data elements is unique to uacds

Respondents to this project welcomed the notion of a core data set and standardized forms in this area. Half of the ten major employers who were asked to participate declined; only four actually sent in a data set. The MDS system collects data on the physical, psychological, and psychosocial functioning of all residents of long-term facilities certified by Medicare or Medicare decided a PAYERID was needed because of the difficulty its contractors were having in transferring claims to other insurance companies, due to incomplete information or multiple names for payers. Health Care Practitioner Identification (outpatient) 1/, 20. Data elements used in UACDS are provider Identifications, address, type of practice, which includes the full name of the provider as well as the unique physician identification number (UPIN). 13. University of Missouri, Kansas City, School of Dentistry, David K. Henderson, M.D. OMB is currently investigating the possibility of changes to this classification, and the Committee will await the OMB recommendations. Data quality is a perennial issue. American Association of Health Plans, Louis H. Diamond, M.B.Ch.B. Also in March, a consultant to the NCVHS updated the World Health Organization on the core data element activity and returned with input to the process. Most organizations were supportive in wanting to 'get on board' with standardized data elements. Patient's Expected Sources of Payment, 12. These data assist in the examination of disparities in stage of illness, care, and outcome, some of which have been documented in the past among racial and ethnic groups. Philippine Nurses Association of America, Lisa L. Culver, PT, MBA To transmit electronic data C. To create a process for transmitting data to external users D. Describe each data set . Type of admission C. Gender D. Reason for encounter D. Reason for encounter What is the purpose of data mapping A. Currently there is little or no input from the public health field for several reasons. American Medical Association, Herbert G. Traxler, Ph.D. HHS, Agency for Health Care Policy Research, Ctr for Cost and Financing Studies. Source of payment categories, as recommended in the past, are no longer sufficient. University of Virginia. Other Procedures (inpatient) - All other procedures that meet the criteria described in element 33. ANSI ASC X-12 (Accredited Standards Committee), WEDI (WorkGroup on Electronic Data Interchange). Much of the required information can be located on the patient's face sheet. It is recommended that the year of birth be recorded in four digits to make the data element more reliable for the increasing number of persons of 100 years and older. 1) Identify the data elements should be collected for each patient 2) To provide uniform definitions for common terms UHDDS Uniform Hospital Discharge Data Sets Short Term general hospitals in the United states collect a minimum set of patient specific data/all the databases compiled from hospital discharge abstract system (inpatient stay) Place holders will be set, and, in some cases data items and definitions decided on, before national and local public health agencies and organizations will be able to act. These discussions led to the issue of needing DHHS staff dedicated to participating in the meetings of numerous data standards committees, advising the Department, and producing further iterations of data elements as future agreement is reached. In the 1992 revision of the Uniform Hospital Discharge Data Set (UHDDS), the NCVHS recommended "using the Social Security Number(SSN), with a modifier as necessary, as the best option currently available for this unique and universal patient identifier." Functional assessment scales must also be age-appropriate. ABLES Project Opfficer, NIOSH, Steven Rosenberg, Ph.D. It will also serve as a quality check as the date of birth approaches the new century mark. University of Pennsylvania Medical Center, Steven Kappel 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. 29-30. In addition, these efforts have concentrated on individual sites of care, ie., hospital inpatient, physician office, and nursing home, which, until recently, were the traditional sites of most care. 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. However, a place holder for this element is recommended to the standards-setting organizations. The site is secure. The type of data collected in each different facility's patient health records is established by required standards or regulations. It is the expectation of the Committee that the health care field will find these recommended data elements to be fundamentally important for any collection of person and health care encounter data and will consider these elements and standardized definitions for inclusion in their data collection efforts wherever possible. However, for services billed on a batch basis, two dates would be required to encompass the range of dates from the beginning of all treatments included under the batch (global) code to the end, with a check box to indicate that this is a batch-based encounter. 26. 16. Bureau of Vital Records and Health Statistics. Health Level 7 Ernst & Young LLP, Jerri Regan A range of organizations was contacted including health plans/insurers, trade or professional associations, employers, data standards organizations, and Government. Summaries of the meetings can be found in appendix C. Both meetings were successful at bringing together experts in the field and expanding the knowledge base of the Committee. For the first 12 elements, with the exception of unique identifier, information may not need to be collected at each encounter. National Institutes of Health, David . The Committee recognizes that a person's social support system can be an important determinant of his or her health status, access to health care services, and use of services. Consensus building on data elements and definitions was, as always, a complex issue. Date of Encounter (outpatient and physician services) - Year, month, and day of encounter, visit, or other health care encounter, as recommended by the UACDS and ANSI ASC X12. Such a system would be helpful to the extent that it is feasible in the current highly dynamic market. 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. Health Care Financing Administration, Christine Rice Legal Services of Middle Tennessee, Leonard Bourget Health Care Planning and Policy, Edna Kamis-Gould, Ph.D. If there appear to be two procedures that are principal, then the one most related to the principal diagnosis should be selected as the principal procedure. University of California, San Francisco, Jaclyn Packer Over three dozen data sets were studied, among them two nationally approved data sets, the Mental Health Statistics Improvement Program Data Set MHSIP) and The Adoption and Foster Care Analysis and Reporting System (AFCARS) data set. Selma C. Kunitz, Ph.D. Health Resources and Services Administration, Lorne A. Phillips, Ph.D. The major output of this project to date has been the recommendation of core data elements, definitions, vocabulary and classifications. St Vincent Hospitals and Health Services, Michael L. Millman, Ph.D. Race and Ethnicity - The collection of race and ethnicity have been recommended by the UHDDS and the UACDS, and these elements have a required definition for Federal data collection in Office of Management and Budget (OMB) Directive 15. It is hoped that the system will improve the coordination of benefits, as well as providing access to information about health insurance and making it easier to track third party liability situations. Department of Agriculture, Theresa Wulbrecht A qualifier element is recommended to indicate the type of coding structure used, i.e., ICD, CPT, etc. Computer Network Architects, Inc. Barry Gordon From the respondents, a total of 138 different data elements were obtained. The definition has been expanded slightly from the OMB requirement: It is recommended that this item be self-reported, not based on visual judgment or surnames. HHS, HFCA, Bureau of Program Operations, Leo J. Nolan Indian Health Service, Robert Davis Without a universal unique identifier or a set of data items that can form a unique identifier, it will be impossible to link data across the myriad of healthcare locations and arrangements. Non-excision all debridement of stage three pressure ulcer of subcutaneous tissue of buttock. Type of admission C. Gender D. Reason for encounter D. Reason for encounter What is the purpose of data mapping? [Uniform Ambulatory Care Data Set (UACDS)]: A core set of data elements used to report ambulatory data elements in standardized manner. Blue Cross of California, Health Policy and Analysis, William J. Hayden, DDS, MPH 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. Which data is collected on Medicare and Medicaid patients? Standardized data elements will be vitally important in the evolving managed care field, where there is a need to follow individuals through a continuum of care and at multiple sites. To assure the widest possible distribution, the document was also placed on the DHHS and NCHS Home Pages in an electronic format. See Page 1. Kaiser Permanente, Medical Economics, Kathleen H. Fyffe Problems could arise from adding and modifying data items and definitions too frequently. A person who has never been married or whose only marriages have been annulled. UACDS. Disposition (outpatient) - The health care practitioner's statement of the next step(s) in the care of the patient. Secondary Source - The secondary source, if any, that will be responsible for the next largest percentage of the patient's current bill. Injury Related to Employment - Yes, No. However, identifiers are commonly removed when a data set is provided outside of a facility, such as to a state health data organization. Other Diagnoses (outpatient) - The additional code(s) that describes any coexisting conditions (chronic conditions or all documented conditions that coexist at the time of the encounter/visit, and require or affect patient management). However, AHCPR is in the process of publishing findings indicating definitional discrepancies even within the organizations collecting the UHDDS. 28. The complete address of the providers office. Which of the following data elements is unique to Uhdds quizlet? At the October 1995 meeting of the NCVHS, a session was held at which the Department of Veterans Affairs, the Georgia State Department of Health, and others, demonstrated their institutions' integrated financial, clinical, consumer, and public health information systems that are currently in place or being tested. 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. 2. 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. Massachusetts Health Data Consortium, Inc. Nancy Stout, Ed.D. New Hampshire Division of Public Health Service, Robert Roscoe Rating: 1. University of Iowa. For example, the State of California, in testimony to the NCVHS, described its efforts in improving health and health care delivery by linking data collected through medical facilities, school-based health and educational data bases, as well as need-based data bases such as eligibility listings for the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) or reduced school-lunch programs. The UHDDS and UACDS have recommended the collection of all charges for procedures and services rendered to the patient during a hospitalization or encounter. What potential problems, such as assuring data quality and preserving confidentiality of identifiable records, can be expected and what approaches might be used to address these problems. Another form would be through an organization that already has a WEB page; several organizations indicated that they would be willing to test the sharing of this information through their Internet sites. It is possible that the description of functional status may entail more than a single measure, thus needing space for more than one measure and/or an additional element to document the scale used. Dataset Summary. Any unit of data defined for processing is a data element; for example, ACCOUNT NUMBER, NAME, ADDRESS and CITY. Particular scales are more appropriate for measuring different functions or disabilities and should be selected on the basis of the needs of the patient population (such as, use of social functioning scales for those with mental disorders and substance abuse). One major reason is the staff and dollar resources required to travel to and participate in several meetings per group per year. 02. But time is short; decisions are being made by organizations now. Development of a unique identifier does not necessarily mean that the individual is identifiable to users. Date of Birth 4 digits for year of birth but 3 digits are adequate to capture the century Sex Male Race Ethnicity Confidentiality of identifiable records is another critical issue. Occupational Safey Health Administration, Office of Statistics, William Halperin, M.D., M.P.H. Participation in the system will be voluntary for non-HCFA providers at first. Therefore, billed charges should be collected, at a minimum. American Medical Peer Review Association, Kathleen A. Weis, Dr. P.H. In addition, the historical knowledge of the NCVHS and its earlier decisions in the area of data standardization played a role in the preparation of a listing of core data elements and, where possible, recommended definitions. Carries a procedural risk, or. National Perinatal Information Center, Mark J. Segal, Ph.D. G.Discharged/transferred to home under care of a Home IV provider St. Peter's Community Hospital, Ron Horner, Ph.D. Name - Last name, first name, middle initial, suffix (e.g., Jr., III, etc.). Department of Veteran's Affairs (19), Lora Kraus Hartford Health Department, Clem McDonald, M.D. Date of Birth - Year, month and day - As recommended by the UHDDS and the Uniform Ambulatory Care Data Set (UACDS). Diagnosis Chiefly Responsible for Services Provided (outpatient), 38. Data Elements for Emergency Department Systems, Release 1.0 (DEEDS), is intended for use by individuals and organizations responsible for ED record systems. However, income questions are often considered intrusive, whereas years of schooling are more acceptable to respondents. Common data elements and areas for standardization will be considered as well as criteria for selection of data elements. It will do so by assigning a unique identifier to each provider. Attending Physician Identification (inpatient) 1/, 22. National Institute of Occupational Safety and Health, Stewart H. Streimer Whichever number is chosen, attention must be paid to which data linkages will be permitted and for what purposes. Health Care Practitioner Identification (outpatient), 21. There is less agreement on data definitions, even for data items that have been in the field for years. Multiple responses are possible. Outcome Concept Systems, Inc. Ronald W. Wilson, M.A. BlueCross BlueShield of Minnesota. 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 appointed a liaison to participate in selected meetings of the American National Standards Institute (ANSI) Accredited Standards Committee (ASC) X-12, a private sector coalition that is developing transmission standards for health data. The National Committee on Vital and Health Statistics has been a sentinel organization in the area of uniform data efforts. There is not one agreed-upon coding system for this item; the International Classification of Primary Care, and the Reason For Visit Classification used by the National Ambulatory Medical Care Survey are two such systems. A listing of the Core Health Data Elements grouped by level of readiness for implementation is provided after the section with the definitions of each data element. Oak Orchard Community Health Center, Geraldine Nicholson National Institutes of Health, Stanley C. Garnett It became obvious early in the meetings that the identification of core data elements, their definitions, and the consensus-building needed to encourage use of these items would be an ongoing and full-time activity for several years. Which is a data element of the Uniform Ambulatory Care data set Uacds )? However, there is some evidence that the number of interracial marriages is accelerating. Future projects may undertake to seek consensus among some of these items. We use cookies to ensure that we give you the best experience on our website. Percutaneous exchange of transvenous right atrial and ventricular leads of a pacemaker, which was initially placed three years ago; battery remains intact. Moreover, in the electronic format, in most instances, payments would not be available at the time that patient and medical data are entered. Association of Maternal and Child Health Programs, Karl S. Finison It became obvious that staff dedicated to participating in and monitoring the activities of these organizations is crucial if all relevant voices (including public health and epidemiology) are to be heard. Managed Behavioral Health News, Melvin Sabshin, M.D. F.Discharged/transferred to home under care of organized home health service organization Columbia/HCA HealthCare Corporation, John Quinn And now, with movement toward HMO's, PPO's, and other types of managed care, there may be a greater need to share identifiable data. 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