Expanding and Enhancing All Payer Claims Data Base System Capacity in States

扩大和增强各州所有付款人索赔数据库系统容量

• 批准号: 8287881
• 负责人: Denise Elaine Love
• 金额: $ 4.99万
• 依托单位: NATIONAL ASSOCIATION OF HEALTH DATA ORGS
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-11-09 至 2012-11-08
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8287881
• 关键词: Expanding; Enhancing; Payer; Claims; Data

DESCRIPTION (provided by applicant): "Expanding and Enhancing All Payer Claims Data Base System Capacity in States" Conference Type/Category: Infrastructure Development ABSTRACT Recognizing the need for system-wide data, 151 states have established or have enacted study legislation to develop claims reporting systems. In addition, a growing number of states are in the process of exploring the feasibility of creating similar system and in states without a legislative mandate, there may be voluntary reporting of claims data. These state databases are collectively known as All-Payer Claims Databases (APCD)2. States at the forefront of aggregating health care claims data and are seeking technical assistance, but have limited funding for this, including travel support to national conferences. At a critical time in te development and expansion of statewide APCDs, state budget constraints are resulting in freezes or limits in employee travel budgets. The National Association of Health Data Organizations (NAHDO), in partnership with the All Payer Claims Databases Council (APCD Council), propose funding to offset the costs of a one-day APCD meeting and assist up to 26 state officials attend. This Fifth National APCD Conference will be held the day prior to NAHDO's 26th Annual Meeting in Alexandria, Virginia on November 14, 2011. This conference will build on the momentum of the first four National APCD Conferences and expand the body of knowledge and transferring state lessons learned in this important area. 1 Maryland, Maine, Kansas, New Hampshire, Vermont, Massachusetts, Utah, Oregon, Minnesota, Tennessee, Colorado, New York, Rhode Island, West Virginia, Virginia 2 APCDs are large-scale databases that systematically collect health care claims data from a variety of payer sources which include claims from most health care providers. APCDs are databases, typically created by a state mandate, that generally include data derived from medical claims, pharmacy claims, eligibility files, provider (physician and facility) files, and dental claims from private and public payers. PUBLIC HEALTH RELEVANCE: Outpatient utilization is escalating and states need information about patterns and variation in outpatient care to understand about the performance of the entire health delivery system. States are implementing All-Payer Claims Databases (APCDs) to augment existing data systems, including hospital discharge and disease surveillance systems in to improve population health, evaluate effectiveness of public health interventions, increase transparency, and monitor the quality and cost curves. This conference will advance data and information infrastructure capacity across states and promote uniformity and comparability in state APCDs.

描述（由申请人提供）：“扩大和加强所有付款人索赔数据库系统的能力在国家”会议类型/类别：基础设施的发展摘要认识到需要系统范围的数据，151个国家已经建立或颁布了研究立法，以发展索赔报告系统。此外，越来越多的州正在探索建立类似系统的可行性，在没有立法授权的州，可能会自愿报告索赔数据。这些州数据库统称为所有付款人索赔数据库（APCD）2。各国在汇总医疗保健报销数据方面走在前列，正在寻求技术援助，但这方面的资金有限，包括参加全国会议的差旅费。在全州APCD发展和扩张的关键时刻，州预算限制导致员工差旅预算冻结或限制。全国卫生数据组织协会（NAHDO）与所有付款人索赔数据库理事会（APCD理事会）合作，提议提供资金，以抵消为期一天的APCD会议的费用，并协助多达26名州官员出席会议。第五届全国APCD会议将于2011年11月14日在弗吉尼亚州亚历山大举行的NAHDO第26届年会的前一天举行。这次会议将在前四次全国APCD会议的势头上再接再厉，扩大知识体系，并转让在这一重要领域吸取的国家经验教训。1马里兰州、缅因州、堪萨斯州、新罕布什尔州、佛蒙特州、马萨诸塞州、犹他州、俄勒冈州、明尼苏达州、田纳西州、科罗拉多州、纽约州、罗得岛、西弗吉尼亚州、弗吉尼亚州2 APCD是大型数据库，系统地收集来自各种付款人来源的医疗保健索赔数据，其中包括大多数医疗保健提供者的索赔。APCD是通常由州授权创建的数据库，通常包括来自私人和公共付款人的医疗索赔、药房索赔、资格文件、提供者（医生和机构）文件以及牙科索赔的数据。 公共卫生关系：门诊病人的利用率正在上升，各州需要有关门诊病人护理模式和变化的信息，以了解整个医疗服务系统的性能。 各州正在实施所有付款人索赔数据库（APCD），以扩大现有的数据系统，包括出院和疾病监测系统，以改善人口健康，评估公共卫生干预措施的有效性，提高透明度，并监测质量和成本曲线。 这次会议将提高各州的数据和信息基础设施能力，促进各州APCD的统一性和可比性。