Plateforme Contrôle Qualité Périnat IDF

Area of Science:

• Medical Informatics
• Public Health
• Healthcare Quality Improvement

Background:

• The "Contrôle Qualité Périnat IDF" is a web-based tool designed for medical information departments (DIM) and clinical staff in 76 maternity units across Île-de-France (IDF).
• It facilitates the evaluation of data coding quality prior to validation within the French national hospital discharge information system (PMSI) via OVALIDE.
• The tool aims to improve the accuracy and reliability of perinatal data.

Purpose of the Study:

• To introduce and evaluate a novel web-based tool for enhancing the quality of perinatal data coding in Île-de-France maternity wards.
• To provide healthcare professionals with a comprehensive set of indicators for monitoring and analyzing their perinatal activities.
• To facilitate the identification and correction of coding inconsistencies within the PMSI data.

Main Methods:

• Secure web interface for DIM professionals to upload PMSI '.out' files.
• Automated data processing to generate downloadable reports with over 150 perinatal indicators.
• Inclusion of coding consistency checks, indicators for pregnancies (including induced abortions), deliveries, newborns, assisted reproductive technology, and obstetrical practices.
• Comparative analysis with other maternity units in IDF and metropolitan France.

Main Results:

• As of the report, 47 out of 76 (61.8%) IDF maternity units are utilizing the tool, including 18 assisted reproduction centers.
• Since its launch in April 2021, 84 user accounts have been created, with 608 controls performed and an average of 11 participating maternity units monthly.
• In 2023, the tool covered 61.4% of the 154,871 births in IDF, representing a significant portion of regional perinatal activity.

Conclusions:

• The tool effectively aids in correcting and improving PMSI coding for births and newborns in IDF.
• Key indicators provided by the tool enable maternity units to conduct detailed, real-time monitoring of their activities.
• The tool's functionalities are adaptable for use in other regions and medical fields, highlighting its potential for broader application.