HI300 Unit 6 Seminar Option 2

profilemary89
HI300Unit6SeminarOption2PPT.ppt
Home>Applied Sciences homework help>HI300 Unit 6 Seminar Option 2

Secondary Data Sources

The health record’s primary purpose is patient care and reimbursement for encounters.

In order to see trends in a population of patients, you look at the data that is extracted from the records and enter it into databases – registries, indexes, etc.

These data sources are referred to as secondary data sources.

HIM Roles in Managing Secondary Records and Databases

  • Establishing database:

Determining content of database

Ensuring compliance with laws, regulations, and accreditation standards

Data dictionary

Data steward: oversees that data put in database or registery is accurate and complete

Differences Between Primary and Secondary Data Sources

Primary data source: medical record… b/c it contains information about a patient that has been documented by a healthcare professional

Secondary data source: data contained in indexes, registries and similar databases

Ways to classify data:

Patient-specific/identified data

Patient identified within the data. Every fact recorded in the record relates to a patient by name.

Patient identifiable data

If identify of patient can be derived or inferred from the data with or without the assistance of a computer. Can the patient be identified by date of birth, phone #, zip code,

Aggregate data

Data on groups of patients without identifying any particular patient individually

Purposes and Users of Secondary Data Sources

  • Four major purposes to collect secondary data:

Quality, performance, and patient safety

Research – data entered into databases help researchers determine treatment plans

Population health – require information be reported about certain diseases to prevent spreading

Administration – facilities are required to check physicians in the national database for information on previous malpractice or action against the physician

Internal Users

Users within the organization

Examples: Medical staff, Management staff

Identify patterns and trends that are helpful in patient long term care, benchmarking with other facilities.

External users

Individuals and institutions outside the facility

Examples: State data banks, Federal agencies

Federal government collects data from states on vital events like births and deaths

Types of Secondary Data Sources

Facility-specific indexes: enable health records to be located by diagnosis, procedure, physician. Originally kept on cards, now in computerized databases due to technology.

Broken down into several types… let’s discuss those types!

Master Population /Patient Index (MPI)

Disease and Operation Index

Physician Index

Registries

Purpose: to collect data from health records and to make them available for users

Registries contains more extensive information than indexes.

Index reports created using data from existing facility databases.

Registries contain more extensive data from the patient record.

Each registry must define the cases that will be included: case definition

Case finding used to identify the patients who have been treated in a facility for a particular disease

Virtual Field Trip

Using Patient Registries to Improve Healthcare Quality

http://www.youtube.com/watch?v=_3ZPZ0EKVCE

Example: Cancer Registries

  • Facility-based registries:

Provide information for improved understanding of cancer (diagnosis, treatment)

  • Population-based registries:

Identifying trends and changes in the new cases of cancer within the area covered by the registry

Registry required to collect data such as:

Demographic info about each cancer case

Occupational history of individual

Pathological data about the cancer (site, stage, type of treatment)

Example: Data Collection for Immunization Registries

  • Patient name
  • Birth data
  • Sex, race, ethnicity
  • Birth order
  • Birth state/country
  • Mother’s name
  • Vaccine type
  • Vaccination date
  • Vaccine lot number

National Practitioner Data Bank

  • Database of medical malpractice payments, adverse licensure actions and certain professional review actions
  • Required reporting:

Information on practitioner

The reporting entity

Healthcare Integrity and Protection Data Bank

  • Mandated by HIPAA to report healthcare fraud and abuse
  • Final adverse actions are reported:

Federal or state licensing and certification actions

Exclusions from participation in federal or state healthcare programs

Any other adjudicated actions or decisions defined in the HIPDB regulations

Healthcare Cost and Utilization Project (HCUP)

Started in 1988

Our most comprehensive source of hospital care data

Data collected from these types of encounters: in-patient stays, ambulatory surgery and services visits, and emergency department

Includes clinical and nonclinical data (diagnoses and procedures, discharge status, patient demographics, and charges) for all patients, regardless of payer (e.g., Medicare, Medicaid, private insurance, uninsured)

Enables researchers, insurers, policymakers and others to study health care delivery and patient outcomes over time

Family of databases, software tools and related products

Data is used for research on health policy issues:

cost and quality of health services

medical practice patterns

access to health care programs

outcomes of treatments at the national, State, and local market levels.

Direct quote taken from: https://www.ahrq.gov/research/data/hcup/index.html

Healthcare Datasets and Information Management