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  1. Background (pdf file)

    qualityindicators.ahrq.gov/Downloads/ICD10/Background.pdf
    October 01, 2014 - to the clinical concept used within the current QI technical specification. … the appropriate clinical domain. … evaluate consistency of clinical concepts, and ensure appropriate conversion. … Clinical expertise should be in the care setting represented by the clinical domain for the measure … and may require specialized knowledge in some clinical areas.”
  2. qualityindicators.ahrq.gov/Downloads/Resources/Publications/2013/C.14.10.D001_REVISED.pdf
    January 01, 2013 - evaluate consistency of clinical concepts, and ensure appropriate conversion. … Clinical expertise should be in the care setting represented by the clinical domain for the measure and … may require specialized knowledge in some clinical areas. … to the clinical concept used within the current QI technical specification. … Care was taken to remain faithful to the current clinical intent of each indicator.
  3. ICD-10 Timeline (pdf file)

    qualityindicators.ahrq.gov/Downloads/News/Medical_Officer.pdf
    September 26, 2012 - Medical Officer for the AHRQ Quality Indicators™ AHRQ is seeking a Medical Officer to serve as a clinical … will lead national initiatives to facilitate the use and improvement of the QI and provide advanced clinical … He or she will provide clinical consultation to several critical QI efforts including the conversion
  4. qualityindicators.ahrq.gov/Downloads/Resources/Publications/2011/ICD-10_Report_02-08-11_Final.pdf
    January 01, 2011 - coders, and others to assure clinical accuracy and utility. … sets and the appropriate clinical domain. … Clinical expertise should be in the care setting represented by the clinical domain for the measure … and may require specialized knowledge in some clinical areas. … CareDiscovery Clinical Performance Improvement Solution.
  5. qualityindicators.ahrq.gov/Downloads/News/EXTENDED%20FAR%20Notice%20ICD-10%20Workgroups.pdf
    July 31, 2012 - converting the existing QI specifications from ICD-9-CM to ICD-10-CM/PCS, incorporating coding expertise, clinical … regarding how the existing AHRQ QIs should be re-specified using ICD-10-CM/PCS codes, retaining the clinical … The nominee's clinical or coding profession and specialty, and the spectrum of his or her clinical or
  6. qualityindicators.ahrq.gov/Downloads/News/FAR%20Notice%20ICD-10%20Workgroups.pdf
    July 13, 2012 - converting the existing QI specifications from ICD-9-CM to ICD-10-CM/PCS, incorporating coding expertise, clinical … regarding how the existing AHRQ QIs should be re-specified using ICD-10-CM/PCS codes, retaining the clinical … The nominee's clinical or coding profession and specialty, and the spectrum of his or her clinical or
  7. I (pdf file)

    qualityindicators.ahrq.gov/Downloads/News/AHRQ_QI_Guide_to_Comparative_Reporting_v10.pdf
    June 30, 2009 - • Face validity: A quality indicator must have sound clinical and/or empirical rationale for its … Future development might include linking to individual surgeons and incorporating clinical registry … Future development might include incorporating clinical registry data. 4.1.11 IQI #13 - Craniotomy … • Some users may prefer to stratify by stroke type, as was advocated by a clinical panel. … Supporting Evidence • Face validity: A clinical panel, comprised entirely of obstetric clinicians,
  8. qualityindicators.ahrq.gov/Downloads/News/QI_Newsletter_I_2_13.pdf
    May 01, 2015 - includes their Chief of Staff, Director of Performance Improvement, Director of Coding, Director of Clinical … In line with the AHRQ QI toolkit, their framework for QI Improvement includes clinical documentation … , coding, and clinical practice. … Toolkit use to improve patient safety at Northwestern Memorial Hospital starts with assessment of clinical … For each selected project, a project team is assembled that includes an executive sponsor, clinical
  9. qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Haywood_Roman_Medicares_Healthcare_Quality_Incentive_Strategies.ppt
    January 01, 2005 - basket payment update incentive to PPS hospitals) Over 4,000 hospitals reported in November, 2004 More clinical … Hospitals will submit data in five clinical areas covering 34 specific measures. … These clinical areas represent high volume conditions and procedures that entail considerable cost for … below baseline threshold HQID: Year 3 Quality Score Must Exceed Baseline Demonstration baseline Clinical … Based on a paired sample t-test of the mean scores for the same time periods 4Q-03 1Q-04 2Q-04 3Q-04 Clinical
  10. qualityindicators.ahrq.gov/News/AHRQ_QI_v2020_PSI03_User_Note_02_2021.pdf
    January 01, 2021 - However, the PSI 03 measure logic in v2020 does not fully align with its clinical intent. … expects to release the updated PSI 03 measure logic in QI software v2021 to better align with its clinical
  11. qualityindicators.ahrq.gov/Downloads/Resources/Case_Studies/Johns_Hopkins_Case_Study.pdf
    August 01, 2019 - • By implementing clinical improvements and coding changes, The Johns Hopkins Hospital also achieved … Hopkins Health System adopted the AHRQ Patient Safety Indicators (PSIs) to bolster the health system’s clinical … As a result, we have a strong clinical improvement focus across the system,” said Renee Demski, Vice … They identified several clinical focus areas that merited further examination and possible adjustment … improved both the clinical and documentation opportunities uncovered by the rigorous review conducted
  12. qualityindicators.ahrq.gov/Archive/News2016.aspx
    November 09, 2016 - Safety and Adverse Events Composite for the International Classification of Diseases, 9th Revision, Clinical … Safety and Adverse Events Composite for the International Classification of Diseases, 9th Revision, Clinical … Safety and Adverse Events Composite for the International Classification of Diseases, 9th Revision, Clinical … Indicators (PSIs), AHRQ Inpatient Quality Indicators (IQIs), International Classification of Diseases Clinical
  13. qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Munsch_Covenant_Healthcare.ppt
    January 01, 2005 - Today Use almost all clinical and patient safety QIs Very few are used in “isolation” – all are tied … in with major safety, clinical or process improvement efforts The Latest Technology in the Hands … In the end it was determined to be coding related based on confusion over clinical documentation. … Overzealous use of: 7678 - Other specified birth trauma 7879 - Birth trauma unspecified Education done with clinical
  14. Slide 1 (ppt file)

    qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Varga_Implementing_All_the_consensus_standards_the_journey_so_far.ppt
    January 01, 2005 - www.NortonHealthcare.com 3/31/2005] On more than 200 (now 340) nationally recognized indicators of hospital clinical … Codman 1917 Quote from: The Role of Clinical Data and Risk Adjustment in Public Reporting of … RS Johannes, MS, MD, Vice President for Medical Affairs, Data & Clinical Information – Cardinal Health … in fact, our “widget” We talk about our financials with bond raters, the press, etc.; why not our clinical … Proactively influence the the public reporting arena Clinical over purely financial Transparent over
  15. Slide 1 (ppt file)

    qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Fraser_AHRQ_Quality_Indicators.ppt
    January 01, 2005 - bad data can create mischief Need local data, but national benchmarks There is no gold standard Clinical … 4 States do not Collect Inpatient Data AL MS ND ID Enhancing Administrative Data: Adding More Clinical … Data Elements EHR HCUP Add clinical data elements Provide timely benchmarks Connect Partners … characteristics Link to contextual factors Patient episode of care Real time Additional clinical … data elements Data Clinical data elements Vision for Quality Indicators Initiative Develop
  16. qualityindicators.ahrq.gov/Downloads/Resources/Case_Studies/Carilion_Clinic_Case_Study.pdf
    August 01, 2019 - consolidating its processes and resources devoted to quality and patient safety into a new Department of Clinical
  17. qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2015/Introduction_to_AHRQ_Quality_Indicators.pdf
    January 01, 2015 - , PSI 12) ► Detecting safety issues while patients are still in the hospital o Clinicians review clinical … PSI03), periop hemorrhage or hematoma (PSI09), DVT/PE (PSI12), postop wound dehiscence (PSI14) ► Clinical … Results: ► Meaningful dialogue between financial and clinical leaders ► Found strong concordance between … clinical registry data and QVI results that use claims data, including PSIs ► Linked specific quality … ” – Verna Alverson, Inpatient Clinical Quality Analyst • Background: Essentia Health
  18. qualityindicators.ahrq.gov/Downloads/Software/SAS/v2020/AHRQ_SASQI_v2020_Software_Rel_Notes.pdf
    July 01, 2020 - on fiscal year 2020 coding updates to the International Classification of Diseases, Tenth Revision, Clinical … In the PDI module of the AHRQ SASQI v2020 Software, the Clinical Classifications Software Refined (CCSR … The Clinical Classifications are used in the risk-adjustment models.
  19. qualityindicators.ahrq.gov/Downloads/Software/SAS/V2020/AHRQ_SASQI_v2020_Software_Rel_Notes.pdf
    July 01, 2020 - on fiscal year 2020 coding updates to the International Classification of Diseases, Tenth Revision, Clinical … In the PDI module of the AHRQ SASQI v2020 Software, the Clinical Classifications Software Refined (CCSR … The Clinical Classifications are used in the risk-adjustment models.
  20. qualityindicators.ahrq.gov/Downloads/Modules/V2021/v2021_FY_Coding_Updates.pdf
    July 01, 2021 - AHRQ QI measures have been developed over time with input from numerous teams of clinical and technical … Update Process Annual fiscal year (FY) International Classification of Diseases, 10th Revision, Clinical … Through clinical and coding expert review of the IPPS Final Rule, we determined whether the concepts

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