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pbrn.ahrq.gov/news/newsroom/ahrq-stats.html
November 01, 2023 - Case Studies
Blog
Newsletter
Events
AHRQ Stats
New data … (Source: AHRQ, Comparative Health System Performance Data Brief #8: Nursing Homes Affiliated with U.S … (Source: National Healthcare Quality and Disparities Report Data Spotlight: Health Literacy and the … (Source: National Healthcare Quality and Disparities Report Data Spotlight: Health Literacy and the … However, the most recent data show that about 40 percent of quality measures remain worse for blacks
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pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
September 01, 2017 - NICU Toolkit
Pressure Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge … They are the most frequently reported incident in adult inpatient units. … Higher rates of discharge to nursing homes. … Medicare won’t pay for increased costs due to injury from inpatient falls. … Slide 27: Using Data for Continued Improvement
Continue to collect process and outcome data.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-data-brief-birth-rates-payments-rev.pdf
October 17, 2023 - all-payer data on demographic and eligibility information, inpatient
stays, outpatient visits, and … included payments associated with the hospital delivery stay, any
emergency department visit if the discharge … The database consists
of a sample of inpatient, outpatient, and prescription drug claims, including … known as
“AHRQ Data Innovations.” … These activities include identifying data needs and data gaps.
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pbrn.ahrq.gov/cpi/about/35th-anniversary/index.html
April 01, 2024 - To help hospitals redesign the discharge process and curtail costly and unnecessary readmissions, AHRQ … promotes the “Re-Engineered Hospital Discharge Program,” or Project RED . … networks and other forms of electronic health data to generate or obtain outcomes data.
2011 … The Toolkit is a general guide for using improvement methods for hospitals that use Inpatient Quality … The toolkit focuses on 17 Patient Safety Indicators and the 28 Inpatient Quality Indicators.
2013
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pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-hernandez-boussard.html
April 01, 2024 - Hernandez-Boussard also is working to address and unravel bias in healthcare data.
Dr. … Using data from HCUP and electronic health records, she examined the quality of pain management care … analyses on the use of opioids for pain management, including research on national trends in both inpatient … Hernandez-Boussard gained expertise in analyzing data to identify and address healthcare quality and … Hernandez-Boussard received a third 5-year AHRQ grant in 2021 that uses data from electronic health
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
May 20, 2016 - payment.5
• This indicator is also reported on Medicare’s Hospital COMPARE as part of the Hospital
Inpatient … Hospital Inpatient Quality Reporting (IQR) Program measures (calendar year 2014
discharges. … Available at:
http://www.medicare.gov/hospitalcompare/Data/Measures-Displayed.html. … c=Page&pagename=QnetPublic/Page/QnetTier3&cid=1138900298473
http://www.medicare.gov/hospitalcompare/Data … Specifications Manual for National Hospital Inpatient Quality Measures, Version 4.3.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicare-Outpatient-Weighted.pdf
September 26, 2023 - 100.00
Weighted Frequency Tables: PUF Medicare Outpatient File
15:39 Tuesday, September 26, 2023 6
Discharge … DSCHRG_STUS Frequency Percent
Cumulative
Frequency
Cumulative
Percent
00: Unknown Value (but present in data … Discharged/transferred/referred to another institution for outpatient services as specified
by the discharge … 72: Discharged/transferred/referred to this institution for outpatient services as specified by
the discharge … 99.94
Weighted Frequency Tables: PUF Medicare Outpatient File
15:39 Tuesday, September 26, 2023 7
Discharge
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pbrn.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
March 01, 2017 - NICU Toolkit
Pressure Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge … AHRQ Quality Indicators (QIs), including the Patient Safety Indicators (PSIs), to track and improve inpatient … Improving quality of care in the inpatient setting requires a solid foundation of skills to manage organizational … Applying QIs to Your Hospital’s Data. … Applying the AHRQ Quality Indicators to Hospital Data
Includes instructions for performing calculations
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-july2015.pptx
January 01, 2015 - Malpractice Insurance/Safe Surgery Partnership
Hospital Demographics - 2014
Beds
FTEs Inpatient … TeamSTEPPS®
Slide ‹#›
Malpractice Insurance/Safe Surgery Partnership
Demographics – Surgery (2014)
Inpatient … TeamSTEPPS®
Slide ‹#›
Malpractice Insurance/Safe Surgery Partnership
20
Cancellation rates for inpatients … vary from 6%–17%
Of these inpatient cancellations, 17%–40% are due to inadequate/incomplete preop assessments … misadventures (“someone knew something and didn’t speak-up”)
Concerns with postop management of sick inpatients
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pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/qdr-ruralhealthchartbook-update.pdf
January 01, 2020 - • A Data Query tool (http://nhqrnet.ahrq.gov/inhqrdr/data/query) provides access to all data
tables … • Most rural hospitals have about 265 beds, have 7 inpatients daily, and are housed in facilities … These data represent 2014-2015. … The data year 2013 was used due to missing data for 2014. … The data year 2013 was used due to missing data for 2014.
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pbrn.ahrq.gov/health-literacy/publications/index.html
January 01, 2024 - Training
Health Literacy Publications
Patient Engagement and Education
Research Tools, Data … Health Literacy: Quality Improvement Measures with Expert Consensus (2019)
Health Literacy in the Inpatient … Data on Health Literate Practices (2017)
Demonstration of the Health Literacy Universal Precautions … Toolkit: Lessons for Quality Improvement (2016)
How Hospitals Reengineer Their Discharge Processes … Health Promotion, summarizes key findings and presents some policy implications of health literacy data
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pbrn.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - NICU Toolkit
Pressure Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge … Tools for Reducing Central Line-Associated Blood Stream Infections
Improving the Emergency Department Discharge … Quality Indicators (QIs) are measures of health care quality that make use of readily available hospital inpatient … procedure codes
Risk adjusted
Developed and refined annually using universe of all-payer hospital discharge … Developed and maintained through contracts since 1999
Slide 12
Quality Indicator Modules
Inpatient
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pbrn.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief2-us-health-system-characteristics-2016.pdf
January 01, 2016 - part of the Comparative Health System Performance
(CHSP) Initiative, the Compendium is a resource for data … Systems’ hospital counts and hospital locations come from combining the
AHA, HCOS, and SK&A data. … acute care system hospital in the top
quintile of DSH patient percentage among hospitals paid
under the Inpatient … sources depending on the data collection
methods and types of physicians included. … CHSP Data Brief #2. September 2017.
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pbrn.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
June 01, 2023 - Diagnostic Accuracy Through Advancing EHR displaY, Education, and Surveillance (DATA-EYES)
Principal … Number: 1R18HS029345-01
Project Aims:
Expand on our preliminary work in ambulatory care and analyze data … Use data gathered from error reporting to facilitate implementation of a multiparameter strategy that … accurately identify diagnostic errors and characterize diagnostic processes among patients who experience inpatient … Evaluate the effectiveness of PFC I-PASS (discharge and outpatient) to improve patient/family and clinician
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pbrn.ahrq.gov/diagnostic-safety/research/grants-2022.html
March 01, 2024 - Diagnostic Accuracy Through Advancing EHR displaY, Education, and Surveillance (DATA-EYES)
Principal … Number: 1R18HS029345-01
Project Aims:
Expand on our preliminary work in ambulatory care and analyze data … Use data gathered from error reporting to facilitate implementation of a multiparameter strategy that … accurately identify diagnostic errors and characterize diagnostic processes among patients who experience inpatient … Evaluate the effectiveness of PFC I-PASS (discharge and outpatient) to improve patient/family and clinician
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pbrn.ahrq.gov/sites/default/files/wysiwyg/sdoh/sdoh-environmental-scan.xlsx
April 29, 2021 - (TEDS) State Reports: Admission and Discharge Data Sets https://www.datafiles.samhsa.gov/study-series … N N Y Y Y Y Y *Discharge data are available starting in the year 2000. … 2015 N N N N N N Y
Centers for Medicare & Medicaid Services Inpatient Prospective Payment System (IPPS … ) Provider Summary for the Top 100 Diagnosis-Related Groups (DRG) https://data.cms.gov/Medicare-Inpatient … ://data.cms.gov/Medicare-Inpatient/Inpatient-Prospective-Payment-System-IPPS-Provider/97k6-zzx3https:
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pbrn.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
January 01, 2024 - However, these data were not linked to individual users. … Impact of a transition-of-care pharmacist during hospital discharge. … Pharmacist-managed inpatient discharge medication reconciliation: a
combined onsite and telepharmacy … Assisting at Routine Medical Discharge (project PharmD). … Multidisciplinary approach to inpatient
medication reconciliation in an academic setting.
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pbrn.ahrq.gov/patient-safety/settings/hospital/resource/about.html
December 01, 2017 - Improving the Emergency Department Discharge Process
Millions of patients visit hospital emergency … ED discharge failure, such as ED return within 72 hours or more, carries significant clinical implications … RED (Re-Engineered Discharge) Toolkit
Researchers at the Boston University Medical Center (BUMC) developed … and tested the Re-Engineered Discharge (RED). … Content
AHRQ Health Literacy Universal Precautions Toolkit
AHRQ Issue Brief: Harnessing the Power of Data
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - above mortality indicators are also reported on Medicare’s Hospital Compare as part of
the Hospital Inpatient … IQI 15 Acute Myocardial Infarction (AMI) Mortality Rate
• ASA at admission and discharge. … • Beta blocker, statin, ACE inhibitor/ARB (if EF<40%) at discharge. … • Beta blocker, statin, ACE inhibitor/ARB (if EF<40%) at discharge.
References
1. … Summary data of sentinel events reviewed by The Joint Commission.
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pbrn.ahrq.gov/research/findings/studies/index.html
January 01, 2024 - (104)
Heart Disease and Health
(452)
Hepatitis
(41)
Home Healthcare
(141)
Hospital Discharge … The authors concluded that including claims from both inpatient and other services files, and excluding … Keywords: Diagnostic Safety and Quality, Medical Errors, Hospitals, Inpatient Care, Quality of Care, … readmissions involving emergency department (ED) or outpatient care, care processes (length of stay, discharge … Researchers used data from five U.S.