-
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
-
hcup-us.ahrq.gov/datainnovations/clinicaldata/FL25LOINCMaintenance.jsp
October 25, 2010 - Procedure Classes for ICD-9-CM
Surgery Flags for ICD-9-CM
HCUP Supplemental Files
NIS-Trend Weights … Supplemental Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality … the following:
From non-chartable to chartable
Name change
Specimen requirements
Units of measure … Changing or adding a unit of measure can affect the property and scale attributes.
2e. … Search
Agency for Healthcare Research and Quality
5600 Fishers Lane Rockville, MD
-
hcup-us.ahrq.gov/datainnovations/clinicaldata/RealTimeLOINCTranslationPoster.jsp
July 01, 2016 - Procedure Classes for ICD-9-CM
Surgery Flags for ICD-9-CM
HCUP Supplemental Files
NIS-Trend Weights … and secondary usage in chronic disease management, reporting infectious disease, reporting hospital measures … Specimen
System
Result Display
Analyte
System
Timing
Property
Units of Measure … Quality databases, outcomes studies, infectious disease reporting all benefit from standardized data. … Search
Agency for Healthcare Research and Quality
5600 Fishers Lane Rockville, MD
-
hcup-us.ahrq.gov/reports/statbriefs/sb36.pdf
August 01, 2007 - The Agency for Healthcare Research
and Quality (AHRQ)’s Prevention Quality Indicators (PQIs) are used … Prevention Quality Indicators
The Prevention Quality Indicators (PQIs) are part of a set of AHRQ Quality … The
PQIs are a set of measures that can be used with hospital inpatient discharge data to identify quality … admission rate measures for pediatric asthma and pediatric gastroenteritis. … Diagnoses and ICD-9-CM
PQI admission rates are based on principal diagnosis for all measures except
-
hcup-us.ahrq.gov/datainnovations/clinicaldata/Finalreport100109.jsp
July 01, 2016 - Procedure Classes for ICD-9-CM
Surgery Flags for ICD-9-CM
HCUP Supplemental Files
NIS-Trend Weights … (AHRQ) for a pilot project to study new ways to enhance hospital quality measures. … Michael Pine’s experience working in research and development of risk-adjusted quality measures specifically … indicator (IQI) measures could be refined to a higher level of validity. … measures.
-
hcup-us.ahrq.gov/reports/methods/2006_9.pdf
January 01, 2006 - Contact Information:
Healthcare Cost and Utilization Project (HCUP)
Agency for Healthcare Research and Quality … Agency for Healthcare Research and
Quality. … As a result, the NIS includes approximately 8.0 million
discharges from 994 hospitals, with weights … Healthcare Cost and Utilization Project (HCUP) and funded by the
Agency for Healthcare Research and Quality … Agency for Healthcare Research and Quality (2006).
-
hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/ny8.jsp
August 01, 2014 - Procedure Classes for ICD-9-CM
Surgery Flags for ICD-9-CM
HCUP Supplemental Files
NIS-Trend Weights … Supplemental Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality … LOINC codes for the tests OR provide some information about the tests as performed (specimen, units of measure … just specimen and method would be needed to supplement the data elements usually returned (unit of measure … Search
Agency for Healthcare Research and Quality
5600 Fishers Lane Rockville, MD
-
hcup-us.ahrq.gov/datainnovations/clinicaldata/3MSummaryResultsReportFinal.jsp
October 03, 2010 - Procedure Classes for ICD-9-CM
Surgery Flags for ICD-9-CM
HCUP Supplemental Files
NIS-Trend Weights … Rate ROM 3
Impact Measure ROM 3
Occurrence ROM 4
Mortality Rate ROM 4
Impact Measure ROM 4 … Appendix G
Model Validation Statistics
Reduction of Variance
The reduction of variance (R 2 ) measures … R 2 ranges between zero and one and measures the fraction of variation explained by the APR DRGs. … The c-statistic measures how well the APR DRG system discriminates between patients who lived and those
-
hcup-us.ahrq.gov/datainnovations/clinicaldata/AHRQFINALREPORTVHI.jsp
July 01, 2016 - Procedure Classes for ICD-9-CM
Surgery Flags for ICD-9-CM
HCUP Supplemental Files
NIS-Trend Weights … expert in operations research and health outcomes measurement was involved in helping design systems to measure … All potential variables will be ranked on two scales: one for potential utility and a second for ease … As of July 31, 2009, VHI has applied 15 POA data screens, developed to measure the quality of POA coding … , both for AHRQ and other quality measures?
-
hcup-us.ahrq.gov/reports/methods/Comparison_Report_NIS21993Final.pdf
April 03, 1997 - Information:
Healthcare Cost and Utilization Project (HCUP)
Agency for Healthcare Research and Quality … Agency for Healthcare Research and Quality. … For example, with these weights it should be possible to estimate DRG-specific
average lengths of stay … All NIS statistics used sample weights and accounted for the sample design using the SUDAAN
microcomputer … Comparison with AHA Data
Table 11 demonstrates that hospital weights associated with the NIS yield
-
hcup-us.ahrq.gov/db/ccr/ed-ccr/ED_CCR_User_Guide_External_2012-2022.pdf
January 01, 2022 - All other CD-SEDD States that permit release of the CCR measures are included in the
CCR for CD-SEDD … A proxy
measure, the ratio of interns and residents per bed, was tested in regression analyses, and … a Excludes States that did not permit AHRQ to release their CCR measures. … estimates relied on
CCRs calculated from the cost reports and were integral to creation of DRG “relative weights … DRGs (see Pettengill and Vertrees, 1982, for
a discussion of initial development of DRGs and relative weights
-
hcup-us.ahrq.gov/db/ccr/ed-ccr/ED-CCR-User-Guide_Public_FINAL.pdf
October 01, 2022 - All other CD-SEDD States that permit release of the CCR measures are included in the
CCR for CD-SEDD … A proxy
measure, the ratio of interns and residents per bed, was tested in regression analyses, and … Three States—Iowa, Minnesota,
and Nebraska—release their CCR measures in separate, State-specific files … estimates relied on
CCRs calculated from the cost reports and were integral to creation of DRG “relative weights … DRGs (see Pettengill and Vertrees, 1982, for
a discussion of initial development of DRGs and relative weights
-
hcup-us.ahrq.gov/db/ccr/ed-ccr/EDCCR-UserGuide-2012-2019.pdf
January 01, 2019 - All other CD-SEDD States that permit release of the CCR measures are included in the
CCR for CD-SEDD … A proxy
measure, the ratio of interns and residents per bed, was tested in regression analyses, and … a Excludes States that did not permit AHRQ to release their CCR measures. … estimates relied on
CCRs calculated from the cost reports and were integral to creation of DRG “relative weights … DRGs (see Pettengill and Vertrees, 1982, for
a discussion of initial development of DRGs and relative weights
-
hcup-us.ahrq.gov/db/ccr/ed-ccr/ED_CCR_User_Guide_External_2012-2021.pdf
January 01, 2021 - All other CD-SEDD States that permit release of the CCR measures are included in the
CCR for CD-SEDD … A proxy
measure, the ratio of interns and residents per bed, was tested in regression analyses, and … a Excludes States that did not permit AHRQ to release their CCR measures. … estimates relied on
CCRs calculated from the cost reports and were integral to creation of DRG “relative weights … DRGs (see Pettengill and Vertrees, 1982, for
a discussion of initial development of DRGs and relative weights
-
hcup-us.ahrq.gov/db/ccr/ed-ccr/ED_CCR_User_Guide_External_2012-2020.pdf
January 01, 2020 - All other CD-SEDD States that permit release of the CCR measures are included in the
CCR for CD-SEDD … A proxy
measure, the ratio of interns and residents per bed, was tested in regression analyses, and … Three States—Iowa, Minnesota,
and Nebraska—release their CCR measures in separate, State-specific files … estimates relied on
CCRs calculated from the cost reports and were integral to creation of DRG “relative weights … DRGs (see Pettengill and Vertrees, 1982, for
a discussion of initial development of DRGs and relative weights
-
hcup-us.ahrq.gov/reports/methods/Comparison_Report_NIS11988-92Final.pdf
July 11, 1996 - Information:
Healthcare Cost and Utilization Project (HCUP)
Agency for Healthcare Research and Quality … Agency for Healthcare Research & Quality. … For example, with these weights it should be possible to estimate DRG-specific
average lengths of stay … Comparison with AHA Data
Table 18 demonstrates that hospital weights associated with the NIS yield … For example, the estimate of ALOS would put
less weight on the South than the current set of weights
-
hcup-us.ahrq.gov/news/exhibit_booth/hcup_fact_sheet.jsp
April 01, 2022 - Procedure Classes for ICD-9-CM
Surgery Flags for ICD-9-CM
HCUP Supplemental Files
NIS-Trend Weights … Structure
(HMS) Files, American Hospital Association (AHA) Linkage Files, and NIS and KID Trend Weights … AHRQ Quality Indicators (QIs) are measures of healthcare quality associated with processes of … The AHRQ QIs consist of four modules measuring various
aspects of quality: Prevention Quality … Pediatric Quality Indicators (PDIs).
-
hcup-us.ahrq.gov/reports/methods/2005_03_del_379.pdf
January 01, 2005 - Information:
Healthcare Cost and Utilization Project (HCUP)
Agency for Healthcare Research and Quality … Agency for Healthcare Research and Quality. … As a result, the NIS includes approximately 7.8 million
discharges from 984 hospitals, with weights … Healthcare Cost and Utilization Project (HCUP) and funded by the
Agency for Healthcare Research and Quality … When other differences were observed, inconsistency was generally limited to one other
measure.
-
hcup-us.ahrq.gov/tech_assist/loadandcheck/508_course/508course_2019.jsp
January 01, 2019 - Procedure Classes for ICD-9-CM
Surgery Flags for ICD-9-CM
HCUP Supplemental Files
NIS-Trend Weights … Severity Measures File , a single file containing additional data elements to aid in identifying the … Severity Measures File , a single file containing additional data elements to aid in identifying the … The hospital-level file includes the Hospital Weights File , a single file including information on … Severity Measures File , a single file containing additional data elements to aid in identifying the
-
hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or34.jsp
August 01, 2014 - Procedure Classes for ICD-9-CM
Surgery Flags for ICD-9-CM
HCUP Supplemental Files
NIS-Trend Weights … Supplemental Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality … report
AI/ANs misclassified more frequently than other races/ethnicities
Net result: mortality measures … Agency for Healthcare Research and Quality, Rockville, MD. www.hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit … Search
Agency for Healthcare Research and Quality
5600 Fishers Lane Rockville, MD