Indexes, registers,& Health Data Collection
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| Index | serves as a reference to an alphabetized list of names
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| Register | to record admissions, births, discharges, deaths, operations, and other events; organized in chronological order
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| Registry | an organized system for the collection, storage, retrieval, analysis, and dissemination of information on individuals who have either a particular disease, a condition that predisposes them to the occurrence of a health related event
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| Master patient index/Master person index (MPI) | links a patient's medical record number with common identification data elements; the key to locating patient records
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| Automated MPI | resides on a computer and consists of a database of identification data about patients who have received care from a facility
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| Admission/Discharge/Transfer (ADT) system | used to input patient registration information which results in the creation of an automated MPI database that allows for the storage and retrieval of the information
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| Manual master patient index | requires the typing or hand posting of patient identification information on preprinted index cards, and limited information can be retrieved
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| Computer Interface | the exchange of data among multiple software products
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| Magnetic Strip card | similar to a credit card contains electromagnetic surface capable of holding small amounts of information
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| Disease index | organized according to ICD-9-CM disease codes
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| Procedure index | is organized according to ICD-9-Cm and/or CPT/HCPCS procedure/service codes
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| Physician index | organized according to numbers assigned by the facility to physicians who treat inpatients and outpatients
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| Case report forms | submitted by health care facilities and providers to report data to sponsoring agencies, facilities, and organizations
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| Register | a collection of information; used to verify information
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| Registry | used to collect and sort data and perform statistical analysis and study
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| Admission register | organized by admission date, maintained by admission office, includes patient name/number, admitting physician, admission diagnosis, and room number
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| Discharge register | maintained by health info. dept. organized by discharge date, includes patient name/number, attending physician, admission date, disposition, and service
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| Death register | maintained by health info. dept. organized according to date of death, includes patient name/number, attending physician, admission date, and service
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| Vital statistics | compiled for births, deaths, fetal deaths, marriages, and divorces
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| National Center for Health Statistics (NCHS) | a federal agency responsible for maintaining official vital statistics
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| Case abstracting | an automated or manual process performed by health info. dept. staff to collect patient information to determine prospective payment systems (PPS) status, generate indexes, and to report data to quality improvement organizations and state&federal agencies
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| Case mix analysis | study of types of patients treated by the facility
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| Data set | standard method for collecting and reporting individual data elements (so data can be easily compared)
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| Data dictionary | collection of data element definitions
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| Medical Information Bureau(MIB) | a clearinghouse of medical and avocation information about people who apply for insurance
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| National Practitioner Data Bank (NPDB) | contains information about practitioners who engage in unprofessional behavior, and its purpose is to restrict the ability of incompetent health care practitioners to move to another state w/o disclosure of previous malpractice
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| Descriptive statistics | summarize a set of data using charts, graphs, and tables
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| Aggregate data | based on performance, utilization, and resource management
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| Comparative data | used for health services outcomes measurement and research
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| Patient-centric data | directly related to patients
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| Transformed-based data | used for clinical and management decisions, support, and planning
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| Bar graph | displays data along an X-axis and a Y-axis
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| Pie chart | displays component parts of data as it relates to the whole thing
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| Line diagram (Run chart) | displays data over a period of time
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| Data integrity | is accurate, complete, consistent, up-to-date, and is the same no matter where the data is recorded
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| Data reliability | is consistent thru out all systems in which it is stored, processed, and/or retrieved
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| Data validity | is valid id it conforms to an expected range of values
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| Data application | purpose for which the data are collected
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| Data collection | processes by which data elements are accumulated
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| Data warehousing | processes and systems used to archive data and data journals
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| Data analysis | process of translating data into information utilized for an application
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| Continuous quality improvement (CQI) | emphasizes the organization and systems; focuses on process rather than individual; promotes the need for objective data to analyze and improve processes
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| Data accessibility | ease with which data can be obtained
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| Data accuracy | error free and correct
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| Data comprehensiveness | presence of all required data elements in the patient record
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| Data consistency | reliability of data regardless of the way in which the data is stored, displayed, or processed
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| Data definition | defined meanings and values of all elements so all present and future users understand the data
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| Data granularity | definition of each attribute and value of data at the correct level of detail
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| Data precision | accurate data collection by defining expected data values
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| Data relevancy | compilation of data that is valuable for the performance of a process or activity
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| Data timelines (data currency) | collection of up-to-date and availability to the user within a reasonable amount of time
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| Data mining | uses software to search for patterns and trends and to produce data content relationships
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| Relational databases | limited two-dimensional structure that does not allow for complete trend analysis
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| Online analytical processing (OLAP) servers | store data in multiple dimensions and facilitate trend analysis and forecasting, allowing health care organizations to make informed, proactive decisions
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| Daily census count | number of inpatients present at census taking time (usually midnight)
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| Daily inpatient census | official count of inpatients present at midnight, which is calculated each day
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| Average daily census | average number of inpatients treated during a given time period (average also known as an arithmetic mean)
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| Length of stay (LOS)data | represents the number of calendar days that a patient was an inpatient
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| Total length of stay | for all discharged patients is calculated for a given time period
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| Average length of stay | divide the total LOS by the number of patients discharged
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| Discharge data statistics | calculated to measure health status and outcomes, health care utilization, and access to health care
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