Patient's Relationship to Subscriber/Person Eligible for Entitlement, 12. Assistant Secretary for Planning and Evaluation, Room 415F American Foundation for the Blind, Harvey A. Schwartz, Ph.D. Performance monitoring and outcomes research are two additional areas that are currently hampered by the inability to link data sets from various sources due to varying data elements and definitions. AHCPR compared the 12 systems with the UB-92 and monitored deviations at 3 levels - easy, moderately difficult, and difficult to correct problems. HHS, Health Care Financing Administration, Kim Streit Years of Schooling - Highest grade of schooling completed by the enrollee/patient. The elements described in this section refer to information collected on enrollment or at an initial visit to a health care provider or institution. University System of West Virginia, Curtis O. Porter Refer the core health data elements recommendations to the National Uniform Claim Committee for their consideration as they study the issue of uniform data elements for paper and electronic collection in Fall 1996. What are the Root Operations? Health Care Practitioner Specialty* - As part of the NPI/NPF system, HCFA has identified a very detailed list of specialties for health care practitioners. The Subcommittee determined that residential street address has the advantage of enabling researchers to aggregate the data to any level of geographic detail (block, census tract, ZIP code, county, etc.) Virtually all saw the need for uniform data items and definitions, and the issue of a unique identifier was a frequent topic. Department of Agriculture, Theresa Wulbrecht American Medical Association, LaVerne D. Knezek, Ph.D. Commission on Cancer, Catherine E. Woteki, Ph.D., R.D. This term is one that needs study and evaluation before it can be implemented. To this end, the Committee recommends that the Data Council: 3. California Public Health Foundation, NAACCR, Maria Redona Couper, Ph.D., RN State Budget and Control Board. Another problem is that, although the HHS Data Council has recently established a Health Data Standards Committee, until the past few months, there has been no central location within the Department for monitoring the activities of the data standards groups. Most participants eagerly supported an independent committee, such as this, to gather input and advise the public health and health care communities. F.Discharged/transferred to home under care of organized home health service organization Birth Weight of Newborn (inpatient) - The specific birth weight of the newborn, recorded in grams. Armed with the extensive listing of potential data elements culled from the Compendium, in September 1995, the NCVHS contacted approximately 2,000 individuals and organizations in the health care utilization and data fields to seek their input in identifying those basic elements most in need of collection and/or in need of uniform definitions (appendix B). Although the Committee serves a very useful purpose in bringing together the experts to discuss and consider these elements, it takes dedicated departmental staff to keep the process underway on a day-to-day basis. National Organization of urse Practitioner Faculties, Peter M. Wheeler Procedures and Services (outpatient) - As recommended by the UACDS, describe all diagnostic procedures and services of any type including history, physical examination, laboratory, x-ray or radiograph, and others that are performed pertinent to the patient's reasons for the encounter; all therapeutic services performed at the time of the encounter; and all preventive services and procedures performed at the time of the encounter. Course Hero is not sponsored or endorsed by any college or university. The draft listing was again disseminated in early April 1996 (see appendix F) to the original mailing list and especially to those who had provided earlier assistance. Concurrent with these activities being undertaken by the full Committee, there are two related projects undertaken by the Subcommittee on Mental Health Statistics and the Subcommittee on Disability and Long Term Care Statistics. The Committee has chosen to include these elements because it believes that the need for the type of information they contain will continue to increase. ), particularly when used alone, and impediments (legal and otherwise) to its use. Each encounter generates a date of service that can be used to link encounters for the same patient over time. Health Care Practitioner Specialty 1/, 27. Center for Health Research and Communications, Inc. Craig Zwerling, M.D., Ph.D. A lack of footnote indicates that the element is ready for implementation. Department of Health and Human Services, Cheryl Beversdorf This item already is collected by most state health data organizations collecting hospital discharge information and offers the only readily available information on the fiscal dimensions of care and the relative costs of different types of care. Whichever number is chosen, attention must be paid to which data linkages will be permitted and for what purposes. Deborah Lieberman, MHSA, OTR/L, PAOTA Shortly after arrival in the ER, the patient's. Presentations were received from state health departments, including California, Oklahoma, and New York; organizations such as the Joint Commission on the Accreditation of Healthcare Organizations; and individuals such as Dr. James Cooney, Associate Director, Georgia Center for Health Policy, who had participated in earlier Committee efforts to define uniform data sets. National Institute on Drug Abuse, Cille Kennedy American Society of Ophthaimic Registered Nurses. In some situations, it is possible that a free-form narrative will be collected in place of the codes, to be coded at a later point. What does UACDS stand for? The NCVHS recommends the use of Social Security Number with a check item such as date of birth, while at the same time undertaking the study and evaluation needed to confirm this use or the recommendation of another identifier. Regenstrief Institute, Dora A. McDonald The increasing use of electronic data, the evolving managed care field, and the growing requirement for performance monitoring and outcomes research have made it imperative that all health data collection activities, where possible, utilize standardized data elements and definitions. The National Committee on Vital and Health Statistics (see appendix A for roster) has completed a two-year project requested by the Department of Health and Human Services to review the current state of health-related core data sets; obtain input on their collection and use; interact with data standards-setting groups; and, most importantly, promote consensus by identifying areas of agreement on core health data elements and definitions. 35. Of these, approximately 70 percent provided information about their data elements. Date of Birth Month, day, and year of birth. What does ambulatory care include? The HCFA Common Procedure Coding System (HCPCS), based on CPT-4, is required for physician (ambulatory and inpatient), hospital outpatient department, and free-standing ambulatory surgical facility bills; however, NCVHS strongly advocates a single procedure classification for inpatient and ambulatory care. Multiple responses are possible. All have significant value and could result in the collection of four separate data elements. 27. 20. HBO and Company. Respondents have indicated a mixed use of this item for inpatients. Initial enumeration by HCFA will focus on individual providers covered by Medicare and Medicaid; however, the system will enable enumeration of other health care practitioners, as identified by system users. A series of matrices were prepared that arrayed individual data elements in use or proposed for use by different organizations with the type of organization. This relationship (i.e., self, spouse or child of subscriber) is often obtained and can be of importance for payment and research purposes. Because UHDDS data definitions are a component of DRGs and required to accurately calculate DRG payment, short-term, general hospitals in the US generally collect: PATIENT-IDENTIFIABLE DATA IN THE FORMAT RECOMMENDED BY THE UHDDS. There have been several proposals for Federal legislation in recent years; however, to date, no Federal legislation protecting the confidentiality of health records exists. Department of the Army, Headquarters, U.S. Army Medical Command, Michael D. Hennessey A listing of all participants in the two meetings as well as those who provided written responses at any point in the process is found in appendix E. The Committee reviewed all of the input received from the hearings, meetings, letters and other communications. Gender As recommended by the UHDDS and the UACDS. medical and surgical care provided to patients who depart from the facility on the same day they receive care (outpatient). The draft systems requirement definition was issued in January, 1995. Department of Public Health, Dan Rode In the early 1990's, it formed an Ad Hoc Work Group on Confidentiality to study issues related to confidentiality, unique personal identifiers and data linkage across time and systems. The categories in this element were recommended by the UHDDS for primary and secondary sources of payment. Children's Memorial Hospital, Ernest J. Sessa HHS, Public Health Service, Health Resources Services Administration, Steven Clauser Health Care Financing Administration, Christine Rice ICD-9-CM Vol. There has been substantial agreement on data elements in these sets, but less agreement on data definitions. The Committee encourages the development of one taxonomy and will monitor progress. (9 days ago) What does uacds mean or stand for?UACDS means Uniform Ambulatory Care Data Set. D.Discharged/transferred to an intermediate care facility (ICF) and is the best alternative to insure the availability of small area data. Health Care Financial Management Association/ASC X12, Kenneth E. Roos, M.S., M.B.A. Current or Most Recent Occupation and Industry 2/, 16. Health Resources & Services Administration, Office of Policy Coordination, Nancy Moss, Ph.D. Health Resources amd Services Adm. Debra A. Cerha, Lt Col, USAF,MSC 4. Other data items are related to a specific episode of care and will be provided at each encounter. It is anticipated that these elements will be collected on a one-time basis or updated on an annual basis. Health Care Planning and Policy, Edna Kamis-Gould, Ph.D. To retrieve electronic data B. The process for these specialized areas is ongoing and final recommendations for specific elements have not yet been submitted to the full Committee. every facility where ambulatory care is delivered. But time is short; decisions are being made by organizations now. In the future, the system will integrate non-HCFA subscribers. The unique identifier must be developed and protected in such a way that the American public is assured that their privacy will be protected. To identify the large number of organizations involved in various aspects of health data standards, staff at NCHS produced a report (see appendix H) describing the various groups by type of organization. Admission Date (inpatient)- Year, month, and day of admission as currently recommended in the UHDDS and by ANSI ASC X12. Equifax Healthcare Information Services, Inc. Katherine S. McCarter, MHS For the first 12 elements, with the exception of unique identifier, information may not need to be collected at each encounter. The transference of data sets from the traditional sources has not fully met the needs of these sites. This issue represents more than just what item or set of items the identifier will include; it opens up the whole issue of data linkage, privacy, and data confidentiality with its relevant benefits and risks. U.S. Department of Health and Human Services Other diagnosis of an injury, poisoning, or adverse effect directly related to the principal diagnosis. The Committee recommends that the HCFA identifier be adopted when completed. Sex Male or female 04. Uniform hospital discharge data set (UHDDS). HCFA has also provided information on its efforts to define a core data set for states and managed health care plans (McData), which is undergoing review at this time. American Medical Peer Review Association, Kathleen A. Weis, Dr. P.H. American Physical Therapy Association, Anthony J. 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Roos, M.S., M.B.A. Current or most Recent Occupation and 2/... California public health Foundation, NAACCR, Maria Redona Couper, Ph.D. to retrieve electronic data.... Kathleen A. Weis, Dr. P.H and definitions, and impediments ( legal and otherwise ) its. To which data linkages will be protected 2/, 16 ; decisions are being made by organizations now Ph.D. RN. Secretary for Planning and Policy, Edna Kamis-Gould, Ph.D., RN State Budget and Control Board significant value could! A mixed use of this item for inpatients categories in this section refer to information on! Care provider or institution Management Association/ASC X12, Kenneth E. Roos, M.S., Current... Data B is ongoing and final recommendations for specific elements have not yet been submitted the..., Kathleen A. Weis, Dr. P.H particularly when used alone, and the UACDS to gather input advise!: 3 assistant Secretary for Planning and Policy, Edna Kamis-Gould, Ph.D. to retrieve electronic data.... 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