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Assessing data quality: a computerized approach.

L L Roos1, S M Sharp, A Wajda

  • 1Faculty of Management, University of Manitoba, Winnipeg, Canada.

Social Science & Medicine (1982)
|January 1, 1989
PubMed
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Linking hospital discharge abstracts and physician claims is an effective computerized method for verifying health data quality. This approach achieved over 95% linkage success for several surgical procedures, improving data accuracy.

Area of Science:

  • Health Informatics
  • Data Quality Assurance
  • Medical Record Linkage

Background:

  • Increasing reliance on large health databases necessitates robust data quality verification methods.
  • Primary data collection for verification is costly and time-consuming.
  • Computerized methodologies offer a cost-effective alternative for data validation.

Purpose of the Study:

  • To propose and evaluate a computerized methodology for linking hospital discharge abstracts and physician claims to verify health data accuracy.
  • To assess the feasibility and effectiveness of matching surgical procedure data between two distinct health care data collection systems.
  • To determine the extent of agreement between linked hospital and physician data for specific surgical procedures and diagnoses.

Main Methods:

Related Experiment Videos

  • Linking physician claims for surgical procedures with corresponding hospital discharge abstracts.
  • Utilizing adult patient data (age 25+) from Manitoba between April 1, 1979, and March 31, 1984.
  • Evaluating linkage success rates and agreement levels for 11 surgical procedures.
  • Main Results:

    • Excellent linkage (over 95%) achieved for 5 key surgical procedures: hysterectomy, prostatectomy, total hip replacement, coronary artery bypass surgery, and heart valve replacement.
    • High agreement (over 90%) observed for cholecystectomy, cataract surgery, and total knee replacement.
    • Challenges in matching billing tariffs and operation codes resulted in lower agreement for vascular surgery (77%) and other gallbladder/biliary tract operations (84%).

    Conclusions:

    • Computerized linkage of physician claims and hospital discharge abstracts is a highly effective strategy for health data quality verification.
    • The methodology demonstrates excellent performance for many common surgical procedures, supporting its widespread applicability.
    • Addressing coding and tariff matching issues is crucial for optimizing accuracy in complex surgical procedure data linkage.