Hcup databases, tools, and software inform decision making at the national, state, and. Hospitalspecific total joint arthroplasty casemix and. Multimorbidity is associated with higher healthcare resource utilization, but we lack data on the association of specific combinations of comorbidities with healthcare resource utilization. The elixhauser comorbidity software for icd10cm is one of the hcup tools that can be applied to hcup and other similar databases. Ahrq comorbidity software was used to generate binary variables that identify 29 comorbidities in discharge records using icd9cm codes. Faqs hcup databases hcup central distributor hcup publishing. All adults empaneled in 2009 and 2010 n 83,187 in a primary care practice were studied. The ahrq quality indicators qis software is designed to read hospital administrative discharge data that generally conforms to hcup specifications, in which each hospitalization is reported on a single record. Ahrq releases hcup facts and figures report with 2009 hospital inpatient data ahrq has released the fifth annual edition of the hcup facts and figures report. Healthcare cost and agency for healthcare utilization.
A free powerpoint ppt presentation displayed as a flash slide show on id. The purpose of the study is to evaluate and compare the outcomes in stemi patients who underwent cabg within the various time intervals within the first 7 days of either emergent or urgent hospital admission. Less than 50 0 points 51 to 60 1 point 61 to 70 2 points 71 to 80 2 points 81 and above 4 points comorbidity software is one in a family of databases and software tools developed as part of the healthcare cost and utilization project hcup, a federalstateindustry partnership sponsored by the agency for healthcare research and quality. Hcup also increases the quality and use of healthcare data. On april 23, 2014, statalist moved from an email list to a forum, based at. The healthcare cost and utilization project hcup, pronounced hcup is a family of healthcare databases and related software tools and products from the united states that is developed through a federalstateindustry partnership and sponsored by the. Hcup databases, tools, and software inform decision making at the national, state, and community levels. Dementia including alzheimers disease prepared for. The comorbidity software is a tool that assigns variables to identify comorbidities in hospital discharge records using diagnosis coding from the international classification of diseases, 9th revision, clinical modification icd9cm.
We use the modified cms drg collapsing with and without comorbid. The national formerly termed nationwide inpatient sample is part of the hcup, sponsored by the agency for healthcare research and quality ahrq. Ahrq researchers evaluated existing measures of adverse events, searched the international classification of diseases, ninth revision, clinical. Hitchcock medical center department of orthopaedics.
Hospitals were categorized into those with a decreased, stable with a 5% buffer, or increased percentage of comorbidity free patients charlsondeyo 0 between 2011 and 2016. A new elixhauserbased comorbidity summary measure to. The growing availability of electronic health records ehrs in the us could provide researchers with a more detailed and clinically relevant alternative to using claimsbased data. You should try to use this instead of the deprecated deyo, elixhauser, and ahrq functions. Comorbidities calculator for r using icd9 and icd10 based scores gforgecomorbidities. Unweighted, it contains data from more than 7 million. Predicting inhospital mortality in patients undergoing. Healthcare cost and utilization project hcup agency for. Truven health analytics marketscan research databases were accessed to identify individuals 18 years of age, continuously insured between 2006 and 2010, with at least one diagnosis code for. The national nationwide inpatient sample nis is part of a family of databases and software tools developed for the healthcare cost and utilization project hcup.
In our study, we assessed 4 commonly used risk adjustment measures. Mar 09, 2020 healthcare cost and utilization project hcup, pronounced hcup the healthcare cost and utilization project hcup, pronounced hcup is a family of health care databases and related software tools and products developed through a federalstateindustry partnership and sponsored by the agency for healthcare research and quality ahrq. We used icd9 and clinical classification software ccs of diseases codes to determine comorbidities, inhospital procedures and outcomes. Adjusted clinical groups acgs, hierarchical condition categories hccs, elder risk assessment, chronic comorbidity count, charlson comorbidity index. It provides access to health statistics and information on hospital inpatient and emergency department utilization. Sep 15, 2015 the growing availability of electronic health records ehrs in the us could provide researchers with a more detailed and clinically relevant alternative to using claimsbased data. Seventeen deyocharlson clinical comorbidities were also assessed using icd9cm codes. Healthcare cost and utilization project health care. Burden of illness and comorbidity in narcolepsy with.
Department of health and human services 540 gaither road rockville, md 20850. Hcup databases are derived from administrative data and contain encounterlevel, clinical and nonclinical information including all. Agency for healthcare research and quality ahrq, center for delivery, organization, and markets, healthcare cost and utilization project hcup, national inpatient sample nis, 2012 on average, mental and substance use disorder diagnoses involved longer stays but lower average costs compared with all other types of inpatient stays. Introduction to the hcup nationwide inpatient sample nis 2007 internet. Adjusted clinical groups acgs, hierarchical condition categories hccs, elder risk assessment, chronic comorbidity count, charlson comorbidity index, and minnesota health care home tiering. If you use another directory or drive, this code must be changed. Riskstratification methods for identifying patients for. Hcup databases are derived from administrative data and contain encounterlevel, clinical and nonclinical information including alllisted diagnoses and procedures, discharge status, patient demographics, and charges for all patients, regardless of payer e. Ppt ahrq quality indicators powerpoint presentation free. Date prev date next thread prev thread next date index thread index. Hcup databases are derived from administrative data and contain encounterlevel, clinical and nonclinical information including alllisted diagnoses and procedures, discharge status.
Ahrq healthcare horizon scanning system potential highimpact interventions report priority area 05. Delay in coronary artery bypass grafting for stemi patients. Ahrq has released new information in hcup fast stats. Impact of patient safety indicators on readmission. Healthcare cost and utilization project hcup databases. Comorbidity burden was estimated by the charlsondeyo index. Positive evidence for a comorbidity required a positive or exempt poa status accompanying the diagnosis code. Hospitals were categorized into those with a decreased, stable with a 5% buffer, or increased percentage of comorbidityfree patients charlsondeyo. The elixhauser comorbidity software is one in a family of databases and software tools developed as part of the healthcare cost and utilization project hcup, a federalstateindustry partnership sponsored by the agency for healthcare research and quality. Hcup methods series comorbidity software documentation.
We performed a multicentre retrospective cohort study. Martin, phd geisel school of medicine at dartmouth dartmouth. Best definitions of multimorbidity to identify patients with. Predictive accuracy of 29comorbidity index for in hospital. Ahrq healthcare horizon scanning system potential highimpact interventions report priority area 04. A comparison of a multistate inpatient ehr database to the. Hcupnet is a free, online query system based on data from the healthcare cost and utilization project hcup. Ahrq healthcare horizon scanning system potential highimpact. The spring 2020 enews is now available clinical classifications software refined ccsr for icd10cm diagnoses, v2020. Depression and other mental health disorders prepared for. Positive evidence for a comorbidity required a positive or. There was both overlap and additive value in comparing the ahrq and deyocharlson comorbidities.
Overview of hcup online hcup overview course frequently asked questions. The authors used the nationwide inpatient sample nis 15 from 2011 to 20 to perform an epidemiologic study of the surgical patterns for proximal humerus fractures among patients 65. The correlation between these icd9cm codes and the definition combining these codes with the ahrq hf comorbidity was 99. We aimed to identify the combinations of comorbidities associated with high healthcare resource utilization among multimorbid medical inpatients. Ahrq researchers evaluated existing measures of adverse events, searched the international classification of diseases, ninth revision, clinical modification icd9cm for promising diagnosis.
Ahrq quality indicators developed by stanforducsf evidence based practice center funded by the agency for healthcare research and quality epc team psi development a free powerpoint ppt presentation displayed as a flash slide show on id. Ahrq and the hcup classification software elixhauser comorbidity software, clinical classification software timeline. Ppt ahrq quality indicators powerpoint presentation. Comorbidities were determined based on the assigned icd9cm diagnostic codes, ccs codes, and ahrq comorbidity variables. Each stroke within the graphic represents a pillar of the model.
To identify comorbid diseases in the study patients we used the ahrq agency for healthcare research and quality hcup healthcare cost and utilization project elixhauser comorbidity software, version 3. Delay in coronary artery bypass grafting for stemi. Healthcare cost and utilization project hcup, pronounced hcup the healthcare cost and utilization project hcup, pronounced hcup is a family of health care databases and related software tools and products developed through a federalstateindustry partnership and sponsored by the agency for healthcare research and quality ahrq. Causes and predictors of readmission in patients with atrial. The opioidrelated hospital use topic has been updated to include additional 2017, 2018, and 2019 state data read the latest edition of the hcup enews 41620. Publications national institute on alcohol abuse and. In this remake of the comorbidity package the main comorbidity calculator function is the cmrbdt. The healthcare cost and utilization project hcup, pronounced hcup is a family of databases, software tools and related products developed through a federalstateindustry partnership and sponsored by ahrq. In this study we compared a very large ehr database health facts to a wellestablished population estimate nationwide inpatient sample. Healthcare cost and utilization project hcup national. Comorbidity profiles and inpatient outcomes during. A new elixhauserbased comorbidity summary measure to predict. Weighted comparisons were made using tvalue and relative difference. Objective to compare the performance of charlsondeyo, elixhauser, disease staging, and all patient refined diagnosisrelated groups aprdrgs algorithms for predicting inhospital mortality after 3 types of major abdominal surgeries.
The optimal timing of coronary artery bypass grafting cabg in patients with st elevated acute myocardial infarction stemi is unclear. Elixhauser comorbidity software for icd10cm beta version. It is the largest publicly available allpayer inpatient care database in the united states, including more than 7 million hospital stays each year in recent years. Causes and predictors of readmission in patients with. Alcohol misuse was defined by the ahrq comorbidity measure for icd9 codes alcohol abuse. The healthcare cost and utilization project hcup, pronounced hcup is a family of healthcare databases and related software tools and products from the united states that is developed through a federalstateindustry partnership and sponsored by the agency for healthcare research and quality ahrq. Best definitions of multimorbidity to identify patients. The code points to a directory called data on the c. The function is more flexible and allows a more unified approach to calculating comorbidities. Multimorbidity and healthcare resource utilization in.
Atrial fibrillation af is the most common clinically significant cardiac arrhythmia and affects almost 2. These tools are created by ahrq through a federalstateindustry partnership. The clinical classifications software ccs for icd9cm is one in a family of databases and software tools developed as part of the healthcare cost and utilization project hcup,a federalstateindustry partnership sponsored by the agency for healthcare research and quality. Riskstratification methods for identifying patients for care. Increasing use of reverse total shoulder arthroplasty for. Hospitalized patients with heart failure and common. The nis is the largest publicly available allpayer inpatient health care database in the united states, yielding national estimates of hospital inpatient stays. We compared the area under the receiver operating characteristic curve auc of 8 definitions of multimorbidity, based on international classification of diseases codes defining health conditions, the deyocharlson comorbidity index, the elixhauservan walraven comorbidity index, body systems, or clinical classification software categories to. Statistics on hospitalbased care in the united states, 2009 presents information on inpatient hospital care in 2009 and contains comparisons and trends since 1997. Impact of patient safety indicators on readmission following. Ahrq healthcare horizon scanning system potential high.
157 209 1574 225 756 247 1479 1195 1552 422 709 259 530 407 1195 609 1575 690 786 1165 1206 1116 787 1012 469 1562 1223 469 1021 1145 76 246 849 835