-
ce.effectivehealthcare.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
-
psnet.ahrq.gov/node/853624/psn-pdf
September 20, 2023 - /issue/medical-problem-solving-analysis-clinical-reasoning
https://psnet.ahrq.gov/issue/malpractice-claims-related-diagnostic-errors-hospital
-
digital.ahrq.gov/sites/default/files/docs/publication/r21hs018749-nease-final-report-2013.pdf
January 01, 2013 - Claims for laboratory tests were defined as
claims in BETOS category 4 (tests), subcategories T1A–T1H … Claims for radiology tests were defined as all claims
in BETOS category 3 (imaging). … Attribution of laboratory and radiology claims to the ordering provider
Claims for laboratory and radiology … Due to
noted anomalies in claims data from the first quarter of 2005, the dataset included claims from … submitting 1 013 962 ambulatory claims (528 118 office visits, 358 324 laboratory claims, and
127 520
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-section-7.pdf
December 18, 2019 - 1,585)*** 0.4 (0.7) 5.7 (8.6) 6.9 (10.5) 0.1 (0.2) 80.4 (16.0) 2.6 (1.4) 3.9 (6.1)
Subset following
claims … (7.2)
8.4 (13.1)
0.1 (0.2)
81.5 (16.6)
2.4 (1.4)
3.0 (4.9)
Subset following
claims … missing or
unmatched ZIP code, yielding n=1,585 (98.3%).
**** Among the subset of children following claims … a CT scan (n=2,977)** 9.4 (13.3)
Subset who had an MRI (n=1,585)*** 10.2 (13.2)
Subset following claims … CT exclusions (n=1,781)**** 8.2 (11.8)
Subset following claims MRI exclusions (n=1,363)***** 10.0 (
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-section-7.pdf
December 18, 2019 - 1,585)*** 0.4 (0.7) 5.7 (8.6) 6.9 (10.5) 0.1 (0.2) 80.4 (16.0) 2.6 (1.4) 3.9 (6.1)
Subset following
claims … (7.2)
8.4 (13.1)
0.1 (0.2)
81.5 (16.6)
2.4 (1.4)
3.0 (4.9)
Subset following
claims … missing or
unmatched ZIP code, yielding n=1,585 (98.3%).
**** Among the subset of children following claims … a CT scan (n=2,977)** 9.4 (13.3)
Subset who had an MRI (n=1,585)*** 10.2 (13.2)
Subset following claims … CT exclusions (n=1,781)**** 8.2 (11.8)
Subset following claims MRI exclusions (n=1,363)***** 10.0 (
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-section-7.pdf
December 18, 2019 - 1,585)*** 0.4 (0.7) 5.7 (8.6) 6.9 (10.5) 0.1 (0.2) 80.4 (16.0) 2.6 (1.4) 3.9 (6.1)
Subset following
claims … (7.2)
8.4 (13.1)
0.1 (0.2)
81.5 (16.6)
2.4 (1.4)
3.0 (4.9)
Subset following
claims … missing or
unmatched ZIP code, yielding n=1,585 (98.3%).
**** Among the subset of children following claims … a CT scan (n=2,977)** 9.4 (13.3)
Subset who had an MRI (n=1,585)*** 10.2 (13.2)
Subset following claims … CT exclusions (n=1,781)**** 8.2 (11.8)
Subset following claims MRI exclusions (n=1,363)***** 10.0 (
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-section-7.pdf
December 18, 2019 - 1,585)*** 0.4 (0.7) 5.7 (8.6) 6.9 (10.5) 0.1 (0.2) 80.4 (16.0) 2.6 (1.4) 3.9 (6.1)
Subset following
claims … (7.2)
8.4 (13.1)
0.1 (0.2)
81.5 (16.6)
2.4 (1.4)
3.0 (4.9)
Subset following
claims … missing or
unmatched ZIP code, yielding n=1,585 (98.3%).
**** Among the subset of children following claims … a CT scan (n=2,977)** 9.4 (13.3)
Subset who had an MRI (n=1,585)*** 10.2 (13.2)
Subset following claims … CT exclusions (n=1,781)**** 8.2 (11.8)
Subset following claims MRI exclusions (n=1,363)***** 10.0 (
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-section-7.pdf
December 18, 2019 - 1,585)*** 0.4 (0.7) 5.7 (8.6) 6.9 (10.5) 0.1 (0.2) 80.4 (16.0) 2.6 (1.4) 3.9 (6.1)
Subset following
claims … (7.2)
8.4 (13.1)
0.1 (0.2)
81.5 (16.6)
2.4 (1.4)
3.0 (4.9)
Subset following
claims … missing or
unmatched ZIP code, yielding n=1,585 (98.3%).
**** Among the subset of children following claims … a CT scan (n=2,977)** 9.4 (13.3)
Subset who had an MRI (n=1,585)*** 10.2 (13.2)
Subset following claims … CT exclusions (n=1,781)**** 8.2 (11.8)
Subset following claims MRI exclusions (n=1,363)***** 10.0 (
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-section-7.pdf
December 18, 2019 - 1,585)*** 0.4 (0.7) 5.7 (8.6) 6.9 (10.5) 0.1 (0.2) 80.4 (16.0) 2.6 (1.4) 3.9 (6.1)
Subset following
claims … (7.2)
8.4 (13.1)
0.1 (0.2)
81.5 (16.6)
2.4 (1.4)
3.0 (4.9)
Subset following
claims … missing or
unmatched ZIP code, yielding n=1,585 (98.3%).
**** Among the subset of children following claims … a CT scan (n=2,977)** 9.4 (13.3)
Subset who had an MRI (n=1,585)*** 10.2 (13.2)
Subset following claims … CT exclusions (n=1,781)**** 8.2 (11.8)
Subset following claims MRI exclusions (n=1,363)***** 10.0 (
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-section-7.pdf
December 18, 2019 - 1,585)*** 0.4 (0.7) 5.7 (8.6) 6.9 (10.5) 0.1 (0.2) 80.4 (16.0) 2.6 (1.4) 3.9 (6.1)
Subset following
claims … (7.2)
8.4 (13.1)
0.1 (0.2)
81.5 (16.6)
2.4 (1.4)
3.0 (4.9)
Subset following
claims … missing or
unmatched ZIP code, yielding n=1,585 (98.3%).
**** Among the subset of children following claims … a CT scan (n=2,977)** 9.4 (13.3)
Subset who had an MRI (n=1,585)*** 10.2 (13.2)
Subset following claims … CT exclusions (n=1,781)**** 8.2 (11.8)
Subset following claims MRI exclusions (n=1,363)***** 10.0 (
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sas-code.pdf
October 31, 2018 - Claims will be filtered by time, diagnosis code,
and age at service but can be pre-filtered to
cut … Table: All (unfiltered) medical claims for at
least the patients in the measure cohort. … These claims are in wide form and have 1
record per claim. … The Process:
1) 'Claims' dataset: claims are read in.
2) The program identifies whether … with that body system
indicated (sum across claims).
*/
*indicator y/n; *sum across claims;
if
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sas-code.pdf
October 31, 2018 - Claims will be filtered by time, diagnosis code,
and age at service but can be pre-filtered to
cut … Table: All (unfiltered) medical claims for at
least the patients in the measure cohort. … These claims are in wide form and have 1
record per claim. … The Process:
1) 'Claims' dataset: claims are read in.
2) The program identifies whether … with that body system
indicated (sum across claims).
*/
*indicator y/n; *sum across claims;
if
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/section-6-table-2-3.pdf
June 28, 2017 - Other ≥ 1 claim per
body system for 2
different body
systems during
the measurement
period*
≥ 2 claims … claim for a
single body
system not
flagged as
progressive
during the
measurement
period*
≥ 2 claims … specificity for PMCA in Seattle Children’s Hospital (SCH) discharge and Washington State (WA) Medicaid
claims
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/section-6-table-2-3.pdf
June 28, 2017 - Other ≥ 1 claim per
body system for 2
different body
systems during
the measurement
period*
≥ 2 claims … claim for a
single body
system not
flagged as
progressive
during the
measurement
period*
≥ 2 claims … specificity for PMCA in Seattle Children’s Hospital (SCH) discharge and Washington State (WA) Medicaid
claims
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/section-6-table-2-3.pdf
June 28, 2017 - Other ≥ 1 claim per
body system for 2
different body
systems during
the measurement
period*
≥ 2 claims … claim for a
single body
system not
flagged as
progressive
during the
measurement
period*
≥ 2 claims … specificity for PMCA in Seattle Children’s Hospital (SCH) discharge and Washington State (WA) Medicaid
claims
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/section-6-table-2-3.pdf
June 28, 2017 - Other ≥ 1 claim per
body system for 2
different body
systems during
the measurement
period*
≥ 2 claims … claim for a
single body
system not
flagged as
progressive
during the
measurement
period*
≥ 2 claims … specificity for PMCA in Seattle Children’s Hospital (SCH) discharge and Washington State (WA) Medicaid
claims
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/section-6-table-2-3.pdf
June 28, 2017 - Other ≥ 1 claim per
body system for 2
different body
systems during
the measurement
period*
≥ 2 claims … claim for a
single body
system not
flagged as
progressive
during the
measurement
period*
≥ 2 claims … specificity for PMCA in Seattle Children’s Hospital (SCH) discharge and Washington State (WA) Medicaid
claims
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/section-6-table-2-3.pdf
June 28, 2017 - Other ≥ 1 claim per
body system for 2
different body
systems during
the measurement
period*
≥ 2 claims … claim for a
single body
system not
flagged as
progressive
during the
measurement
period*
≥ 2 claims … specificity for PMCA in Seattle Children’s Hospital (SCH) discharge and Washington State (WA) Medicaid
claims
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/section-6-table-2-3.pdf
June 28, 2017 - Other ≥ 1 claim per
body system for 2
different body
systems during
the measurement
period*
≥ 2 claims … claim for a
single body
system not
flagged as
progressive
during the
measurement
period*
≥ 2 claims … specificity for PMCA in Seattle Children’s Hospital (SCH) discharge and Washington State (WA) Medicaid
claims
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-164-materials-x.pdf
March 09, 2017 - A: Dental Prophy -‐ 2 claims
PREV_A_3 Prev. Grp. A: Dental Prophy -‐ 3+ claims
PREV_A_CLM Prev. … B: Fluoride
Tx -‐ 2 claims
PREV_B_3 Prev. Grp. B: Fluoride
Tx -‐ 3 claims
PREV_B_4 Prev. … B: Fluoride
Tx -‐ 4+ claims
PREV_B_CLM Prev. Grp. … B: Fluoride
Tx -‐ Count of claims
PREV_B_DENT Prev. Grp. … B: Fluoride Tx -‐ (Med Prov) 2 claims
PREV_B_MED_3 Prev. Grp.