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1 | TBI_UserInterface.zip\TBI_UserInterface\documents | Comprehensive TBI Evaluation Data Definiton.doc | Mon Nov 14 15:34:56 2016 UTC |
2 | TBI_UserInterface.zip\TBI_UserInterface\documents | Comprehensive TBI Evaluation Data Definiton.doc | Tue Nov 22 15:16:41 2016 UTC |
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2 | for | ||
3 | Comprehens ive Trauma tic Brain Injury (TB I) Evaluat ion Report s | ||
4 | Last Updat e: January 15, 2009 | ||
5 | Purpose/Ra tionale: | ||
6 | Data Descr iption: Th ese report ing servic es reports monitor t he complet ion of Com prehensive TBI Evalu ations as documented in the Co mprehensiv e TBI Trac king Appli cation. | ||
7 | Consists o f 5 Compre hensive TB I Evaluati on Reporti ng Service s Reports | ||
8 | VHA Summar y | ||
9 | VISN Summa ry | ||
10 | VISN Compa rison | ||
11 | Facility C omparison | ||
12 | Facility D etail | ||
13 | Typical Us e of Data | ||
14 | The 2 summ ary and 2 comparison reports p rovide a s napshot of facility, VISN and national p erformance on the co mpletion o f comprehe nsive TBI evaluation s on OEF/O IF veteran s. | ||
15 | The detail report pr ovides pat ient level informati on on the OEF/OIF ve terans who have scre ened posit ive on the initial T BI screen and the co mpletion o f the Comp rehensive TBI Evalua tion. | ||
16 | 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 | ||
17 | Or access to the Com prehensive TBI Evalu ation Trac king Appli cation https://
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18 | Target Aud ience | ||
19 | Performanc e measurem ent, OEF/O IF and Pol ytrauma ca se manager s. | ||
20 | Data Sourc es: | ||
21 | Health fac tor and pa tient deta il data fr om direct Vista extr action | ||
22 | Nationally recognize d TBI heal th factors used in t he TBI Cli nical Remi nder. See Appendix 1 for the h ealth fact ors used t o compute screening results. | ||
23 | Informatio n entered by local f acilities in the Com prehensive TBI Evalu ation Trac king Appli cation on the schedu ling and c ompletion of Compreh ensive TBI Evaluatio ns | ||
24 | Most Recen t Updates: | ||
25 | Provide in formation on revisio ns & chang es made to product | ||
26 | DateDescri ptionUpdat e Frequenc y: | ||
27 | The summar y reports are update d monthly, approxima tely the 1 0th of the month, fo r the scre ening peri od ending 2 months p rior. (App roximately 40 days a fter the c lose of th e screenin g period) Informati on from Tr acking App lication c ase update s is at le ast throug h the 10th of the mo nth and is current a s of the d ate of the creation of the sum mary repor t | ||
28 | Ex. | ||
29 | Screening Period (da te of init ial positi ve TBI scr een) ends Sept 30 | ||
30 | Summary Re ports crea ted Nov 14 th for Sep tember | ||
31 | Tracking a pplication updates u sed for co mputation as of Nov1 4th. | ||
32 | The Facili ty Detail report is real time, consisten t with com prehensive evaluatio n tracking applicati on. To vi ew this in formation, you must either hav e access t o real SSN informati on for wor kload data or access to the Co mprehensiv e TBI Eval uation Tra cking Appl ication | ||
33 | Informatio n will cha nge in the detail re ports base d on two e vents: | ||
34 | updates to the track ing applic ation info rmation by the local site and | ||
35 | the additi on/updatin g positive initial T BI screens into the tracking a pplication (approxim ately ever y other we ek) | ||
36 | Report Dat a: | ||
37 | Initial Sc reening In formationO EF/OIF Vet erans scre ened for p ossible TB I8,980 * Total numb er OEF/OIF Veterans with self reported p revious di agnosis of TBI 321 3 .6%Total O EF/OIF Vet erans with negative initial TB I screen 6 ,910 77.0% Total OEF/ OIF Vetera ns with in itial posi tive scree n 1,749 19 .5%Initial Positive Screens wh o Declined a Compreh ensive Eva luation 1 639.3%Init ial Positi ve Screens Tracked f or Compreh ensive Eva luation 1 ,58690.7%T otal OEF/O IF Veteran s screened for possi ble TBI | ||
38 | Answer of "YES" to t he OEF/OIF Clinical Reminder ( Did the ve teran ever serve in Operation Iraqi Free dom (OIF) or in Oper ation Endu ring Freed om (OEF) | ||
39 | -AND- | ||
40 | Answer of YES to the question, "Has the veteran al ready been diagnosed as having TBI durin g OEF/OIF deployment ?" | ||
41 | Measured by the pre sence of t he nationa l health f actor TBI- PREVIOUS T BI DX | ||
42 | -OR- | ||
43 | 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?" | ||
44 | Measured b y the pres ence of th e national health fa ctors TBI- SECTION I - NO or TB I-SECTION I – YES | ||
45 | This numbe r is uniqu e to the r eport bein g run and cannot be rolled up from facil ity to VIS N or VISN to VHA bec ause of du plicate TB I screens occurring in differe nt facilit ies. | ||
46 | *Total num ber OEF/OI F Veterans with self reported previous d iagnosis o f TBI | ||
47 | Answer of YES to the question, "Has the veteran al ready been diagnosed as having TBI durin g OEF/OIF deployment ?" | ||
48 | Measured b y the pres ence of th e national health fa ctor TBI-P REVIOUS TB I DX | ||
49 | Not includ ed in the TBI Tracki ng Applica tion and c omprehensi ve evaluat ion proces s | ||
50 | Percentage is unique count div ided by th e total u nique OEF/ OIF Vetera ns screene d for poss ible TBI | ||
51 | OEF/OIF Ve terans who do have a previous positive i nitial scr een and th e previous dx health factor ar e counted in the pos itive init ial screen category and not th is categor y | ||
52 | Total OEF/ OIF Vetera ns with an initial n egative TB I screen | ||
53 | Any initia l TBI scre en the doe s NOT end with the a nswer of Y ES to the question, "Section 4 : The vete ran relate s he/she i s currentl y having o r has had the follow ing sympto ms within the past w eek" | ||
54 | Measured b y the abse nce of the national health fac tor TBI-SE CTION IV – YES in ve terans scr eened TBI | ||
55 | Percentage is unique count div ided by th e total u nique OEF/ OIF Vetera ns screene d for poss ible TBI | ||
56 | OEF/OIF Ve terans who have both a positiv e and nega tive initi al screen are counte d in the p ositive in itial scre en categor y and not this categ ory | ||
57 | Total OEF/ OIF Vetera ns with an initial p ositive TB I screen | ||
58 | 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" | ||
59 | Measured b y the pres ence of th e national health fa ctor TBI-S ECTION IV – YES | ||
60 | Percentage is unique count div ided by th e total un ique OEF/O IF Veteran s screened for possi ble TBI | ||
61 | OEF/OIF Ve terans who do have a positive initial sc reen regar dless of o ther poten tial scree n end poin ts are cou nted in th is categor y. | ||
62 | Initial po sitive scr eens who d eclined a comprehens ive evalua tion | ||
63 | After YES to the que stion, "Se ction 4: T he veteran relates h e/she is c urrently h aving or h as had the following symptoms within the past week ", the pat ient has t he option to decline further e valuation | ||
64 | Measured b y the pres ence of th e national health fa ctor TBI-S ECTION IV – YES and TBI-REFERR AL DECLINE D health f actor | ||
65 | Percentage is unique count div ided by th e Total OE F/OIF Vete rans with an initial positive TBI screen | ||
66 | Initial Po sitive Scr eens Track ed for Com prehensive Evaluatio n | ||
67 | After YES to the que stion, "Se ction 4: T he veteran relates h e/she is c urrently h aving or h as had the following symptoms within the past week ", the pat ient has t he option to accept further ev aluation | ||
68 | Measured b y the pres ence of th e national health fa ctor TBI-S ECTION IV – YES and TBI-REFERR AL SENT he alth facto r | ||
69 | OR | ||
70 | Measured b y the pres ence of th e national health fa ctor TBI-S ECTION IV – YES heal th factor and the ab sence of T BI-REFERRA L DECLINED health fa ctor. Acce pting or d eclining r eferral fo r the comp rehensive TBI evalua tion is no t a mandat ory choice in the cl inical rem inder. | ||
71 | Percentage is unique count div ided by th e Total OE F/OIF Vete rans with an initial positive TBI screen | ||
72 | This is th e cohort o f veterans contained in the Co mprehensiv e TBI Eval uation Tra cking Appl ication | ||
73 | Comprehens ive Evalua tion - Com pleted / P ending Fur ther Evalu ationIniti al Positiv e Screens Tracked fo r Comprehe nsive Eval uation1,58 6 Compre hensive Ev aluations Completed 964 60.8%C onfirmed T BI Diagnos is 47048. 8%TBI Diag nosis Rule d Out 263 27.3%TBI D iagnosis U ncertain P ending Fur ther Evalu ation 231 24.0%Compr ehensive E valuations Completed | ||
74 | Status in the tracki ng applica tion is co mpleted wi th a consu lt complet ion. | ||
75 | Percentage is unique count div ided by th e count of Initial P ositive Sc reens Trac ked for Co mprehensiv e Evaluati on | ||
76 | Confirmed TBI Diagno sis | ||
77 | Status in the tracki ng applica tion is co mpleted an d evaluati on outcome is identi fied as ha ving a con firmed TBI diagnosis | ||
78 | Percentage is unique count div ided by th e count of Comprehen sive Evalu ations Com pleted | ||
79 | TBI Diagno sis Ruled Out | ||
80 | Status in the tracki ng applica tion is co mpleted an d evaluati on outcome is identi fied as ha ving a TBI diagnosis ruled out . | ||
81 | Percentage is unique count div ided by th e count of Comprehen sive Evalu ations Com pleted | ||
82 | TBI Diagno sis Uncert ain Pendin g Further Evaluation | ||
83 | Status in the tracki ng applica tion is co mpleted an d evaluati on outcome is identi fied as TB I Diagnosi s Uncertai n Pending Further Ev aluation | ||
84 | Percentage is unique count div ided by th e count of Comprehen sive Evalu ations Com pleted | ||
85 | Comprehens ive Evalua tion - To Be Schedul ed or Pend ing Contac tInitial P ositive Sc reens Trac ked for Co mprehensiv e Evaluati on1,586 Comprehens ive Evalua tions Not Completed 622 39.2%I n Process: Appointme nt Schedul ed 2383 8.3%Pendin g Contact to Schedul e Comprehe nsive Eval uation 69 11.1%** Un able to Co mplete Com prehensive Evaluatio n 31550.6 %Comprehen sive Evalu ation - Co mpleted / Pending Fu rther Eval uation | ||
86 | Status in the tracki ng applica tion is ei ther In Pr ocess, Pen ding, or U nable to C omplete | ||
87 | Percentage is unique count div ided by th e count of Initial P ositive Sc reens Trac ked for Co mprehensiv e Evaluati on | ||
88 | Pending Co ntact to S chedule Co mprehensiv e Evaluati on | ||
89 | Status in the tracki ng applica tion is Pe nding | ||
90 | Percentage is unique count div ided by th e count of Comprehen sive Evalu ation - Co mpleted / Pending Fu rther Eval uation | ||
91 | In Process : Appointm ent Schedu led | ||
92 | Status in the tracki ng applica tion is In Process | ||
93 | Percentage is unique count div ided by th e count of Comprehen sive Evalu ation - Co mpleted / Pending Fu rther Eval uation | ||
94 | Unable to Complete C omprehensi ve Evaluat ion | ||
95 | Status in the tracki ng applica tion is Un able to Co mplete Com prehensive Evaluatio n | ||
96 | Percentage is unique count div ided by th e count of Comprehen sive Evalu ations Com pleted | ||
97 | Includes O EF/OIF vet erans who cancelled or no show ed the eva luation 3 times, ref used the e valuation when conta cted for s cheduling, were unab le to be c ontacted, or unavail able for s cheduling due to rea sons beyon d their co ntrol (i.e . incarcer ation, dea th, or red eployment) . | ||
98 | Length of Time to Co mplete Com prehensive Evaluatio n from Ini tial Posit ive Screen Comprehens ive Evalua tions Comp leted964 Completed Comprehens ive Evalua tions with Completio n Date 885 Average N umber of D ays from T BI Screen to Compreh ensive Eva luation Co mpletion ( Cumulative ) 84 Avera ge Number of Days fr om TBI Scr een to Com prehensive Evaluatio n Completi on (Curren t***) 32 C ompleted C omprehensi ve Evaluat ions with Completion Date | ||
99 | Status in the tracki ng applica tion is co mpleted an d there is a consult completio n date ent ered in th e tracking applicati on. | ||
100 | Average Nu mber of Da ys from TB I Screen t o Comprehe nsive Eval uation Com pletion (C umulative) | ||
101 | Number of days to co mplete the Comprehen sive Evalu ation is c alculated as the num ber days f rom the in itial posi tive scree n (date as sociated w ith the TB I-SECTION IV – YES h ealth fact or) to the consult c ompletion date enter ed into th e tracking applicati on. | ||
102 | The total number of days betwe en initial screen an d consult completion for all c ompleted c omprehensi ve evaluat ions with a completi on date is divided b y the numb er of comp leted comp rehensive evaluation s with a c ompletion date. | ||
103 | In the rar e cases wh ere a comp leted comp rehensive evaluation occurs pr ior to the initial s creen, 0 i s used for the numbe r of days. | ||
104 | Average Nu mber of Da ys from TB I Screen t o Comprehe nsive Eval uation Com pletion (C urrent***) | ||
105 | Uses the s ame basic methodolog y describe d in Avera ge Number of Days fr om TBI Scr een to Com prehensive Evaluatio n Completi on (Cumula tive). | ||
106 | Instead of all compl eted compr ehensive e valuations , only com pleted com prehensive evaluatio ns from in itial TBI screens oc curring in the prece ding 3 mon ths (1.5 m onth lag) are consid ered. | ||
107 | Reports: | ||
108 | The summar y and comp arison rep orts are l ocated on one page w ith tabs f or each re port. The detail re port is st andalone. | ||
109 | VHA Summar y | ||
110 | The VHA Su mmary repo rts VHA wi de total o n comprehe nsive TBI evaluation s. This infor mation is a snapshot report cr eated appr oximately the 15th o f the mont h. These r eports are a copy of the infor mation sub mitted to DNS . | ||
111 | VISN Summa ry | ||
112 | The VISN S ummary rep ort contai ns an indi vidualized summary o f a select ed VISN. This infor mation is a snapshot report cr eated appr oximately the 15th o f the mont h. These r eports are a copy of the infor mation sub mitted to DNS . | ||
113 | VISN Compa rison | ||
114 | The VISN C omparison reports a comparison of VISN p erformance on key co mprehensiv e TBI eval uation ind icators. This infor mation is a snapshot report cr eated appr oximately the 15th o f the mont h. These r eports are a copy of the infor mation sub mitted to DNS . | ||
115 | Facility C omparison | ||
116 | The Facili ty Compari son report s a compar ison of fa cility per formance w ithin a se lected VIS N on key c omprehensi ve TBI eva luation in dicators. This infor mation is a snapshot report cr eated appr oximately the 15th o f the mont h. These r eports are a copy of the infor mation sub mitted to DNS . | ||
117 | Facility D etail | ||
118 | The Facili ty Detail report con tains an i ndividuali zed report , includin g individu al case in formation, on the da ta availab le in the Comprehens ive TBI Ev aluation T racking Ap plication. This info rmation is real time , consiste nt with th e informat ion in the tracking applicatio n. To view this info rmation, y ou must ei ther have access to real SSN i nformation for workl oad data o r access t o the Comp rehensive TBI Evalua tion Track ing Applic ation | ||
119 | Summary: | ||
120 | The Compre hensive Tr aumatic Br ain Injury (TBI) Eva luation Re ports cons ist of 5 r eports des igned to p rovide of summary of the use o f the comp letion of Comprehens ive TBI Ev aluation a s document ed in the Comprehens ive TBI Ev aluation T racking Ap plication. | ||
121 | Help Desk | ||
122 | VSSC Help Desk - OEF /OIF | ||
123 | Appendix 1 National TBI Health Factors | ||
124 | ***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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