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preventiveservices.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - -10 AHRQ QIs
Preliminary testing with limited state dual-coded data
2016
Released v6.0 of ICD-10 … -10 software
Slide 15
ICD-10 Software
Observed rates reported
No risk adjustment or smoothing … rates
Anticipate a full-year of all-payer ICD-10 data in mid-2017
Expect risk adjustment in … ICD-9 parameter estimates
Slide 16
ICD-10 Software and Provider-Level Composites
No provider-level … -‐9 to ICD-‐10
2016 version tested with 20 hospitals
In-depth evaluation with 6 hospitals
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preventiveservices.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
November 01, 2017 - Venous Thromboembolism
10. … Until recently, a combination of the MPSMS measures, ICD-9 codes (now
ICD-10), and AHRQ Patient Safety … -9 CDC-NHSN
NHSN; NSQIP;
ICD-9 ICD-9 ICD-9 ICD-9 ICD-9
C
os
t
Cost or Charges Reported Charges … -9 ICD-9 ICD-9 ICD-9 ICD-9 AHRQ PSI ICD-9
C
os
t
Cost or Charges
Reported Cost Cost Cost … -9 ICD-9 ICD-9
ICD-9, lab results,
and treatment
codes
ICD-9 and
treatment codes ICD-9 Toxin
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
November 01, 2017 - Venous Thromboembolism
10. … Until recently, a combination of the MPSMS measures, ICD-9 codes (now
ICD-10), and AHRQ Patient Safety … -9 CDC-NHSN
NHSN; NSQIP;
ICD-9 ICD-9 ICD-9 ICD-9 ICD-9
C
os
t
Cost or Charges Reported Charges … -9 ICD-9 ICD-9 ICD-9 ICD-9 AHRQ PSI ICD-9
C
os
t
Cost or Charges
Reported Cost Cost Cost … -9 ICD-9 ICD-9
ICD-9, lab results,
and treatment
codes
ICD-9 and
treatment codes ICD-9 Toxin
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
January 01, 2016 - -9) to ICD-10 that occurred
with the start of the fourth quarter of 2015 and the effect of this change … Due to the ICD-9 to ICD-10 transition that occurred with the start of the fourth quarter of 2015, only … -9) to 10th Revision (ICD-10) coding. … Changes From ICD-9 to ICD-10 Coding and Its Impact on the MPSMS Four-
Condition Sample
In quarter 4, … 2015, hospitals began using ICD-10 coded data in place of ICD-9 coded data.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8_program-evaluation.pptx
July 01, 2023 - of 21 indicators (as of 2023) and corresponding ICD-10 codes used to identify delivery hospitalizations … based on ICD-9 codes was published in 2012, and
an updated list of 21 indicators and corresponding ICD … -10 codes used to identify delivery hospitalizations with SMM available on CDC website
The CDC measure … contribution of obstetric hemorrhage to SMM in the United States.
9
Key Program Evaluation Concepts
10 … Hospital AIM Team
Leads
SPPC-II
No script needed
10
What Is Program Evaluation?
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8-program-evaluation-speaker-notes.pdf
July 01, 2023 - list of 21 indicators (as of 2023) and corresponding ICD‐
10 codes used to identify delivery hospitalizations … based on ICD‐9 codes was published in
2012, and
• an updated list of 21 indicators (as of 2023) and … corresponding ICD‐
10 codes used to identify delivery hospitalizations with SMM available on
CDC website … severematernalmorbidity.html
Hospital AIM
Team
Leads
SPPC‐II
Key Program Evaluation Concepts
10 … 10
Hospital AIM
Team
Leads
SPPC‐II
What Is Program Evaluation?
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8_program-evaluation.pptx
July 01, 2023 - of 21 indicators (as of 2023) and corresponding ICD-10 codes used to identify delivery hospitalizations … based on ICD-9 codes was published in 2012, and
an updated list of 21 indicators and corresponding ICD … -10 codes used to identify delivery hospitalizations with SMM available on CDC website
The CDC measure … important contribution of obstetric hemorrhage to SMM in the US.
9
Key Program Evaluation Concepts
10 … Hospital AIM Team
Leads
SPPC-II
No script needed
10
What Is Program Evaluation?
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8-program-evaluation-speaker-notes.pdf
July 01, 2023 - list of 21 indicators (as of 2023) and corresponding ICD‐
10 codes used to identify delivery hospitalizations … based on ICD‐9 codes was published in
2012, and
• an updated list of 21 indicators (as of 2023) and … corresponding ICD‐
10 codes used to identify delivery hospitalizations with SMM available on
CDC website … severematernalmorbidity.html
Hospital AIM
Team
Leads
SPPC‐II
Key Program Evaluation Concepts
10 … 10
Hospital AIM
Team
Leads
SPPC‐II
What Is Program Evaluation?
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
August 01, 2017 - codes present
then true and display X.
14 Angina Vendor determined
or Transfer Note
413.9 IF ICD … Header Data Source Valid Input Rule/Display
17 UTI Vendor determined
or Transfer Note
599.0 IF ICD … 14 9 20 14 14 10 10 10 3 17
Observation Stays
# Observation Stays 2 3 1 0 3 5 5 2 1 0 … 13% 9% 4% 0% 0% 7%
ED Visits (Treat and Return to Nursing Home)
# ED Visits 10 8 3 10 … 6.2 0.0 11.1
# Residents to ED 9 4 3 8 10 3 2 3 2 3 0 10
Residents to ED/Monthly Census (ADC) (%)
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
November 30, 2013 - days.
• Late-loss ADL score ≥12.
• Cognitive impairment
• Certain medical conditions (with examples of ICD … ii ICD-9-CM is the International Classification of Diseases, Ninth Revision, Clinical Modification. … Facilities are
transitioning to ICD-10, but ICD-9 was used to develop the On-Time tools. … 14 9 20 14 14 10 10 10 3 17
Observation Stays
# Observation Stays 2 3 1 0 3 5 5 2 1 0 0 3
Observation … 13% 9% 4% 0% 0% 7%
ED Visits (Treat and Return to Nursing Home)
# ED Visits 10 8 3 10 11 5 3 4 3 5
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow_it2.pdf
January 01, 2024 - intervention, as
well as newly diagnosed incidence post-implementation,
validated by a chart review, using ICD … -10 codes and text
mining, to better understand under-diagnosis.
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preventiveservices.ahrq.gov/hai/pfp/2015-interim.html
December 01, 2016 - The delayed availability of MPSMS data for 2015 Q4 is due in part to the changeover from ICD-9 to ICD … -10 that occurred on October 1, 2015, and also due in part to delays in contracting for MPSMS data analysis … The current analysis is based in part on a set of charts in which patients with an ICD-9 coded diagnosis … measurement strategy for the PfP was published in the Journal of Patient Safety in September 2014, 10 … [10] Abstract is available at http://www.ncbi.nlm.nih.gov/pubmed/25119788 .
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
March 01, 2017 - in the 2016 Update of the AHRQ QI Toolkit
Updated content to partially address the transition from ICD … -9 to ICD-10, including updated documentation and coding practices.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mccchartbook.pdf
April 01, 2014 - Multiple Chronic Conditions Chartbook: 2010 MEPS Data | 10
Average Annual Number of Clinician Visits … Prev Chron Dis
2013; 10:120239. … DOI:http://dx.doi.org/10.5888/pcd10.120239.
10 Hwang W, 2001.
11 Paez KA, 2009.
12 Hwang W, 2001. … infarction
myocardial infarction/heart attack) CCS 101 Coronary atherosclerosis and other heart disease
10 … deformities)
9 Mood disorders (depression and 0.77891 CCS 657 Mood disorders
bipolar disorder)
10
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/implementing-stewardship-slides.pptx
September 01, 2022 - antibiotic prescriptions
Denominator: number of clinic visits
Data can be stratified by prescriber and/or ICD … -10 codes
Data should be provided in the form of a rate such as the number of antibiotic prescriptions … syndromes
Avoid confusion of conflicting recommendations
Improve practice and patient satisfaction
10 … Implementing Stewardship
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
10
Developing … for coding changes
Presenting Peer Comparisons12-18
17
You are a Top Performer
You are in the top 10%
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preventiveservices.ahrq.gov/hai/pfp/haccost2017-results.html
November 01, 2017 - 1.75–5.70
3.32 (1.79–6.18)
0.0114
0.026 (0.009–0.059)
Ventilator-Associated Pneumonia (VAP)
10 … beneficiaries to adult surgical or cardiology patients—and methods used to identify HAC cases, from ICD … 47 , 48 CLABSI definitions used in cost studies also varied from clinical surveillance criteria to ICD … the largest and smallest estimates (relative risk of 6.18 and 1.79, respectively) both used close to 10 … Finally, few studies used clinical definitions of C. difficile infection and instead relied on ICD-
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/882.html
September 01, 2023 - Source: JAMA Network Open , Trends in Severe Maternal Morbidity in the US Across the Transition from ICD … -10-CM/PCS from 2012-2019 .) … Epub 2023 Aug 10. Access the abstract on PubMed®.
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preventiveservices.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - estimate the incremental inpatient financial costs and additional inpatient mortality associated with 10 … The result is the development of 10 specific incremental cost estimates and 10 specific additional mortality … project is to generate updated, robust estimates of the excess costs and mortality associated with 10 … only if the HACs are first properly measured and understood. 11 Of particular interest to AHRQ are 10 … Until recently, a combination of the MPSMS measures, ICD-9 codes (now ICD-10), and AHRQ Patient Safety
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-appendix-combined.pdf
October 25, 2022 - Due to the change from International
Classification of Diseases, Ninth Revision (ICD-9-CM) codes to … ICD-10-CM codes, the
chronic condition data are not available in the 2022 NHQDR. … However, due to the conversion from ICD-9-CM to ICD-10-CM codes, trend
data are not included in the … The
2017-2019 NHQDRs do not include state-specific QI estimates, in part because the ICD-10
version … -9-CM: International Classification of Diseases, Ninth Revision, Clinical Modification
• ICD-10-CM: International
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/871.html
July 01, 2023 - Over 10 years, AHRQ expects to invest approximately $100 million per year on PCOR initiatives funded … Topics will include ICD-11’s incorporation of patient safety concepts.
Aug. 3, 1:30 to 2:45 p.m.