ASTM (American Society for Testing and Materials ). National Association Children's Hospitals, George Arges National Cancer Institute, NIH, Alfred S. Buck, M.D. Date of Birth - Year, month and day - As recommended by the UHDDS and the Uniform Ambulatory Care Data Set (UACDS). 01. Patient's Expected Sources of Payment 1/. Because agreement on a unique personal identifier is recognized as a key element to the successful establishment of core data elements, and their use, support the formation of a public-private working group to study and provide recommendations in this area. 11. 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. A commonly used measure is the person's rating of his or her own general health, as in the five-category classification, "excellent, very good, good, fair, or poor." B.The health care practitioner for each clinical service received by the patient, including ambulatory procedures. HHS, Health Care Financing Administration, Kim Streit 36. What clothing brands were popular in the 50s? The Committee's intent is not to specify a data set for mandated external reporting; not every element may be needed in a specific collection effort, and these data elements do not represent all of the important data items that are collected in the field or needed for specific applications. In addition to documenting whether the patient was discharged alive or died during the hospitalization, the patient disposition is an indicator of the patient's health status at the time of discharge and need for additional services. Attending Physician Identification (inpatient) - The unique national identification number assigned to the clinician of record at discharge who is responsible for the discharge summary, as recommended by the 1992 UHDDS. 4. Virtually all saw the need for uniform data items and definitions, and the issue of a unique identifier was a frequent topic. Diagnosis Chiefly Responsible for Services Provided (outpatient) - The diagnosis, condition, problem, or the reason for encounter/visit chiefly responsible for the services provided. Although the Committee serves a very useful purpose in bringing together the experts to discuss and consider these elements, it takes dedicated departmental staff to keep the process underway on a day-to-day basis. To identify the large number of organizations involved in various aspects of health data standards, staff at NCHS produced a report (see appendix H) describing the various groups by type of organization. American Psychiatric Association, Thomas C. Sawyer Residence - Full address and ZIP code (nine digit ZIP code, if available) of the individual's usual residence.. Facility Identification - The unique HCFA identifier as described above. 24. CORE HEALTH DATA ELEMENTS PROPOSED FOR STANDARDIZATION, 11. These include the review and implementation of core data elements and definitions within departmental data collection activities; formation of public-private work groups to assist in promulgating data elements for which consensus has been reached or for undertaking additional study on critical elements for which there are no standardized definitions. Molly A. Anthony, Ph.D. Uniform Ambulatory Care Data Set (UACDS). Self-Reported Health Status - There was much interest in documenting health status, one element that can precipitate the demand for health care and help determine the prognosis, although there was no consensus on how its definition should be standardized. HRSA, Bureau of Primary Care, Mary Reister Used in the National Health Interview Survey and many other studies, this item has been shown to be predictive of morbidity, mortality, and future health care use, when collected in a general interview type of setting. Uniform Ambulatory Care Data Set. A chart showing the distribution of all respondents by type of organization is shown in appendix D. Approximately 30 percent of respondents were from state and local governments, followed by professional associations and the Federal Government with 18 Percent and 17 percent respectively. Operating Clinician Identification (inpatient) 1/, 23. Health Care Practitioner Specialty 1/, 27. It remains unclear whether the modest health gains seen in low-income and racial/ethnic minority populations in the last thirty years will continue, considering the changes in the U.S. health care system. A large number were collected by only a few of the data sets. Operating Clinician identification 1/. Where can the Uhdds data elements be found? National Academy for State Health Policy, Marie Roberto, Dr.P.H. 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. Directorate of Medical Programs and Resources, Office of the Surgeon General, Frank J. Chaloupka prison), Principal diagnosis of an injury or poisoning. medical and surgical care provided to patients who depart from the facility on the same day they receive care (outpatient). 4. 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. Bureau of Vital Records and Health Statistics. Emily Friedman Health Policy Analysis, Del Fulgencio This effort, described below, is the culmination of input from the historical knowledge and work of the Committee, including the uniform basic data sets already developed; and information provided in meetings, hearings, and through correspondence with Federal, state and local health agencies, private organizations, universities, etc. BlueCross BlueShield of Minnesota. The Committee recognizes that this is an iterative process and has included in these recommendations several elements that have been proposed for standardization, even though no consensus currently exists concerning appropriate or feasible definitions. Minnesota Department of Health, Trish Riley Currently there is little or no input from the public health field for several reasons. UACDS differs from UHDDS with data elements specific to ambulatory . This issue represents more than just what item or set of items the identifier will include; it opens up the whole issue of data linkage, privacy, and data confidentiality with its relevant benefits and risks. 22. This listing should be reviewed by the NCVHS and standards organizations and, if found acceptable, recommended for use. At a minimum, the following classification is suggested: The critical distinction here is whether followup is planned or scheduled, as an indicator of continuing health problems and continuity of care. Agency for Health Care Policy and Research, Simon P. Cohn, M.D., M.P.H. To this end, the Committee has advised the Department on such matters as Federal-state relationships, nomenclatures and classification systems, core data sets, and access and confidentiality issues. They currently are not developing a system of categories to accompany the IDs. Department of Public Health, Dan Rode The primary diagnosis is not part of the UHDDS, and in most diagnostic situations, the principal and primary diagnoses will be identical. Additional evaluation and testing are warranted for this important information. The National Committee on Vital and Health Statistics (see appendix A for roster) has completed a two-year project requested by the Department of Health and Human Services to review the current state of health-related core data sets; obtain input on their collection and use; interact with data standards-setting groups; and, most importantly, promote consensus by identifying areas of agreement on core health data elements and definitions. Biometrics, Center for Devices and Radiological Health, Food and Drug Adm. Elizabeth Grossman State of Kansas Department of Health and Evironment, Renate E. Pore A person who has never been married or whose only marriages have been annulled. In 1989, NCVHS approved the UACDS, recommending its use in. The response to the Committee's activities both through participation in meetings and written comments indicates that the health care information field is solidly in favor of the identification and use of standardized data elements and definitions. [Uniform Ambulatory Care Data Set (UACDS)]: A core set of data elements used to report ambulatory data elements in standardized manner. National Highway Traffic Safety Administration, Amy Fine UACDS and UHDDS have many similar data elements, which makes it easier to. However, identifiers are commonly removed when a data set is provided outside of a facility, such as to a state health data organization. The element also provides information on patient origin for health resource planning, and for use as an indirect measure of socioeconomic status. Where can the Uhdds data elements be found? 3. What does Lo Debar represent in the Bible? The currently recommended coding instrument is the ICD-9-CM. The continuing expansion of types of payments and the combination of payments within groups is ever changing. NCQA - National Committee for Quality Assurance, Yvonne Senturia, M.D., M.Sc. 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." Operative Report PREOPERATIVE DIAGNOSIS: Recurrent sigmoid volvulus and tumor POSTOPERATIVE DIAGNOSIS: Recurrent sigmoid volvulus and tumor OPERATION: Directions: Discussion Overview: Choose a specific commonly collected data set (UHDDS, CDC, NCDB, UACDS, OASIS, HEDIS, etc.) 37. However, recent testimony has led the Committee to investigate this issue further, in light of perceived inadequacies of the SSN (e.g., lack of a check digit, multiple SSN's, etc. Institute for Health Policy Studies, UCSP School of Medicine, Christopher G. Chute, M.D., Dr.P.H. Conditions should be coded that affect patient care in terms of requiring clinical evaluation; therapeutic treatment; diagnostic procedures; extended length of hospital or nursing home stay; or increased nursing care and/or monitoring. Health Care Financing Administration. Indian Health Service, Robert Davis Commonwealth of Virginia, Department of Medical Assistance Services, William R. Taylor, M.D., M.P.H. Place the Committee's report, elements and definitions on an appropriate departmental Home Page as guidance to the field and as a means of encouraging use and soliciting further comments and suggestions while the report is under review within the Department. The Committee's goal has been to develop a set of data elements with agreed-upon standardized definitions that, when needed in a data collection effort, can be used to collect and produce standardized data. Footnotes: 1/ element for which substantial agreement has been reached but for which some amount of additional work is needed; 2/ element which has been recognized as significant but for which considerable work remains to be undertaken. American Medical Association, LaVerne D. Knezek, 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.
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