The Minimum Data Set for long term care (MDS) was published by the Department of Health & Human Services in 2013 and modified in 2016. Marital status is discussed in element 6. The NCVHS recognizes the vital importance of maintaining confidentiality and emphasizes that any public use of a unique identifier should be in an encrypted form. NYLCare Health Plans, Inc. Andrew Webber Additional evaluation and testing are needed on standardizing the health status element. 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). Ronald Carlson Diagnosis Chiefly Responsible for Services Provided (outpatient) - The diagnosis, condition, problem, or the reason for encounter/visit chiefly responsible for the services provided. Which of the following data elements is unique to UACDS A. American Medical Association, LaVerne D. Knezek, Ph.D. Respondents have indicated a mixed use of this item for inpatients. Purpose: to identify data elements for a uniform minimum data set on ambulatory care CMS1500 (Claim form for Medicare/Medicaid Outpatient claims) is main vehicle used to collect UACDS data elements . Type of admission C. Gender D. Reason for encounter D. Reason for encounter What is the purpose of data mapping A. To transmit electronic data C. To create a process for transmitting data to external users D. Directorate of Medical Programs and Resources, Office of the Surgeon General, Frank J. Chaloupka HCFA is developing a new system, called the HCFA PAYERID project, which will assign a unique identifier to every payer of health care claims in the United States. By January 1998, all California State Department of Health data bases will contain five data items to facilitate linkage. Occupational Safey Health Administration, Office of Statistics, William Halperin, M.D., M.P.H. Consensus has been reached on definitions for some of these elements; for others, there is much agreement, but definitions must still be finalized; and for a third group, additional study and testing are needed. No follow-up planned (return if needed, PRN), Referred elsewhere (including to hospital), No charge (free, charity, special research, or teaching), Mental Health and Substance Use History of Consumer and of Consumer's Family Members, Categorization and Coding of Wrap Around Services (including community-based services, housing assistance, job training, etc.). Future projects may undertake to seek consensus among some of these items. States have varying laws to protect the confidentiality of these data, and often the laws do not protect data that have crossed state lines. If there appear to be two procedures that are principal, then the one most related to the principal diagnosis should be selected as the principal procedure. 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. Colorado Hospital Association, Nancy Breen, Ph.D. 15. 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 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. Gender As recommended by the UHDDS and the UACDS. Facility Identification - The unique HCFA identifier as described above. 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. Massachusetts General Hospital, Harvard Medical School, Jonathan M. Ellen, M.D. 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. Compelling evidence presented by the Indian Health Service, states and nonprofit organizations demonstrates that effective intervention strategies can be implemented in response to available data on external causes of injury. Medications Prescribed - Describe all medications prescribed or provided by the health care practitioner at the encounter (for outpatients) or given on discharge to the patient (for inpatients), including, where possible, National Drug Code, dosage, strength, and total amount prescribed. It is recommended that convergence of these guidelines be investigated. and provide a thorough description of what you have chosen. 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. College of Nursing, East Tennessee State University, Jimmy Thomas Efird Don L. Zimmerman, Ph.D. It is recommended that the year of birth be recorded in four digits to make the data element more reliable for the increasing number of persons of 100 years and older. 35. 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. Type of admission C. Gender D. Reason for encounter D. Reason for encounter What is the purpose of data mapping? Health Care Facility and Practitioner Identifiers - Each provider should have a universal unique number across data systems. Qualifier for Other Diagnoses (inpatient), 28. Birch & Davis Health Management Corporation, Inc. George F. Grob The collection of this element allows for the investigation of issues surrounding health and health care by a person's race and ethnic background. Race and ethnicity B. The data sets promulgated by the NCVHS have become de facto standards in their areas for data collection by Federal and state agencies, as well as public and private data abstracting organizations. University of Colorado Health Sciences Center, Inpatient Administration, Charles J. Rothwell Type of Facility/Place of Encounter 1/, 19. 19. American Medical Association, Zili Sloboda, Sc.D. 40. AHCPR compared the 12 systems with the UB-92 and monitored deviations at 3 levels - easy, moderately difficult, and difficult to correct problems. 4. 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. Health Care Financing Administration, Steven B. Cohen These elements apply to persons seen in both ambulatory and inpatient settings, unless otherwise specified. HCFA has also provided information on its efforts to define a core data set for states and managed health care plans (McData), which is undergoing review at this time. The Committee recommends that the Department fund these activities on an ongoing basis. Computer Network Architects, Inc. Barry Gordon Interregional Services, James P. Cooney, Jr., Ph.D. Randall Spoeri, Ph.D. Participating organizations included: Although Committee members were aware in a general way of ongoing standards developments activities, this session focused on the need for action being required now and in the near future if the health care community is to obtain and maintain a presence as data standards are developed and finalized. No decisions have been made by the Department on any of these recommended revisions of either the UHDDS or the UACDS. APHA American Public Health Association, Katherine M. McCormack NUBC (National Uniform Billing Committee), NUCC (National Uniform Claim Committee), and. Both the UHDDS and UACDS have been reviewed and updated by the NCVHS and the Department in recent years. every facility where ambulatory care is delivered. Get access to this page and additional benefits: Provies the ICD-10-PCS codes 4. Primary Source - The primary source that is expected to be responsible for the largest percentage of the patient's current bill. Other recommendations will be circulated for comment at a future time. However, AHCPR is in the process of publishing findings indicating definitional discrepancies even within the organizations collecting the UHDDS. The study also found that with the multiracial option there was a considerable decline in percentage terms (approximately 29 percent) of respondents choosing American Indian, Eskimo or Aleut. USDA, Food and Consumer Service, Regina McPhillips, Dr.P.H. Connecticut Children's Medical Center, Geraldine Oliva The NPI/NPF will provide a common means of uniquely identifying health care providers, including institutions, individuals, and group practices, both Medicare providers and those in other programs. The currently recommended coding instrument is the ICD-9-CM. Center for Mental Health Services, Corinne Kirchner, Ph.D. 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. Pennsylvania Health Care Cost Containment Council, P. John Seward, M.D. Where can I watch the entire Dragon Ball series for free. State Budget and Control Board. However, identifiers are commonly removed when a data set is provided outside of a facility, such as to a state health data organization. There are data items, such as health status and functional status, that are considered crucial elements, but for which substantial additional study and evaluation must be undertaken to reach consensus on standardized content and definition. One problem that was encountered was that of requesting what the private organizations consider proprietary information. Total Billed Charges - All charges for procedures and services rendered to the patient during a hospitalization or encounter. 41. Paul L. Grimaldi, Ph.D. This taxonomy builds on previous NCVHS and departmental work and should be reviewed by the NCVHS and standards organizations. NCQA (National Committee for Quality Assurance). HHS, Health Care Financing Administration, Kim Streit Although it is best understood in conjunction with a socioeconomic indicator, researchers may gain a better understanding of the trends and impact of care on racial/ethnic minorities in the U.S. HHS, Agency for Health Care Policy Research, Ctr for Cost and Financing Studies. Standard electronic formats are recommended to the extent that they have been developed. Dave Baldridge Also, although different data sets may include the same data element, in most cases it was not possible to verify that the data collection instructions and definitions were the same. 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