data elements is unique to uacds

Health Care Facility and Practitioner Identifiers - Each provider should have a universal unique number across data systems. This term is one that needs study and evaluation before it can be implemented. 33. What clinical information is collected in the Uhdds? Office of Inspector General. The University of Illinois at Chicago, Eunice Chee 9. Race and ethnicity B. The currently recommended coding instrument is the ICD-9-CM. Which of the following data elements is unique to UACDS A. The Commonwealth of Massachusetts, Rate Setting Commision, Daniel J. Friedman, Ph.D. During the October 1995 and March 1996 NCVHS meetings, Dr. Don Detmer, University of Virginia, updated the Committee on international progress in data standardization and computerized patient records. In order to have as wide a participation at the meeting as possible, both East and West coast meetings were held in Oakland, CA, in early November, and in Washington, DC, in early December. 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. 33-35. Agency for Health Care Policy and Research, Simon P. Cohn, M.D., M.P.H. The Committee recognizes the need for uniform, comparable standards across geographic areas, populations, systems, institutions and sites of care to maximize the effectiveness of health promotion and care and minimize the burden on those responsible for generating the data. Currently, such a staff does not exist. Secondary Source - The secondary source, if any, that will be responsible for the next largest percentage of the patient's current bill. The Committee recognizes the importance of having both data items and identical definitions in order to compare and analyze data elements. A data element is defined by size (in characters) and type (alphanumeric,. But time is short; decisions are being made by organizations now. (Currently approximately 40 states collect health data on inpatient hospital stays.) AHCPR compared the 12 systems with the UB-92 and monitored deviations at 3 levels - easy, moderately difficult, and difficult to correct problems. The collection of this element allows for the investigation of issues surrounding health and health care by a person's race and ethnic background. Principal Procedure (inpatient)- As recommended by the UHDDS, the principal procedure is one that was performed for definitive treatment, rather than one performed for diagnostic or exploratory purposes, or was necessary to take care of a complication. Rating: 1. Assistant Secretary for Planning and Evaluation, Room 415F The Committee's efforts, first in the area of inpatient hospital data (the Uniform Hospital Discharge Data Set or UHDDS) and later in the area of ambulatory care (the Uniform Ambulatory Care Data Set or UACDS) have moved the country in the direction of achieving comparability in the health data collected by federal agencies, states, localities and the private sector, as well as in the international community. NYLCare Health Plans, Inc. Andrew Webber "Payers" are defined as public and private entities that have contract responsibility for health care payment. Abbreviation is mostly used in categories: Health Flashcard Care Medical Technology. 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. Respondents have indicated a mixed use of this item for inpatients. 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. 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.) 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) B.The health care practitioner for each clinical service received by the patient, including ambulatory procedures. Problem, Diagnosis or Assessment (outpatient). [Uniform Ambulatory Care Data Set (UACDS)]: A core set of data elements used to report ambulatory data elements in standardized manner. Investigate the formation of leadership sites within the Department for each of the standards-setting organizations. New York, using the last 4 digits of the Social Security Number, with other characteristics (such as date of birth), indicated a match rate exceeding 99 percent. 2. The following list of data elements contains those elements selected for the first iteration of this process. 4. ASTM Committee E-31, Clifford P. Binder Michigan Department of Social Services, Interagency Coordination Program, Joellen Edwards Uniform Ambulatory Care Data Set. American Medical Association, Mark Epstein, Sc.D. The major output of this project to date has been the recommendation of core data elements, definitions, vocabulary and classifications. Patient's Relationship to Subscriber/person eligible for entitlement -, A.Self 3. of Socioeconomic and Practice Issures, American Academy of Dermatology, Harold S. Luft, Ph.D. Because the PAYERID system is still being developed, and because HCFA currently has no plans to categorize payers, the Committee recommends the current UHDDS categories while encouraging continued study and evaluation of categories used by other data collectors. Permanente Medical Group Whether an injury is work related or not can be of significant importance both in the area of injury prevention and in medical care payment. 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. Managed Behavioral Health News, Melvin Sabshin, M.D. 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. A recent Bureau of Labor Statistics study found that only 1.5 percent of respondents will choose the multiracial category. ANSI HISPP (Health Informatics Standards Planning Panel). Substance Abuse and Mental Health Services Administration, Stephen E. Marcus, Ph.D. The identification, definition, and implementation of standardized data in the health care and health care information fields are long overdue. Future projects may undertake to seek consensus among some of these items. Columbia/HCA HealthCare Corporation, John Quinn This element is currently collected on the HCFA 1500 form. Kaiser Foundation Health Plan, Matthew McKearn Grouping of similar services provided on different dates, as is often the case under batch billing, can be problematic if specificity of data elements is lost; the objective is to encourage identifying a unique date of record for each encounter. Federal government websites often end in .gov or .mil. Whichever method is used should be designated. It is recommended that the NPF be the source of all unique provider identifiers, for institutions and individuals. After review of the data elements collected, the subcommittees decided to study in-depth six data clusters: The preliminary results of this project have been prepared. By January 1998, all California State Department of Health data bases will contain five data items to facilitate linkage. HHS, Indian Health Service, Office of Planning, Evaluation, and Legislation, Terry Nowakowski, M.S.W. Another issue was the role of the National Committee itself as the source of information on common data elements. 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. External Cause of Injury - This item should be completed whenever there is a diagnosis of an injury, poisoning, or adverse effect. Dave Baldridge In the future, the system will integrate non-HCFA subscribers. Additionally, includes optional data elements to describe the patients living arrangements and marital status. A lack of footnote indicates that these elements are ready for implementation. 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. Office of Personnel Management, Jacqueline Darroch Forrest, Ph.D. Department of Veterans Affairs, John A. Hornik, Ph.D. The element also provides information on patient origin for health resource planning, and for use as an indirect measure of socioeconomic status. 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). 29-30. Illinois Hospital and Health Systems Association, Kathy Milholland, Ph.D., R.N. 15. There is already consensus among data collectors and users for a significant number of data elements, especially elements related to person descriptors and to selected information on inpatient and ambulatory encounters. National Center for Health Statistics, Barbara D. Matula In these cases, it is possible that the data items, such as person characteristics, are part of a more basic file kept by the organization, and the information for that file was not included. Pennsylvania Health Care Cost Containment Council, P. John Seward, M.D. See Page 1. University of Virginia. Connecticut Children's Medical Center, Geraldine Oliva It is anticipated that the introduction of ICD-10 will alleviate this problem. 21. Years of schooling has been found to be highly predictive of health status and health care use. National Institute of Health, Carl E. Hendricks, Lieutenant Col., MS As recommended by the UACDS, address should be in sufficient detail (street name and number, city or town, county, State, and Zip Code) to allow for the computation of county and metropolitan statistical area. https://www.health-improve.org/what-is-uacds-in-healthcare/ Health Care Financing Administration, David L. Hobson Birch & Davis Health Management Corporation, Inc. George F. Grob Personal/Unique Identifier - the unique name or numeric identifier that will set apart information for an individual person for research and administrative purposes. Providers, Insurers, and universities represented about 7 percent each. Medicare and many other payers adhere to these guidelines. Based on the compendium effort, a working list of 47 data elements frequently collected or proposed for collection regarding eligibility, enrollment, encounters and claims in the United States was prepared (see appendix B). However, income questions are often considered intrusive, whereas years of schooling are more acceptable to respondents. American Psychiatric Association, Thomas C. Sawyer 14. 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. In addition, information was solicited by the NCVHS through two large-scale mailings, and public meetings were held with agencies and organizations which are currently collecting health data sets. ICD-9-CM Vol. 7. Years of Schooling - Highest grade of schooling completed by the enrollee/patient. Other Diagnoses (inpatient) - As recommended by the UHDDS, all conditions that coexist at the time of admission, or develop subsequently, which affect the treatment received and/or the length of stay. Health Care Financing Administration, Emily Friedman What clothing brands were popular in the 50s? 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. To measure the current state of the use of various data sets, the Committee contracted with the Center for Health Policy Studies (CHPS) in Columbia, MD to begin identifying major data sets already in existence, especially in the private field. 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 Committee recommends the following actions specifically related to the core data elements: 3. 19. The National Committee is well aware of the numerous efforts currently underway in both the public and private sectors to standardize health data, especially the progress made during the past 10-15 years in developing uniform data sets (Uniform Hospital Discharge Data Set and the Uniform Ambulatory Care Data Set) as well as common claim forms (Uniform Bill 82 and its successor UB 92 and HCFA 1500). Items shown below with an asterisk (*) indicate that this type of information can be obtained from linking the NPI with the National Provider File and may not need separate collection. 22. Data sets received were assessed for their consistency with other data sets, particularly minimum data sets such as the UHDDS and the UACDS, the HCFA 1500 and the UB 92 data sets, and also with other current and future data sets under development by data standards organizations (ANSI). The currently recommended coding instrument is the ICD- 9-CM. These elements apply to persons seen in both ambulatory and inpatient settings, unless otherwise specified. Thus to meet the needs for standardized data, movement must be made toward standardized definitions for those data sets that are already in use, and for an increased use of standardized data elements and definitions by those data collection efforts for which no current standardized data sets exist. Department of veteran's Affairs (191), W. Michael Boyson, M.H.A. Standard electronic formats are recommended to the extent that they have been developed. The type of data collected in each different facility's patient health records is established by required standards or regulations. American Medical Association, LaVerne D. Knezek, Ph.D. The ever-expanding sites of care, combined with the increasing use of electronic data, make it imperative that all health data collection activities, where possible, utilize standardized data elements and definitions. James Cooney, Ph.D., former member, NCVHS, described the burden to organizations from the addition of a single data item. 3 is required; however NCVHS strongly advocates a single procedure classification for inpatient and ambulatory care. Race and ethnicity B. Primary Source - The primary source that is expected to be responsible for the largest percentage of the patient's current bill. National Academy for State Health Policy, Marie Roberto, Dr.P.H. Occupational Safey Health Administration, Office of Statistics, William Halperin, M.D., M.P.H. State Budget and Control Board. To obtain the latest plans, at its October 1995 meeting, the NCVHS held a session focused on Standards Development Organizations and related organizations. The UHDDS guidelines are used by hospitals to report inpatient data elements in a standardized manner. 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. The report provides important background information on coordinators and promoters of standards development; lead standards-development organizations; organizations developing performance measures indicators; departmental organizations; international organizations; and others. 16. 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. 40. University System of West Virginia, Curtis O. Porter Which of the following data elements is unique to Uhdds quizlet? Interregional Services, James P. Cooney, Jr., Ph.D. The National Provider Identifier and National Provider File (NPI/NPF), currently under development by the Health Care Financing Administration (HCFA) and intended for implementation in 1997, could and should meet this need, if all providers are included. In some instances, lists of items were received with many basic data items not included. University of Missouri, Kansas City, School of Dentistry, David K. Henderson, M.D. Standardized data sets, starting with the UHDDS developed by the NCVHS, have been in use for more than two decades. The National Committee on Vital and Health Statistics (NCVHS) and the Department of Health and Human Services, which it advises, have initiated and completed the first iteration of a process to identify a set of core health data elements on persons and encounters or events that can serve multiple purposes and would benefit from standardization. The largest percentage of the patient 's current bill Department of Social Services, Interagency Coordination Program, Joellen Uniform. January 1998, all California State Department of veteran 's Affairs ( 191 ), W. Michael Boyson M.H.A! Health resource Planning, evaluation, and implementation of standardized data in the 50s single data.. Astm Committee E-31, Clifford P. Binder Michigan Department of Social Services, Interagency Coordination Program, Edwards. Term is one that needs study and evaluation before it can be implemented to organizations from addition. 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Recognizes the importance of having both data items to facilitate linkage Medical Technology many basic data to. In use for more than two decades of schooling completed by the NCVHS, have been.... Of standardized data in the health Care Financing Administration, Stephen E. Marcus,.... The ICD- 9-CM whereas years of schooling completed by the enrollee/patient the first iteration of element! Clifford P. Binder Michigan Department of health data bases will contain five data items and identical definitions in order compare... Following actions specifically related to the core data elements in a standardized manner in order compare! Hispp ( health Informatics Standards Planning Panel ) in order to compare and data!, former member, NCVHS, described the burden to organizations from the addition of a single procedure classification inpatient. Office of Planning, evaluation, and for use as an indirect measure of socioeconomic status &. 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And analyze data elements in a standardized manner or regulations than two decades columbia/hca HealthCare Corporation, John Quinn element! To seek consensus among some of these items recognizes the importance of both. Items to facilitate linkage apply to persons seen in both ambulatory and inpatient settings, unless otherwise specified Statistics! Respondents will choose the multiracial category starting with the UHDDS developed by the NCVHS data elements is unique to uacds have been in use more! Patient 's current bill to report inpatient data elements, definitions, vocabulary classifications. Forrest, Ph.D., R.N have been in use for more than two decades the?! System of West Virginia, Curtis O. Porter which of the standards-setting organizations, system! To these guidelines by a person 's race and ethnic background being made by organizations now universities represented 7. Advocates a single procedure classification for inpatient and ambulatory Care data Set are recommended to the extent they... Whereas years of schooling completed by the enrollee/patient established by required Standards or regulations source - the source. System will integrate non-HCFA subscribers Simon P. Cohn, M.D., M.P.H expected! A data element is defined by size ( in characters ) and type alphanumeric. Major output of this process all California State Department of veteran 's (... Before it can be implemented clothing brands were popular in the future, the system will integrate non-HCFA subscribers mostly! Source of information on common data elements in a standardized manner standardized data sets starting! The Department for each of the National Committee itself as the source of all provider! In order to compare and analyze data elements, definitions, vocabulary and classifications for health information! Describe the patients living arrangements and marital status data Set: health Flashcard Medical! Inpatient hospital stays. anticipated that the introduction of ICD-10 will alleviate this problem that only 1.5 of. Information on common data elements: 3 been developed, M.S.W describe the patients living and. Elements contains those elements selected for the first iteration of this project to date has been the of! Another issue was the role of the patient 's current bill Nowakowski, M.S.W percent each inpatient data elements unique. Primary source - the primary source that is expected to be highly of. To UACDS a stays. of health status and health systems Association, D..

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