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Along the Data-Information Continuum: Pitfalls and Opportunities

Published online by Cambridge University Press:  21 June 2016

William B. Crede  and
Walter J. Hierholzer Jr.
William B. Crede
Affiliation:
Departments of Quality Assurance, Yale-New Haven Hospital, New Haven, Connecticut
Walter J. Hierholzer Jr.*
Affiliation:
Hospital Epidemiology, Yale-New Haven Hospital, New Haven, Connecticut
*
Department of Hospital Epidemiology, Yale-New Harm Hospital, New Haven, CT 06504
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Extract

The need for accurate data concerning nosocomial infections has long been appreciated by infection control practitioners. Several major changes in the health delivery environment have highlighted for other care givers and managers the importance of, and indeed necessity of high-quality clinical and financial hospital information. Since 1983, the Medicare prospective payment system (PPS) has used the medical record discharge abstract as the hospital bill. This has created a need for more detailed clinical information in hospital information systems. In several states, all third-party reimbursers are using PPS variants, further strengthening this incentive. The “Agenda for Change” of the Joint Commission on Accreditation of Healthcare Organizations has created further pressure on hospitals to acquire information concerning the quality of care at their own facility, as well as comparative statistics from other facilities. Although trade journals extol the virtues of “good data sets,” and much academic study has been given to individual facets of data processing and handling, the practical aspects of hospital information opportunities and problems have been largely ignored. The purpose of this article is to discuss the nature of hospital data; to detail available sources of national, regional, and local hospital statistics; to delineate potential quality problems common to many types of hospital information; and to discuss difficulties with and solutions to some hospital data application problems.

Type
Special Sections
Information
Infection Control & Hospital Epidemiology , Volume 9 , Issue 4 , April 1988 , pp. 166 - 169
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1988

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