Tài liệu 2012‐2013 VIReC Database and Methods Cyber Seminar Series pdf

2012
‐
2013 VIReC
Database and Methods
2012
2013

VIReC

Database

and

Methods

CyberSeminarSeries
2012
‐
2013
VIReC Database and Methods Cyber Seminar Series
2012
2013

VIReC

Database

and

Methods


Cyber

Seminar

Series
OverviewofVAData,InformationSystems,
NationalDatabasesandResearchUses
October1,2012
Presentedby:
DeniseM.Hynes,MPH,PhD,RN
CenterDirector,VIReC
Session Objectives
Session

Objectives
It d Si
•
I
n
t
ro
d
uce
S
er
i
es
• ProvideBriefOverviewofVADataSources
October 1, 2012 3
Series Objectives

Series

Objectives
T
o

p
r
o
vi
de
inf
o
rm
at
i
o
n
about
:
o po de oatoabout
• DifferenttypesofVAdataandinformation
systems
•
Uses of VA data in past research and potentially
Uses

of

VA


data

in

past

research

and

pote ntially

newapplications
• Limitationsofusingsecondarydatainresearch
•
Resources to support research use of VA data
•
Resources

to

support

research

use

of


VA

data
October 1, 2012 4
Topics for Today
Topics

for

Today
Oi f VA Db f Rh
O
verv
i
ewo
f

VA

D
ata
b
ases
f
or
R
esearc
h
VADatabases
Processing PlatformsandAccessPortals

PoliciesGoverningResearchAccess
Wheretogoformorehelp
October 1, 2012 5
Topics for Today
Topics

for

Today
Oi f VA Db f Rh
O
verv
i
ewo
f

VA

D
ata
b
ases
f
or
R
esearc
h
VADatabases
Processing PlatformsandAccessPortals
PoliciesGoverningResearchAccess

Wheretogoformorehelp
October 1, 2012 6
Overview: Many Sources of VA Data
Overview:

Many

Sources

of

VA

Data
Administration/
Administration/
operationsdata
Clinical
f h
V li
Financial
Data
f
romot
h
er
agencies
V
eteranpopu
l

at
i
on
surveys
October 1, 2012 7
Overview:LevelsofData
• Localfacilitydata
• VISNleveldata
Ct
(ti l
)
ll
•
C
orpora
t
e
(
na
ti
ona
l
)

l
eve
l
October 1, 2012 8
VHACor
p

orateDatabasesMono
g
ra
p
h
p gp
•
Produced by
Office of
Produced

by

Office

of

InformaticsandAnalytics
(
OIA
)
,NationalData
()
Systems
– Includes 139databasesand
informationsystems
– AvailableonVAIntranet
(contact for
url)
October 1, 2012 9

Toolkit for New Users of VA Data
Toolkit

for

New

Users

of

VA

Data
/>October 1, 2012 10
Topics for Today
Topics

for

Today
Oi f VA Db f Rh
O
verv
i
ewo
f

VA


D
ata
b
ases
f
or
R
esearc
h
VADatabases
Processing PlatformsandAccessPortals
PoliciesGoverningResearchAccess
Wheretogoformorehelp
October 1, 2012 11
VA Databases
VA

Databases
VA Inpatient and
VA CMS D
VA DSS National
VA

Inpatient

and

OutpatientData
VA


CMS

D
ata
VA

DSS

National

ClinicalData
VAPharmac
y

VACorporate
Dt Wh
VAVitalStatus
y
Data
D
a
t
a
W
are
h
ouse
Data
File
October 1, 2012

12
VA Inpatient Data
VA

Inpatient

Data
October 1, 2012 13
VA Inpatient Data
VA

Inpatient

Data
•
Data element
examples
Data

element

examples
– Patientdemographics
–
ICD‐9
p
rocedure
/
sur
g

er
y
codes
p/gy
– ICD‐9diagnosiscodes
D
d
•
D
atastewar
d
:
– NationalDataSystems(NDS)
• Website/wheretogotofindmore:
–
http://www virec research va gov/RUGs/RUG
‐
MedSAS
‐
–
http://www
.
virec
.
research
.
va
.
gov/RUGs/RUG
‐

MedSAS
‐
IP‐FY09‐ER.pdf
October 1, 2012 14
VA Outpatient Data
VA

Outpatient

Data
October 1, 2012 15
VA Outpatient Data
VA

Outpatient

Data
•
Data element examples:
•
Data

element

examples:
– Patientdemographics
–
CPT4procedurecodes
–
ICD‐9diagnosiscodes

•
Data steward:
•
Data

steward:

– NationalDataSystems(NDS)
• Website/Wheretogotofindmore
information
– />OP‐FY09‐ER.pdf
October 1, 2012 16
VA/CenterforMedicareandMedicaid
Services(CMS)Data
Medicaid
MedicareCurrentBeneficiary
Sur vey(MCBS)
MedicareEnrollmentand
United States Renal Data
ClaimsData
LongTermCarePatient
AssessmentData
United

States

Renal

Data


System
(USRDS)
DataavailableforveteranseligibleforVHAcar eandselectnon‐
veterandata
October 1, 2012 17
VA/CenterforMedicareandMedicaid
Services
(CMS) Data
•
Data
element
e
xamples
:
Services

(CMS)

Data
Data

element

e
xamples
:
– Demographics
–
ICD‐9andCPT4
p

rocedurecodes
p
– ICD‐9diagnosiscodes
d
• Datastewar
d
:
– VIReC’sVA/CMSDataforResearchProject
• Website/wheretogotofindmore
information
information
– />October 1, 2012 18
VADSSNationalClinicalData
() l ()
DecisionSupportSystem
(
DSS
)
Nationa
l
DataExtracts
(
NDEs
)
Financial
Systems
Workload
PatientInfo
Systems
DSS Processes

DSS

Processes
DSS Data
LAB
PHA
DSS

Data
LAR
NDEs
RAD
October 1, 2012 19
NDEs
VA DSS National Clinical Data
VA

DSS

National

Clinical

Data
LAB
(factoflab)
Cli
nic
al
ND

Es
LAR
(labResults)
RAD
(radiology)
PHA
(pharmacy
p
rescri
p
tions
)
pp)
October 1, 2012 20
VA DSS National
Clinical Data
VA

DSS

National

Clinical

Data

•
Data Element Examples:
Data


Element

Examples:
– Date
–
Test results
Test

results
– Orderingprovider
–
Costs
–
Costs
• DataSteward:
ff
–
VHADecisionSupportO
ff
ice
• Website/Wheretogotofindmoreinformation
– />2nd‐Ed‐CY09‐ER.pdf
October 1, 2012 21
VA Pharmacy Data
VA

Pharmacy

Data
Medications

Dis
p
ensedfrom 
p
VAPharmacies
PharmacyBenefits
M (PBM)
M
anagement
(PBM)
VHADecisionSu
pp
ort
pp
System(DSS)
October 1, 2012 22
VA Pharmacy Data
VA

Pharmacy

Data
•
Data element examples:
•
Data

element

examples:

– Genericdrugname,dayssupply,VAdrugclass,etc.
• DataSteward
PBM: Fran Cunningham
PharmD
–
PBM:

Fran

Cunningham
,
PharmD
– DSS:VHADecisionSupportOffice
• Website/Wheretogotofindmoreinformation
htt // i h /RUG /RUG
PBM
–
htt
p:
//
www.v
i
rec.researc
h
.va.gov
/RUG
s
/RUG
‐
PBM

‐
2nd‐Ed‐CY08‐ER.pdf
October 1, 2012 23
VA
Vital
Status File
VA

Vital

Status

File
• Generaldescription:
–
Multiplesourcesofmortalityinformation
• VAWorkloadData
• BIRLSDeathFile
• MedicareVitalStatusFile
• SSADeathMasterFile
– Twofiles:MasterandMini
October 1, 2012 24
VA Vital
Status File
VA

Vital

Status


File
•
Data element examples:
Data

element

examples:
– Dateofdeath(variablesfromthedifferentsources
andvalueselectedas“best”)
L hlh ili i d
–
L
ast
h
ea
l
t
h
careut
ili
zat
i
on
d
ate
•
Data
Steward:
Data


Steward:
– NationalDataSystems
• Website/Wheretogotofindmore
information
iew.htm
October 1, 2012 25