-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-technicalspecs.pdf
October 16, 2019 - The simple febrile seizure must be diagnosed on
the day of or within 30 days of imaging. … Exclusions
Denominator Exclusions
• Exclusions based on ICD-9-CM codes captured in administrative … febrile seizure diagnosis and imaging study
• Exclusions based on clinical documentation:
o Afebrile … Neurologic exam NOT documented between the time of diagnosis and the
time of imaging
Numerator Exclusions … • Exclusions based on clinical documentation:
o Complex febrile seizure
o Lumbar puncture (spinal
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-technicalspecs.pdf
October 16, 2019 - The simple febrile seizure must be diagnosed on
the day of or within 30 days of imaging. … Exclusions
Denominator Exclusions
• Exclusions based on ICD-9-CM codes captured in administrative … febrile seizure diagnosis and imaging study
• Exclusions based on clinical documentation:
o Afebrile … Neurologic exam NOT documented between the time of diagnosis and the
time of imaging
Numerator Exclusions … • Exclusions based on clinical documentation:
o Complex febrile seizure
o Lumbar puncture (spinal
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-technicalspecs.pdf
October 16, 2019 - The simple febrile seizure must be diagnosed on
the day of or within 30 days of imaging. … Exclusions
Denominator Exclusions
• Exclusions based on ICD-9-CM codes captured in administrative … febrile seizure diagnosis and imaging study
• Exclusions based on clinical documentation:
o Afebrile … Neurologic exam NOT documented between the time of diagnosis and the
time of imaging
Numerator Exclusions … • Exclusions based on clinical documentation:
o Complex febrile seizure
o Lumbar puncture (spinal
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-technicalspecs.pdf
October 16, 2019 - The simple febrile seizure must be diagnosed on
the day of or within 30 days of imaging. … Exclusions
Denominator Exclusions
• Exclusions based on ICD-9-CM codes captured in administrative … febrile seizure diagnosis and imaging study
• Exclusions based on clinical documentation:
o Afebrile … Neurologic exam NOT documented between the time of diagnosis and the
time of imaging
Numerator Exclusions … • Exclusions based on clinical documentation:
o Complex febrile seizure
o Lumbar puncture (spinal
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-technicalspecs.pdf
October 16, 2019 - The simple febrile seizure must be diagnosed on
the day of or within 30 days of imaging. … Exclusions
Denominator Exclusions
• Exclusions based on ICD-9-CM codes captured in administrative … febrile seizure diagnosis and imaging study
• Exclusions based on clinical documentation:
o Afebrile … Neurologic exam NOT documented between the time of diagnosis and the
time of imaging
Numerator Exclusions … • Exclusions based on clinical documentation:
o Complex febrile seizure
o Lumbar puncture (spinal
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-technicalspecs.pdf
October 16, 2019 - The simple febrile seizure must be diagnosed on
the day of or within 30 days of imaging. … Exclusions
Denominator Exclusions
• Exclusions based on ICD-9-CM codes captured in administrative … febrile seizure diagnosis and imaging study
• Exclusions based on clinical documentation:
o Afebrile … Neurologic exam NOT documented between the time of diagnosis and the
time of imaging
Numerator Exclusions … • Exclusions based on clinical documentation:
o Complex febrile seizure
o Lumbar puncture (spinal
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-technicalspecs.pdf
October 16, 2019 - The simple febrile seizure must be diagnosed on
the day of or within 30 days of imaging. … Exclusions
Denominator Exclusions
• Exclusions based on ICD-9-CM codes captured in administrative … febrile seizure diagnosis and imaging study
• Exclusions based on clinical documentation:
o Afebrile … Neurologic exam NOT documented between the time of diagnosis and the
time of imaging
Numerator Exclusions … • Exclusions based on clinical documentation:
o Complex febrile seizure
o Lumbar puncture (spinal
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-technicalspecs.pdf
October 16, 2019 - The simple febrile seizure must be diagnosed on
the day of or within 30 days of imaging. … Exclusions
Denominator Exclusions
• Exclusions based on ICD-9-CM codes captured in administrative … febrile seizure diagnosis and imaging study
• Exclusions based on clinical documentation:
o Afebrile … Neurologic exam NOT documented between the time of diagnosis and the
time of imaging
Numerator Exclusions … • Exclusions based on clinical documentation:
o Complex febrile seizure
o Lumbar puncture (spinal
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-tables12-15.pdf
October 16, 2019 - Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Tables 12 - 15
Table … 12.5)
0.2 (0.6)
75.1 (18.7)
3.2 (2.2)
5.4 (7)
Subset following
claims
denominator
exclusions … Eligible children who had a febrile seizure (n=458)* 13.7 (15.8)
Subset following claims denominator exclusions … $26,544
$49,528
$65,067
$83,733
$177,440
Subset following
claims denominator
exclusions … *
82.0
31.1
0
78.7
99.1
100
100
Subset following
claims denominator
exclusions
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-tables12-15.pdf
October 16, 2019 - Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Tables 12 - 15
Table … 12.5)
0.2 (0.6)
75.1 (18.7)
3.2 (2.2)
5.4 (7)
Subset following
claims
denominator
exclusions … Eligible children who had a febrile seizure (n=458)* 13.7 (15.8)
Subset following claims denominator exclusions … $26,544
$49,528
$65,067
$83,733
$177,440
Subset following
claims denominator
exclusions … *
82.0
31.1
0
78.7
99.1
100
100
Subset following
claims denominator
exclusions
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-tables12-15.pdf
October 16, 2019 - Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Tables 12 - 15
Table … 12.5)
0.2 (0.6)
75.1 (18.7)
3.2 (2.2)
5.4 (7)
Subset following
claims
denominator
exclusions … Eligible children who had a febrile seizure (n=458)* 13.7 (15.8)
Subset following claims denominator exclusions … $26,544
$49,528
$65,067
$83,733
$177,440
Subset following
claims denominator
exclusions … *
82.0
31.1
0
78.7
99.1
100
100
Subset following
claims denominator
exclusions
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-tables12-15.pdf
October 16, 2019 - Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Tables 12 - 15
Table … 12.5)
0.2 (0.6)
75.1 (18.7)
3.2 (2.2)
5.4 (7)
Subset following
claims
denominator
exclusions … Eligible children who had a febrile seizure (n=458)* 13.7 (15.8)
Subset following claims denominator exclusions … $26,544
$49,528
$65,067
$83,733
$177,440
Subset following
claims denominator
exclusions … *
82.0
31.1
0
78.7
99.1
100
100
Subset following
claims denominator
exclusions
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-tables12-15.pdf
October 16, 2019 - Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Tables 12 - 15
Table … 12.5)
0.2 (0.6)
75.1 (18.7)
3.2 (2.2)
5.4 (7)
Subset following
claims
denominator
exclusions … Eligible children who had a febrile seizure (n=458)* 13.7 (15.8)
Subset following claims denominator exclusions … $26,544
$49,528
$65,067
$83,733
$177,440
Subset following
claims denominator
exclusions … *
82.0
31.1
0
78.7
99.1
100
100
Subset following
claims denominator
exclusions
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-tables12-15.pdf
October 16, 2019 - Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Tables 12 - 15
Table … 12.5)
0.2 (0.6)
75.1 (18.7)
3.2 (2.2)
5.4 (7)
Subset following
claims
denominator
exclusions … Eligible children who had a febrile seizure (n=458)* 13.7 (15.8)
Subset following claims denominator exclusions … $26,544
$49,528
$65,067
$83,733
$177,440
Subset following
claims denominator
exclusions … *
82.0
31.1
0
78.7
99.1
100
100
Subset following
claims denominator
exclusions
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-tables12-15.pdf
October 16, 2019 - Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Tables 12 - 15
Table … 12.5)
0.2 (0.6)
75.1 (18.7)
3.2 (2.2)
5.4 (7)
Subset following
claims
denominator
exclusions … Eligible children who had a febrile seizure (n=458)* 13.7 (15.8)
Subset following claims denominator exclusions … $26,544
$49,528
$65,067
$83,733
$177,440
Subset following
claims denominator
exclusions … *
82.0
31.1
0
78.7
99.1
100
100
Subset following
claims denominator
exclusions
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-tables12-15.pdf
October 16, 2019 - Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Tables 12 - 15
Table … 12.5)
0.2 (0.6)
75.1 (18.7)
3.2 (2.2)
5.4 (7)
Subset following
claims
denominator
exclusions … Eligible children who had a febrile seizure (n=458)* 13.7 (15.8)
Subset following claims denominator exclusions … $26,544
$49,528
$65,067
$83,733
$177,440
Subset following
claims denominator
exclusions … *
82.0
31.1
0
78.7
99.1
100
100
Subset following
claims denominator
exclusions
-
qualityindicators.ahrq.gov/Downloads/ICD10/PQI%2005%20COPD%20or%20Asthma%20in%20Older%20Adults%20Admission%20Rate.xlsx
January 01, 2005 - COPD (excluding acute bronchitis) diagnosis codes
ICD-9-CM Description ICD-10-CM Description
491.0 Simple … chronic bronchitis J41.0 Simple chronic bronchitis
491.1 Mucopurulent chronic bronchitis J41.1 Mucopurulent … chronic bronchitis
491.20 Obstructive chronic bronchitis without exacerbation J41.8 Mixed simple and … in Older Adults Admission Rate
www.qualityindicators.ahrq.gov &P of &N
November 2013
Numerator Exclusions … #5 Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate
NUMERATOR EXCLUSIONS
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-192-fullreport.pdf
November 01, 2019 - Numerator Exclusions
Exclusions based on clinical documentation:
• Complex febrile seizure. … Denominator Exclusions
Exclusions based on ICD-9-CM codes captured in administrative claims data: … Exclusions based on clinical documentation:
• Afebrile seizure. … In total, 191 charts were reviewed for the presence of denominator exclusions that were not
present … Some denominator exclusions cannot reliably be identified using
administrative claims.
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-192-fullreport.pdf
November 01, 2019 - Numerator Exclusions
Exclusions based on clinical documentation:
• Complex febrile seizure. … Denominator Exclusions
Exclusions based on ICD-9-CM codes captured in administrative claims data: … Exclusions based on clinical documentation:
• Afebrile seizure. … In total, 191 charts were reviewed for the presence of denominator exclusions that were not
present … Some denominator exclusions cannot reliably be identified using
administrative claims.
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-192-fullreport.pdf
November 01, 2019 - Numerator Exclusions
Exclusions based on clinical documentation:
• Complex febrile seizure. … Denominator Exclusions
Exclusions based on ICD-9-CM codes captured in administrative claims data: … Exclusions based on clinical documentation:
• Afebrile seizure. … In total, 191 charts were reviewed for the presence of denominator exclusions that were not
present … Some denominator exclusions cannot reliably be identified using
administrative claims.