Reflection Paper

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AC21620-Chapter31.pptx

A Practical Approach to Analyzing Healthcare Data, Fourth Edition Chapter 3, Tools for Data Organization, Analysis, and Presentation

Susan White, PhD, RHIA, CHDA

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Learning Objectives

Compare and contrast database structures

Categorize types of statistical software

Illustrate commonly used data visualization methods

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Data Organization Using Databases

Healthcare data is complex and often multi-dimensional

Provider

Patients

Insurance companies

Services

Providing an organizational structure for the data can facilitate more efficient analysis and reporting

Database – self-describing collection of integrated records.

Self-describing – contains a description of its own structure

Integrated – data elements are related to each other

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Database Vocabulary

Tables- two dimensional arrays of data

Rows = records

Columns = variables or attributes

RDMS – Relational Database Management System

Software that is used to hold and maintain data tables and their relationships

SQL – Structured Query Language

Programming language used to communicate with a relational database

ERD – Entity Relationship Diagram

Diagram that shows how tables in an RDMS relate

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Hierarchy of a Relational Database

Tables are rows and columns of values

Envision a tab in a spreadsheet

Fields are the columns in a spreadsheet

In a patient database, fields may be age, gender, admission date, etc.

Data elements or records are the rows in a spreadsheet

In a patient database, row may represent patients or services provided to patients

A unique row identifier in a table is called the primary key

Cannot be duplicated within the same table

Used to link tables together

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Data Dictionary

Details roadmap of the database

Should include

Name of computer or software program that contains the data element

Type of data in the field

Length of data in the field

Edits placed on the data field

Values allowed to be placed in the data field

A clear definition of each value

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Structured Query Language

SQL

Tool to use and maintain databases

Select data

Update data

Insert rows into a table

Delete rows from a table

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SQL Example

Retrieve the records for all patients from Milwaukee

SELECT PATIENT_LNAME, PATIENT_FNAME FROM PATIENT WHERE PATIENT_CITY = ‘Milwaukee’

Key words in the query are in red font

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Statistical Software Packages

R

Command line with a menu driven add in (R Commander)

Open source with a large user base on-line

May open Excel files for analysis

Statistical Analysis System (SAS)

Command line program

Excellent for manipulating large datasets

SPSS

Menu driven statistical software

Most common in academic settings

Microsoft Excel

Spreadsheet software with extensive statistical function

Excellent for summarizing data quickly

Commonly found in business setting

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R

Open source program that may be installed on both windows and Mac based computers

Used to demonstrate examples throughout the text

Many on-line tutorials and video demonstrations of the capabilities

Open source allows the users to expand the functionality of the software

Free to use

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SAS Syntax

SAS is a programming language much like SQL

Key words:

Data – used to name and create a dataset

Proc – declare which analytic procedure will be used

Set – declare which dataset will be the subject of the analysis

Run – designates the end of the command and starts the calculation

Syntax: always end commands with a ‘;’

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Graphical Displays of Data

Types of graphical comparisons

Group summary

Trends or changes over time

Relative size of groups

Relationships between variables

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Bar Graph or Chart

Group summary

Comparison of counts or averages across groups

Two variables: admissions, age category.

One bar for each gender

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Line Graphs or Chart

Trends or changes over time

Look for trends/patterns

Should not be used for connecting unrelated points

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Pie Chart

Compares relative size of groups

Used to represent relative proportions of a total

Note that this is different than a bar chart – in a pie chart categories must be part of a bigger set or population

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Scatter Diagrams

Used to display the relationship between two continuous variables

Should not be used if either variable is categorical

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Infographics

Conveys a message or story using a combination of graphs and text

Primary types:

Cause and effect

Chronological

Quantitative

Directional

Product

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Tables versus Graphs

Tables have several advantages over graphs such as:

Present more information than a graph

Display the exact values

Require less work to create

Graphs also have advantages over tables such as:

Catch the attention of the reader

Show trends easily

Bring out facts or relationships that stimulate thinking

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