Race and Ethnicity - The collection of race and ethnicity have been recommended by the UHDDS and the UACDS, and these elements have a required definition for Federal data collection in Office of Management and Budget (OMB) Directive 15. jr pk hg ws qk bc qp wi Describe each data set element, who developed the data set, and compare the similarities and differences of each data set to the others for the following 3 data sets Uniform Hospital Discharge Data Set (UHDDS) for inpatients Uniform Ambulatory Care Data Set (UACDS) for outpatient or ambulatory patients Minimum Data Set (MDS) for long-term care. Center for Mental Health Services, Corinne Kirchner, Ph.D. Mutual of Omaha Health Plans of Lincoln, Robert Koladner, M.D. Substance Abuse and Mental Health Services Administration, Stephen E. Marcus, Ph.D. In a nutshell, the ECD defines the data elements that are essential to be documented for a patient within the EHR so the care team may provide quality care. 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." American Association of Retired Persons, Peg Douglas Of these, approximately 70 percent provided information about their data elements. The Uniform Ambulatory Care Data Set (UACDS) regulates the area of ambulatory care. Although 61 requests were made regarding data sets, almost one-third of respondents indicated that they did not have a set of health data items that they collected. 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 . Currently, data are often shared within a facility in an identifiable format. Disposition of Patient (inpatient) - As recommended by the UB 92 and as an expansion of the 1992-93 UHDDS data element: A.Discharged to home or self care (routine discharge) The data sets that are currently standardized are prime examples of satisfying multiple purposes with a single data set. There may be more than one health care provider identified: A.The health care practitioner professionally responsible for the services, including ambulatory procedures, delivered to the patient (health care practitioner of record) Regenstrief Institute, Dora A. McDonald The Committee recognizes that not all providers are obtaining this detail, but it is anticipated that these data will be more frequently collected in the near future with the growth of computerized prescription information. 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. Health Care Practitioner Identification (outpatient) - The unique national identification number assigned to the health care practitioner of record for each encounter. A person who has never been married or whose only marriages have been annulled. Other potential problems include lack of numbers for newborns, legal and illegal non-citizens and persons who wish to hide their identity, as well as a recommendation that a system would need to be established to assign and track dummy numbers. Health Care Financial Management Association/ASC X12, Kenneth E. Roos, M.S., M.B.A. They currently are not developing a system of categories to accompany the IDs. Center for Health Policy Studies, Carrie Dunkle, RN University of Nebraska Medical Center, Deborah M. Nadzam, Ph.D., R.N. Date of Birth Month, day, and year of birth. Consideration of these various issues and additional study and evaluation are needed before recommendations can be made for standardizing functional status measurement. Thus, the NCVHS was the natural locus of the continuing efforts of DHHS to investigate the further standardization of health data. D.Other (specify). 29-30. It might not be feasible to expect the record to be updated to include payment data when it becomes available. To transmit electronic data C. To create a process for transmitting data to external users D. ASTM Committee E-31, Clifford P. Binder No EP studies. Respondents to this project welcomed the notion of a core data set and standardized forms in this area. Office of Statewide Health Planning and Development. Non-excision all debridement of stage three pressure ulcer of subcutaneous tissue of buttock. It is planned that enumeration of Medicare providers will begin in calendar year 1996. Which is a data element of the Uniform Ambulatory Care data set Uacds )? The UACDS has never been officially promulgated by the Department, but a 1989 revision by the NCVHS and an Interagency Task Force has been widely circulated, as has a further refinement by the NCVHS in 1994. Some of these included information on health behaviors, such as smoking and alcohol consumption; information on preventive services; language ability; severity of illness indicators; provider certainty of diagnostic information; information to link a mother's and infant's charts; information on readmissions and complications, to mention a few. The immediate goal of the NPI/NPF project is to support HCFA's Medicare Transaction System initiative by providing a single, universal method for enumerating the providers who serve Medicare beneficiaries. 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. C.Child HHS, Public Health Service, Health Resources Services Administration, Steven Clauser IPRO - Corporate Headquarters, Nancy G. Stetson, B.S.N., M.A. Sufficient penalties for breach of confidentiality either do not exist or are not enforced. NUBC (National Uniform Billing Committee), NUCC (National Uniform Claim Committee), and. IM System, David Newman, M.D. Because agreement on a unique personal identifier has been 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. Response was significant and positive to the Committee's request to review a set of core data elements that were identified after a series of hearings and other information- gathering efforts were completed. Type of admission C. Gender D. Reason for encounter D. Reason for encounter What is the purpose of data mapping A. 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. 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. Provide stable resources to the project to establish an interdepartmental work group, with DHHS taking the lead, to work with the key standards-setting organizations in the area of core health data elements. Which data is collected on Medicare and Medicaid patients? The response to the Committee's activities through both 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. New York State Office of Mental Health, James T. Howell, MD Providers, Insurers, and universities represented about 7 percent each. Attending Physician Identification (inpatient), 22. 01. 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. 30. A unique identifier such as the SSN in conjunction with at least one other data item or, alternatively, an identifier drawn from another distinct set of data items routinely collected presently would seem the most viable. In addition to the presentations at the meetings, more than 100 written responses to the solicitation letter were reviewed and considered. For example, the State of California, in testimony to the NCVHS, described its efforts in improving health and health care delivery by linking data collected through medical facilities, school-based health and educational data bases, as well as need-based data bases such as eligibility listings for the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) or reduced school-lunch programs. 9. 27. Type of admission C. Gender D. Reason for encounter D. Reason for encounter What is the purpose of data mapping? 16. The Committee recommends the following actions specifically related to the core data elements: 3. (9 days ago) What does uacds mean or stand for?UACDS means Uniform Ambulatory Care Data Set. The HCFA Common Procedure Coding System (HCPCS), based on CPT-4, is required for physician (ambulatory and inpatient), hospital outpatient department, and free-standing ambulatory surgical facility bills; however, NCVHS strongly advocates a single procedure classification for inpatient and ambulatory care. A large number were collected by only a few of the data sets. 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. Michigan Department of Social Services, Interagency Coordination Program, Joellen Edwards Location or Address of Encounter (outpatient) - The full address and Zip Code (nine digits preferred) for the location at which care was received from the health care practitioner of record (see 19A.). 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. Illinois Department of Public Aid, Amanda Attridge Henson These comparisons also included consideration of the general availability, reliability, validity, and utility of data elements. The transference of data sets from the traditional sources has not fully met the needs of these sites. 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. Course Hero is not sponsored or endorsed by any college or university. Each encounter generates a date of service that can be used to link encounters for the same patient over time. Medicare and many other payers adhere to these guidelines. It is hoped that, as data collection evolves, certain data items, such as personal data, (i.e., date of birth, race, occupation) will only need to be collected at time of entry into a health care plan or to be updated on an annual basis, to reduce the burden of data collection. Collected on Medicare and many other payers adhere to these guidelines Howell MD! 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