A5081550909- Healthcare Policy and Management
- Medical Malpractice and Liability Issues
- Medical Coding and Health Information
- Primary Care and Health Outcomes
- Healthcare cost, quality, practices
- Health Systems, Economic Evaluations, Quality of Life
- Chronic Disease Management Strategies
- Patient Satisfaction in Healthcare
- HIV/AIDS Research and Interventions
- Pneumocystis jirovecii pneumonia detection and treatment
- Cardiovascular Health and Disease Prevention
- Cerebrovascular and Carotid Artery Diseases
- Electronic Health Records Systems
- Global Health Care Issues
- Ethics in medical practice
- Intracranial Aneurysms: Treatment and Complications
- Housing, Finance, and Neoliberalism
- Global Public Health Policies and Epidemiology
- Patient Dignity and Privacy
- Radiology practices and education
- Healthcare Quality and Management
- Health Policy Implementation Science
- Healthcare Systems and Technology
- Food Security and Health in Diverse Populations
- Digital Imaging in Medicine
Mitre (United States)
2016-2019
Agency for Healthcare Research and Quality
1993-2014
United States Department of Health and Human Services
1992-1998
Office of Inspector General
1988-1992
Dartmouth College
1992
Dartmouth Hospital
1992
Health care databases provide a widely used source of data for health research, but their accuracy remains uncertain. We analyzed from the 1985 National DRG Validation Study, which carefully reabstracted and reassigned ICD-9-CM diagnosis procedure codes national sample 7050 medical records, to determine whether coding had improved since Institute Medicine studies 1970s assess current specific diagnoses procedures.We defined agreement as proportion all records that same principal or coded on...
Abstract Reimbursement of hospitals by Medicare under the prospective-payment system is based on patients' diagnoses as coded at discharge. During period October 1984 through March 1985, we studied accuracy coding for diagnosis-related groups (DRGs) in receiving reimbursement. We used a two-stage cluster method to sample 7050 medical records from 239 that were stratified according size. Using blinded techniques with reliability checks, medical-record specialists reabstracted International...
This article describes changes in the rate and outcome of carotid endarterectomies among Medicare beneficiaries.We analyzed International Classification Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes as shown on bills to calculate endarterectomy frequency, rate, perioperative mortality by patient demography hospital characteristics.After initially peaking at 61273 procedures (20.6 per 10000 beneficiaries) 1985, frequency beneficiaries declined 46571 (14.3 10000) 1989 then...
Hospital reimbursement by Medicare's prospective payment system depends on accurate identification and coding of inpatients' diagnoses procedures using the International Classification Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). A previous study showed that 20.8% +/- 0.5% (mean SE) hospital bills for 1985 contained errors changed their diagnosis related group (DRG) a significant 61.6% 1.3% overreimbursed hospitals. This DRG "creep" improperly increased net 1.9%, +308 million...
To measure the utilization and costs of pediatric human immunodeficiency virus (HIV)-related health care services.Cohort survey.Eight outpatient departments serving large numbers HIV-infected children in five standard metropolitan areas with high prevalence children.One hundred forty-one HIV-seropositive older than 15 months age or whose clinical conditions meet definition acquired syndrome (AIDS) at any who visited selected providers during second quarter 1991.None.Quarterly interview...
<h3>Background.</h3> —Hospital reimbursement by Medicare's prospective payment system depends on accurate identification and coding of inpatients' diagnoses procedures using the<i>International Classification Diseases, Ninth Revision, Clinical Modification (ICD-9-CM</i>). A previous study showed that 20.8%±0.5% (mean±SE) hospital bills for 1985 contained errors changed their diagnosis related group (DRG) a significant 61.6%±1.3% overreimbursed the hospitals. This DRG "creep" improperly...
Diagnosis related group (DRG) 129 consists exclusively of discharges having a principal diagnosis of<i>International Classification Diseases, Ninth Revision, Clinical Modification</i>code 427.5 (cardiac arrest). It excludes patients with more specific diagnoses (eg, myocardial infarction and arrhythmia) or admitted for different reason who subsequently experience cardiac arrest. This study used one-stage sample design to select all DRG from random hospitals, stratified by their annual number...
Abstract: The Clinical and Health Outcomes Initiative in Comparative Effectiveness (CHOICE) program, which includes 12 ongoing comparative effectiveness research (CER) trials funded by the Agency for Healthcare Research Quality under American Recovery Reinvestment Act of 2009, has had firsthand experience dealing with unique challenges conducting CER since started fall 2010. This paper will explore collective CHOICE program discuss common successes investigators have experienced United...
The 1986 False Claims Act Amendments authorize private citizens to sue on behalf of the U.S. government recover federal funds from fraudulent recipients. "relator" receives a share any proceeds successful lawsuit. Originally enacted because defense procurement scandals, this statute also applies payments for health care (for example, Medicare, Medicaid, Civilian Health and Medical Program Uniformed Services payments; veterans benefits; research grants). Physicians can expect qui tam...
Background.Elderly and minority patients have significantly higher rates of health care-associated infections (HAIs).For surgical in particular, the HAI risk increases dramatically with increasing age.The impact hospital characteristics on HAIs for this population, however, has not been widely researched.
Click to increase image sizeClick decrease size Notes Medical Officer, Agency for Health Care Policy and Research, U.S. Department of & Human Services. Address correspondence Dr. Hsia at 2101 East Jefferson Street, Rockville, MD 20852. The views presented in this article do not represent the policies any government agency. I am indebted Brian Rawdon Office Inspector General, Services Mark Kleiman Kennedy School Government, Harvard University their comments on article.
Medical Writings: Book Notes15 February 2005Medical Malpractice: A Physician's SourcebookDavid Hsia, JD, MD, MPHDavid MPHFrom U.S. Agency for Healthcare Research and Quality, Rockville, Maryland.Search more papers by this authorAuthor, Article, Disclosure Informationhttps://doi.org/10.7326/0003-4819-142-4-200502150-00026 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Sourcebook Anderson RE, ed. 300 pages....