USE OF THE MINIMUM DATA SET 2.0 ADL SUBSCALE AS AN OUTCOME MEASURE FOR PATIENTS UNDERGOING SUBACUTE REHABILITATION FOLLOWING HIP FRACTURE.

AbstractReport forms are used by Emergency Medical Services (EMS) systems for documentation of services provided and for self-analysis of EMS functions. Although the EMS Systems Act of 1973 originally intended for the development and implementation of a uniform EMS report form, items recorded on EMS forms vary throughout the United States. We review the governmental sponsored development of a recommended minimum data set (MDS) for EMS forms performed in 1974, and discuss areas of needed investigation regarding data set development and usage. The concepts used to develop the recommended MDS provide a useful resource for review of the purpose and content of one's own EMS report form. However, future data set development and applications should use outcome measure guided data set selection, on-line validation of data item accuracy and recordability, psychometric analysis of the process of form completion, and incorporation of new data entry and storage technology.

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Does More Therapy in Skilled Nursing Facilities Lead to Better Outcomes in Patients With Hip Fracture?

Physical Therapy ◽

10.2522/ptj.20150090 ◽

2016 ◽

Vol 96 (1) ◽

pp. 81-89 ◽

Cited By ~ 17

Author(s):

Hye-Young Jung ◽

Amal N. Trivedi ◽

David C. Grabowski ◽

Vincent Mor

Keyword(s):

Hip Fracture ◽

Patient Outcomes ◽

Resource Utilization ◽

Minimum Data Set ◽

Case Mix ◽

Nursing Facilities ◽

Data Set ◽

Skilled Nursing ◽

Minimum Data ◽

Additional Therapy

Background Skilled nursing facilities (SNFs) have increasingly been providing more therapy hours to beneficiaries of Medicare. It is not known whether these increases have improved patient outcomes. Objective The study objectives were: (1) to examine temporal trends in therapy hour volumes and (2) to evaluate whether more therapy hours are associated with improved patient outcomes. Design This was a retrospective cohort study. Methods Data sources included the Minimum Data Set, Medicare inpatient claims, and the Online Survey, Certification, and Reporting System. The study population consisted of 481,908 beneficiaries of Medicare fee-for-service who were admitted to 15,496 SNFs after hip fracture from 2000 to 2009. Linear regression models with facility and time fixed effects were used to estimate the association between the quantity of therapy provided in SNFs and the likelihood of discharge to home. Results The average number of therapy hours increased by 52% during the study period, with relatively little change in case mix at SNF admission. An additional hour of therapy per week was associated with a 3.1-percentage-point (95% confidence interval=3.0, 3.1) increase in the likelihood of discharge to home. The effect of additional therapy decreased as the Resource Utilization Group category increased, and additional therapy did not benefit patients in the highest Resource Utilization Group category. Limitations Minimum Data Set assessments did not cover details of therapeutic interventions throughout the entire SNF stay and captured only a 7-day retrospective period for measures of the quantity of therapy provided. Conclusions Increases in the quantity of therapy during the study period cannot be explained by changes in case mix at SNF admission. More therapy hours in SNFs appear to improve outcomes, except for patients with the greatest need.

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Child abuse and neglect surveillance systems via minimum data set indicators

PsycEXTRA Dataset ◽

10.1037/e578482014-143 ◽

2013 ◽

Author(s):

Athanasios Ntinapogias ◽

George Nikolaidis

Keyword(s):

Child Abuse ◽

Child Abuse And Neglect ◽

Minimum Data Set ◽

Surveillance Systems ◽

Data Set ◽

Minimum Data ◽

Abuse And Neglect

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State Medical Boards' Perceptions of a Minimum Data Set and Current Practices for Collecting Physician Information

Journal of Medical Regulation ◽

10.30770/2572-1852-99.4.40 ◽

2013 ◽

Vol 99 (4) ◽

pp. 40-45 ◽

Cited By ~ 1

Author(s):

Aaron Young ◽

Philip Davignon ◽

Margaret B. Hansen ◽

Mark A. Eggen

Keyword(s):

Media Coverage ◽

The United States ◽

Minimum Data Set ◽

Direct Patient Care ◽

Physician Workforce ◽

Data Set ◽

Minimum Data ◽

State Medical Boards ◽

The Impact ◽

Current Practices

ABSTRACT Recent media coverage has focused on the supply of physicians in the United States, especially with the impact of a growing physician shortage and the Affordable Care Act. State medical boards and other entities maintain data on physician licensure and discipline, as well as some biographical data describing their physician populations. However, there are gaps of workforce information in these sources. The Federation of State Medical Boards' (FSMB) Census of Licensed Physicians and the AMA Masterfile, for example, offer valuable information, but they provide a limited picture of the physician workforce. Furthermore, they are unable to shed light on some of the nuances in physician availability, such as how much time physicians spend providing direct patient care. In response to these gaps, policymakers and regulators have in recent years discussed the creation of a physician minimum data set (MDS), which would be gathered periodically and would provide key physician workforce information. While proponents of an MDS believe it would provide benefits to a variety of stakeholders, an effort has not been attempted to determine whether state medical boards think it is important to collect physician workforce data and if they currently collect workforce information from licensed physicians. To learn more, the FSMB sent surveys to the executive directors at state medical boards to determine their perceptions of collecting workforce data and current practices regarding their collection of such data. The purpose of this article is to convey results from this effort. Survey findings indicate that the vast majority of boards view physician workforce information as valuable in the determination of health care needs within their state, and that various boards are already collecting some data elements. Analysis of the data confirms the potential benefits of a physician minimum data set (MDS) and why state medical boards are in a unique position to collect MDS information from physicians.

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