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1 | TBI_UserInterface.zip\TBI_UserInterface\documents | Traumatic Brain Injury Health Factors Data Definiton v3.doc | Mon Nov 14 15:34:56 2016 UTC |
2 | TBI_UserInterface.zip\TBI_UserInterface\documents | Traumatic Brain Injury Health Factors Data Definiton v3.doc | Tue Nov 22 15:28:21 2016 UTC |
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1 | |||
2 | Data Defin ition Docu mentation | ||
3 | for | ||
4 | Traumatic Brain Inju ry (TBI) S creening P erformance Indicator | ||
5 | Last Updat e: 11/6/20 08 | ||
6 | Most Recen t Updates: | ||
7 | Provide in formation on revisio ns & chang es made to product | ||
8 | DateDescri ptionPurpo se/Rationa le: | ||
9 | Data Descr iption: | ||
10 | Consists o f 6 Report ing Servic es Reports | ||
11 | National T BI Screeni ng Summary | ||
12 | VISN TBI S creening S ummary | ||
13 | |||
14 | Station TB I Summary | ||
15 | Positive T BI Screen Detail | ||
16 | Missed TBI Screen De tail | ||
17 | Individual Veterans Search/Que stions/ | ||
18 | Typical Us e of Data | ||
19 | The 3 summ ary report s provide a cumulati ve summary (fiscal y ear to dat e) of stat ion, VISN and nation al perform ance on th e TBI scre ening (cli nical remi nder) on O EF/OIF vet erans. | ||
20 | The detail reports p rovide pat ient name and SSN le vel detail informati on on TBI screening for : | ||
21 | Veterans ( patient na me, SSN, s creening d ate, divis ion and if a referra l was sent ) who scre ened posit ive on the TBI Clini cal Remind er (summar y and deta il reports ) | ||
22 | Veterans ( patient na me, last n exus visit , division and clini c stop) wh o should h ave been s creened fo r TBI, but were not screened | ||
23 | Requires V ISN or Sta tion-level Real SSN access (Wo rkload dat a). For mo re informa tion go to : http:// DNS . URL /faq/FAQ_s earch_answ er.asp?FAQ _NO=2 | ||
24 | Target Aud ience | ||
25 | Clinic man agers and performanc e measurem ent staff | ||
26 | Data Sourc es: | ||
27 | Inpatient and outpat ient workl oad data f rom the Na tional Pat ient Care Database ( NPCD) | ||
28 | Date of vi sit inform ation - Vi sits occur ring on or after 4/1 4/2007 | ||
29 | Stop code informatio n – See ap pendix 1 f or stop co des (inclu ded and ex cluded) | ||
30 | Patient de tail data from Corpo rate Data Warehouse (CDW) | ||
31 | Last Servi ce Separat ion Date i nformation – Veteran s separate d from the military after 9/11 /2001 | ||
32 | Health fac tor and pa tient deta il data fr om direct Vista extr action | ||
33 | Nationally recognize d TBI heal th factors used in t he TBI Cli nical Remi nder see a ppendix 2 for the he alth facto rs used to compute s creening r esults. | ||
34 | Most Recen t Updates: | ||
35 | Provide in formation on revisio ns & chang es made to product | ||
36 | DateDescri ption9/29/ 08Added in formation on a 6th r eport, Ind ividual Ve teran Sear ch/Questio ns | ||
37 | Numerator clarificat ions were added refu sals and p revious sc reens.Upda te Frequen cy: Monthl y, approxi mately the last week of the mo nth follow ing the re porting mo nth | ||
38 | Report Dat a: | ||
39 | Data colum n explanat ion: | ||
40 | Total OEF/ OIF Vetera ns seen in Nexus or Dental Sto p Codes | ||
41 | Visit in N exus and/o r Dental C linic duri ng the mea surement p eriod | ||
42 | -AND- | ||
43 | Veterans w ith their last servi ce separat ion date a fter 9/11/ 2001 | ||
44 | -AND- | ||
45 | Inpatient or Outpati ent visit on or afte r 4/14/200 7 (Nexus C linic and Dental sto p codes on ly see app endix 1) | ||
46 | -AND EITHE R OF THE F OLLOWING: | ||
47 | Answer of "YES" to O EF/OIF Cli nical Remi nder (Did the vetera n ever ser ve in Oper ation Iraq i Freedom (OIF) or i n Operatio n Enduring Freedom ( OEF) | ||
48 | |||
49 | -OR- | ||
50 | OEF/OIF Cl inical Rem inder is n ot complet ed | ||
51 | OEF/OIF Ve terans see n in Nexus or Dental Stop Code s not Scre ened for T BI | ||
52 | TBI Screen ing Eligib le Veteran s where th e evidence of the TB I Clinical Reminder being addr essed was not found in the loc al VistA H ealth Fact ors file. | ||
53 | OEF/OIF Ve terans See n in Nexus or Dental Stop Code s Screened for TBI | ||
54 | TBI Screen ing Eligib le Veteran s where th e evidence of the TB I Clinical Reminder was addres sed by: | ||
55 | Answer of YES or NO to the que stion, "Se ction 1: D uring any of your OE F/OIF depl oyment(s) did you ex perience a ny of the following events?" | ||
56 | |||
57 | -OR- | ||
58 | Answer of YES to the question, "Has the veteran al ready been diagnosed as having TBI durin g OEF/OIF deployment ?" | ||
59 | Percent of OEF/OIF V eterans Se en in Nexu s or Denta l Stop Cod es Screene d for TBI | ||
60 | TBI Screen ing Eligib le Veteran s Screened Divided b y Total TB I Screenin g Eligible Veterans | ||
61 | Initial Po sitive TBI Screen | ||
62 | TBI Screen ing Eligib le Veteran s where th e evidence of the TB I Clinical Reminder was answer ed with: | ||
63 | YES to the question, "Section 4: The vet eran relat es he/she is current ly having or has had the follo wing sympt oms within the past week" | ||
64 | Quarter | ||
65 | The EPRP q uarter | ||
66 | FY08Q1: Oc tober, Nov ember | ||
67 | FY08Q2: De cember, Ja nuary, and February | ||
68 | FY08Q3: Ma rch, April and May | ||
69 | FY08Q4: Ju ne, July a nd August | ||
70 | 1. Nationa l TBI Summ ary Report | ||
71 | This repor t provides a nationw ide review of TBI sc reen perfo rmance. R eport cont ains three tables an d one grap h. The fi rst table and graph report VHA wide perf ormance on TBI scree ns by fisc al quarter . Tables t wo and thr ee contain current f iscal year performan ce (cumula tive) for the VISN a nd Station s. | ||
72 | 2. VISN TB I Summary Report | ||
73 | This repor t provides VISN comp arative da ta and div ision leve l screenin g informat ion for a selected V ISN. Page 1 of the report con tains one table and one graph comparing the curren t cumulati ve perform ance betwe en VISNs. The table and graph on page 2 identifie s the sele cted VISN and statio ns perform ance by fi scal quart er. The t able on pa ge 3 (and 4 in some cases) con tains curr ent fiscal year perf ormance (c umulative) for the d ivisions w ithin the selected V ISN. | ||
74 | 3. Station TBI Summa ry Report | ||
75 | This repor t provides two summa ry graphs and four t ables base d on the V ISN and Fa cility se lection. | ||
76 | Page 1 con tains one graph and one table comparing screening performanc e between facilities contained in a VISN . | ||
77 | On page 2, the graph and table (TBI Scre ened Compa red to Not Screened Count for [Selected Facility]) is a comp arison of screened a gainst mis sed screen s by quart er for the selected station. | ||
78 | The first table on p age 3 (Cum ulative Su mmary of O EF/OIF Vet erans Scre ened for T BI by Divi sion) comp ares TBI s creening p erformance for the d ivisions o f a facili ty. The s econd tabl e (Cumulat ive Summar y of EOF/O IF Veteran s Screened for TBI b y Stop Cod e) compare s TBI scre ening perf ormance fo r stop cod es for the facility and may ca rry over i nto subseq uent pages . | ||
79 | 4. Positi ve TBI Scr een Detail Report | ||
80 | The first table (Cou nt of OEF/ OIF Vetera ns with Po sitive Ini tial TBI S creens (TB I Clinical Reminder) seen at [ Selected F acility]) provides a summary c ount of ve terans scr eened posi tive at th e selected facility by month. Data can be drilled to determ ine the co unt of ref erral type s and divi sion. To drill into the data, click the [+] on th e left sid e of the d esired row . | ||
81 | The second table (Al l OEF/OIF Veterans w ith Initia l Positive TBI Scree ns (TBI Cl inical Rem inder) see n at [Sele cted Site] ) provides a drillab le detaile d listing (name, ssn , screenin g date, di vision, an d if a ref erral was sent) for positive s creens at the select ed facilit y. To vie w the deta il data, c lick the [ +] next to the month . | ||
82 | Parent col umn denote s whether the positi ve TBI scr een was fo und at the selected facility. Therefore , a positi vely scree ned patien t at facil ity A woul d appear i n this lis t if they visited fa cility B. | ||
83 | Patient de tail infor mation req uires SSN level acce ss to work load data. Please ref er to http :// DNS . URL /faq/FAQ_s earch_answ er.asp?FAQ _NO=2 for more infor mation on access to this infor mation. | ||
84 | 5. Missed TBI Scree n Detail R eport | ||
85 | The table (OEF/OIFVe terans See n in Nexus or Dental Stop Code s Not Scre ened for T BI for [Se lected Sit e] during [Selected Month]) pr ovides a d etailed li sting (nam e, ssn, la st nexus v isit, divi sion and c linic stop ) for miss ed screens . To vie w the deta il data, c lick the [ +] next to the month . | ||
86 | This list is limited to unscre ened OEF/O IF veteran s at any f acility na tionally. Therefore , an unscr eened pati ent at fac ility A wo uld not ap pear in th is list if they were screened at facilit y B. | ||
87 | Patient de tail infor mation req uires SSN level acce ss to work load data. Please ref er to http :// DNS . URL /faq/FAQ_s earch_answ er.asp?FAQ _NO=2 for more infor mation on access to this infor mation. | ||
88 | 6. Indivi dual Veter an Search/ Questions Report | ||
89 | This repor t allows u sers with SSN level access to workload d ata to ent er a full social sec urity numb er and sta tion to de termine wh ich health factors a re associa ted with t he veteran at the id entified s ite. A pa ttern of b oth IRAQ/A FGHAN SERV ICE and NO IRAQ/AFGH AN SERVICE health fa ctors has been found in some r ecords at some stati ons. For t he TBI scr een, the p resence of the IRAQ/ AFGHAN SER VICE healt h factor t akes prece dence and a TBI scre en is requ ired. If t he IRAQ/AF GHAN SERVI CE is erro neously pr esent, the health fa ctor can b e removed (if deemed appropria te by loca l medical center hea lth record policy) a nd the vet eran will no longer be counted in the pe rformance measure de nominator. | ||
90 | . | ||
91 | Logic for determinat ion of TBI Screen: | ||
92 | Based on t he answers to the TB I Clinical reminder and presen ce of the national T BI health factors (s ee appendi x 2) | ||
93 | Denominato r | ||
94 | 1. Last se rvice sepa ration dat e after 9/ 11/2001 (l ast servic e separati on date in Vista at a facility ) | ||
95 | -AND- | ||
96 | 2. Inpatie nt or outp atient vis it (on or after 4/14 /2007) occ urred at f acility du ring the r eporting m onth (Nexu s Clinic a nd Dental stop codes only see appendix 1 ) | ||
97 | -AND- | ||
98 | 3A. Answer of YES to the quest ion, "Did the Vetera n ever ser ve in Oper ation Endu ring Freed om (OEF) o r Operatio n Iraqi Fr eedom (OIF ) either o n the grou nd, in nea rby coasta l waters, or in the air above, after Sep tember 11, 2001?" | ||
99 | |||
100 | - Measured by the pr esence of the nation al health factor IRA Q/AFGHAN S ERVICE | ||
101 | -OR- | ||
102 | 3B. OEF/OI F Clinical Reminder not comple ted and OE F/OIF remi nder shoul d have bee n complete d | ||
103 | Numerator | ||
104 | 1A. Answer of YES to the quest ion, "Has the vetera n already been diagn osed as ha ving TBI d uring OEF/ OIF deploy ment?" | ||
105 | |||
106 | Measured b y the pres ence of th e national health fa ctor TBI-P REVIOUS TB I DX | ||
107 | -OR- | ||
108 | 1B. Answer of YES or NO to the question, "Section 1: During any of you r OEF/OIF deployment (s) did yo u experien ce any of the follow ing events ?" | ||
109 | Measured b y the pres ence of th e national health fa ctors TBI- SECTION I - NO or TB I-SECTION I - YES | ||
110 | When the T BI screen is refused (TBI – PT REFUSAL h ealth fact or) the ve teran is s till consi dered in t he denomin ator and n ot the num erator. T his differ s from the behavior of the cli nical remi nder. | ||
111 | The TBI-SC REENED PRE VIOUSLY he alth facto r is not c onsidered for the nu merator. If a veter an was scr eened for TBI at ano ther facil ity on a d ate previo us to bein g seen at your facil ity, the l ogic will add the ve teran to y our numera tor regard less of a TBI screen ing at you r facility . | ||
112 | Positive S creens: | ||
113 | Answer of YES to the question, "Section 4: The vet eran relat es he/she is current ly having or has had the follo wing sympt oms within the past week" | ||
114 | |||
115 | Measured b y the pres ence of th e national health fa ctor TBI-S ECTION IV – YES | ||
116 | Clinic Sto p / Bed Se ction | ||
117 | Clinic sto p / Bed se ction info rmation is included in the Sta tion Summa ry and Mis sed Detail Reports. Only one stop code is matched to the vi sit date n o matter h ow many st op codes w ere visite d on the l ast visit in the rep orting per iod. | ||
118 | Referral | ||
119 | Referral c olumn occu rs in the Positive S creen Repo rt and is informatio n based on the healt h factors (TBI-REFER RAL SENT o r TBI-REFE RRAL DECLI NED) which are offer ed after a screen is evaluated as positi ve. | ||
120 | Tabulation | ||
121 | For cumula tive repor ts each OE F/OIF vete ran with a qualifyin g visit is counted o nce at the report le vel (Natio nal, VISN, Station) even if se en at more than one facility. If the pa tient has already be en screene d anywhere in the sy stem befor e the last qualifyin g visit, t he veteran will coun t as scree ned. | ||
122 | This indic ator is ba sed on a 1 00% electr onic data capture, n ot a sampl ing (which excludes patients a lready rev iewed once ). The si ze of the numerator and denomi nator of h igher leve l reports will not s imply refl ect a sum of lower l evel repor ts. | ||
123 | The quarte rly report s are desi gned for t rending. If a veter an has a q ualifying visit at t he report level befo re the end of the EP RP quarter they are counted on ce. For e xample, al l veterans included in quarter one will be include d in quart er two sin ce it is c umulative. However, their sta tus can ch ange from unscreened to screen ed if anot her visit occurs. | ||
124 | Summary: | ||
125 | The TBI re ports cons ist of 5 r eports des igned to p rovide of summary of the use o f the TBI Clinical R eminder at local fac ilities. | ||
126 | Report Dev eloper: Sh awn Loftus (
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127 | Staff usin g this rep ort are en couraged t o fully re view this document a nd use the Individua l Health F actors too l to addre ss data co ncerns. Su ggestions for improv ing this p roduct sho uld be dir ected to S hawn Loftu s (
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128 | Help Desk | ||
129 | Appendix 1 Stop Cod es | ||
130 | Visits occ urring in the follow ing stop c odes | ||
131 | (121) RES IDENTIAL C ARE (NON-M H)(180) DE NTAL(303) CARDIOLOGY (305) ENDO ./METAB (E XCEPT DIAB ETES)(306) DIABETES( 309) HYPER TENSION(31 2) PULMONA RY/CHEST(3 22) WOMEN' S CLINIC(3 23) PRIMAR Y CARE/MED ICINE(348) PRIMARY C ARE GROUP PRI ONLY(3 50) GERIAT RIC PRIMAR Y CARE(502 ) MHC-Ind( 503) MH Co mm Res Car e-Ind(505) Day Tx-In d(506) Day Hosp-Ind( 509) MD-In d(510) Psy chology-In d(512) Psy chiatry Co nsultation (513) Indi vidual(516 ) Group(51 9) SUD/PTS D Team(523 ) Opioid S ub(524) Ac tive Duty Sex Trauma (531) Indi vidual(532 ) Psychoso cial Rehab -Ind(533) Biomed Car e-Ind (non GAF)(540) PCT Ind(5 47) IOP(55 0) MHC-Gro up(552) Co mmunity Vi sit(553) D ay Tx-Grou p(554) Day Hosp-Grou p(557) MD- Group(558) Psycholog y-Group(55 9) Psychos ocial Reha b-Group(56 0) Group(5 61) PCT Gr oup(562) I ndividual( 563) Group (565) MH M ed Care-Gr oup (non G AF)(576) P sychogeria tric Clini c-Ind(577) Psychoger iatric Cli nic-Group( 578) Psych ogeriatric Day Progr am(580) PT SD Day Hos p(581) PTS D Day Trea t(589) Non -Active Du ty Sex Tra umaBut not paired wi th: | ||
132 | (103) TELE PHONE TRIA GE(104) PU LMONARY FU NCTION(105 ) X-RAY(10 6) EEG(107 ) EKG(108) LABORATOR Y(109) NUC LEAR MEDIC INE(110) C ARDIOVASCU LAR NUCLEA R MED(111) ONCOLOGIC AL NUCLEAR MED(112) INFECTIOUS DISEASE N UCLEAR MED (113) RADI ONUCLIDE T REATMENT(1 14) SING P HOTON EMIS S TOMOGRAP HY(115) UL TRASOUND(1 17) NURSIN G(120) HEA LTH SCREEN ING(126) E VOKED POTE NTIAL(127) TOPOGRAPH ICAL BRAIN MAPPING(1 28) PROLON GED VIDEO- EEG MONITO RING(132) MAMMOGRAM( 146) PET(1 47) TELEPH ONE/ANCILL ARY(148) T ELEPHONE/D IAGNOSTIC( 150) COMPU TERIZED TO MOGRAPHY ( CT)(151) M AGNETIC RE SONANCE IM AGING/MRI( 154) MEG ( MAGNETOENC EPHALOGRAP HY)(155) I NFO ASSIST S TECHNOLO GY(160) CL INICAL PHA RMACY(161) TRANSITIO NAL PHARMA CY(163) CH APLAIN-CLI NICAL SVCS -INDIV(164 ) CHAPLAIN -CLINICAL SVCS-GROUP (165) BERE AVEMENT CO UNSELING(1 66) CHAPLA IN SERVICE - INDIVID UAL(167) C HAPLAIN SE RVICE - GR OUP(168) C HAPLAIN SE RVICE - CO LLATERAL(1 69) TELEPH ONE/CHAPLA IN(178) HB PC/TELEPHO NE(179) TE LE-HOME CA RE TECHNOL OGY UNIT(1 81) TELEPH ONE/DENTAL (207) PM&R S INCENTIV E THERAPY( 208) PM&RS COMPENSAT ED WORK TH ERAPY(212) EMG - ELE CTROMYOGRA M(213) PM& RS VOCATIO NAL ASSIST ANCE(216) TELEPHONE/ REHAB AND SUPPORT(32 4) TELEPHO NE/MEDICIN E(325) TEL EPHONE/NEU ROLOGY(326 ) TELEPHON E/GERIATRI CS(351) AD VNCD ILLNE SS COOR CA RE(AICC)(3 70) LTC PL ACEMENT SC REENING(42 4) TELEPHO NE/SURGERY (425) TELE PHONE/PROS THETICS/OR THOTIC(428 ) TELEPHON E/OPTOMETR Y(450) Loc al Varianc e(474) Loc al Varianc e(515) CWT /TR-HCMI(5 17) CWT SU BSTANCE AB USE(518) C WT/TR-SUBS TANCE ABUS E(522) HUD -VASH(526) TELEPHONE /SPECIAL P SYCHIATRY( 527) Telep hone-Gener al Psychia try(528) T elephone(5 29) HCHV(5 30) Teleph one HUD-VA SH(536) Te lephone-Vo c Assistan ce Ind(537 ) Telephon e-Psychoso cial Rehab (542) Tele phone(543) TELEPHONE /ALCOHOL D EPENDENCE( 544) TELEP HONE/DRUG DEPENDENCE (545) Tele phone(546) Telephone (573) IT-G roup(574) CWT-Group( 575) MH Vo c Assistan ce-Group(5 79) Teleph one-Psycho geriatric( 610) CONTR ACT DIALYS IS(611) TE LEPHONE/DI ALYSIS(650 ) CONTRACT NURSING H OME DAYS(6 51) STATE NURSING HO ME DAYS(65 2) STATE D OMICILIARY HOME DAYS (653) STAT E HOSPITAL CARE(654) NON VA RE SIDENTIAL CARE DAYS( 655) COMMU NITY NON-V A CARE(656 ) DOD NON- VA CARE(67 0) ASSIST LIVING VHA -PAID STAF F(680) HOM E/COMMUN H EALTHCARE ASSESS(681 ) VA-PAID HOME/COMMU N HEALTHCA RE(682) VA -REFER HOM E/COMMUN C ARE PROV(6 91) PRE-EM P PHYS MIL ITRY PERSO NNEL(703) MAMMOGRAM( 707) SMOKI NG CESSATI ON(710) IN FLUENZA IM MUNIZATION (711) INJU RY COUNSEL /SEAT BELT USAGE(712 ) HEP C RE GISTRY PAT IENT(725) DOMICILIAR Y OUTREACH SERVICES( 726) DOM A FTERCARE - COMMUNITY (729) TELE PHONE/DOMI CILIARY(90 2) COMPUTE D TOMOGRAP HY SCANS(9 07) NUCLEA R MAGNETIC RESONANCE (999) EMPL OYEE HEALT HAppendix 2 National TBI Healt h Factors | ||
133 | ***IRAQ/AF GHAN SERVI CE***NO IR AQ/AFGHAN SERVICETBI -BLASTTBI- CONCUSSION TBI-CURREN T DIZZINES STBI-CURRE NT HEADACH ESTBI-CURR ENT IRRITA BILITYTBI- CURRENT ME MORY PROBL EMSTBI-CUR RENT SLEEP PROBLEMTB I-CURRENT VISUAL PRO BLEMSTBI-D AZED/CONFU SEDTBI-DIZ ZINESSTBI- FALLTBI-FR AGMENT/BUL LETTBI-HEA D INJURYTB I-HEADACHE STBI-IRRIT ABILITYTBI -MEMORY PR OBLEMSTBI- NO MEMORY OF INJURYT BI-PREVIOU S TBI DXTB I-PT REFUS ALTBI-REFE RRAL DECLI NEDTBI-REF ERRAL SENT ***TBI-SCR EENED PREV IOUSLY***T BI-SECTION I - NO*** TBI-SECTIO N I - YES* **TBI-SECT ION II - N OTBI-SECTI ON II - YE S***TBI-SE CTION III - NOTBI-SE CTION III - YES***TB I-SECTION IV - NO*** TBI-SECTIO N IV - YES TBI-SLEEP PROBLEMSTB I-UNCONSCI OUSTBI-VEH ICULARTBI- VISUAL PRO BLEMS*** i ndicates u sed in com putation o f TBI scre ening resu lts |
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