AHRQ Need help understanding

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New to quality. Im having a hard time understanding all the different quality measures and how things get reporting to the governing bodies.

For instance...AHRQ IQI 11 - Aneurysm deaths. It states this is reported via claims. I assume this means they review claims and compare to deaths. So does this mean this is only tracked for MEDICARE patients? because we have a committee to review our aneurysm deaths and I'm trying to understand the inclusion criteria.

How does a hospital know how they did? Does CMS send them a report?

ANY HELP understanding very much appreciated! I'm LOST.

Ginger's Mom, MSN, RN

1 Article; 3,181 Posts

Has 41 years experience.
New to quality. Im having a hard time understanding all the different quality measures and how things get reporting to the governing bodies.

For instance...AHRQ IQI 11 - Aneurysm deaths. It states this is reported via claims. I assume this means they review claims and compare to deaths. So does this mean this is only tracked for MEDICARE patients? because we have a committee to review our aneurysm deaths and I'm trying to understand the inclusion criteria.

How does a hospital know how they did? Does CMS send them a report?

ANY HELP understanding very much appreciated! I'm LOST.

yes it is done by claims, there are a few select people who have access to this report, find out who your qnet admin and they will help you.