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www.monahrq.ahrq.gov/questions/resources/diagnosis/step2.html
November 01, 2020 - Support or self-help groups
Support groups are made up of people with the same disease or condition … experience less depression, have a better quality of life, and have more success coping with their disease … the real-life outcomes of their treatment choices as well as how they have learned to live with their disease … —Susan, who underwent surgery for a digestive disease
Help is available
Take advantage of the support
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-fullreport.pdf
February 01, 2018 - addressing childhood obesity may have implications for the subsequent development
of cardiovascular diseases … work against a wider number
of bacterial types and so may be used to treat a variety of infectious diseases … Population estimates of sickle cell disease in the U.S. … Management of sickle cell disease. … Quality‐of‐care indicators for children with sickle cell
disease.
-
www.monahrq.ahrq.gov/pqmp/measures/scd-confirmatory-testing.html
August 01, 2021 - Measures Program
PQMP Measures
Timeliness of confirmatory testing for sickle cell disease … Improvement
PQMP Grantees
Timeliness of confirmatory testing for sickle cell disease … created August 2021
Internet Citation: Timeliness of confirmatory testing for sickle cell disease
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chirpa-215-scd-ed-tables.pdf
January 01, 2002 - Tables 1-7
Table 1: Codes to Identify Sickle Cell Disease Name Hemoglobin Screening Result ICD‐9 Code … Hb FS,C 282.63, 282.64
Hb SD‐disease Hb F,S,D 282.68, 282.69
Hb SS‐disease (sickle cell anemia) Hb … Blood Tests for the Emergency Department Management of Sickle Cell Disease
Definition Procedure Code … Hb F,C 282.7
Hb E-disease Hb F,E 282.7
Hb H-disease Hb F,H 282.49
Hb SE-disease Hb F,S,E 282.68, … Children with disease.
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-asthma-section-1-table-1-2.pdf
March 12, 2019 - Asthma, unspecified type, with (acute) exacerbation 493.92
ICD-9-CM = International Classification of Diseases … exacerbation 494.1
Exclusions for All Cases Younger than 6 Years Old ICD-9-CM Codes
Chronic obstructive lung disease … 496
Chronic lung disease, NOS 518.89
Tracheomalacia 519.11, 519.19
Chronic respiratory disease arising … Bronchomalacia 748.3
Not Sufficient for Inclusion, 6 Years or Older ICD-9-CM Codes
Chronic obstructive lung disease … 496
Chronic lung disease, NOS 518.89
Tracheomalacia 519.11, 519.19
Chronic respiratory disease arising
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-5.pdf
November 26, 2013 - Measure 2: Timeliness of Antibiotic Prophylaxis for Children with Sickle
Cell Disease
Graphics for … the Measure
Table 4: Evidence Supporting Timely Antibiotic Prophylaxis in Children with Sickle Cell Disease … The
Management of Sickle
Cell Disease. National
Institutes of Health.
Bethesda, MD, 2002. … Newborn screening for
sickle cell disease and
other
hemoglobinopathies. … Management of children
with sickle cell disease: a
comprehensive review of
the literature.
-
www.monahrq.ahrq.gov/pqmp/measures/scd-preventive-antibiotics-newborns.html
August 01, 2021 - PQMP Measures
Timeliness of antibiotic prophylaxis for children with sickle cell disease … PQMP Grantees
Timeliness of antibiotic prophylaxis for children with sickle cell disease … Internet Citation: Timeliness of antibiotic prophylaxis for children with sickle cell disease
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/section-6-table-2-3.pdf
June 28, 2017 - Classification of disease complexity based on progressive and body system flags and
frequency of encounters … Conservative
Version
More
Conservative
Version
Most
Conservative
Version
Complex Chronic Disease … system per year
for 2 different
body systems
during the
measurement
period*
Non-Complex Chronic Disease … body
system per year
not flagged as
progressive during
the measurement
period*
Without Chronic Disease … NC-CD Non-complex chronic disease
CD chronic disease
Table 2 for Pediatrics9703
Table 2 for Pediatrics9703
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/sdoh/sdoh-environmental-scan.xlsx
April 29, 2021 - Centers for Disease Control and Prevention U.S. … /Chronic-Disease-Indicators/U-S-Chronic-Disease-Indicators-CDI-/g4ie-h725/data N N Y Territories and … Centers for Disease Control and Prevention National Immunization Surveys https://www.cdc.gov/vaccines … Centers for Disease Control and Prevention Interactive Atlas of Heart Disease and Stroke https://www.cdc.gov … Centers for Disease Control and Prevention Childhood Lead State Surveillance Data https://www.cdc.gov
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-tables-1-3.pdf
September 10, 2018 - 494.1
Exclusions for All Cases Younger than 6 years old ICD-9-CM Code(s)
Chronic obstructive lung disease … 496
Chronic lung disease, NOS 518.89
Tracheomalacia 519.1, 519.11, 519.19
Chronic respiratory disease … Bronchomalacia 748.3
Not Sufficient for Inclusion, 6 years or older ICD-9-CM Code(s)
Chronic obstructive lung disease … 496
Chronic lung disease, NOS 518.89
Tracheomalacia 519.11, 519.19
Chronic respiratory disease arising
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-section-12-table-4-5.pdf
December 31, 2010 - 22%)
219,559 (27%)
380,210 (46%)
PMCA more conservative approach
designation
Complex chronic disease … &
Non-complex chronic disease &
Without chronic disease &
Not classifiable &
329 (47%)
100 … statistical tests were not performed because we deliberately over-sampled children with complex
chronic disease … children from the gold standard population included in the designated category
C-CD Complex chronic disease … NC-CD Non-complex chronic disease
CD chronic disease
Table 4 for CPCF
Table 5
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-PHP-6.pdf
December 14, 2010 - of Evidence)
Oxford CEBM = 2 (Cohort studies; Preventing pertussis in adolescents would reduce disease … among that population and perhaps
others by eliminating a reservoir of the disease. … The disease affects up to 2,600 people in the U.S. … In the
1990s, 13%–14% of disease nationwide was in persons 11–18 years (NIFD 2005). … Other studies have shown that the disease
peaks in 15–18-year-olds and that adolescents have the highest
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-table2.pdf
January 01, 2011 - Ranking*)
Citations
Expert
recommendation
Hypertension is a risk factor for cardiovascular
disease … health care providers
obtain a focused family history for obesity,
type 2 diabetes, and cardiovascular disease … (particularly hypertension), and early deaths
resulting from heart disease or stroke, to
assess the … Endocrinol
Metab 2005; 90(3):1871-
1887
Integrated
guidelines
Atherosclerotic cardiovascular disease … Higher BMI in childhood is directly associated
with increased coronary heart disease in adult
life.
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/measurespec-code-tables.pdf
January 29, 2021 - CM Diagnosis Codes for Identification of Denominator Population
Description Code Type Code
Hb-SS disease … without crisis ICD-9-CM 282.61
Hb-SS disease with crisis ICD-9-CM 282.62
Table 3a. … CM Diagnosis Codes for Identification of Denominator Population
Description Code Type Code
Hb-SS disease … with crisis, unspecified ICD-10-CM D5700
Hb-SS disease with acute chest syndrome ICD-10-CM D5701 … Hb-SS disease with splenic sequestration ICD-10-CM D5702
Sickle-cell disease without crisis ICD-10
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-section-5-table-4.pdf
January 01, 2011 - Evidence Supporting Appropriate Emergency Department Fever Management for Children
with Sickle Cell Disease … The
Management of Sickle
Cell Disease. National
Institutes of Health.
Bethesda, MD, 2002. … Health
supervision for children
with sickle cell disease.
Pediatrics. … Sickle cell disease in
children and
adolescents: diagnosis,
guidelines for
comprehensive care, … Quality‐
of‐care indicators for
children with sickle cell
disease.
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-section-5a.pdf
December 01, 2013 -
Q‐METRIC Sickle Cell Disease … Measure 3: Appropriate Antibiotic Prophylaxis for Children with Sickle
Cell Disease
Graphics for … The Management of
Sickle Cell Disease.
National Institutes of
Health. Bethesda, MD,
2002. … Management of
children with sickle cell
disease: a
comprehensive review
of the literature. … Prophylactic antibiotics
for preventing
pneumococcal infection
in children with sickle
cell disease
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-6-b.pdf
November 26, 2013 -
Q‐METRIC Sickle Cell Disease … Measure 2: Timeliness of Antibiotic Prophylaxis for Children with Sickle
Cell Disease
Graphics for … Validity
Table 6: Michigan Validation Testing for Sickle Cell Disease Measure 2
(Percentage of Children … in State with SCD Receiving Antibiotics by 3 Months
of Age)
Medicaid
Claims
Data
Sickle Cell Disease
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-graphics-section-8.pdf
November 26, 2013 -
Q‐METRIC Sickle Cell Disease … Measure 2: Timeliness of Antibiotic Prophylaxis for Children with Sickle
Cell Disease
Graphics for … results on IEF are referred to
the Sickle Cell Disease
Association of America-
Michigan Chapter (SCDAA … Abbreviations: SCD = sickle cell disease; HPLC = high performance liquid chromatography; Hgb = hemoglobin … ; IEF =
iso-electric focusing; SCDAA-MI = Sickle Cell Disease Association of America-Michigan Chapter
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-139-section-2.pdf
January 01, 2014 -
Q‐METRIC Sickle Cell Disease … Measure 13 Transcranial Doppler Ultrasonography Screening for
Children with Sickle Cell Disease
Technical … Detailed Measure Specifications
Sickle Cell Disease
Measure 13: Transcranial Doppler Ultrasonography … Screening for Children
with Sickle Cell Disease
Description
The percentage of children ages 2 through … Hb F,E 282.7
Hb H-disease Hb F,H 282.49
Hb SC-disease Hb F,S,C 282.63, 282.64
Hb SD-disease Hb F,
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/communication-documents.pdf
February 04, 2021 - Health Plan and Specialty Clinic Communication Process
Regarding Patients with Sickle Cell Disease … ,
and provide care management services
He
al
th
P
la
n
Identify
members
with sickle
cell disease … Connect
with SCD
clinic
Si
ck
le
C
el
l C
lin
ic
Identify
members with
Sickle Cell
Disease … Identify pediatric members with sickle cell disease that are receiving care at the specific sickle
cell … Identify pediatric patients with sickle cell disease that are members of the specific health plan.