer Claims Databases (APCDs) project to learn more about how APCDs

30. Section 6-B, Table 6 (pdf file)
    www.cahps.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

31. Transcranial Doppler Ultrasonography Screening Among Children With Sickle Cell Anemia (pdf file)
    www.cahps.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.

32. Appropriate Antibiotic Prophylaxis for Children With Sickle Cell Disease (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-fullreport.pdf
    April 01, 2018 - This measure is part of the Q-METRIC Sickle Cell Disease Administrative Claims set. 3. … Administrative data (e.g., claims data). … This measure is based on administrative claims data. … This measure is implemented with administrative claims data. … This measure is implemented with Medicaid administrative claims data.

33. Measure: Pediatric Lower Respiratory Infection (LRI) Readmission Measure (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p008-2-ef.pdf
    January 01, 2015 - Administrative data (e.g., claims data). … 30-day readmissions measures. 3 Measure Testing This measure used four large, administrative claims … non-children’s hospitals ● 2005–2009 AHRQ revisit data for New York and Nebraska, which include claims … National Association of Children’s Hospitals and Related Institutions case-mix data, which include claims … ● Claims data are limited as billing codes do not reflect certain information such as disease severity

34. Measure: Pediatric All-Condition Readmission Measure (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_14-p008-1-ef.pdf
    October 01, 2014 - Administrative data (e.g., claims data). … Measure Testing This measure used four large, administrative claims datasets to develop and evaluate … the measure:13 ● 2008 Medicaid Analytic eXtract (MAX) data for 26 States, which include Medicaid claims … ● 2005-2009 AHRQ Revisit data for New York and Nebraska, which include claims for all payers from … National Association of Children's Hospitals and Related Institutions case-mix data, which include claims

35. Improvement Data | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/improvement-data.html
    July 01, 2021 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Measure performance rates for all levels were calculated using state Medicaid administrative claims … York Department of Health provided measure performance rates using their own Medicaid administrative claims … One difficulty with using state administrative claims is the delay in data availability. … Michigan Medicaid claims data become available approximately 6 months following the end of the year.

36. Measure: Attention Deficit Hyperactivity Disorder (ADHD) - Measure of Chronic Care Followup (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-1416-p005-3-ef.pdf
    October 01, 2015 - ● Data for this measure are reliably available in administrative claims data. … Measure ● Measure reliability was assessed by implementing the measure in a large, administrative claims … database that included administrative claims data from both Medicaid and commercial payment model … Caveats ● The measure uses administrative claims data and is therefore subject to all issues related … to administrative claims-based measures, including long continuous coverage requirements, lack of

37. CHIPRA 194: Section 6, Tables 13-14 (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-section-6-tables-13-14.pdf
    April 17, 2019 - Contingency Table for Presence of Signs or Symptoms of Increased Intracranial Pressure in Administrative Claims … Total 18 137 155 Table 14: Contingency Table for Presence of Lumbar Puncture in Administrative Claims

38. Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-fullreport.pdf
    December 17, 2019 - This measure uses administrative claims data to identify the eligible population for medical record … Administrative claims data; paper and electronic clinical data; paper and electronic health record ( … Using administrative claims, identify the population eligible for the denominator. … Using administrative claims, exclude individuals with ICD-9-CM codes associated with child abuse and … Many denominator and numerator exclusions were not adequately captured in administrative claims.

39. Children with Disabilities Algorithm (CWDA) A Claims-Based Tool for Identifying Children with Disabilities (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-144-section-2.pdf
    January 01, 2020 - Children with Disabilities Algorithm (CWDA) A Claims-Based Tool for Identifying Children with Disabilities … &indata out=claims;by &sid &claimid; run; data claims(keep=&sid &claimid cwda3_gt75); set … claims(keep=&sid &claimid &icdvar.1-&icdvar. … &claimid then output; run; proc sort data=claims; by &sid; data out. … &outdata(keep=&sid cwda); set claims; by &sid; retain cwda3_gt75_sum; if first.

40. Materials VI-B (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-164-materials-vi-b.pdf
    March 09, 2017 - 9.285 8.281 10.411 6.134 6.077 6.191 5.156 5.101 5.211 9.676 9.458 9.898 8.513 8.348 Dental Prophy Claims … Service) Well Child Visit 0.0486 <.0001 Dental Prophy‐At least one claim 0.4146 <.0001 Dental Prophy Claims … 0.4729 <.0001 3+ 0.99 <.0001 Fluoride Treatment‐At least one claim 0.4047 <.0001 Fluoride Treatment Claims … <.0001 Fluoride Treatment Medical Provider‐At least one claim ‐0.0134 0.0368 Fluoride Treatment Claims … 0.0472 0.4973 Fluoride Treatment Dental Provider‐At least one claim 0.3632 <.0001 Fluoride Treatment Claims