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41. Measure 1, Section 2, Attachment 6 (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-6.pdf
    January 17, 2017 - Form Measure 1: Accurate ADHD Diagnosis Section 2: Detailed Measure Specifications Attachment 6: Claims … DATA SOURCE Administrative Claims Data 1. Inpatient 2. Outpatient D. … Form Measure 1: Accurate ADHD Diagnosis Section 2: Detailed Measure Specifications Attachment 6: Claims … Disclaimer: This is only an example of how a specification could be constructed from administrative claims

42. Lessons from the Field: Identifying Measurement Challenges and Successes (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-challenges-successes.pdf
    January 01, 2019 - While the majority of data used to measure quality come from health care claims submitted by providers … A state medical director noted her state’s success in linking claims and vital statistics records, … •Q-METRIC: measure uses claims data, and is reported and assessed only annually (at state and health … • While there is a lag in claims data availability at the state level, the Q-METRIC team found … plan-level claims data for calculating more timely performance scores

43. Ratio of Magnetic Resonance Imaging Scans to Computed Tomography Scans for the Evaluation of Children with Atraumatic Seizure: Report (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0197-fullreport.pdf
    November 01, 2019 - Ratio of MRI to CT Using Administrative Claims Data After applying claims-based exclusions to cases … This measure is specified using administrative claims. … This measure requires administrative claims data. … This measure requires administrative claims data. … This measure is specified using administrative claims.

44. Ratio of Magnetic Resonance Imaging Scans to Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-fullreport.pdf
    January 01, 2020 - Ratio of MRI to CT Using Administrative Claims Data After applying claims-based exclusions to cases … This measure is specified using administrative claims. … This measure requires administrative claims. … This measure requires administrative claims data. … This measure is specified using administrative claims.

45. Ratio of Magnetic Resonance Imaging Scans to Computed Tomography Scans for the Evaluation of Children with Atraumatic Seizure: Technical Specifications (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0197-technicalspecs.pdf
    October 29, 2019 - This measure requires administrative claims data and is calculated as follows: The ratio of the number … The determination of the eligible population for this measure requires administrative claims data … Table IMG9) or the presence of an E-code) on the day of or within the 7 days prior to imaging (from claims

46. Appendix C. Obstacles to Impact Analysis of Category C Projects | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/appc.html
    October 01, 2015 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … would be unable to assess some of the key outcomes (for example, BMI screening) through analysis of claims … to the new data system (the Transformed Medicaid Statistical Information System, or T-MSIS) for all claims … Illinois halted MSIS production beyond that date and will not provide 2014 claims until CMS has transitioned … to and validated the T-MSIS claims, the timeline of which has been delayed and remains unknown.

47. Chipra202-Materials Iiia (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_IIIA.pdf
    January 01, 2014 - Developer Measure Title Measure Description Type of Measure/Level of Measurement Data Source Claims … Process Administrative Claims & Medical Records ¥ Claims data: CPT code 96110 (Developmental testing … Important Note about Appropriate Use of Claims Data: This measure is anchored to standardized tools … Claims NOT Included in This Measure: It is important to note that modified 96110 claims [e.g. modifiers … Process Administrative Clinical Data or Paper Medical Records Claims/encounters that identify

48. Chipra204-Materials Iiia (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_IIIA.pdf
    January 01, 2014 - Developer Measure Title Measure Description Type of Measure/Level of Measurement Data Source Claims … Process Administrative Claims & Medical Records ¥ Claims data: CPT code 96110 (Developmental testing … Important Note about Appropriate Use of Claims Data: This measure is anchored to standardized tools … Claims NOT Included in This Measure: It is important to note that modified 96110 claims [e.g. modifiers … Process Administrative Clinical Data or Paper Medical Records Claims/encounters that identify

49. Chipra205-Materials Iiia (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_IIIA.pdf
    January 01, 2014 - Developer Measure Title Measure Description Type of Measure/Level of Measurement Data Source Claims … Process Administrative Claims & Medical Records ¥ Claims data: CPT code 96110 (Developmental testing … Important Note about Appropriate Use of Claims Data: This measure is anchored to standardized tools … Claims NOT Included in This Measure: It is important to note that modified 96110 claims [e.g. modifiers … Process Administrative Clinical Data or Paper Medical Records Claims/encounters that identify

50. Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Tables 11-13 (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-tables11-13.pdf
    October 16, 2019 - edema 348.5 Table 12: Contingency Table for Presence of Status Epilepticus in Administrative Claims … Contingency Table for Presence of Signs or Symptoms of Increased Intracranial Pressure in Administrative Claims

51. AcademyHealth State-University Partnership Learning Network (SUPLN) Web Conference | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supln-slides.html
    January 01, 2016 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … MaineCare claims. … Slide 74 Measurement: Developmental Screening Challenges with Claims-based measure: Extremely … , and 8, 25, and 40 paid claims for 2 year olds. … , and 9, 40, and 75 paid claims for 2 year olds.

52. Measures: Availability of Outpatient Maternal Fetal Medicine and Special Care for Women .... (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p009-1-ef.pdf
    March 01, 2015 - Administrative claims data, supplemented by medical records (paper or electronic) for mother’s race … Administrative claims data, supplemented by medical records (paper or electronic) for mother’s race … to implement, as the data elements required are available and easy to abstract from administrative claims … Measure Testing ● The measure developer tested the reliability of administrative claims data by identifying … detailed analysis with the New York Department of Health using New York State Medicaid data to identify claims

53. Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Report (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-fullreport.pdf
    November 01, 2019 - This measure uses medical record data after administrative claims data are used to identify the eligible … Administrative data (e.g., claims data); paper medical record; electronic medical record. … This measure uses medical record data after administrative claims are used to identify the eligible … The HIRD includes automated computerized claims data and enrollment information for approximately 60 … Some denominator exclusions cannot be reliably identified using administrative claims.

54. CHIPRA 194: Overuse of Imaging for the Evaluation of Children With Primary Headache Report (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-fullreport.pdf
    April 01, 2019 - This measure uses administrative claims data to identify the eligible population for medical record … Administrative data (e.g., claims data); paper medical record; electronic medical record. … The HIRD includes automated computerized claims data and enrollment information for approximately 60 … Specifically for this measure, administrative claims were used to determine the number of children 4 … Children with codes associated with these claims-based exclusions were removed from the chart review

55. Pediatric Medical Complexity Algorithm (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-fullreport.pdf
    July 01, 2017 - Administrative data (e.g., claims data). … SCH data included administrative claims from inpatient, ED, and day surgery encounters. … WA-Medicaid data included all inpatient and outpatient claims provided to the state. … SCH data included administrative claims from inpatient, ED, and day surgery encounters. … WA-Medicaid data included all inpatient and outpatient claims provided to the State.

56. Section 12, Tables 4 and 5. (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-section-12-table-4-5.pdf
    December 31, 2010 - 51,851 (6%) 134,764 (16%) 608,966 (74%) 33,431 (4%) * we had demographic data for 679 children and claims … data for 678, resulting in different n for the text and table † we used 3 years of claims data from … specificity for COMBO and PMCA in managed care and fee-for-service subsets of Washington State Medicaid claims

57. Step 4: Seek Out Information | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/questions/resources/diagnosis/step4.html
    November 01, 2020 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Claims that the product treats a wide range of ailments. … Claims that the product is available from only one source, and for a limited time only. … Claims of a "money-back guarantee." … Claims that others are trying to keep the product off the market.

58. AHRQ Papers on Diagnostic Safety Topics | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/patient-safety/reports/dxsafety-issuebriefs.html
    January 01, 2024 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … contribute to about 10 percent of patient deaths, and are the primary reason for medical liability claims

59. Issues With Electronic Health Records Contribute to Diagnostic Errors | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/news/newsletters/e-newsletter/863.html
    May 01, 2023 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … The authors analyzed closed malpractice claims from January 2015 to September 2021 for ambulatory care … Of 199 diagnosis-related claims, EHRs were considered a potential contributor to diagnostic errors in … 61 percent of claims. … About 92 percent involved the testing stage, and the most prevalent outcome for claims (71 percent) was

60. A | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/topics/a.html
    April 29, 2024 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … A Access to Care Adverse Drug Events (ADE) Adverse Events Alcohol Use All-Payer Claims