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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2013/C.14.10.D001_REVISED.pdf
January 01, 2013 - Clinical expertise should be in the care setting represented by the clinical domain for the measure and … In
each QI technical specification, there can be one or more clinical concepts of selected ICD-9-CM … These clinical concepts are called ‘set
names,’ and they represent the basic foundation or building … Care was taken to remain faithful to the current clinical intent of
each indicator. … Level 3 involves
clinical concepts that were included (or not included) in the current ICD-9 version
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qualityindicators.ahrq.gov/Downloads/Modules/PQI/PQI_Composite_Development.pdf
April 07, 2006 - or health care
system. … Might there be a single composite or separate composites based on the type of condition? … The concept of condition-specific or practice-
specific measures will be explored secondary to an overall … A primary care physician is defined as either general or
family practice or internal medicine. … hospital beds or primary care physicians per population.
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2011/QI_Measure_Development_Implementation_Maintenance_Retirement_Full_5-3-11.pdf
January 01, 2011 - • What are important clinical considerations for this health event/condition in the
population of interest … • Is there evidence of poor quality care is related to the health event/condition in the
population … or
poor access to care)? … plans that facilitate higher quality or more efficient
care. … A risk adjustment system
for provider organization or health plan applications has not been developed
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Schichilone_Romano_Implications_of_ICD-9-CM_Coding_Rules_for_Measuring_QIs.ppt
January 01, 2005 - in terms of requiring:
clinical evaluation; or
therapeutic treatment; or
diagnostic procedures; … or
extended length of hospital stay; or
increased nursing care and/or monitoring. … or occurrence… there must be a cause-and-effect relationship between the care provided and the condition … of interest (e.g., wastebasket codes)
Codes may not keep up with clinical terminology
Annual coding … Health care quality deficiency?
Indicator limitation?
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qualityindicators.ahrq.gov/Downloads/Resources/Case_Studies/Carilion_Clinic_Case_Study.pdf
August 01, 2019 - the protocols also reduced other complications,
reduced the number of patients needing nursing home or … consolidating its processes and resources devoted
to quality and patient safety into a new Department
of Clinical … In the
future, Carilion’s leaders plan to deepen PQI use and share PQI data with clinicians so that … for patients
hospitalized for a broad range of procedures or conditions that are high risk, problem … prone, and/or high
volume.
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Fraser_AHRQ_Quality_Indicators.ppt
January 01, 2005 - use
Bring change through strategies and partnerships
HI
AZ
CA
UT
CT
FL
GA
IA
IL
KS
MA
MD
MO
NJ
NY
OR … 2003: 38 State Partners
AZ CA CO CT FL GA HI IL IN IA KS KY MD
MA ME MI MN MO NC NE NH NJ NY NV OH OR … factors
Patient episode of
care
Real time
Additional clinical
data elements
Data
Clinical … Plan to Use AHRQ QIs for Public Hospital Reporting
States using AHRQ QIs for public reporting at hospital … level
(CA, CO, FL, KY, ME, MN, NY, OR, TX, UT, VT, parts of WI)
Source: Preliminary Data from NAHDO
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2013/Empirical_Methods_r.pdf
January 01, 2013 - This document may be used, in whole or in part, as the basis for the development of clinical practice … or area-level (Was the
inpatient admission for a condition that might have been avoided if the patient … ’s area of the
country had more or better preventive or outpatient care?). … was Present-on-Admission (POA), and
is therefore a pre-existing comorbidity, or whether the condition … preventive care.
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2012/Appendix_1B_Details_of_Expert_Panel_Calls.pdf
January 01, 2012 - are provided by non-clinical
attendants, not medical staff … The condition may be less preventable in
some populations who cannot communicate symptoms or who have … Clinical Characteristics/Health Status
Patients taking antipsychotic medications or protease inhibitors … plan … Such events reflect of quality of home care (not
outpatient care or access to health care).
3.
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2012/Appendix_1A_Details_of_literature_review.pdf
January 01, 2012 - What are important clinical considerations for this health event/condition in key HCBS
populations … Is there evidence of poor clinical or self-care related to the health event/condition in key
HCBS … Impact of poor clinical care on PQI conditions in HCBS populations
Clinical care includes coordination … Evidence of poor clinical or self care related to mental illness or behavioral health events
in HCBS … Poor Clinical Care
• No related review articles.
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/AHRQQI_McDonald_Davies_Pediatric_Indicator_Module.ppt
January 01, 2005 - Adds another link to the care chain. … Construct validity
Does the indicator identify quality of care problems that are flagged or suspected … indicator validity
Hospital ICD-9-CM coding review
To ensure proper definition (correspondence between clinical … concept and coding practice)
Clinical panel reviews
To refine indicator definition and risk groupings … hospitalization rate
Hospital admissions for influenza-related conditions, age 6-23 months
Immunizable condition
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qualityindicators.ahrq.gov/FAQs_Support/FAQ_QI_Overview.aspx
April 20, 2015 - sensitive conditions that identify quality of care for "ambulatory care sensitive conditions." … or for which early intervention can prevent complications or more severe disease. … administrators and community health planners use AHRQ QIs to ask questions that provide initial feedback about clinical … , individual practice, emergency department, or diagnostic centers) or measurement of populations or … guidelines or advice on how to improve rates or use the software output
Individual training
-
qualityindicators.ahrq.gov/FAQS_Support/FAQ_QI_Overview.aspx
April 20, 2015 - sensitive conditions that identify quality of care for "ambulatory care sensitive conditions." … or for which early intervention can prevent complications or more severe disease. … administrators and community health planners use AHRQ QIs to ask questions that provide initial feedback about clinical … , individual practice, emergency department, or diagnostic centers) or measurement of populations or … guidelines or advice on how to improve rates or use the software output
Individual training
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Cuny_Failure_to_Rescue_Preventing_Avoidable_Deaths_with_Rapid_Rescue_Teams.ppt
January 01, 2005 - PowerPoint Presentation
Joanne Cuny
Program Director
Clinical Process Improvement
University HealthSystem … complications of admission:
> 10 years of age
< 75 years
Exclusion Criteria:
Transferred from acute care … facility
Discharged/Transferred to acute care facility
Admitted from long-term facility
DNR on admission … 3,302 (61.4%) complications were eliminated for the following reasons:
47.2% (1,560) were comorbid condition … Customized project management tools: Charters, Best Practice Detail Forms, Gap Analyses and Implementation Plan
-
qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2015/Impact_Webinar_Transcript.pdf
January 01, 2015 - Really how many cases do we have
that have a potentially avoidable condition or a complication that … And how do those
compare to the cases that don't have a quality potentially avoidable condition? … So that was the clinical outcome. … additional staff were also added to take a deeper look at what was happening and to assist in
developing a plan … So there was clinical concordance between what the PSIs and QVIs said, and what
was in the clinical
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2011/ICD-10_Report_02-08-11_Final.pdf
January 01, 2011 - Conversions that are
likely to require clinical expertise, because of the number of codes involved or … Conversions that are likely to require clinical
expertise, because of the number of codes involved or … recommend
ICD-9-CM to ICD-10-CM/PCS Conversion of AHRQ Quality Indicators
Page 13
that AHRQ plan … Clinical expertise should be in the care setting represented by
the clinical domain for the measure … ICD Revision Project Plan. Version 2.0.
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qualityindicators.ahrq.gov/News/AHRQ_QI_Standing_Work_Group_Announcement.pdf
March 14, 2016 - Indicators (PSIs), AHRQ Inpatient Quality Indicators (IQIs), International
Classification of Diseases Clinical … Patient Safety Indicators (PSIs) and
issues related to the International Classification of Diseases Clinical … The AHRQ IQIs reflect quality of care inside hospitals and include inpatient
mortality for certain … workgroup members will be based on the following criteria:
• Knowledge of and experience with health care … other publications relevant to developing, testing, or applying health care quality
measures based
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2015/Introduction_to_AHRQ_Quality_Indicators.pdf
January 01, 2015 - Or are we lagging?
• How will we know when we’ve gotten better? … quality and save
costs
• Background: Improving quality is a focus of YNHHS’ $125 million
cost-saving plan … hematoma (PSI09), DVT/PE
(PSI12), postop wound dehiscence (PSI14)
► Clinical and financial leaders … ”
– Verna Alverson, Inpatient Clinical Quality Analyst
• Background: Essentia Health … Better Care, Lower Costs at �Yale New Haven Health System
Better Care, Lower Costs at �Yale New Haven
-
qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2015/Introduction_to_AHRQ_Quality_Indicators_Transcript.pdf
January 01, 2015 - as they log in to the webinar, and we're going to be using the
responses to these polls to help us plan … So clinicians review the clinical quality pathways and they're able to address the
issue before the … , and
their leaders focused on the clinical quality of care. … The hospital-associated condition, or HAC Reduction
Program, the Hospital Inpatient Quality Reporting … So this all includes implementing changes in clinical practice. So,
okay.
-
qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2015/AHRQ_QI_Impact_Webinar.pdf
January 01, 2015 - Strategy & Financial Planning, Yale New
Haven Health System
► Verna Alverson, RN, BSN, Inpatient Clinical … bundles)—better
utilization and adverse event
reduction to decrease cost,
readmissions—the ultimate Clinical … Patient Safety
Through Education
and Prevention
Activities
Verna Alverson, RN, BSN
Inpatient Clinical … the technical
specifications to examine each case individually, identify
opportunities to improve clinical … 29
Verna Alverson RN, BSN
Inpatient Clinical Quality Analyst
Essentia Health
Verna.Alverson@EssentiaHealth.org
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Shalaby_General_Motors_AHRQ_Quality_Partnership.ppt
January 01, 2005 - Measuring and Managing Quality with AHRQ Quality Indicators
Sam Shalaby
Director of Community Health Care … Initiatives
General Motors Corporation
September 26,2005
Quality & Cost Drivers of Health Care … Value
Purchasing
Managed
Indemnity
Community Initiatives
Managed
Care
LifeSteps
Advocacy
Reimbursement … By Translating Research Innovations into Action – A business and Science Partnership
Utilize AHRQ Clinical … Green is the lowest 20% or the lowest rates. Red is the highest 20% or the highest rates.