HHS 503 Ch.7.pdf

Health Information Management Technology: An Applied Approach, Sixth Edition Chapter 7: Secondary Data Sources ahima.org ahima.org © 2020 AHIMA Introduction Databases are used to see trends in data Facility-specific registry Population-based registry ahima.org © 2020 AHIMA Roles in Managing Secondar...

Health Information Management Technology: An Applied Approach, Sixth Edition Chapter 7: Secondary Data Sources ahima.org ahima.org © 2020 AHIMA Introduction Databases are used to see trends in data Facility-specific registry Population-based registry ahima.org © 2020 AHIMA Roles in Managing Secondary Records and Databases Establishing database Determining content of database Compliance with laws, regulations, and accreditation standards Data dictionary Data stewardship ahima.org © 2020 AHIMA Differences Between Primary and Secondary Data Sources and Databases Primary data source Secondary data source Ways to classify data Patient identifiable data Aggregate data Secondary data are usually aggregate data ahima.org © 2020 AHIMA Purposes and Users of Secondary Data Sources Four major purposes Quality, performance, and patient safety Research Population health Administration ahima.org © 2020 AHIMA Users of Secondary Data Internal users External users ahima.org © 2020 AHIMA Types of Secondary Data Sources Facility specific indexes Disease Operation Physician ahima.org © 2020 AHIMA Types of Secondary Data Sources Registries Disease Cancer Trauma Birth defect Diabetes Implant Transplant Immunization ahima.org © 2020 AHIMA Cancer Registry Cancer Registries Amendment Act of 1992 Case definition Case finding Accession registry Accession number Staging ahima.org © 2020 AHIMA Cancer Registry Reporting cancer cases Annual report Quality assessment Research Follow-up ahima.org © 2020 AHIMA Cancer Registry American College of Surgeons Commission on Cancer North American Association of Central Cancer Registries Centers for Disease Control and Prevention National Cancer Registrars Association Certified Tumor Registrar ahima.org © 2020 AHIMA Trauma Registry Traumatic injury Case definition Case finding Abbreviated Injury Scale Injury Severity Score Annual report May or may not perform follow-up ahima.org © 2020 AHIMA Birth Defect Registry Newborns with birth defects Case definition Case finding ahima.org © 2020 AHIMA Diabetes Registry Patients with diabetes Case definition Case finding Follow-up ahima.org © 2020 AHIMA Implant Registries Implants Pacemakers Heart valve Etc. Case definition Case finding FDA reporting ahima.org © 2020 AHIMA Transplant Registries Organ transplant Track patients who need transplant Track patients who had transplant ahima.org © 2020 AHIMA Immunization Registry Track immunizations from multiple providers Remind parents of immunization ahima.org © 2020 AHIMA Other Registries May be developed for any disease or condition Cardiovascular diseases Gastroenterology conditions Administrative registries may be created National Provider Identifier Registry ahima.org © 2020 AHIMA Healthcare Databases National and state administrative databases Medicare Provider Analysis and Review Acute care hospital and skilled nursing facility claims data Medicare patients Data ahima.org © 2020 AHIMA Demographic data Data on provider Information on Medicare coverage Total charges Charges by service ICD diagnosis and procedure codes MS-DRGs 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 Penalties for nonreporting Data used in credentialing process ahima.org © 2020 AHIMA National, State, and County Public Health Databases Public health Surveillance of health state of population Monitors Incidence and prevalence of disease Possible high-risk populations Survival statistics Trends over time Data collected by interview, physical exams, and health records ahima.org © 2020 AHIMA National Health Care Survey Public health survey Made up of multiple surveys National Hospital Care Survey National Hospital Ambulatory Medical Care Surgery National Ambulatory Care Medical Care Survey National Survey of Long-Term Care Providers ahima.org © 2020 AHIMA Healthcare Databases National and state administrative databases National, State, and County Public Health Databases Other Public Health Databases ahima.org © 2020 AHIMA Other Public Health Databases National Electronic Disease Surveillance National Health Interview Survey National Immunization Survey State and local databases ahima.org © 2020 AHIMA Vital Statistics Data on births, deaths, fetal deaths, marriages, and divorces Collected by state Information shared with National Center for Health Statistics Linked Birth and Infant Death Data Set ahima.org © 2020 AHIMA Clinical Trials Research project in which new treatments and tests are investigated Protocols ClinicalTrials.gov Information includes summary of purpose of study, recruiting status, criteria for participation, location of trial, and contact information ahima.org © 2020 AHIMA Health Services Research Databases Research concerning healthcare delivery system Agency for Healthcare Research and Quality Healthcare Cost and Utilization Project ahima.org © 2020 AHIMA National Library of Medicine Medical Literature, Analysis, and Retrieval System Online (MEDLINE) Biographical listings for publication Unified Medical Language System (UMLS) Links between different information systems ahima.org © 2020 AHIMA Health Information Exchange Patient-specific data Used for patient care ahima.org © 2020 AHIMA Data for Performance Measurement Database for core performance measures Required for Joint Commission, CMS, and some health plans ahima.org © 2020 AHIMA HIM Roles Collect secondary data Analyze secondary data Maintain privacy Registrar (cancer, immunization, etc.) Database administrator ahima.org © 2020 AHIMA