VIReC Cyber Seminar Series 2006 VIReC Cyber Seminar Series 2006

VIReC Cyber Seminar Series 2006 VA Databases and Methods Assessing VA Outpatient Healthcare Use Presented by Denise M. Hynes, Ph.D., R.N. Director, VA Information Resource Center Research Health Scientist, MCHSPR COE

Session Objectives ,[object Object],[object Object],[object Object],[object Object]

Outpatient Use Measurement Issues ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

VA Outpatient Medical SAS Datasets ,[object Object],[object Object],[object Object]

VA Outpatient Data Flow to the Med SAS Datasets

VA Medical SAS Outpatient Datasets 1990 - 2001 SC Procedure 1997 – 2001 SG Diagnosis 1998 – present SE Event 1980 - present SF Visit Dates Reference File

Data Elements Common In Outpatient Med SAS Datasets ,[object Object],[object Object],[object Object],[object Object]

Common Data Elements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Outpatient Visit Dataset (SF) ,[object Object]

Outpatient Visit (SF) Dataset Selected Data Elements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Outpatient Event (SE) Dataset ,[object Object],[object Object],[object Object]

Outpatient Event (SE) Dataset Selected Data Elements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

VA Outpatient Med SAS Datasets ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Strengths of VA Outpatient Med SAS Datasets ,[object Object],[object Object],[object Object],[object Object],[object Object]

Limitations of VA Outpatient Med SAS Datasets ,[object Object],[object Object],[object Object],[object Object]

Another Data Source: DSS National Data Extract (NDE) Outpatient (OPAT) File ,[object Object],[object Object],[object Object],[object Object],[object Object]

DSS NDE OPAT Dataset ,[object Object],[object Object],[object Object]

Measurement Strategies in Evaluating Outpatient Use: Outpatient Procedures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Measurement Strategies in Evaluating Outpatient Use: Outpatient Surgeries ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Measurement Strategies in Evaluating Outpatient Care: Including Outpatient Surgeries Example from Morrison, et al CSP#385 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Measurement Strategies in Evaluating Outpatient Use: Including Outpatient Surgeries Example from Morrison, et al CSP#385 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Measurement Strategies in Evaluating Outpatient Use: Outpatient Diagnoses

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Measurement Strategies in Evaluating Outpatient Use: Outpatient Provider Specialty

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Measurement Strategies in Evaluating Outpatient Use: Outpatient Care Concomitant w/Inpatient Care

Measurement Strategies in Evaluating Outpatient Use: Intensity of Outpatient Care Example from Ashton et al., Am J Managed Care 2003 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Measurement Strategies in Evaluating Outpatient Use: Outpatient Care Over Time Example from Maciejewski and Maynard, Diabetes Care 2004 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

From: Maciejewski ML and Maynard CM. Diabetes-Related Utilization and Costs for Inpatient and Outpatient Services in the Veterans Administration. Diabetes . 2004: 27(suppl 2):B69-B73. OPC-SE OPC SC since FY90 OPC DX started in 1997 OPC-SF-back to 1980 But no DX field to identify the DM cases Outpatient Care Over Time Example from Maciejewski and Maynard, 2004

VIReC Help ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

VIReC Help (cont’d) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Selected Recent References on Measurement of VA Outpatient Use ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Selected Recent References on Measurement of VA Outpatient Use (CONTINUE) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Suggested other resources Medical SAS Datasets: Data Quality Information ,[object Object],[object Object],[object Object],[object Object]

Audience Question ,[object Object],[object Object],[object Object],[object Object],[object Object]

VIReC Cyber Seminar Series 2006 VIReC Cyber Seminar Series 2006

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