The Uniform Hospital Discharge Data Set, which is referred to as the UHDDS, is the core data set for inpatient admissions. By January 1998, all California State Department of Health data bases will contain five data items to facilitate linkage. Other Diagnoses (outpatient) - The additional code(s) that describes any coexisting conditions (chronic conditions or all documented conditions that coexist at the time of the encounter/visit, and require or affect patient management). What does Lo Debar represent in the Bible? 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. Health Resources and Services Administration, Lorne A. Phillips, Ph.D. This term is one that needs study and evaluation before it can be implemented. The MEDSTAT Group, Joel Diringer, JD. 19. Health Care Financial Management Association/ASC X12, Kenneth E. Roos, M.S., M.B.A. Place holders will be set, and, in some cases data items and definitions decided on, before national and local public health agencies and organizations will be able to act. Principal diagnosis is required by most systems for inpatient reporting. and provide a thorough description of what you have chosen. Primary Diagnosis (inpatient) - The diagnosis that is responsible for the majority of the care given to the patient or resources used in the care of the patient. American Medical Association, Mark Epstein, Sc.D. Expired has been added because the outpatient setting includes a wide range of sites, including Emergency Departments and ambulatory surgery centers. The currently recommended coding instrument is the ICD- 9-CM. To transmit electronic data C. To create a process for transmitting data to external users D. A person who has never been married or whose only marriages have been annulled. The NCVHS recommends continued monitoring of provider practices with regard to coding and revision of these recommendations if current guidelines continue to be ignored. For children under the age of 18, the mother's highest grade of schooling completed should be obtained. CORE HEALTH DATA ELEMENTS PROPOSED FOR STANDARDIZATION, 11. The Assistant Secretary for Planning and Evaluation (ASPE) is the principal advisor to the Secretary of the U.S. Department of Health and Human Services on policy development, and is responsible for major activities in policy coordination, legislation development, strategic planning, policy research, evaluation, and economic analysis. 42. Health Resources & Services Administration, Office of Policy Coordination, Nancy Moss, Ph.D. 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) Data Elements UHDDS (Uniform Hospital Discharge Data Set) Personal Identifier A unique number identifying the patient, applicable to the individual regardless of health care source or third-party arrangement. A person currently married. Currently, such a staff does not exist. Any new data items, as well as the old, must be produced with clear instruction on data collection and coding. Without a universal unique identifier or a set of data items that can form a unique identifier, it will be impossible to link data across the myriad of healthcare locations and arrangements. (9 days ago) What does uacds mean or stand for?UACDS means Uniform Ambulatory Care Data Set. Michael L. Glickman Agency for Health Care Policy and Research, Simon P. Cohn, M.D., M.P.H. Producing the compendium was a much more involved effort than was originally envisioned, and probably is representative of problems to be overcome in the future when standardization implementation is planned. 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. There have been several proposals for Federal legislation in recent years; however, to date, no Federal legislation protecting the confidentiality of health records exists. Ambulatory Conditions - The elements for ambulatory conditions contain information on the Patient's Stated Reason for Visit and the Problems, Diagnosis, or Assessment, both of which were recommended by the UACDS. 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. Which data is collected on Medicare and Medicaid patients? The number of standards-setting organizations is growing; however, all who addressed the Committee are actively seeking participation by a 'recognized' leader/group who can forge consensus for the health care information field. Common data elements and areas for standardization will be considered as well as criteria for selection of data elements. Illinois Department of Public Health, Frank C. Lemus Additionally, a consensus must be reached on the unique personal identifier. Performance monitoring and outcomes research are two areas that are currently hampered by the inability to link data sets from various sources. Marital Status - The following definitions, as recommended by the NCVHS, should be used. To assure the widest possible distribution, the document was also placed on the DHHS and NCHS Home Pages in an electronic format. Several organizations have volunteered to facilitate dissemination and feedback of the core data elements project. B.Spouse Health Care Practitioner Identification (outpatient) - The unique national identification number assigned to the health care practitioner of record for each encounter. Anonymous The identification, definition, and implementation of standardized data in the health care and health care information fields are long overdue. Performance monitoring and outcomes research are two additional areas that are currently hampered by the inability to link data sets from various sources due to varying data elements and definitions. HBO and Company. However, the activities envisioned by many participants go much farther than an advisory committee can handle. Core Health Data Elements Project A recent Bureau of Labor Statistics study found that only 1.5 percent of respondents will choose the multiracial category. 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. National Institute on Drug Abuse, Cille Kennedy Get access to this page and additional benefits: Provies the ICD-10-PCS codes 4. Health Resources and Services Administration, Tameron Mitchell, R.D., M.P.H. What does UACDS stand for? FACEP 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. The National Committee is well aware of the numerous efforts currently underway in both the public and private sectors to standardize health data, especially the progress made during the past 10-15 years in developing uniform data sets (Uniform Hospital Discharge Data Set and the Uniform Ambulatory Care Data Set) as well as common claim forms (Uniform Bill 82 and its successor UB 92 and HCFA 1500). Georgia Office for Health Care Data, Division of Public Health, Jayne Bertovich In the future, the system will integrate non-HCFA subscribers. It appeared that some types of data linkage could be obtained in states with smaller populations, but might not work nationwide. University of California--San Francisco, Marlene M. Lugg The Committee recognizes that all practitioners may not be included initially in this system, but ultimately all should be included. National Center for Health Statistics, Walter P. Bailey State of Texas Department of Health, Mike McGinty, Ph.D. Mutual of Omaha Health Plans of Lincoln, Robert Koladner, M.D. It is recommended that the year of admission contain 4 digits to accommodate problems surrounding the turn of the century. National Cancer Institute, NIH, Alfred S. Buck, M.D. The Committee's efforts, first in the area of inpatient hospital data (the Uniform Hospital Discharge Data Set or UHDDS) and later in the area of ambulatory care (the Uniform Ambulatory Care Data Set or UACDS) have moved the country in the direction of achieving comparability in the health data collected by federal agencies, states, localities and the private sector, as well as in the international community. The Committee has recognized that data confidentiality is a major concern in the collection of health data from an increasing number of sites, and the Committee has long been concerned with personal privacy and data confidentiality issues. Hartford Primary Care Consortium, Inc. Thomas H. Dial, Ph.D. Columbia/HCA HealthCare Corporation, John Quinn Philippine Nurses Association of America, Lisa L. Culver, PT, MBA There is already consensus among data collectors and users for a significant number of data elements, especially elements related to person descriptors and to selected information on inpatient and ambulatory encounters. 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.). American Association of Health Plans, Louis H. Diamond, M.B.Ch.B. Updates of activities in each of the agencies are presented to the Committee on a regular basis. Permanente Medical Group On that same day NCVHS submitted to the DHHS Data Council its recommendations for standardizing 42 core health data elements, including demographic, socioeconomic, and health status information about a person and data specific to a person's encounter with the healthcare system on either an inpatient or outpatient basis. Which is a data element of the Uniform Ambulatory Care data set Uacds )? Deborah Lieberman, MHSA, OTR/L, PAOTA 40. The UHDDS guidelines state all significant procedures are to be reported and a significant procedure is defined as one that is: Surgical in nature, or. Department of Health and Human Services, Cheryl Beversdorf There is less agreement on data definitions, even for data items that have been in the field for years. Particular scales are more appropriate for measuring different functions or disabilities and should be selected on the basis of the needs of the patient population (such as, use of social functioning scales for those with mental disorders and substance abuse). Data quality is a perennial issue. Type of admission C. Gender D. Reason for encounter D. Reason for encounter What is the purpose of data mapping A. Association of Maternal and Child Health Programs, Karl S. Finison In these cases, it is possible that the data items, such as person characteristics, are part of a more basic file kept by the organization, and the information for that file was not included. 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. Turrant County Mental Health Mental Retardation Services, Randy T. Kohl 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. The 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. Definitions must be refined and made available in standardized formats to data collectors. Because the full residential address could serve as a proxy personal identifier, confidentiality of the complete information must be safeguarded in public use of the data. 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. Information on multiple diagnoses is important for developing severity indexes and assessing resource requirements and use. Include the full name of the provider as well as the National Provider. Thus to meet the needs for standardized data, movement must be made toward standardized definitions for those data sets that are already in use, and for an increased use of standardized data elements and definitions by those data collection efforts for which no current standardized data sets exist. Specifically, the Department charged the Committee to: In developing a strategy for accomplishing these tasks, the Committee described a context in which the project would be undertaken that included the following issues: The following list of data elements contains those elements selected for the first iteration of this process. Michigan Department of Social Services, Interagency Coordination Program, Stephen W. Wyatt, D.M.D., M.P.H. Health Care Financing Administration, Steven M. Melov It is the expectation of the Committee that the health care field will find these recommended data elements to be fundamentally important for any collection of person and health care encounter data and will consider these elements and standardized definitions for inclusion in their data collection efforts wherever possible. Birth Weight of Newborn (inpatient) - The specific birth weight of the newborn, recorded in grams. In some situations, it is possible that a free-form narrative will be collected in place of the codes, to be coded at a later point. 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. The Committee has chosen to include these elements because it believes that the need for the type of information they contain will continue to increase. Residence - Full address and ZIP code (nine digit ZIP code, if available) of the individual's usual residence.. Also, describe, to the extent possible, the provision of drugs and biologicals, supplies, appliances and equipment. The Committee encourages the Department and its partners to give high priority to conducting evaluation and testing on such elements and also seeks to alert organizations developing standards or data sets to leave place holders for their inclusion. University of Missouri, Kansas City, School of Dentistry, David K. Henderson, M.D. Injury Related to Employment - Yes, No. Abbreviation is mostly used in categories: Health Flashcard Care Medical Technology. In addition, the Committee and Department have been involved in activities related to standardizing the collection of data in the long-term care setting. Patient's Relationship to Subscriber/person eligible for entitlement -, A.Self Other Procedures (inpatient) - All other procedures that meet the criteria described in element 33. Health Care Facility and Practitioner Identifiers - Each provider should have a universal unique number across data systems. IPRO - Corporate Headquarters, Nancy G. Stetson, B.S.N., M.A. Additional evaluation and testing are needed on standardizing the health status element. University of Pennsylvania Medical Center, Steven Kappel Patient's Stated Reason for Visit or Chief Complaint (outpatient) - Includes the patient's stated reason at the time of the encounter for seeking attention or care. Patient's Stated Reason for Visit or Chief Complaint (outpatient) 2/, 29. A key distinction to be ascertained in "residential arrangement" is whether organized care- giving services are being provided where the patient lives. 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