دورية أكاديمية
Linking Trauma Registry Patients With Insurance Claims: Creating a Longitudinal Patient Record.
العنوان: | Linking Trauma Registry Patients With Insurance Claims: Creating a Longitudinal Patient Record. |
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المؤلفون: | Oliphant BW; Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, Michigan. Electronic address: bryantol@med.umich.edu., Cain-Nielsen AH; Department of Surgery, University of Michigan, Ann Arbor, Michigan., Jarman MP; Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, Massachusetts., Sangji NF; Department of Surgery, University of Michigan, Ann Arbor, Michigan., Scott JW; Department of Surgery, University of Michigan, Ann Arbor, Michigan., Regenbogen S; Department of Surgery, University of Michigan, Ann Arbor, Michigan., Hemmila MR; Department of Surgery, University of Michigan, Ann Arbor, Michigan. |
المصدر: | The Journal of surgical research [J Surg Res] 2024 Mar; Vol. 295, pp. 274-280. Date of Electronic Publication: 2023 Dec 03. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Academic Press Country of Publication: United States NLM ID: 0376340 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1095-8673 (Electronic) Linking ISSN: 00224804 NLM ISO Abbreviation: J Surg Res Subsets: MEDLINE |
أسماء مطبوعة: | Publication: New York, NY : Academic Press Original Publication: Philadelphia [etc.] |
مواضيع طبية MeSH: | Medical Record Linkage* , Insurance*, Humans ; Registries ; Medical Records ; Hospitalization |
مستخلص: | Introduction: Trauma registries and their quality improvement programs only collect data from the acute hospital admission, and no additional information is captured once the patient is discharged. This lack of long-term data limits these programs' ability to affect change. The goal of this study was to create a longitudinal patient record by linking trauma registry data with third party payer claims data to allow the tracking of these patients after discharge. Methods: Trauma quality collaborative data (2018-2019) was utilized. Inclusion criteria were patients age ≥18, ISS ≥5 and a length of stay ≥1 d. In-hospital deaths were excluded. A deterministic match was performed with insurance claims records based on the hospital name, date of birth, sex, and dates of service (±1 d). The effect of payer type, ZIP code, International Classification of Diseases, Tenth Revision, Clinical Modification diagnosis specificity and exact dates of service on the match rate was analyzed. Results: The overall match rate between these two patient record sources was 27.5%. There was a significantly higher match rate (42.8% versus 6.1%, P < 0.001) for patients with a payer that was contained in the insurance collaborative. In a subanalysis, exact dates of service did not substantially affect this match rate; however, specific International Classification of Diseases, Tenth Revision, Clinical Modification codes (i.e., all 7 characters) reduced this rate by almost half. Conclusions: We demonstrated the successful linkage of patient records in a trauma registry with their insurance claims. This will allow us to the collect longitudinal information so that we can follow these patients' long-term outcomes and subsequently improve their care. (Copyright © 2023 Elsevier Inc. All rights reserved.) |
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معلومات مُعتمدة: | K01 AG065414 United States AG NIA NIH HHS; K08 HS028672 United States HS AHRQ HHS; K23 AR079565 United States AR NIAMS NIH HHS; R01 HS027788 United States HS AHRQ HHS |
فهرسة مساهمة: | Keywords: Linking; Long term; Outcomes; Quality; Registry; Trauma |
تواريخ الأحداث: | Date Created: 20231204 Date Completed: 20240226 Latest Revision: 20240516 |
رمز التحديث: | 20240516 |
مُعرف محوري في PubMed: | PMC11091961 |
DOI: | 10.1016/j.jss.2023.11.002 |
PMID: | 38048751 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1095-8673 |
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DOI: | 10.1016/j.jss.2023.11.002 |