-
www.innovations.ahrq.gov/pqmp/publications/search.html?page=3
September 01, 2014 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Keywords: Quality measure, Electronic health records
Using Medicaid and CHIP Claims Data to Support … Using Medicaid and CHIP claims data to support pediatric quality measurement: lessons from 3 centers … Keywords: Antipsychotics
Identifying Sickle Cell Disease Cases Using Administrative Claims Center … Identifying sickle cell disease cases using administrative claims.
-
www.innovations.ahrq.gov/health-literacy/professional-training/lepguide/chapter1.html
September 01, 2020 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … A recent study analyzed medical malpractice claims of a malpractice carrier that insures in four States … These claims highlight several points related to the failure to provide appropriate language services … In the claims analyzed, 2.5 percent of malpractice suits were related to language/interpretation problems … Twelve of the claims involved the failure to translate important documents such as informed consent forms
-
www.innovations.ahrq.gov/data/data-visualization/index.html?page=1
September 01, 2023 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
-
www.innovations.ahrq.gov/data/data-visualization/index.html
September 01, 2023 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
-
www.innovations.ahrq.gov/data/infographics/state-compare-text.html
April 01, 2018 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-chsp-tin-linkage-file-tech-doc.pdf
January 01, 2018 - xvii Invalid TINs appear in the data when a valid TIN was not reported on MA claims. … Medicare claims
We used billing information in 2018 Medicare fee-for-service claims to create an analytic … used to create the MD-PPAS data, including only claims:
1. … A date of service can include more than one service and multiple Medicare claims. … Medicare claims
4. IQVIA OneKey database
III. Methodology
A.
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-using-pqms.pdf
January 01, 2016 - Instead of using the specified denominator (an enrolled
health plan population based on claims data) … measures developed for use at the state or health plan level often rely on program
administrative or claims … At the health system,
hospital, or practice level, however, these claims data
are often unavailable … significant number of self-paid visits—documented in
electronic medical records (EMRs) but not in claims … One key
informant – a state Medicaid medical director
– noted that pharmacy claims, which are
available
-
www.innovations.ahrq.gov/data/innovations.html
March 01, 2024 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Determinants of Health
Synthetic Healthcare Database for Research (SyH-DR)
All-Payer Claims
-
www.innovations.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/introduction.html
July 01, 2021 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … This toolkit includes materials to support users in:
Utilizing a claims-based method for identifying
-
www.innovations.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety.html
April 01, 2019 - 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
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-technicalspecs.pdf
October 16, 2019 - Exclusions
• Denominator Exclusions
o Exclusions based on ICD-9-CM codes captured in administrative claims … obtained
Suspected abuse and neglect or other head trauma (IMG9 or the presence of an
E-code in claims
-
www.innovations.ahrq.gov/opioids/about.html
August 01, 2021 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims
-
www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/acknowledgements.html
August 01, 2022 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … in research to test promising model programs to improve patient safety and reduce medical liability claims
-
www.innovations.ahrq.gov/data/innovations/3p-rd.html
April 01, 2024 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Determinants of Health
Synthetic Healthcare Database for Research (SyH-DR)
All-Payer Claims … The database was supplemented and enhanced using available state and national claims files.
3P-RD contains
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/cmsqualconf0615.pdf
September 01, 2015 - Dailey
The National Evaluation Team
2
Updates on data collection: site visits, claims, and … patients
and primary care physicians, and others
7
Site Visits: Early Observations
Claims
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-6-b.pdf
November 26, 2013 - 2
(Percentage of Children in State with SCD Receiving Antibiotics by 3 Months
of Age)
Medicaid
Claims
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-139-section-2.pdf
January 01, 2014 - Claims in the administrative records for any of the sickle cell disease variants listed in Table … Select cases
with TCD
Select cases
with TCD
IPOT2008
_TCD
Merge files,
eliminate
duplicate
claims … by date
of service for
each ID
IPOT2008_
Meas13Had
3
Select cases
that had 3 or
more claims … This frequency is for syntax testing only*/
/*Delete duplicate IDs (this not only deletes multiple claims
-
www.innovations.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary2.html
September 01, 2015 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … 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
-
www.innovations.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6q-custservice-standards.html
March 01, 2020 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … Developed a broader range of self-service options (e.g., change own address or PCP, see claims status … Improved internal communication and workflow between Customer Service and Claims departments to resolve … members' inquiries about claims.
-
www.innovations.ahrq.gov/talkingquality/translate/organize/datasource.html
November 01, 2018 - Data
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims … access to information from one particular source of data—a patient experience survey, administrative/claims