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321. Select Health Care Quality Measures for a Consumer Report | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/measures/index.html
     January 01, 2020 - Understanding Data Sources : Learn about data available from administrative databases, medical records

322. Discussion | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/apcd/backgroundrpt/discuss.html
     April 01, 2017 - Claims data do not have details included in electronic health record data, including laboratory and biometric … not contain patient outcomes. 7 In this case, linking when possible to hospital administrative data records … , electronic health records, or State mortality data add data. 13-15 The data also may not capture bundled … researchers or other interested parties to assess the data against other data sources (e.g., mortality vital records

323. May 2025: National Action Alliance for Patient and Workforce Safety Webinar Chat Transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/implementing-cms-measure-chat-transcript.pdf
     May 01, 2025 - We suggest you make a note in your records. … time of attestation submission, it would be good to follow any internal best practice with respect to record … We suggest you make a note in your records. Thank you!

324. Sickle Cell Disease Measure 16: Appropriate Emergency Department Pain Assessment for Children With Sickle Cell Disease (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-scd-pain-specifications.pdf
     June 02, 2025 - Calculation This measure requires medical record data and is calculated as follows: The percentage … Use the earliest time stamp in the medical record. … Medical records for cases with ICD-9 code 282.49 should not be reviewed unless a diagnosis of Hb beta … Documentation in medical record must include, at a minimum, a note containing the time at which the pain … • Children with diagnosis in the sampled medical record indicating one of the sickle cell disease

325. Chart Abstraction Instructions –Smoking Cessation and Intervention (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/chart-abstraction-instructions-smoking-cessation.pdf
     June 02, 2025 - ☐ Yes – Meets criteria for Numerator record as Numerator on spreadsheet ☐ No – Numerator not met, … ☐ Yes – Meets criteria for Numerator record as Numerator on spreadsheet ☐ No – Continue to next question … ☐ Yes – Meets criteria for Numerator record as Numerator on spreadsheet ☐ No – Continue to next question … ☐ Yes – Meets criteria for Numerator record as Numerator on spreadsheet ☐ No – Continue to Part 4 … ☐ Yes – Meets medical reason on review record as meets Exemption criteria on spreadsheet ☐ No – Stop

326. Chapter 3. Data Collection and Analysis Using TRIPS | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man3.html
     December 01, 2017 - Importance of tracking Defining key indicators Data collection and analysis using the Tracking Record … The Tracking Record for Improving Patient Safety is the key tool used for measurement in the FMP, and … Tracking Record for Improving Patient Safety (TRIPS) A copy of the TRIPS form should be completed … The nurse will write in the resident's name, medical record number, date the incident occurred and time … The last 3 items ask if the appropriate actions were documented on the medical record and plan of care

327. HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find2.html
     December 01, 2012 - facility for the mentally retarded (ICF-MR), or relevant diagnosis codes on inpatient or HCBS service records … use of an inpatient psychiatric facility, or relevant diagnosis codes on inpatient or HCBS service records

328. Tables 11-14 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-section-7.pdf
     June 02, 2025 - 0.1 (0.2) 80.4 (15.9) 2.6 (1.4) 3.8 (5.9) Subset with CT and abstracted medical record … 0.1 (0.4) 80.2 (17.3) 2.5 (1.4) 3.8 (6.0) Subset with MRI and abstracted medical record … + Among the subset of children who had a CT scan and abstracted medical record (n=124), information … + Among the subset of children who had a CT scan and abstracted medical record (n=124), information … (n=124)+ Subset with MRI and abstracted medical record (n=64)++ $73,094 $29,973

329. CHIPRA 213: Section 2 Technical Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-section-2-tech-specs.pdf
     June 02, 2025 - This measure requires medical record data and is calculated as follows: The percentage of eligible … measurement year Event/Diagnosis Diagnosed with Sickle Cell Anemia as documented in the medical record … Medical records for cases with ICD-9 code 282.49 should not be reviewed unless a diagnosis of Hb beta … Documentation in medical record must include, at a minimum, a note containing the date on which verbal … • Children with diagnosis in the sampled medical record indicating one of the sickle cell disease

330. How To Learn About the Audience for a Health Care Quality Report | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/plan/your-audience/learn-about.html
     July 01, 2011 - If you're an employer, for example, employee records can reveal a great deal about the demographics of

331. Chipra118-Materials Ii (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA118-Materials_II.pdf
     June 02, 2025 - Medical record (paper or electronic), may be utilized to identify: i. … Step 3: Record relevant attributes: a. Record ICD-9 comorbid diagnoses. … Record: i. Date and time of birth. ii. Birthweight. iii. 5 minute Apgar score iv. … Step 5: Identify and record: i. … of the initial temperature record the following as the ALTERNATE temperature: i.

332. OpenNotes: Giving Patients Access to Medical Notes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/opennotes-2.pdf
     April 01, 2016 - OpenNotes is a tool that gives patients access to their medical records so they can read encounter notes … It’s the right thing to do—it’s the patient’s record.

333. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/execsumm.html
     October 01, 2015 - Electronic health records: Having strong existing infrastructure, especially electronic health records

334. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/grants-transform/executive-summary.html
     March 01, 2017 - Electronic health records: Having strong existing infrastructure, especially electronic health records

335. Primary (Care) Practices Research Network | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/communities/pbrn/registry/primary-care-practices-research-network.html
     August 09, 2013 - All PPRNet practices use Electronic Health Records (EHR) and many long-time members were pioneers in

336. Introducing Electronic Screening Tools for Developmental Delay and Autism into Pediatric Primary Care: Effects on Screening Documentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/Natzke-presentation.pdf
     December 01, 2015 - for screening – Delays in scoring and interpretation – Failure to document screening in health records … Control and Prevention (CDC) study (2008–2010) – Partially electronic method – Electronic health records

337. Wen, Kuang-Yi | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/training-grants/grants/active/kawards/kawdsumwen.html
     October 01, 2014 - integrating within a patient portal called "MyHealthPortal," personal information from an electronic medical record … Users will be provided with tools that are integrated with their personal medical records to learn about

338. Final Progress Report: Mining complex clinical data for patient safety research (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/hripcsak-report.pdf
     January 01, 2024 - processing; data mining; cognitive analysis; terminology; case-based reasoning; electronic health records … , although some near misses might be inferred from evidence in the record. … Conflicts in the record We detected conflicts in the medical record that might possibly signal that … We culled a subset of the inpatient records for the years 1990-1999 when patients were discharged with … We manually reviewed the discharge summaries and signout notes for a random sample of these records

339. Chapter 6. Measure Maps and Profiles (continued, 21) | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6t.html
     June 01, 2014 - Timely Transmission of Transition Record Care Coordination Measure Mapping Table   Measurement … Timely Transmission of Transition Record Purpose: To measure the percentage of patients, regardless … age, discharged from an inpatient facility to home or any other site of care, for whom a transition record … Source: This process measure requires administrative claims data and data collected from the medical record … Measure #57 Reconciled Medication List Received by Discharged Patients; and Measure #58, Transition Record

340. Toolkit for the System Approach to Tracking and Increasing Screening for Public Health Improvement of Colorectal Cancer Intervention (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/crctoolkit/crctoolkit.pdf
     December 01, 2010 - Execute initial electronic record review 3.a-1. … Conduct “evidence of screening” electronic record review 5.a-1. … Such records can include claims records, billing records, electronic medical or health records, and … , because records may not be up to date for patients. …  Arrange lab record review.