-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_14-p008-1-ef.pdf
October 01, 2014 - Advantages of the Measure
● The measure fills a significant gap in pediatric quality measurement.10 … ● The measure uses administrative (claims) data and has been specified to use either ICD-9 (International … Classification of Diseases, 9th Revision) or ICD-10 (ICD, 10th Revision) codes, making it highly feasible … Acad Pediatr. 2011 May-Jun;11(3
Suppl):S1-10.
11The Children’s Health Insurance Program Reauthorization
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-164-materials-vi-a.pdf
March 09, 2017 - Well
Child Exam
(99381, 99391,
99382, 99392,
99383, 99393,
99384, 99394,
99385, 99395) and
ICD … 1 Fluoride Treatment (GROUP B)
r of children w/ 1
ride Treatment
3, D1206, or D1208),
20 with ICD … Denominator
Number of children w/ 2
Fluoride Treatment
(any D1203, D1206, or D1208),
or (CPT 99420 with ICD … % of
Denominator
Number of children
Fluoride Treatme
(any D1203, D1206, o
or (CPT 99420 with ICD … The top coded variable will replace all
values greater than 10 with 10.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-14-collecting-performance-data.pdf
September 01, 2015 - HYPERTENSION, BENIGN ESSENTIAL (ICD-401.1)
HYPERPLASIA, PROSTATE (ICD-600)
DEPRESSION (ICD-311)
RETINOPATHY … , DIABETIC (ICD-362.0)
POLYNEUROPATHY IN DIABETES (ICD-357.2)
Medications
PRINIVIL TABS 20 MG (LISINOPRIL … HYPERTENSION, BENIGN ESSENTIAL (ICD-401.1) HYPERPLASIA, PROSTATE (ICD-600)
DEPRESSION (ICD-311)
RETINOPATHY … , DIABETIC (ICD-362.0)
POLYNEUROPATHY IN DIABETES (ICD-357.2)
Medications
HYTRIN CAP 5MG (TERAZOSIN … )) 20 units
ac breakfast
Last Refill: #600 u x 0 : Carl Savem MD (10/27/2010)
PROZAC CAPS 10 MG (FLUOXETINE
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www.qualitymeasures.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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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0122-technical-specs.pdf
February 05, 2020 - Eligible Population
Women age 10-65 years inclusive, who are admitted to a hospital or health
care … -9 ICD-9-CM = V27
Normal delivery ICD-9-CM = 650
Diagnosis-related group
(DRG) delivery codes … assisted deliveries)
736 (episiotomy)740, 741, 742, 744, 7499 (cesarean
section)
Exclusions
ICD … Step 10: Report the results of Step 9. … Step 11: Repeat steps 3,8, 9, & 10 for each stratification category listed below,
using the following
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/cerner-q-a-final-deck.pdf
February 13, 2023 - Resources
8
8
Screenshots of Commonly
Asked Questions
Alert at Discharge
9
9
For certain ICD … -10 and SNOMED CT codes, when a Card rehab referral order is not present at discharge
Order Set for … CPOE
10
10
When a provider wants to order Cardiac Rehab Referral during patient stay
Cardiac Rehab
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-implementation-guide.pdf
February 13, 2023 - The
visit diagnosis often indicates the ICD-10 code for a clinical encounter. … While the problem list
contains all the ICD-10 codes associated with a patient. … collecting the reason will help to refine the
exclusion criteria over time
Table 2: CR eligible ICD … -10 diagnosis/procedure codes and CPT codes
Condition /Procedure ICD-10 Diagnosis
codes
ICD-10 Procedure … Available at:
https://www.aacvpr.org/Portals/0/Million%20Hearts%20Change%20Package/4.18.2018%20Files/R-10
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-section-1-tables-1-2.pdf
April 26, 2018 - Leukocyte count elevated or depressed for age (not secondary to chemotherapy-induced
leukopenia) or > 10% … organ dysfunction
Table 2: Codes to Identify Severe Sepsis and Septic Shock
Condition Name ICD … due to anaerobes 038.3
Septicemia due to other gram-negative organisms 038.4
Condition Name ICD
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-technical-specifications.pdf
April 26, 2018 - ICD-9 code 995.92 (See Table 5-B).
Septic shock Sepsis and cardiovascular organ dysfunction. … ICD-9 code 785.52 (See
Table 5-B). … Leukocyte count elevated or depressed for age (not secondary to
chemotherapy-induced leukopenia) or > 10% … Sepsis or Septic Shock
4
Table 5-B: Codes to Identify Severe Sepsis and Septic Shock
Condition Name ICD
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-slides.pdf
November 18, 2021 - the
Resource Center TAKEheart Website
Monthly Training Sessions: What to do and
Why -- Seventh of 10 … Strengthening informal referral processes would be an efficient
use of resources
External Programs
10 … QUESTIONS TO
CONSIDER AND
POTENTIAL
SOLUTIONS
• ICD-10 codes used to build order set? … Check your ICD-10 diagnosis, procedure, and CPT codes to
determine if what you was programed into … Have you fully specified the ICD-10 codes?
Have you built-in exclusions accurately?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-fullreport.pdf
December 17, 2019 - 10
for post-traumatic headache could be warranted (for example, coagulopathy or cerebral cyst) … For example, there are
currently no ICD-9-CM or ICD-10-CM codes for the major inclusion criteria of … Section 10. … Invest Radiol 2011; 46(10):654-62.
Parker MW, Shah SS, Hall M, et al. … Levels of Aggregation
Section 10. Understandability
Section 11.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-144-section-2.pdf
January 01, 2020 - CWD can be identified by survey methods, the
magnitude of the effort needed to identify less than 10% … in CWDA
on page 10. … -
-
-
10 … doi:10.1016/j.acap.2012.10.002.
10. Liptak GS, Orlando M, Yingling JT, et al. … Health Aff (Millwood). 2011;30(10):1947-1954.
doi:10.1377/hlthaff.2011.0613.
13.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-section-2.pdf
May 18, 2018 - Population
Numerator: Live-born neonates with a birthweight of less than 2500 grams (as
identified by ICD … neonates with birthweight of less than 2500 grams (as
identified from either the medical record or by ICD … ICD-9 codes to identify low birthweight infants and presence of
anencephaly
ii. … Record ICD-9 comorbid diagnoses.
EXCLUDE those with anencephaly (ICD-9-CM 740xx ).
b. … Step 10.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-implementation-guide.pdf
February 13, 2023 - -10 codes
o When using a BPA or best practice advisory, if a grouping of
ICD-10 codes appears … • ICD-10 codes used to build order set? … o Check your ICD-10 diagnosis, procedure, and CPT codes to
determine if what was programed into the … o Have you fully specified the ICD-10 codes?
o Have you built-in exclusions accurately? … Dual CME/MOC credit is available.
10.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-4.xlsx
January 17, 2017 - Strongly Disagree 1 Strongly Disagree
E-Prescribing Lab flowsheet Text HL7 mEq
EHR Medication list ICD … -9 mg
Health Information Exchange Orders ICD-10 mg/dL
Laboratory I.S. … Service LOINC, CPT hour(s)
Vitals NDC, RxNorm day(s)
SNOMED, HCPCS month(s)
SNOMED, HCPCS, ICD … -9 year(s)
SNOMED, ICD-9 month day year
SNOMED, ICD-9, ICD-10 month year
&G &P
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p008-2-ef.pdf
January 01, 2015 - measurement.8
● The measure uses administrative (claims) data and has been specified to use either ICD … -9 or ICD-10 codes,
making it highly feasible … , and hospital levels if
appropriate approaches to calculating the measure are taken at each level.10
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-sepsis-antibiotics-technical-specs.pdf
August 01, 2014 - ICD-9 code
995.92 (See Table 4-B).
Septic shock Sepsis and cardiovascular organ dysfunction. … ICD-9 code 785.52 (See
Table 4-B). … Leukocyte count elevated or depressed for age (not secondary to
chemotherapy-induced leukopenia) or > 10% … Submitted August 2014
Table 4-B: Codes to Identify Severe Sepsis and Septic Shock
Condition Name ICD
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-232-tech-specs.pdf
June 15, 2018 - ICD-9 code 995.92
(See Table 6-B).
Septic shock Sepsis and cardiovascular organ dysfunction. … ICD-9 code 785.52
(See Table 6-B). … Leukocyte count elevated or depressed for age (not secondary to
chemotherapy-induced leukopenia) or > 10% … dysfunction.
4
Table 6-B: Codes to Identify Severe Sepsis and Septic Shock
Condition Name ICD
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-207-section-2-tables-1-5.pdf
June 14, 2019 - Detailed Measure Specifications
Table 1: Exclusion Criteria- ICD-9 Codes for Congenital Anomalies … Congenital Anomaly
Group
ICD-9 Codes
Cardio 746.6, 746.7, 746.81, 746.82, 746.83, 746.84, 746.85 … 36223, 36224, 36225,
36226, 36227
Retinopathy of prematurity
(ROP)
Surgical Procedure Code:
ICD … 77212, 77213, 77214
Diagnosis: 7470
Patent ductus arteriosis (PDA)
Surgical Procedure Code:
ICD … , 3844, 3845, 3864, 3865, 3880, 3884,
3885
CPT: 37616
Laparotomy
Surgical Procedure Code:
ICD
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-slides.pptx
December 31, 2022 - More detailed information – including a table of ICD and CPT codes -- can be found in the on pages 4- … The visit diagnosis often indicates the ICD-10 code for a clinical encounter. … In a different location there may be a problem list contains all the ICD-10 codes associated with a patient … Pick a unit with patients who have been assigned the relevant ICD-10 codes and relevant providers who … Here are some issues to check for:
Are the ICD-10 codes accurate?