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Category Assignment Agreement Rate (Caar)

The percentage of correspondence per abstractor ranged from 79% to 98%, while intra-Rater-Kappa statistics per abstractor ranged from 0.21 to 0.94. The chi-square heterogeneity statistics for the kappas difference calculated for the 10 abstractions were also statistically significant (χ2 = 238, p < 0.0001), indicating that individual differences in abstract consistency may be responsible for the heterogeneity of the set of specific cappa. Intra-rater compliance was also studied for all abstractioners, depending on when the diagram was abstracted, either at the beginning of the study (during retrospective visits before the initial value) or during a 6-month follow-up. Kappa statistics were 0.76 (95% CI: 0.73, 0.79) for retrospective diagrams and 0.82 (95% CI: 0.80, 0.85) for 6-month follow-up chart (data not shown in the tables). One of the main challenges in checking diagrams is the exact abstraction of drug information, dosage, frequency, and duration. Quantifying compliance for the documentation of pharmaceutical treatments has important clinical implications. This study was not able to analyze treatment in this context. However, the results showed moderate concordance between intra-counsellor and inter-counsellor for the categories of asthma information, asthma transfer and adverse events, indicating that the concordance for more specific medication regimens may be, at best, moderate. Further studies are needed to assess the conformity of treatment regimens in the medical literature.

DaSpecialists also offers inter-rater re-abstraction and audit (IRR) and CAAR services for hospitals, which must verify the accuracy rates of internal staff evaluation for the following measurements and records Yawn BP, Wollan P: Interrater Reliability: Fill in the method description in Medical Records Review studies. American Journal of Epidemiology. 2005, 161 (10): 974-977. 10.1093/aje/kwi122. While performing the IRR is a good practice in one`s own home, it is not always 100% accurate. Once the verification and negotiation is complete, NSF sends a letter indicating the results of the negotiation, also known as NICRA, which will be signed by the winner. As soon as the winner signs and returns the collective agreement, the proposal is closed. Caar may also make a recommendation to the allocation of branches for a premium-specific rate. In this case, the nature of the rate, the percentage and the basis of application should be indicated in the letter of award. . .

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