Centers for Medicare and Medicaid Services Data Linkages (Medicare & Medicare Health Outcomes Survey)

CMS和NIH/NCI在合作研究项目下交换数据，以通过两个阶段的过程支持和加强每个机构的使命。CMS和NIH/NCI开展该合作研究项目的条款，条件，保障措施和程序在信息交换协议（CMS IEA No. 2018-40）中概述。 简而言之，该IAA与数据交换的第一阶段有关，NIH/NCI在此阶段接收NIH/NCI监测流行病学和最终结果（SEER）癌症登记数据中的人员的医疗保险登记和使用（索赔和遭遇）数据以及医疗补助登记数据，这些数据也在CMS数据中找到。然后，NIH/NCI将CMS提供的数据与癌症登记数据合并，以创建SEER-CMS数据集：SEER-Medicare，SEER-Medicaid，SEER-Medicare健康结局调查（SEER-MHOS）和SEER-医疗保健提供者和系统的消费者评估（SEER-CAHPS）。SEER-CMS数据集保存在NIH/NCI系统记录编号09-25-0200下。因此，NIH/NCI通过正式的申请流程监督SEER-CMS数据集的数据发布，要求申请者提交研究特定的研究提案，其中必须包括所请求数据的理由以及数据存储和保护计划，NIH/NCI数据使用协议以及机构审查委员会评估的文件。对SEER-CMS数据的分析使我们能够深入了解从筛查到生命终结的癌症连续体中的癌症护理提供和结果，这是美国人口中越来越多的人的结果。 根据本IAA，CMS将向NIH/NCI提供慢性疾病仓库/虚拟研究数据中心（CCW/VRDC）所需的数据。 请求组织将遵守CMS的所有数据发布政策和程序。 一旦满足所有CMS数据要求，CMS将向批准的用户提供适当的最低限度必要数据。

The CMS and the NIH/NCI exchange data under a cooperative research project to support and enhance each agency’s mission via a two phase process. The terms, conditions, safeguards, and procedures under which CMS and NIH/NCI conduct this cooperative research project are outlined in an Information Exchange Agreement (CMS IEA No. 2018-40). Briefly, this IAA is related to the first phase of the data exchange, whereby NIH/NCI receives Medicare enrollment and utilization (claims and encounter) data and Medicaid enrollment data for persons in the NIH/NCI Surveillance Epidemiolgy and End Results (SEER) cancer regristry data who are also found in the CMS data. NIH/NCI then takes the data provided by CMS and merges it with the cancer registry data to create the SEER-CMS datasets: SEER-Medicare, SEER-Medicaid, SEER-Medicare Health Outcomes Survey (SEER-MHOS), and SEER-Consumer Assessment of Healthcare Providers and Systems (SEER-CAHPS). The SEER-CMS datasets are maintained under the NIH/NCI System of Record No. 09-25-0200. Thereby, NIH/NCI oversees the release of data from the SEER-CMS datasets through formal application processes that require requestors to submit research specific study proposals, which must include justification for the requested data and a data storage and protection plan, a NIH/NCI Data Use Agreement, and documentation of an Institutional Review Board assessment. The analyses of the SEER-CMS data allows for insights into cancer care delivery and outcomes across the cancer continuum from screening to end-of-life for a growing proportion of the US population. Under this IAA, CMS will provide NIH/NCI with the requested data from the Chronic Condition Warehous/Virtual Research Data Center (CCW/VRDC). The requesting organization will conform with all of CMS's data release policies and procedures. CMS will make the appropriate minimally necessary data available to approved users once all CMS data requirements are met.