DataSets - Health Information Management Third Edition...

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©2006 All rights reserved. Health Information Management — Third Edition — Concepts, Principles, and Practice Chapter 7 Healthcare Informatin Standards: Data Sets (Lecture notes)
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©2006 All rights reserved. Terminology Data (or data element): a representation of a single fact or measurement Information: data that have been collected, combined, analyzed, interpreted, and/or converted into a form that can be used for a specific purpose Data set: a collection of recommended dta elements that have uniform definitions Aggregate data: De-identified data extracted from health records and combined
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©2006 All rights reserved. History of Information Standards/Data Sets First used in 1600’s to track causes of death (Bill of Mortality, London) Mid-20 th century-technology used 1960’s- NCHS and NCVHS developed variety of data sets used today I the U.S. Modern approaches to standardizing healthcare data Hospital discharge data sets Birth and death data sets
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©2006 All rights reserved. Standardized Data and Data Sets Purpose of data sets Identification of data elements that should be collected in the health records of every patient Adoption of uniform definitions for terminology Uses of standardized data Comparison of data from multiple facilities External accreditation processes Internal performance improvement Statistical compilations Research
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Standardized Data Sets Used in Healthcare Uniform Hospital Discharge Data Set (UHDDS) Uniform Ambulatory Care Data Set (UACDS) Minimum Data Set for Long-Term Care —Version 2.0 (MDS 2.0) Resident Assessment Protocol (TAP) Data Elements for Emergency Department Systems (DEEDS) ©2006 All rights reserved.
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Standardized Data Sets Used in Healthcare cont’d Essential Medical Data Set (EMDS) Health Plan Employer Data and Information Set (HEDIS) ORYX initiative of JCAHO Outcomes and Assessment Information Set (OASIS) ©2006 All rights reserved.
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Uniform Hospital Discharge Data Set (UHDDS) Sponsored by the National Center for Healthcare Statistics (NCHS) Standard for collecting data for Medicare and Medicaid programs Twenty data elements (Figure 7.1, see also Odom (Ch. 5, figure 5.1) ©2006 All rights reserved.
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Uniform Ambulatory Care Data Set (UACDS) Sponsored by the National Committee on Vital and Health Statistics (NCVHS) Standard data set for outpatient and ambulatory care health records Includes some data elements unique to ambulatory care ©2006 All rights reserved.
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Minimum Data Set for Long-Term Care (MDS 2.0) Standardized assessment form for nursing home residents Required by Medicare and Medicaid Used to develop the Resident Assessment Protocol (RAP) for each nursing home resident Includes twenty main categories, each of which includes a structured listed of choices and/or responses ©2006 All rights reserved.
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DataSets - Health Information Management Third Edition...

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