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hcup-us.ahrq.gov/reports/statbriefs/sb259-Potentially-Preventable-Hospitalizations-2017.pdf
January 01, 2017 - For
these measures, an inpatient stay that meets the criteria for multiple components of the composite … Although these measures rely on hospital
discharge data, they are intended to reflect issues of access … Version 2019.01 of the PQI software also includes
three composite measures assessing hospitalizations … About the QDR
The National Healthcare Quality and Disparities Report (QDR) measures and tracks trends … Information on
individual measures will be available through chartbooks, which will be posted monthly
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hcup-us.ahrq.gov/db/nation/nis/reports/2001niscomparisonrpt.jsp
November 01, 2015 - Procedure Classes for ICD-9-CM
Surgery Flags for ICD-9-CM
HCUP Supplemental Files
NIS-Trend Weights … As a result, the NIS includes approximately 7.5 million discharges from 984 hospitals, with weights to … Return to Contents
NIS Weights
Sample weights were developed for the NIS to obtain national estimates … 25 diagnosis category comparisons revealed only a handful of significant differences for any other measure … When other differences were observed, inconsistency was generally limited to one other measure.
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hcup-us.ahrq.gov/datainnovations/ICD10Imp_Romano_NAHDO_October2016.pdf
October 27, 2016 - Outline
• Examples of opportunities and challenges in
ICD-10-CM/PCS specification of morbidity
measures … from a
major academic health system, after changing
indicator specifications
• Implications for measure … legacy specification)
– Maintain intent, with more specificity
(enhanced specification)
– Change measure … Version the Updated Measure
NQF’s Recommended Coding
Conversion Best Practices
Expert Work Groups … how
the code sets were designed
• GEM mappings provide helpful relationships and
alternatives, but measure
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/ca9.pdf
June 16, 2014 - Successes
• Memorial Regional Hospital, Broward County, Florida:
Increased heart failure ideal measure … • Del Sol Medical Center, El Paso, Texas: Ideal care
measure increased from 15% to 94%. … Articulating some important language about funding
Data Standards
Must be for self-reported measures
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/ny14.jsp
September 01, 2014 - Procedure Classes for ICD-9-CM
Surgery Flags for ICD-9-CM
HCUP Supplemental Files
NIS-Trend Weights … Clinical measures will include:
Inpatient and 30-day risk-adjusted post-procedure mortality rates … Alternative measures of clinical performance will be compared and the most useful selected for detailed … Additional quality measures not supported by these registries would be highly desirable.
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hcup-us.ahrq.gov/reports/factsandfigures/2009/definitions.jsp
January 01, 2009 - Procedure Classes for ICD-9-CM
Surgery Flags for ICD-9-CM
HCUP Supplemental Files
NIS-Trend Weights … Median income is a proxy measure of a patient's socioeconomic status. … This measure indicates the prevalence of hospitalizations, procedures or diagnoses within the population
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/about_grants_re.jsp
July 01, 2016 - Procedure Classes for ICD-9-CM
Surgery Flags for ICD-9-CM
HCUP Supplemental Files
NIS-Trend Weights … Data Improvement through Data Linkages and Data Validation
New Measures to Access the Quality of Race … State Databases ( PDF file, 170 KB; HTML )
A presentation on a project to develop validated audit measures … of a project to link death certificate data with the NTR to examine the underestimation of mortality measures
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2006_MaskedStats_Core.PDF
January 01, 2006 - Continuous Data Elements
Variable: DISCWT (Weight to ED Visits in AHA universe)
Moments
N 25954816 Sum Weights … Selected Continuous Data Elements
Variable: AGE (Age in years at admission)
Moments
N 25953898 Sum Weights … Continuous Data Elements
Variable: TOTCHG_ED (Total charge for ED services)
Moments
N 20389743 Sum Weights … of Location and Variability
Tests For Location
Quantiles
AGE
Moments
Basic Measures of Location … and Variability
Tests For Location
Quantiles
Missing Values
TOTCHG_ED
Moments
Basic Measures
-
hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2006v2_MaskedStats_Core.PDF
April 08, 2010 - Continuous Data Elements
Variable: DISCWT (Weight to ED Visits in AHA universe)
Moments
N 25702597 Sum Weights … Selected Continuous Data Elements
Variable: AGE (Age in years at admission)
Moments
N 25701561 Sum Weights … Continuous Data Elements
Variable: TOTCHG_ED (Total charge for ED services)
Moments
N 20393050 Sum Weights … of Location and Variability
Tests For Location
Quantiles
AGE
Moments
Basic Measures of Location … and Variability
Tests For Location
Quantiles
Missing Values
TOTCHG_ED
Moments
Basic Measures
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hcup-us.ahrq.gov/reports/methods/NIS_Comparison_Report_2001.pdf
January 01, 2001 - .............................................................................................6
NIS Weights … As a result, the NIS includes approximately 7.5 million
discharges from 984 hospitals, with weights … NIS Weights
Sample weights were developed for the NIS to obtain national estimates of the hospital … 25 diagnosis category comparisons revealed only a handful of
significant differences for any other measure … When other differences were observed, inconsistency was generally limited to one other
measure.
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hcup-us.ahrq.gov/reports/race/annotatedslidesforR_E_report2.jsp
May 01, 2016 - Procedure Classes for ICD-9-CM
Surgery Flags for ICD-9-CM
HCUP Supplemental Files
NIS-Trend Weights … Define benefits
Regulate professionals and facilities
Collect and report data
Set standards and measure … Slide 11
General Findings (cont'd)
Only slight variation in races/ethnicities included
Measures
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hcup-us.ahrq.gov/news/exhibit_booth/nrd_brochure.jsp
May 01, 2017 - Procedure Classes for ICD-9-CM
Surgery Flags for ICD-9-CM
HCUP Supplemental Files
NIS-Trend Weights … characteristics
Expected payer
Total charges
Discharge status
Length of stay
Severity and comorbidity measures