-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-scd-pain-specifications.pdf
June 02, 2025 - Acute pain episode: Considered to have occurred if there is any documentation of a Numeric Pain Intensity … severity quantified; no pain present (onc)1
Pain
Assessment
G8440 Pain assess f/u
pln document
Documentation … with the patient including the
documented
Pain
Assessment
G8509 Pain assess no
f/u pln doc
Documentation … pain assessment (including location,
intensity and description) prior to initiation of treatment or
documentation … Documentation in medical record must include, at a minimum, a note containing the time at which the pain
-
www.ahrq.gov/chsp/data-resources/compendium-2022.html
November 01, 2024 - Excel (2 MB) CSV (3.3 MB) Technical Documentation Technical Documentation (PDF, 970 KB) Compendium … Hospital Linkage File, Technical Documentation (PDF, 484 KB) Compendium Nursing Home Linkage File, … Technical Documentation (PDF, 726 KB) Compendium Home Health Care Linkage File, Technical Documentation … (PDF, 929 KB) Compendium Outpatient Linkage File, Technical Documentation (PDF, 449 KB) Compendium … Group Practice Linkage File, Technical Documentation (PDF, 1.6 MB)
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure5.html
June 01, 2018 - Enable better documentation and file organization. … Hospitals with computerized systems that allow electronic clinical documentation. … systems that allow electronic clinical documentation, by component, 2011-2013
Component … Some evidence exists that electronic documentation may be associated with improved patient outcomes and … Hospitals With Computerized Systems That Allow Electronic Clinical Documentation With a Component for
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/7.html
December 01, 2017 - Loose stool
CNA documentation of bowel habits or nurse documentation
If any loose stool documented … Incontinence
CNA documentation of bowel habits
# shifts / week
CNA documentation of bowel … Incontinence
CNA documentation of bladder habits
# shifts / week
CNA documentation of bladder … List of documentation options and abbreviations are below. … Eating
CNA documentation of ADL
See instructions for Bed Mobility.
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/NCINQTobaccoUseHelpSpec-Prov.pdf
June 02, 2025 - Definitions
Tobacco Use
Status
Any documentation of smoking or tobacco use status, including … From the definition of Smoking Status defined by Meaningful Use Objectives, these
codes count as documentation … Tobacco User Any documentation of active or current use of tobacco products, including smoking. … Documentation of a face-to-face visit to the primary care practice during the 12
months prior to the … Numerator
Documentation that the adolescent is not a tobacco user;
OR
Documentation that the
-
www.ahrq.gov/chsp/data-resources/compendium-2020.html
November 01, 2024 - Excel (2 MB) CSV (3.5 MB) Technical Documentation Technical Documentation Report (PDF, 1.4 MB) … Compendium Hospital Linkage File, Technical Documentation (PDF, 621 KB) Compendium Nursing Home Linkage … File, Technical Documentation (PDF, 1 MB) Compendium Home Health Care Linkage File, Technical Documentation … (PDF, 752 KB) Compendium Group Practice Linkage File, Technical Documentation (PDF, 1.5 MB)
-
www.ahrq.gov/chsp/data-resources/compendium-2021.html
November 01, 2024 - Excel (2 MB) CSV (3.4 MB) Technical Documentation Technical Documentation Report (PDF, 2 MB) Compendium … Hospital Linkage File, Technical Documentation (PDF, 463 KB) Compendium Nursing Home Linkage File, … Technical Documentation (PDF, 667 KB) Compendium Home Health Care Linkage File, Technical Documentation … (PDF, 702 KB) Compendium Group Practice Linkage File, Technical Documentation (PDF, 1.5 MB)
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp_linkage_file_tech_doc.pdf
October 01, 2018 - Health Systems, Hospital Linkage File, Technical Documentation 1
I. … Health Systems, 2016, Technical Documentation.
III. … Health Systems, Hospital Linkage File, Technical Documentation 7
Table IV.1. … Health Systems, Hospital Linkage File, Technical Documentation 9
D. … Health Systems, Hospital Linkage File, Technical Documentation 12
Table A.4.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/036-ss-nursing-practice-guide.docx
April 01, 2025 - Engagement and Collaboration
Patient/Family
CHG Bathing
Documentation
Nasal Product Documentation … standard pathway to charge nurse and surgeon; conversation does not end with initial refusal
Nursing documentation … did not bathe at home
· Ensure escalation support pathway is in effect for patient refusals
Nursing documentation … support pathway is in effect for patient refusals
· Surgical group “buddy system” used to reinforce documentation … Identify compliance practice patterns and ensure timely followup
· Send patient outlier concerns and documentation
-
www.ahrq.gov/sites/default/files/wysiwyg/sdoh/SDOH-overview-presentation.pdf
July 01, 2022 - • Updated Database Contents
► Topics Covered in the Database
► Geographic and Temporal Coverage
► Documentation … ► Documentation file, Table 3.1
• Variables available on a specific topic, and years and geographic … ► Documentation file, Appendix A
• Information on a specific variable? … Survey
Source: AHRQ SDOH Database, version 1 Documentation. 14
Documentation File Excerpt, Census … Documentation
User Notes
Documentation File Excerpts, American Community Survey
Documentation File
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/NCINQTobaccoUseHelpSpec-Pop.pdf
June 02, 2025 - Definitions
Tobacco Use
Status
Any documentation of smoking or tobacco use status, including … From the definition of Smoking Status defined by Meaningful Use Objectives, these
codes count as documentation … Any documentation of active or current use of tobacco products, including smoking. … From the definition of Smoking Status defined by Meaningful Use Objectives, these
codes count as documentation … Numerator
Documentation that the adolescent is not a tobacco user;
OR
Documentation that the
-
www.ahrq.gov/topics/telehealth.html
Easy-to-Understand Telehealth Consent Form
How to Obtain Consent for Telehealth
Telehealth Consent Teach-back Documentation
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-3.pdf
June 02, 2025 - for ADHD – Prior to PQMP
Percentage of patients diagnosed
with ADHD whose medical
record contains documentation … patients diagnosed with attention deficit
hyperactivity disorder (ADHD) whose medical record contains documentation … newly diagnosed with attention
deficit hyperactivity disorder (ADHD) whose medical record contains documentation … of medical records of newly diagnosed attention deficit
hyperactivity disorder (ADHD) patients with documentation … treated
with psychostimulant
medication for the diagnosis of
ADHD whose medical record
contains documentation
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-5-attachment-3.pdf
June 02, 2025 - for ADHD – Prior to PQMP
Percentage of patients diagnosed
with ADHD whose medical
record contains documentation … patients diagnosed with attention deficit
hyperactivity disorder (ADHD) whose medical record contains documentation … newly diagnosed with attention
deficit hyperactivity disorder (ADHD) whose medical record contains documentation … of medical records of newly diagnosed attention deficit
hyperactivity disorder (ADHD) patients with documentation … treated
with psychostimulant
medication for the diagnosis of
ADHD whose medical record
contains documentation
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0242-tables5-6.pdf
June 02, 2025 - Variable Description
Records
Reviewed
For IRR (N)
N Agreed
(%)
Kappa
Statistic
Documentation … that BMI >95th percentile 4 4 (100) 1
Documentation that BMI >85th percentile 6 6 (100) 1
Documentation … of height 4 4 (100) 1
Documentation of weight 4 4 (100) 1
Table 6: Follow Up Visits for Children
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0242-tables1-3.pdf
June 02, 2025 - Documentation of Weight Addressed
Table 2: ICD-9 Codes for Weight-Related Comorbidities
Description … General medical
examination
V20.2, V70.0, V70.3,
V70.5, V70.6, V70.8,
V70.9
Medical record documentation … educational materials on physical activity
Anticipatory guidance for physical activity
OR
Visit includes documentation … Documentation of Weight Addressed
Table 2: ICD-9 Codes for Weight-Related Comorbidities
Table 3: Codes
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/functspecs.pdf
March 22, 2014 - required 75 percent documentation for bladder and ADL documentation on a report that
displays these … documentation
completion percentages for specific documentation sections. … Resident Bowel Documentation 1. … Resident Bladder Documentation 1. … Loose stool CNA documentation
of bowel habits or
nurse
documentation
If any loose stool documented
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/case.html
December 01, 2017 - All On-Time reports are based on certified nursing assistant (CNA) documentation. … A preliminary program step is streamlining and standardizing CNA documentation to support these tools … On-Time reports are based on certified nursing assistant (CNA) documentation. … A preliminary program step is streamlining and standardizing CNA documentation to support these tools … the documentation was when compared with the actual care being provided.
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2022-nh-linkage-techdoc.pdf
January 01, 2022 - Health Systems, 2022, Nursing Home Linkage File, Technical Documentation
Comparative Health System … Health Systems,
2022, Nursing Home Linkage File, Technical
Documentation
Prepared for:
Agency … Health Systems,
2022, Technical Documentation at https://www.ahrq.gov/chsp/data-resources/compendium.html … Health Systems, 2022, Technical Documentation at https://www.ahrq.gov/chsp/data-
resources/compendium.html … vi According to OneKey documentation, a corporate owner is “an organization that owns, leases, manages
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2021-nh-linkage-techdoc.pdf
January 01, 2021 - Health Systems, 2021, Nursing Home Linkage File, Technical Documentation
Comparative Health System … Health Systems,
2021, Nursing Home Linkage File, Technical
Documentation
Prepared for:
Agency … Health Systems,
2021, Technical Documentation at https://www.ahrq.gov/chsp/data-resources/compendium.html … Health Systems, 2021, Technical Documentation at https://www.ahrq.gov/chsp/data-
resources/compendium.html … vi According to OneKey documentation, a corporate owner is “an organization that owns, leases, manages