描述医生目录数据质量:根据专业,州和保险公司的变化
Neel M Butala1,2, Kuldeep Jiwani3, Emily M Bucholz4,5
1Rocky Mountain Regional VA Medical Center, 1700 N Wheeling St, Aurora, CO, 80045, USA. Neel.butala@cuanschutz.edu.
提供者目录数据质量因医生专业而异,但不因保险公司而异,这表明存在系统性问题. 面向患者的专科显示了更高的数据一致性,这表明激励措施可以提高准确性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
- 公共卫生政策 公共卫生政策
背景情况:
- 解决"幽灵网络"和提供者数据质量对于美国医疗保健至关重要.
- 提供商目录数据质量的变化需要了解根本原因和解决方案.
研究的目的:
- 检查全国卫生计划目录中医生的地址,电话号码和专业信息的一致性.
- 分析保险公司,医生专业和州的数据质量变化.
主要方法:
- 包括来自医疗保险提供者注册,链条和所有权系统 (PECOS) 的医生,这些医生至少出现在美国五家主要医疗保险公司的两个目录中.
- 评估了地址,电话号码和专业数据的一致性.
主要成果:
- 各保险公司的地址一致性在16.5-27.9%之间,电话号码在16.0-27.4%之间,专业从64.2-68.0%之间.
- 面向患者的专业,如全科医院和家庭医学,地址和电话号码一致性更高.
- 麻醉学,放射学和急诊医学的数据一致性最低.
结论:
- 保险公司对目录一致性的最小变化表明存在系统性问题.
- 根据医生专业的显著差异表明通过激励措施有改善的潜力.
- 需要新的政策解决方案和国家/州标准来集中和提高供应商目录数据质量.
更多相关视频
09:00TBase - an Integrated Electronic Health Record and Research Database for Kidney Transplant Recipients
Published on: April 13, 2021
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
相关概念视频
Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Data Reporting and Recording
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Methods of Documentation V: CBE
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
Specialized Care Centers and Settings-I
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Classification of Illness
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
