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141. Asthma 1 Measure Calculation Steps (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/flow-diagrams.pdf
     March 11, 2021 - Asthma 1 Measure Calculation Steps Medicaid/APCD claims data Eligibility Table (summary of continuous … (all medical claims during time frame) Pharmacy Claims Data HEDIS ASM-C/MMA-A NDC Lists2 … Import into SAS data format Medical Claims Data (long format medical claims during time frame with … Data Medical Claims Data (long format medical claims during time frame) Asthma_Meds: Evaluation … DEC_IDENT_CE 10 4 Comorbidity Claims (all medical claims during time frame) PMCA v3 Algorithm

142. The detection, analysis, and significance of physician clustering in medical malpractice lawsuit payouts. | PSNet
     psnet.ahrq.gov/issue/detection-analysis-and-significance-physician-clustering-medical-malpractice-lawsuit-payouts
     June 22, 2022 - a small percentage of physicians are responsible for a significant proportion of paid malpractice claims … September 1, 2018 Rates and characteristics of paid malpractice claims among US physicians … July 9, 2018 Do written disclosures of serious events increase risk of malpractice claims … May 30, 2018 Malpractice claims related to diagnostic errors in the hospital. … July 26, 2017 The impact of incident disclosure behaviors on medical malpractice claims

143. Sampling, Weighting, and Synthetization Methodologies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-%20Methods-2023Dec.pdf
     December 01, 2023 - Therefore, the claims in SyH-DR are the original claims with some data elements partially or fully replaced … Multiple claims might be observed for each person, and diagnosis codes might recur across claims—for … , 1,200 most frequent for outpatient claims, and 300 most frequent for ED claims. … Pharmacy Claims Files Generic Drug Name The source pharmacy claims files contain National Drug Codes … and pharmacy claims.

144. Sampling, Weighting, and Synthetization Methodologies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Sampling-Weighting-Synthetization-Methodologies.pdf
     December 01, 2023 - Therefore, the claims in SyH-DR are the original claims with some data elements partially or fully replaced … Multiple claims might be observed for each person, and diagnosis codes might recur across claims—for … , 1,200 most frequent for outpatient claims, and 300 most frequent for ED claims. … Pharmacy Claims Files Generic Drug Name The source pharmacy claims files contain National Drug Codes … and pharmacy claims.

145. Early death after discharge from emergency departments: analysis of national US insurance claims data. | PSNet
     psnet.ahrq.gov/issue/early-death-after-discharge-emergency-departments-analysis-national-us-insurance-claims-data
     June 25, 2018 - Early death after discharge from emergency departments: analysis of national US insurance claims … Early death after discharge from emergency departments: analysis of national US insurance claims data … This analysis of Medicare claims data found that a significant number of adults age 65–89 died within … Early death after discharge from emergency departments: analysis of national US insurance claims data … Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims

146. Data Evaluation of All-Payer Claims Databases | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/data/apcd/backgroundrpt/data.html
     April 01, 2017 - Further, the issue of duplicate claims likely far outweighs the claims lost. Table 3. … (typically, 30% of claims are not inpatient). … claims contain fewer diagnosis codes. … file Deductible amount 100% In claims file Amount prepaid 100% In claims file Amount paid … 100% In claims file Coinsurance 100% In claims file Allowed amount 100% Key variable

147. Data Evaluation of All-Payer Claims Databases | Agency for Healthcare Research and Quality
     www.monahrq.ahrq.gov/data/apcd/backgroundrpt/data.html
     April 01, 2017 - Further, the issue of duplicate claims likely far outweighs the claims lost. Table 3. … (typically, 30% of claims are not inpatient). … claims contain fewer diagnosis codes. … file Deductible amount 100% In claims file Amount prepaid 100% In claims file Amount paid … 100% In claims file Coinsurance 100% In claims file Allowed amount 100% Key variable

148. Data Evaluation of All-Payer Claims Databases | Agency for Healthcare Research and Quality
     www.healthcare411.ahrq.gov/data/apcd/backgroundrpt/data.html
     April 01, 2017 - Further, the issue of duplicate claims likely far outweighs the claims lost. Table 3. … (typically, 30% of claims are not inpatient). … claims contain fewer diagnosis codes. … file Deductible amount 100% In claims file Amount prepaid 100% In claims file Amount paid … 100% In claims file Coinsurance 100% In claims file Allowed amount 100% Key variable

149. Data Evaluation of All-Payer Claims Databases | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/data/apcd/backgroundrpt/data.html
     April 01, 2017 - Further, the issue of duplicate claims likely far outweighs the claims lost. Table 3. … (typically, 30% of claims are not inpatient). … claims contain fewer diagnosis codes. … file Deductible amount 100% In claims file Amount prepaid 100% In claims file Amount paid … 100% In claims file Coinsurance 100% In claims file Allowed amount 100% Key variable

150. Data Evaluation of All-Payer Claims Databases | Agency for Healthcare Research and Quality
     www.talkingquality.ahrq.gov/data/apcd/backgroundrpt/data.html
     April 01, 2017 - Further, the issue of duplicate claims likely far outweighs the claims lost. Table 3. … (typically, 30% of claims are not inpatient). … claims contain fewer diagnosis codes. … file Deductible amount 100% In claims file Amount prepaid 100% In claims file Amount paid … 100% In claims file Coinsurance 100% In claims file Allowed amount 100% Key variable

151. Data Evaluation of All-Payer Claims Databases | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/data/apcd/backgroundrpt/data.html
     April 01, 2017 - Further, the issue of duplicate claims likely far outweighs the claims lost. Table 3. … (typically, 30% of claims are not inpatient). … claims contain fewer diagnosis codes. … file Deductible amount 100% In claims file Amount prepaid 100% In claims file Amount paid … 100% In claims file Coinsurance 100% In claims file Allowed amount 100% Key variable

152. Apcd-Inventory (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/apcd/apcd-inventory.xlsx
     October 01, 2015 - pharmacy claims. … Does not include claims processed under the pharmacy benefit. … term=22533526 Adult Yes Reimbursement Patient-level across IMS claims dataset IMS PharMetrics claims … 5% sample of Medicare claims files Lit review 53 None. … NQF 453 Appears to be doable with claims alone.

153. Data Development for Patient Safety — A Pilot Study using Medicare Part B Drug Data | Effective Health Care (EHC) Program
     effectivehealthcare.ahrq.gov/products/patient-safety-drug-data/abstract
     January 01, 2005 - Part B Drug Data Abstract January 1, 2005 Topic Abstract Medicare administrative claims … Medicare claims provide a broad picture of the health services received by individuals, with considerable … of frameworks to organize claims data into structures that link relevant interventions, outcomes and … The analysis will exploit information available in Part B claims on drugs, to produce a framework that … can be readily adapted to incorporate Part D claims when they come on line next year.

154. Lessons Learned From Implementation Challenges | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/capacity/candor/demo-program/grants/lessons.html
     May 01, 2016 - new clinical or policy interventions for patient safety that will impact meaningfully on malpractice claims … resources are poorly aligned to support future PSML initiatives, particularly so on the malpractice claims … PSML projects. 1 Perhaps the most important of these for national evaluations is the fact that NDPB claims … to track locally and are not dependent on these national data pipelines to collect (e.g., numbers of claims … and/or time to resolution of claims in the context of a DRP intervention).

155. Tables 1-7 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-tables%201-7.pdf
     December 18, 2019 - Contingency Table for Presence of Seizure in Administrative Claims and Charts Seizure in Claims … Contingency Table for Presence of Indicators of Increased Intracranial Pressure in Administrative Claims … and Charts Indicators of Increased Intracranial Pressure in Claims Based on ICD-9-CM Codes … Sensitivity Analysis with Variation in Claims-Based Exclusion Criteria among Children with Neuroimaging … Overuse Percentage within the Chart Review Sample using Claims or Chart Review Criteria Chart Review

156. Synthetic Healthcare Database for Research (SyH-DR) | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/syh-dr.html
     July 01, 2022 - The Synthetic Healthcare Database for Research (SyH-DR) is an all-payer, nationally representative claims … The database consists of a sample of inpatient, outpatient, and prescription drug claims, including utilization … SyH-DR is a synthetic database that replicates the structure and statistical properties of the original claims … SyH-DR The Agency for Healthcare Research and Quality (AHRQ) created SyH-DR from eligibility and claims … Claims Files Commercial Inpatient File Commercial Outpatient File Commercial Person-Level File

157. Sampling, Weighting, and Synthetization Methodologies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Sampling-Weighting-Synthetization-Methodologies-rev.pdf
     June 01, 2022 - Therefore, the claims in the SyH-DR are the original claims with some data elements partially or fully … Multiple claims might be observed for each person, and diagnosis codes might recur across claims—for … , 1,200 most frequent for outpatient claims, and 300 most frequent for ED claims. … Pharmacy Claims Files Generic Drug Name The source pharmacy claims files contain National Drug Codes … and pharmacy claims.

158. Appendix C. Environmental Scan Resources Included | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/apcd/envscan/app-c.html
     November 01, 2020 - Massachusetts all-payer claims database. Overview. … Overview of the Massachusetts all-payer claims database. … Hawaii all-payer claims database request for information. … Massachusetts all payer claims database (APCD). … All Payer Claims Database Group. http://www.linkedin.com/groups/All-Payer-Claims-Database-Group-3362505

159. Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Tables 14-17 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-tables14-17.pdf
     October 16, 2019 - 522)** 0.5 (1.4) 5.5 (8.8) 8.5 (13.2) 0.1 (0.5) 78.2 (17.8) 2.8 (2.0) 4.3 (6.6) Subset following claims … (7.0) 7.9 (12.1) 0.1 (0.3) 80.6 (15.7) 2.6 (1.5) 4.0 (5.8) Subset following claims … missing or unmatched ZIP code, yielding n=522 (98.1%). *** Among the subset of children following claims … missing or unmatched ZIP code, yielding n=293 (99.0%). **** Among the subset of children following claims … denominator exclusions (n=293)*** 10.5 (14.5) Subset following claims numerator exclusions (n=243)*

160. CHIPRA 194: Section 7, Tables 15-18 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-section-7-tables-15-18.pdf
     April 17, 2019 - (8.1) 7.6 (12.2) 0.1 (0.2) 80.6 (16.7) 2.5 (1.4) 3.7 (6.0) Subset following claims … (8.0) 7.7 (12.1) 0.1 (0.2) 81.1 (16.4) 2.5 (1.4) 3.4 (5.6) Subset following claims … missing or unmatched ZIP code, yielding n=4,312 (98.2%). *** Among the subset of children following claims … missing or unmatched ZIP code, yielding n=2,626 (98.2%). **** Among the subset of children following claims … denominator exclusions (n=2,626)*** 9.1 (12.7) Subset following claims numerator exclusions (n=2,156