2017-06-08-Day-4

[andkov]

In addition to encounter data, what other info can we find?

Diagnosis

• most responsible: the one that accounts for the largest portion of stay
• Discharge Abstract Database (DAD)
• every acute care encounter has a DAD
• every time you are admitted to a hospital, you get a DAD
• but not in residential care, or any other secondary/tertiary services
• coded using ICD-10 (international classification code)
• length of stay (which is not a proxy for quality of services)
• ALC status: alternative level of care (e.g. some facility after discharge)
• DAD contains procedures (coded)

Labs

• community labs
• Island Health labs

PharmaNet

• BC database, not national
• makes BC distinctive

NACRS

• coding the reason for being in ED

RAI

• see the example of the ASSESSMENT FORM
• Resident Assessment Instrument
• 12 different versions of RAI (e.g. RAI-HC, RAI-MH, RAI-CMH, etc)
• activities of daily living

MRR

• Minimum Reporting Requirement
• required for all MHSU services + Psychogeriatrics
• HONOS ( a simplified mental status exam)
• contains substance use profile (e.g. number of uses in the past 30 days)
• clinician is asked to provide an opinion (not a formal diagnosis)
• is NOT used by physicians, but by service planners

MSP

• primary care data
• Physician's billing data
• Records the reason for seeing a doctor
• tells you when a patient had an encounter with a physician
• diagnostic information is not clean and often vague
• includes general physicians as well as specialists

Billing data

• health authority actuarial data

[ssrobertson]

Regarding Diagnosis section:
•every acute care encounter has a DAD - Eventually. For hospitals not using the electronic health record functionality, this is entered manually and as a result, can be delayed up to a few months after discharge.
•every time you are admitted to a hospital, you get a DAD - Specifically, when you are discharged