In the evolving managed care field, the need to follow individuals through a continuum of care and at multiple sites will become increasingly necessary. B.The health care practitioner for each clinical service received by the patient, including ambulatory procedures. 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 focus of the NCVHS effort has been on the content of the data to be transmitted, rather than the method of transmission. 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. Investigate the formation of leadership sites within the Department for each of the standards-setting organizations. 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. Centers for Disease Control and Prevention. 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. 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. Uniform Ambulatory Care Data Set. 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. The State of California has tested the use of a series of data items that are readily known by individuals and which can be combined to link data. Presentations were received from state health departments, including California, Oklahoma, and New York; organizations such as the Joint Commission on the Accreditation of Healthcare Organizations; and individuals such as Dr. James Cooney, Associate Director, Georgia Center for Health Policy, who had participated in earlier Committee efforts to define uniform data sets. Turrant County Mental Health Mental Retardation Services, Randy T. Kohl National Center for Health Statistics, Walter P. Bailey B.Spouse 4. Participation in the system will be voluntary for non-HCFA providers at first. Of these, approximately 70 percent provided information about their data elements. All have significant value and could result in the collection of four separate data elements. The NCVHS notes that the Department of Veterans Affairs routinely collects this element, and thus approves the continued inclusion in this core list, pending a review of uses and users of this element. (9 days ago) What does uacds mean or stand for?UACDS means Uniform Ambulatory Care Data Set. 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. 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. In addition, information was solicited by the NCVHS through two large-scale mailings, and public meetings were held with agencies and organizations which are currently collecting health data sets. 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. The Commonwealth of Massachusetts, Rate Setting Commision, Daniel J. Friedman, Ph.D. Association of State and Territorial Health Officials, D. Walter Biggs, III The Uniform Ambulatory Care Data Set (UACDS) regulates the area of ambulatory care. Oklahoma Department of MH and SA Services, Don Eugene Detmer, M.D. 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. University of Missouri, Kansas City, School of Dentistry, David K. Henderson, M.D. Expected insurance payer number or code. 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. American Medical Peer Review Association, Kathleen A. Weis, Dr. P.H. To retrieve electronic data B. 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. They currently are not developing a system of categories to accompany the IDs. Georgia Center for Health Information, Patricia K. Miller American Public Health Association, Linda Vader, RN, CRNO The unique identifier must be developed and protected in such a way that the American public is assured that their privacy will be protected. 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.). DCPC/NCCDPHP/CDC, Raymond C. Zastrow Type of admission C. Gender D. Reason for encounter D. Reason for encounter What is the purpose of data mapping A. Administration for Children and Families, Susan N. Postal Personal Identification The unique number assigned to each patient within a hospital that distinguishes the patient and his or her hospital record from all others in that institution. Currently, data are often shared within a facility in an identifiable format. This item would be collected at first clinical visit and periodically updated, at least annually. Consideration of these various issues and additional study and evaluation are needed before recommendations can be made for standardizing functional status measurement. Abbreviation is mostly used in categories: Health Flashcard Care Medical Technology. Institute for Health Policy Studies, UCSP School of Medicine, Christopher G. Chute, M.D., Dr.P.H. The Committee recognizes that all practitioners may not be included initially in this system, but ultimately all should be included. Operative Report PREOPERATIVE DIAGNOSIS: Obstruction of the rectum in a patient with known colon cancer POSTOPERATIVE DIAGNOSIS: Obstruction of the rectum due to. Most participants eagerly supported an independent committee, such as this, to gather input and advise the public health and health care communities. Circulate the report within the Department for review and constructive criticism. 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. ASTM (American Society for Testing and Materials ). Non-excision all debridement of stage three pressure ulcer of subcutaneous tissue of buttock. Current or Most Recent Occupation and Industry - This data item is very useful to track occupational diseases as well as to better define socioeconomic status. Procedures (inpatient) - All significant procedures, and dates performed, are to be reported. C.Discharged/transferred to skilled nursing facility (SNF) Health Insurance Association of America, John I. Gallin, M.D. The Committee recognizes the need for uniform, comparable standards across geographic areas, populations, systems, institutions and sites of care to maximize the effectiveness of health promotion and care and minimize the burden on those responsible for generating the data. The American Academy of Family Physicians, Barbara Faigin 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). In addition, the usefulness of both current/most recent occupation and industry as well as the addition of usual or longest held occupation and industry must be evaluated. The usual living/residential arrangement of an individual is important for understanding the health status of the person as well as the person's follow-up needs when seen in a health care setting. The NCVHS recommends the use of Social Security Number with a check item such as date of birth, while at the same time undertaking the study and evaluation needed to confirm this use or the recommendation of another identifier. The Committee works closely with the National Center for Health Statistics, the Agency for Health Care Policy and Research, and the Health Care Financing Administration (HCFA). National Association Children's Hospitals, George Arges More recently, the Department has been asked by the Vice President to play a leadership role, working with the Committee, in accelerating evolution of public and private health information systems toward more uniform, shared data standards. F.Discharged/transferred to home under care of organized home health service organization Providers, Insurers, and universities represented about 7 percent each. An inpatient discharge occurs with the termination of the room, board, and continuous nursing services, and the formal release of an inpatient by the hospital. Attending Physician Identification (inpatient) 1/, 22. Uniform Ambulatory Care Data Set. 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. Gender As recommended by the UHDDS and the UACDS. The process for these specialized areas is ongoing and final recommendations for specific elements have not yet been submitted to the full Committee. 1. American Health Information Management Association, Louis I. Freedman The description of the element indicates this present lack of agreement. Common data elements and areas for standardization will be considered as well as criteria for selection of data elements. The Committee has appointed a liaison to participate in selected meetings of the American National Standards Institute (ANSI) Accredited Standards Committee (ASC) X-12, a private sector coalition that is developing transmission standards for health data. 26. The UHDDS guidelines are used by hospitals to report inpatient data elements in a standardized manner. Although the UHDDS has been in the field for two decades and its data items are widely used by government and private organizations, issues of quality and comparability remain. Health Resources and Services Administration, William E. Flynn, III Throughout the meetings it became apparent that many standards-setting groups are moving ahead without broader input, for example, from those in the public health and epidemiology fields. Assistant Secretary for Planning and Evaluation, Room 415F It will do so by assigning a unique identifier to each provider. Patient's Expected Sources of Payment 1/. Together with marital status, this element provides a picture of potential formal/informal resources available to the person. Which is a data element of the Uniform Ambulatory Care data set Uacds )? American Foundation for the Blind, Karen Kmetik 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. 20. Department of Agriculture, Theresa Wulbrecht This taxonomy builds on previous NCVHS and departmental work and should be reviewed by the NCVHS and standards organizations. 02. American Nurses Association, Larry W. Miller One problem that was encountered was that of requesting what the private organizations consider proprietary information. Updates of activities in each of the agencies are presented to the Committee on a regular basis. A listing of the Core Health Data Elements grouped by level of readiness for implementation is provided after the section with the definitions of each data element. Discharge Date (inpatient) - Year, month, and day of discharge as currently recommended in the UHDDS and by ANSI ASC X12. The NCVHS Subcommittee on Ambulatory and Hospital Care Statistics commented in the 1994 UACDS revision that years of schooling completed is the most feasible socioeconomic element to collect in the UACDS. National Indian Council on Aging, Inc. Jacqueline R. Bennett Their continuing study is involved with more detailed data elements that relate specifically to the areas of mental heath, substance abuse, and long term care. University System of West Virginia, Curtis O. Porter Kaiser Permanente, Medical Economics, Kathleen H. Fyffe ICD-10-PCS code for: 1. 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