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  1. www.ahrq.gov/sites/default/files/publications/files/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.
  2. www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/about.html
    July 01, 2021 - They are based on medical records documentation and focus on the content of discharge instructions provided … Reporting Children/adolescents admitted to the hospital should have documentation in the medical record … Improvement Project’s (P-HIP) Hospital-to-Home Transitions Collaborative created an Excel Macro Medical Record
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Williams_115.pdf
    June 19, 2008 - The practice of blinding the patient records before transmitting them to the physicians for review … • Risk management concerns. 6 The RCHI staff members blind each patient record (i.e., redact … Therefore, all records transmitted to physician reviewers provide anonymity during peer review. … contains a summary of the patient case, the reason for referral, pertinent clinical question, medical record … After each record has been reviewed, the physician-moderator asks participants for a decision regarding
  4. www.ahrq.gov/ncepcr/communities/pbrn/registry/community-physicians-network.html
    January 01, 2012 - Facilitate Adoption and Implementation of Personal Health Records; d. … Encourage small and medium size practices in adoption of Electronic Medical Record ( EMR); e.
  5. www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-Sampling-Weighting-Synthetization-Methodologies.pdf
    December 01, 2023 - Strata consist of all records that shared the same submitting state. … reason nh – Initial sample size for domain Nh – Population size for domain Thus, every person record … These three-digit ZIP Codes without records only occurred in 14 states. … In the inpatient and outpatient files, each claims record includes a bundle of services and procedures … Further, for individuals who expired in a facility, a new ZIP Code was reassigned to the record. •
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
    March 15, 2004 - Initial Controls 2,810 records requested, 2,727 records received, and 2,701 records reviewed. … We received 2,727 records (97 percent). … A total of 2,701 records were fully abstracted. … Adverse events in British hospitals: preliminary retrospective record review. … Reliability of medical record review for estimating adverse event rates.
  7. www.ahrq.gov/talkingquality/measures/types.html
    July 01, 2015 - For example: Whether the health care organization uses electronic medical records or medication order
  8. www.ahrq.gov/sites/default/files/wysiwyg/topics/covid-19/long-covid-summit-report.pdf
    February 27, 2023 - of each Long COVID patient, patients described serving as their own de facto cross-system medical record … Convene Electronic Health Record Vendors An additional opportunity exists to convene electronic health … record vendors to address concerns that both patients and clinicians expressed about lack of access … to medical records and test results. … Listening to Clinicians and Patients: Opportunities for Action Convene Convene Electronic Health Record
  9. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-4.xlsx
    June 02, 2025 - N/A 1 Accurate ADHD Diagnosis All ADHD, date Initial dx active, date recorded Medical record … indicates ADHD diagnosis validation, DSM-IV criteria Medical record indicates diagnosis of … indicates ADHD diagnosis validation, functional impairment Medical record indicates assessment … NOT active ADHD medications NOT active, ADHD medications absent from the patient medical record … Patient education ISO 639-2 mg/g Patient Tracking Patient summary LOINC mL Personal Health Record
  10. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA116-Materials-II.pdf
    June 02, 2025 - Live-born neonates with birth weight of less than 2500 grams (as identified from either the medical record … Step 2: Record relevant attributes: a. Record ICD-9 comorbid diagnoses. … Record: i. Date and time of birth. ii. Birthweight. … Record FIPS if available vi. Evidence child received comfort care only (when appropriate). … Step 4: Identify and record: i. Time of first documented temperature taken ii.
  11. www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/techdocrpt-appe.pdf
    January 01, 2019 - Examples of manually matched health systems and MA records Health System or Subsystem Name MA Parent … The only cases in which a health system was matched to multiple MA records were cases in which the system … was matched to two or more records that had the same MA parent organization but different addresses … Matches of health systems to CMS MA records using MA parent organization name and address Health System … Matches of health systems to CMS MA records using MA organization marketing name and address Health
  12. Location-Release (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/location-release.docx
    July 01, 2024 - Contractor] (collectively known as the “Producer”) the permission, right, and license to photograph, record
  13. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/PBRN-webinar-series.pdf
    July 11, 2024 - Practice-Based Learning Network: PBRN Learning Series Practice-Based Learning Network PBRN Learning Series Managing and Growing an Established PBRN June 20, 2024: Join webinar panelists from a variety of PBRNs who share tips and examples from their own experience on topics such as PBRN business models, developi…
  14. www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Meeting-Release-form.docx
    July 01, 2024 - Participants I do hereby authorize AHRQ, assignees, successors, and those acting pursuant to its authority to: Record
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar3_pu_staffroles.pdf
    January 01, 2014 - • Use electronic health records. 23 Examples of Ongoing Work Processes • Conduct wound care and … Think about these issues: • What pressure ulcer risk factor data are already in the patient’s record … • What other data in the patient’s record can help you assess pressure ulcer risk factors? … • What is the most logical place in the patient’s record to collect/organize/assess pressure ulcer … Ongoing Work Processes Examples of Ongoing Work Processes Ongoing Work Processes With Electronic Records
  16. www.ahrq.gov/policymakers/chipra/demoeval/demostates/pa.html
    March 01, 2019 - Highlight No. 10:  How are CHIPRA quality demonstration States testing the Children's Electronic Health Record … Demonstrating the impact of a model electronic health record (EHR) format for children.  … initial core set of children's quality measures to report directly from patients' electronic health records … Furthermore, Pennsylvania is reporting the following two dental measures using claims data since dental records
  17. www.ahrq.gov/cahps/surveys-guidance/survey-methods-research/preparing-sample-files.html
    August 01, 2024 - to combine information from two (or more) sources, such as health plan or insurance administrative records
  18. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/chart-abstraction-instructions-aspirin.pdf
    June 02, 2025 - ☐ No – Exempt CASE FROM REVIEW Begin review of next patient chart ☐ Yes – Record as Denominator … ☐ Yes – Meets criteria for Numerator record as Numerator on spreadsheet ☐ No – Continue with review … ☐ Yes – Meets medical reason on review record as meets Exemption criteria on spreadsheet ☐ No – Continue … ☐ Yes – Meets medical reason on review record as meets Exemption criteria on review Begin review of … ☐ Yes – Meets exemption on review record as meets Exemption criteria on spreadsheet ☐ No – Continue
  19. www.ahrq.gov/sites/default/files/2024-07/weingart2-report.pdf
    January 01, 2024 - We completed 528 interviews of 229 adult medical inpatients and reviewed their medical records. … A limitation of large population-based studies of medical error is their reliance on medical record … We reviewed patients’ medical records as well as hospital incident reports. … We reviewed medical records for 3 months following their first MedCheck message. … of 20 adverse events and four (31%) of 13 potential adverse events were documented in the medical record
  20. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/chart-abstraction-tracking-form.pdf
    December 31, 2017 - ☐No – Continue to Part 2 ☐Yes – record denominator=1 and go to part 3 Part 2: Manually determine … Continue to determine if exception (X) exists ☐No – Blood pressure is not measured record numerator … ☐Yes – Meets criteria for Exception, record numerator=2 and move to next chart … ☐Yes – Meets criteria for Exception, record numerator=2 and move to next chart ☐No – Continue with … ☐Yes – Meets criteria for Exception, record numerator=2 and move to next chart ☐No – Doesn’t meet

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