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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.”
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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.
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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
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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.
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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
-
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
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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,
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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
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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
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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
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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
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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
-
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
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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
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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
-
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
-
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
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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.
-
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.
-
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