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Related Experiment Videos

Outcomes analysis for hearing conservation programs.

T M Helfer1, A R Shields, K E Gates

  • 1US Army Center for Health Promotion and Preventive Medicine, Edgewood, MD, USA. Thomas.Helfer@amedd.army.mil

American Journal of Audiology
|February 24, 2001
PubMed
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Outcomes analysis in audiology requires valid metrics and statistical methods. Health Insurance Portability and Accountability Act (HIPAA) administrative simplification offers new data for quality improvement in hearing healthcare.

Area of Science:

  • Audiology
  • Health Services Research
  • Health Informatics

Background:

  • Increasing demand for accountability in healthcare necessitates outcomes analysis.
  • Audiologists require valid metrics and statistical methods for performance evaluation.
  • Clinical protocol modeling is crucial for developing outcomes data and management standards.

Purpose of the Study:

  • To describe the implications of Health Insurance Portability and Accountability Act (HIPAA) administrative simplification for audiology outcomes analysis.
  • To demonstrate a process for structuring health-care codes to generate outcomes data for epidemiologic and cost analyses.
  • To present a general hearing surveillance protocol for occupational hearing loss as a model for outcomes metrics.

Main Methods:

  • Modeling of clinical protocols to develop outcomes data and management standards.

Related Experiment Videos

  • Utilizing administrative data sets, including those from the Military Health System.
  • Structuring standard health-care codes for outcomes analysis.

    • Main Results:

    • The Health Insurance Portability and Accountability Act (HIPAA) administrative simplification law will create new data sets beneficial for audiology practices.
    • The described modeling exercise demonstrates a process applicable to various audiology practices beyond the initial military population focus.
    • Implementation of the administrative data model began at over 400 Department of Defense facilities by October 1999.

    Conclusions:

    • Outcomes modeling, especially with HIPAA implementation, can enhance quality and cost-effectiveness in audiology.
    • The demonstrated process provides a framework for continuous quality improvement in hearing healthcare.
    • Further development of similar outcomes metrics for civilian audiology practices is needed.