Question

Health Information Management

Exercise 8-3 Case Abstracting

4) What is the significance of the term "batched" case abstracts?

5) Define "data set," and list and describe at least three data sets.

6) What is the purpose of the Medical Information Bureau (MIB) and the National Practitioner Data Bank (NPDB)?

Answer 1

4) What is the significance of the term "batched" case abstracts?

It contains a group of paper based forms that would be sent to a vendor for processing.

5) Define "data set," and list and describe at least three data sets.

Data set is standard method for collecting and reporting individual data elements. A data set is a collection of related sets of information composed of separate items, which can be manipulated as a unit by a computer. Generally, a single database table or a single statistical data matrix can be a data set. The set of items can consist of just a few items or millions of items. Either way, the fact that the items are placed together makes them a set. This is particularly useful for data mining, a method of data analysis that searches for trends and patterns in data. Healthcare analytics is based on data, and data sets in particular. Healthcare data sets include vast amount of medical data, various measurements, financial data, statistical data, demographics of specific populations, and insurance data, to name just a few, gathered from various healthcare data sources. Due to the diversity of healthcare data sources data standardization is a key pillar for efficient and meaningful use of the information and collaboration of healthcare professionals, care providers, insurers, and government agencies.

Data elements for emergency department systems (DEEDS) is an initiative of the Centers for Disease Control and Prevention’s (CDC) and the National Center for Injury Prevention and Control (NCIPC). DEEDS is a data set used to support the uniform collection of data at hospital-based emergency departments and to reduce incompatibilities in emergency care data. It is designed to provide uniform specifications for data elements chosen to be retained, revised, or added to their ED record systems to build reusable clinical data definitions.

The Outcomes and Assessment Information Set (OASIS) is a standardized data set designed to facilitate the rigorous and systematic measurement of patient home health care outcomes to assess the quality of home health services. It is also used as the basis of reimbursement. The set was designed to gather data about Medicare beneficiaries who are receiving services from a home health agency. It includes a set of core data items that are collected on all adult home health patients.

The Health Plan Employer Data and Information Set (HEDIS) is a set of standard performance measures designed to provide health care purchasers and consumers with the information they need to compare the performance of managed health care plans. It is used by the National Committee for Quality Assurance as a part of the accrediting process for managed care organizations. This tool is used by more than 90% of America's health plans to measure performance on important dimensions of care and service. The set includes administrative data, claims, and health record review data

6) What is the purpose of the Medical Information Bureau (MIB) and the National Practitioner Data Bank (NPDB)?

The Medical Information Bureau (MIB) is a clearinghouse of medical and avocation information about people who apply for insurance. When an insurance underwriter has an applicant with a condition considered significant to his or her risk classification (e.g., high blood pressure), this information is reported to the MIB. MIB does not receive the applicant’s entire medical record; the MIB record contains information that serves as an alert for an underwriter to review the background of an applicant more closely. MIB records include medical conditions (e.g., height and weight, blood pressure, ECG readings, and laboratory test results if considered significant to health or longevity) and nonmedical information that might affect insurability (e.g., adverse driving record, participation in hazardous sports, or aviation activity). MIB, Inc. is the not-for-profit sponsoring association of United States and Canadian life insurance companies whose goal is to protect insurers, policyholders, and applicants from insurance fraud.
The National Practitioner Data Bank (NPDB) was legislated by the Health Care Quality and Improvement Act of 1986 due to an increasing occurrence of medical malpractice litigation and the need to improve the quality of medical care. The NPDB contains information about practitioners who engage in unprofessional behavior, and its purpose is to restrict the ability of incompetent physicians, dentists, and other health care practitioners to move to another state without disclosure or discovery of previous medical malpractice payment and adverse action (e.g., exclusion from Medicare and Medicaid participation) history. When a practitioner applies for health care privileges, the medical staff coordinator (and/or credentials committee) can
contact the NPDB to inquire about the practitioner’s licensure, medical malpractice payment history, professional society memberships, and record of clinical privileges.