دورية أكاديمية
أعرض في EDS

Linking Trauma Registry Patients With Insurance Claims: Creating a Longitudinal Patient Record.

التفاصيل البيبلوغرافية
العنوان: Linking Trauma Registry Patients With Insurance Claims: Creating a Longitudinal Patient Record.
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
الوصف
تدمد:1095-8673
DOI:10.1016/j.jss.2023.11.002