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www.qualitymeasures.ahrq.gov/data/infographics/opioid-men-women-2014.htmlApril 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
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www.qualitymeasures.ahrq.gov/challenges/health-data/how-to-enter.htmlMarch 01, 2023 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Agrees to assume any and all risks and waive claims against the Federal Government and its related entities … Agrees to indemnify the Federal Government against third-party claims for damages arising from or related
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www.qualitymeasures.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/overview.htmlOctober 01, 2015 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Quantitative assessments included analysis of operational and administrative data (such as claims data … operational data; and assessed cost and utilization for individual patients through an analysis of claims … data from the Centers for Medicare & Medicaid Services and Utah’s All Payer Claims Database. 10
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www.qualitymeasures.ahrq.gov/ncepcr/reports/grants-transform/overview.htmlMarch 01, 2017 - Data Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … Quantitative assessments included analysis of operational and administrative data (such as claims data … operational data; and assessed cost and utilization for individual patients through an analysis of claims … data from the Centers for Medicare & Medicaid Services and Utah’s All Payer Claims Database. 10 Return
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-131-fullreport.pdfApril 05, 2017 - Administrative data (e.g., claims data). … We developed and tested the measure using multiple claims datasets. … The measure uses pediatric inpatient claims data. … Yes; hospital claims datasets are widely available. … Use of Claims Data to Measure Readmissions We developed our candidate measure to use inpatient claims
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Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Final Report (pdf file)
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-192-fullreport.pdfNovember 01, 2019 - This measure uses medical record data after administrative claims data are used to identify the eligible … Denominator Exclusions Exclusions based on ICD-9-CM codes captured in administrative claims data: … 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 … Some denominator exclusions cannot reliably be identified using administrative claims. -
National Evaluation of the CHIPRA Quality Demonstration Program: Evaluation Highlight No.1 (pdf file)
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight01.pdfSeptember 30, 2015 - • Outdated or underdeveloped claims systems, health information exchanges, and electronic health … Strategies range from producing practice-level reports from claims data to helping practices calculate … Carolina is reporting measures from claims data (in addition to other sources, such as immunization … Claims do not contain information about which providers work together, making it difficult to develop … Measures relying on data available in existing systems, such as immunization registries and claims -
www.qualitymeasures.ahrq.gov/topics/quality-measures.htmlData Data Infographics Data Visualizations Data Tools Data Innovations All-Payer Claims … All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdfJuly 14, 2023 - Claims denials violate the prudent layperson standard, but they are not the only bad practice by payers … HRSA • Medical Claims Review Panel o Annual review of malpractice claims paid shows a similar pattern
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-fullreport.pdfFebruary 14, 2018 - Administrative data (e.g., claims data). … Analytic eXtract (MAX) for 11 States. • 2011 claims data from two MEDNET States. • 2012 claims data … from one MEDNET State. • 2009 claims data from 17 New York State Medicaid health plans. • 2013 claims … Although this measure has been developed and tested for claims data, it is likely highly feasible to … This measure has been specified and tested in claims data only.
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www.qualitymeasures.ahrq.gov/pqmp/publications/search.html?page=3September 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.
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www.qualitymeasures.ahrq.gov/health-literacy/professional-training/lepguide/chapter1.htmlSeptember 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
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www.qualitymeasures.ahrq.gov/data/data-visualization/index.html?page=1September 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
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www.qualitymeasures.ahrq.gov/data/data-visualization/index.htmlSeptember 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
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www.qualitymeasures.ahrq.gov/data/infographics/state-compare-text.htmlApril 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
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-chsp-tin-linkage-file-tech-doc.pdfJanuary 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.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-using-pqms.pdfJanuary 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
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www.qualitymeasures.ahrq.gov/data/innovations.htmlMarch 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
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www.qualitymeasures.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/introduction.htmlJuly 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
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www.qualitymeasures.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety.htmlApril 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
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