- Statewide Hospital Discharge Data: Collection, Use, Limitations, and Improvements
- Uniform Hospital Discharge Data Set – UHDDS
Statewide Hospital Discharge Data: Collection, Use, Limitations, and Improvements
The Uniform Hospital Discharge Data Set, which is referred to as the Much of the required information can be located on the patient's face sheet. Personal Identification/Unique Identifier – The primary identifier is used by the facility to.can
What is the data set? Wikipedia defines a data set as a collection of data. What does that mean exactly? A data set is a collection of related sets of information composed of separate items, which can be manipulated as a unit by a computer. Generally, a single database table or a single statistical data matrix can be a data set. The set of items can consist of just a few items or millions of items.
Search the history of over billion web pages on the Internet. Full text of " Uniform hospital discharge data : minimum data set " See other formats I Uniform Hospital! PHS 7. The recom- mended UHDDS was used as a base for development of policy and program related to hospital discharge statistics by both the governmental and non- governmental sectors. In the Committee established a consultant panel to review the original recommendations in terms of current and rapidly changing needs for discharge data. The results of that review, including recommendations, were formally en- dorsed by the National Committee in and forwarded for consideration to the Secretary, HEW.
All major industrialized countries have set up a prospective payment system for piloting health care costs. This information is eventually computerized and archived, and has led to the construction of massive databases. Following a period of testing, experimentation and progressive implementation during the 80s 2—7 and the 90s, 8—10 UHDDS production by all health care facilities became mandatory in 11 , representing 20—25 million records par year. In , a deterministic anonymous linkage identifier LinkId was implemented, 12 thus making it possible to link UHDDS records and subsequently study patient re-hospitalization pathways. Since , tariffs have been assigned to diagnosis-related groups DRGs. The collection of UHDDSs has taken an increasing part in the determination of the income of French hospitals as concerns acute inpatient activity, until finally in all such hospital reimbursements became entirely based upon the UHDDSs. Furthermore, the UHDDSs are subject to quality and accuracy controls led by the French Social Security administration, potentially resulting in fines for those hospitals not respecting certain coding criteria.
To provide an overview of statewide hospital discharge databases HDD , including their uses in health services research and limitations, and to describe Agency for Healthcare Research and Quality AHRQ Enhanced State Data grants to address clinical and race—ethnicity data limitations. Almost all states have statewide HDD collected by public or private data organizations. Statewide HDD, based on the hospital claim with state variations, contain useful core variables and require minimal collection burden. States, hospitals, and researchers use statewide HDD for many purposes. HDD have limitations affecting their use. Five AHRQ grants focused on enhancing clinical data and three grants aimed at improving race—ethnicity data. The AHRQ grants, information technology advances, payment policy changes, and the need for outpatient information may stimulate other statewide HDD changes.
Collecting accurate equity data supports efforts to reduce healthcare disparities and create equal care for all. The benefits of complete and accurate data capture have far-reaching impact, including improving the quality of care by addressing disparities in care. In the landmark study Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care, the Institute of Medicine documented evidence that race and ethnicity are significant predictors of the quality of care, observing that minorities who had the same insurance, status, and income as nonminorities received a lower quality of care. In that study IOM described racial and ethnic healthcare disparities as racial or ethnic differences in the quality of healthcare that are not due to access-related factors or clinical needs, preferences, and appropriateness of intervention. Other studies and reports have demonstrated a similar relationship between healthcare disparities and the quality of healthcare.
Uniform Hospital Discharge Data Set – UHDDS
What is the Emergency Care Data Set?