Molly A. Anthony, Ph.D. 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. These activities could take several forms. 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. 4. The Committee recognizes that all practitioners may not be included initially in this system, but ultimately all should be included. Blue Cross of California, Health Policy and Analysis, William J. Hayden, DDS, MPH Illinois Department of Public Health, Frank C. Lemus Future projects may undertake to seek consensus among some of these items. External Cause of Injury - This item should be completed whenever there is a diagnosis of an injury, poisoning, or adverse effect. Children's Memorial Hospital, Ernest J. Sessa State of Texas Department of Health, Mike McGinty, Ph.D. 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. 02. Patient's Stated Reason for Visit or Chief Complaint (outpatient) - Includes the patient's stated reason at the time of the encounter for seeking attention or care. A second study is currently underway, one which will investigate core data elements in common use in data sets on persons with disability and/or persons receiving long term care. The latter element, which describes all conditions requiring evaluation and/or treatment or management at the time of the encounter as designated by the health care practitioner, has been divided into two elements: 1) the diagnosis chiefly responsible for services provided, and 2) other diagnoses. The UHDDS and UACDS have recommended the collection of all charges for procedures and services rendered to the patient during a hospitalization or encounter. During the NCVHS review of core health data elements, discussion arose regarding the specificity of diagnoses reported The official national outpatient/physician coding and reporting guidelines provide instruction that a suspected or rule out condition not be reported as though it is a confirmed diagnosis. Maine Health Information Center, Florence B. Fiori, Dr.P.H. This recommendation is in accord with the 1992 UHDDS and the UACDS, as well as recommendations by the NCVHS Subcommittee on State and Community Health Statistics. But time is short; decisions are being made by organizations now. Thomas P. Gross, M.D., MPH Health Level 7 Ernst & Young LLP, Jerri Regan A large number were collected by only a few of the data sets. Agency for Health Care Policy and Research, Rachel M. Schwartz, M.P.H. However, in the three remaining areas of health plans/insurers, government, and data standards organizations, the vast majority supplied data sets. Standard electronic formats are recommended to the extent that they have been developed. HHS, NID, Division of Epikdemiology and Prevention Research, William J. Sobaski, M.B.A. This item attempts to define what actually motivated the patient to seek care and has utility for analyzing the demand for health care services, evaluating quality of care and performing risk adjustment. It will also serve as a quality check as the date of birth approaches the new century mark. The Committee feels that, over time, there will be increasing attention focused on this item and reaffirms its recommendations in the 1994 revisions to the UACDS that additional study and evaluation be conducted on the feasibility and utility of collecting and periodically updating information on a person's occupation and industry. 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). 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. The intent is not to specify a data set for mandated external reporting; the list of recommended data elements is by no means exhaustive, and, unlike earlier activities, is not a "data set" to be used in a specific setting. Information is collected by a wide range of users and in a myriad of different formats. Alexis A. Wilson To obtain the latest plans, at its October 1995 meeting, the NCVHS held a session focused on Standards Development Organizations and related organizations. 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.) Center for Health Research and Communications, Inc. Craig Zwerling, M.D., Ph.D. This project has brought together efforts from several state agencies, including education (for the school data), agriculture (the source of WIC data in some states), as well as health departments. Diagnoses that refer to an earlier episode that have no bearing on the current hospital or nursing home stay are to be excluded. Department of Public Health, Dan Rode 38. 27. Patient's Expected Sources of Payment, 12. Michigan Department of Social Services, Interagency Coordination Program, Stephen W. Wyatt, D.M.D., M.P.H. The Committee recommends that the HCFA identifier be adopted when completed. 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. Florida Hospital Association Information Services, George J. Stukenborg, Ph.D. What clinical information is collected in the Uhdds? Common data elements and areas for standardization will be considered as well as criteria for selection of data elements. The Uniform Hospital Discharge Data Set, or UHDDS, is used for reporting inpatient data in acute-care, short-term care, and long-term care hospitals. The instruction clarifies that only what is known to the highest level of specificity should be reported. 1. HRSA, Bureau of Primary Care, Mary Reister As highlighted earlier, the Committee has identified a number of areas that should be considered for implementation by the HHS Data Council. These comparisons also included consideration of the general availability, reliability, validity, and utility of data elements. Health Resources and Services Administration, Tameron Mitchell, R.D., M.P.H. An inpatient discharge occurs with the termination of the room, board, and continuous nursing services, and the formal release of an inpatient by the hospital. The collection of information on medications is crucial to understanding the health care encounter and the services provided to a patient. The Committee encourages the Department and its partners to give high priority to conducting evaluation and testing on such elements and also seeks to alert organizations developing standards or data sets to leave place holders for their inclusion. Health Care Practitioner Specialty 1/, 27. To transmit electronic data C. To create a process for transmitting data to external users D. 30. If the recommended specifications are widely adopted, then problems--such as data incompatibility and high costs of collecting, linking, and using data--can be substantially reduced. Functional assessment scales must also be age-appropriate. Illinois Hospital and Health Systems Association, Kathy Milholland, Ph.D., R.N. ABLES Project Opfficer, NIOSH, Steven Rosenberg, Ph.D. Georgia Center for Health Information, Patricia K. Miller (9 days ago) What does uacds mean or stand for?UACDS means Uniform Ambulatory Care Data Set. In August 1994, the Department asked the Committee to provide information and advice that will help maximize the utility of core person and encounter data for meeting the Department's responsibilities. Primary Source - The primary source that is expected to be responsible for the largest percentage of the patient's current bill. Shortly after arrival in the ER, the patient's. A person who has never been married or whose only marriages have been annulled. United States Department of Agriculture, Food and Nurtrition Service. 29. American Medical Association, Herbert G. Traxler, Ph.D. The Committee is concerned about the possible inclusion of a "multiracial" category, without an additional element requesting specific racial detail and/or primary racial identification, because of its anticipated impact on trend data and loss of specificity. Race and ethnicity B. National Institute on Drug Abuse, Cille Kennedy Much of the required information can be located on the patient's face sheet. Where can the Uhdds data elements be found? University of Colorado Health Sciences Center, Inpatient Administration, Charles J. Rothwell The Committee has recognized that data confidentiality is a major concern in the collection of health data from an increasing number of sites, and the Committee has long been concerned with personal privacy and data confidentiality issues. Current or Most Recent Occupation and Industry - This data item is very useful to track occupational diseases as well as to better define socioeconomic status. 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). 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. University of Nebraska Medical Center, Deborah M. Nadzam, Ph.D., R.N. It is recommended that the year of admission contain 4 digits to accommodate problems surrounding the turn of the century. 17. Support the NCVHS continuing its work in this area, especially using its expertise to discuss research issues, to assist in consensus building, and to participate with the Data Council in the implementation of the core data element project recommendations. Which of the following data elements is unique to Uhdds quizlet? Some states and organizations are on the cutting edge of multiple use of standardized data. Include the full name of the provider as well as the National Provider. It is recommended that the year of birth be reported in four digits to make the data element more reliable for the increasing number of persons of 100 years and older. American Psychiatric Association, Thomas C. Sawyer This element is currently collected on the HCFA 1500 form. Confidentiality of identifiable records is another critical issue. Phillippine Nurses Association of America, Karen Grady In recent years, the focus of health care has been shifting to hospital outpatient and other outpatient care, including clinic, hospice and home care, sites for which standardized data collection had not been developed. A key distinction to be ascertained in "residential arrangement" is whether organized care- giving services are being provided where the patient lives. Secondary Source - The secondary source, if any, that will be responsible for the next largest percentage of the patient's current bill. The information that this element provides on the causes of patients' injuries or adverse effects is considered essential for the development of intervention, prevention and control strategies. Outcome Concept Systems, Inc. Ronald W. Wilson, M.A. 4. What clothing brands were popular in the 50s? Whichever number is chosen, attention must be paid to which data linkages will be permitted and for what purposes. Sex Male or female 04. State of Washington Department of Health, Debra C. Hopkinson, RN, MS 8. Date of Birth 4 digits for year of birth but 3 digits are adequate to capture the century Sex Male Race Ethnicity Any new data items, as well as the old, must be produced with clear instruction on data collection and coding. Congress of the United States, Emilie Schmeidler, Ph.D. Promoting the standardization of health information has been a consistent and defining Committee activity for 25 years. A chart showing the distribution of all respondents to this second mailing by type of organization is shown in appendix G. The importance of participating in meetings of the various standard-setting groups has been recognized by the Committee. Support implementation and testing activities for those data elements for which agreement on definitions has been reached and those for which minimal additional work is needed on definitional agreement. Systems may also choose to collect other identifiers (e.g., tax number), which they can link to the NPI. National Cancer Institute, NIH, Alfred S. Buck, M.D. Half of the ten major employers who were asked to participate declined; only four actually sent in a data set. HBO and Company. 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. 22. 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. Hospitalization or encounter problems surrounding the turn of the ten major employers were., which they can link to the NPI decisions are being made organizations. 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