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hcup-us.ahrq.gov/datainnovations/clinicaldata/MPinepresentation.pdf
September 22, 2010 - quality improvement initiatives
Must balance the need for data to support
accurate measurement of risk-adjusted … Screens high-risk conditions, elective surgical
procedures, and inpatient childbirth. … ICD-9-CM Codes
• Coma
• Severe Malnutrition
Abstracted Key Clinical Findings
The Bottom Line
Risk-Adjusted … U
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T
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es
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Observed vs Predicted Rates of True Complications
Bias Due to Failure to Risk-Adjust … PSI Models
Vital Signs, Other Lab Data, Scores
Abstracted Key Clinical Findings
Slide Number 42
Risk-Adjusted
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hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/CMR-User-Guide-v2025-1.pdf
November 01, 2024 - Identifying Increased Risk of Readmission
and In-hospital Mortality Using Hospital Administrative Data … and the risk of 30-day, all-cause readmissions
4. … of in-hospital
mortality and risk of 30-day, all-cause readmissions—to the user’s data. … o Updated the comorbidity indices for risk of in-hospital mortality and risk of 30-
day, all-cause readmissions … Index for Risk of In-Hospital Mortality
The development of the in-hospital mortality index used the
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn19.pdf
June 21, 2014 - Your Hospital gains
Comparative Analysis
Compare your risk-adjusted
outcomes to other hospitals … Decompensated
Heart Failure (ADHF)
Framework for other priority
initiatives such as: pay for
performance, risk-adjusted
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hcup-us.ahrq.gov/datainnovations/MNAbstractFinal.pdf
September 29, 2013 - The expanded dataset will support better
measurement of risk-adjusted clinical outcomes and comparative … The care and clinical
outcomes of subgroups of high interest patients (e.g., elderly, women, high-risk
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hcup-us.ahrq.gov/reports/statbriefs/sb53.pdf
June 01, 2008 - Unless otherwise noted, rates are adjusted by age, gender, age-gender interactions, or
diagnostic risk … Risk adjustment
Except for the death in low mortality DRGs and birth trauma-Cesarean delivery indicators … describe
the observed rate, the PSI rates used in this Statistical Brief were adjusted for select risk … Regression-based standardization (designed by the developers of the PSI software) was used for risk … Rates of patient safety events for obstetrical complications
among minorities relative to whites, risk
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hcup-us.ahrq.gov/db/vars/aprdrg_risk_mortality/nrdnote.jsp
August 01, 2015 - NRD Description of Data Elements
APRDRG_Risk_Mortality - All Patient Refined DRG: Risk … This severity measure includes the base APR-DRG, the severity of illness subclass, and the risk of mortality … Variable Description Value Value Description APRDRG_Risk_Mortality All Patient Refined DRG: Risk
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hcup-us.ahrq.gov/db/vars/aprdrg_risk_mortality/kidnote.jsp
September 01, 2008 - KID Description of Data Elements
APRDRG_Risk_Mortality - All Patient Refined DRG: Risk … This severity measure includes the base APR-DRG, the severity of illness subclass, and the risk of mortality … Variable Description Value Value Description APRDRG_Risk_Mortality All Patient Refined DRG: Risk
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hcup-us.ahrq.gov/db/vars/aprdrg_risk_mortality/nisnote.jsp
September 01, 2008 - NIS Description of Data Elements
APRDRG_Risk_Mortality - All Patient Refined DRG: Risk … This severity measure includes the base APR-DRG, the severity of illness subclass, and the risk of mortality … Variable Description Value Value Description APRDRG_Risk_Mortality All Patient Refined DRG: Risk
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hcup-us.ahrq.gov/datainnovations/clinicaldata/AdvisoryCouncilmeeting12032009_rev.pdf
December 31, 2007 - Information and Policy Analysis
3M HIS Data Analysis Approach
Since the analysis is based on
risk … Step 4: Determine the Effect of each Laboratory Data
Element on Risk of Mortality at the Overall … Laboratory Data to
Administrative Data on the Discriminatory Power of the
Admission APR DRG and Risk … The assignment of the admission base APR DRG, risk of
mortality subclass, is accomplished through … This study identifies key LOINC laboratory tests that are
relevant for an APR DRG risk of morality
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hcup-us.ahrq.gov/reports/statbriefs/sb4.pdf
May 01, 2006 - Alcohol Research & Health: Highlights from the Tenth Special
Report to Congress—Health Risks and Benefits
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hcup-us.ahrq.gov/reports/statbriefs/sb23.pdf
January 01, 2007 - Morbid obesity is recognized as a major public health issue that
contributes to serious health risks
-
hcup-us.ahrq.gov/reports/statbriefs/sb4.jsp
May 01, 2006 - Alcohol Research & Health: Highlights from the Tenth Special Report to Congress—Health Risks and Benefits
-
hcup-us.ahrq.gov/reports/statbriefs/sb124.pdf
January 01, 2012 - cephalosporins (such as cefotaxime and
ceftazidime), and fluoroquinolones are commonly-identified
high-risk … drugs.3 The elderly are at highest risk of developing
CDI.4 CDI is often associated with hospitalized … ―What Have We Learned about Antimicrobial Use and The
Risks for Clostridium difficile-Associated Diarrhoea … CDI patients had higher severity of illness scores, were at higher risk of major or extreme loss
of … function, and were at higher risk of mortality (table 1).
-
hcup-us.ahrq.gov/datainnovations/clinicaldata/florida.jsp
July 01, 2016 - determine which laboratory tests improved the 3M All Patient Refined-Diagnosis Related Grouper (APR-DRG) risk … adding selected clinical laboratory data elements to administrative data can improve the accuracy of risk-adjustment … Consulting Services to map laboratory values to standardized terminology and evaluated how a common risk-adjustment
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hcup-us.ahrq.gov/datainnovations/clinicaldata/lvback.jsp
July 01, 2016 - Administrative Data (High-Value Health Care Project, 2010)
Enhancement of Claims Data to Improve Risk … the American Medical Association)
Combining Administrative and Clinical Data to Stratify Surgical Risk … al, 2007 Journal of Patient Safety)
Modifying ICD-9-CM Coding of Secondary Diagnoses to Improve Risk-adjustment
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hcup-us.ahrq.gov/datainnovations/clinicaldata/Hospital_Recruitment_Letter_VA.pdf
August 01, 2009 - present on admission, key laboratory findings and vital signs on admission it was
possible to create risk-adjustment … Develop risk-adjusted cardiac care mortality information using enhanced data sets for
hospital use only … Develop risk-adjusted AHRQ patient safety and quality indicators using enhanced data
sets for hospital
-
hcup-us.ahrq.gov/toolssoftware/comorbidity/comorbidity.jsp
June 01, 2017 - Identifying increased risk of readmission and in-hospital mortality using hospital administrative data … Avoidable hospitalizations for diabetes: comorbidity risks. … Risk-adjusted mortality rates of elderly veterans with hip fractures. … Benzodiazepines and injury: a risk adjusted model. … Development of bariatric surgery-specific risk assessment tool.
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hcup-us.ahrq.gov/datainnovations/clinicaldata/AdvisoryCouncilmeeting12032009_rev.jsp
April 01, 2011 - End Diagram
Since the analysis is based on risk adjustment at the time of admission, the first recorded … Determining Where There is a Significant Relationship Between a Specific Laboratory Test Result and the Risk … Step 4: Determine the Effect of each Laboratory Data Element on Risk of Mortality at the Overall Patient … Effect of Each Laboratory Data Element on Risk of Mortality at the Overall Patient Level
Each clinical … determine its effect on the likelihood of dying and to determine if it should be used to alter the risk
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/data_collection.jsp
February 01, 2025 - outcomes, they also provide the ability to stratify the patient population on the basis of their clinical risk … High-risk individuals can then be targeted for disease management interventions. … Linking laboratory data to administrative data also provides more accurate risk adjustments and better … Some of the ways these linked data can be used are to track at-risk infants, guide immunization efforts
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hcup-us.ahrq.gov/toolssoftware/ccs/ccs.jsp
July 01, 2025 - Return to Contents
Examples of CCS tool Usage
The HCUP CCS tool is used in the risk adjustment … Risk factors for pressure ulcers in acute care hospitals. … Perioperative complications and mortality after spinal fusions: analysis of trends and risk factors. … Comorbidity risk-adjustment strategies are comparable among persons with hip fracture. … A Method for Assessing the Risk of Influenza Attributable Rehospitalization .