Data Accuracy of the Bubble Sheet Ambulatory Data System and the KG-Ambulatory Data System in the Internal Medicine Clinic, Bayne-Jones Army Community Hospital, Fort Polk, LA. PDF Download
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Author: Lisa M. MacLaren
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Author: Lisa M. MacLaren
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
The purpose of this project was to determine the coding accuracy of the Evaluation and Management (E & M), diagnosis, and procedure codes as reported in the Ambulatory Data System (ADS) for the Internal Medicine Clinic at Bayne-Jones Army Community Hospital, Fort Polk, Louisiana. A secondary purpose was to determine the financial impact of inaccurate coding through the use of the Ambulatory Payment Classification (APC) and Ambulatory Patient Group (APG) outpatient prospective payment system (OPPS). Three data sets were examined at different points in time based on type of ADS used and implementation of data quality management efforts. The data quality management efforts included training, template development, customization of diagnosis and procedure code selection lists, and management controls. The management controls consisted of the ADS compliance metric, KG-ADS reports, and ad hoc ADS reports. Analysis of the data revealed that the use of data quality management efforts did increase the accuracy of data in the ADS database. Analysis of the financial data indicated that the hospital was minimally at risk for either fraudulent billing or loss of revenue. However, as the Internal Medicine Clinic only accounts for 6.3% of outpatient workload, coding behaviors similar to those observed practiced in other high volume clinics would result in an increased annual impact. In order for data quality to be important for the staff of the hospital, command support of data quality management efforts is imperative. Command support combined with aggressive training on coding procedures and medical record documentation and the use of management controls will significantly increase the quality of data, thus decreasing the probability of inappropriate resource levels for mission accomplishment.
Author: Daniel W. Gall
Publisher:
ISBN:
Category : Diagnosis related groups
Languages : en
Pages : 0
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Book Description
The Military Health system (MHS) has implemented a relatively new automated information system to help capture diagnoses, procedures, and insurance data for all ambulatory encounters. This system, recently implemented at Walter Reed Army Medical Center (WRAMC), is called the Ambulatory Data System (ADS). While the current MHS metric for ADS focuses on compliance, the quality of the data has yet to be extensively measured. Hence, the purpose of this project was to statistically analyze the data quality by studying the coding accuracy of International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes, Evaluation and Management (E & M) codes, and insurance indicator codes within the General Internal Medicine Clinic (GIMC) at WRAMC. Interventions to improve the data quality were identified, developed, and implemented during the course of this project. The sensitivities, positive predictive values (PPVs), and the kappa statistics determined from random samples collected before and after the interventions were compared using Chi square analysis (alpha=05). The results showed an increase in overall non-adjusted ICD-9-CM coding rates from 60% to 67% sensitivity, 66% to 73% PPV, and kappa=.18-.36, however, the differences were not significant. E & M coding improved from a poor sensitivity rate of 21% to significantly better rate of 55%. The study also identified a poor level of accuracy concerning the capture of insurance information (kappas=.18 and .16) that conservatively indicated approximately $1.35 million dollars of missed third party collections within the past year. This study provides a model to improve the quality ADS data that may enhance the organization's ability to efficiently and effectively identify clinical process improvements, make sound resource allocation decisions, increase third party collections, and conduct outcomes research.
Author: Daniel W. Gall
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Author: Anthony LaMarca
Publisher: Springer
ISBN: 9783540720379
Category : Computers
Languages : en
Pages : 0
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Book Description
This book constitutes the refereed proceedings of the 5th International Conference on Pervasive Computing, PERVASIVE 2007, held in Toronto, Canada in May 2007. The 21 revised full papers are organized in topical sections on reaching out, context and its application, security and privacy, understanding use, sensing, as well as finding and positioning.
Author: Wade H. Shafer
Publisher: Springer
ISBN: 9780306341205
Category : Science
Languages : en
Pages : 320
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Book Description
Masters Theses in the Pure and Applied Sciences was first conceived, published, and dis· seminated by the Center for Information and Numerical Data Analysis and Synthesis (CINDAS) *at Purdue University in 1957, starting its coverage of theses with the academic year 1955. Beginning with Volume 13, the printing and dissemination phases of the ac· tivity were transferred to University Microfilms/Xerox of Ann Arbor, Michigan, with the thought that such an arrangement would be more beneficial to the academic and general scientific and technical community. After five years of this joint undertaking we had concluded that it was in the interest of all concerned if the printing and distribution of the volume were handled by an international publishing house to assure improved service and broader dissemination. Hence, starting with Volume 18, Masters Theses in the Pure and Applied Sciences has been disseminated on a worldwide basis by Plenum Publishing Corporation of New York, and in the same year the coverage was broadened to include Canadian universities. All back issues can also be ordered from Plenum. We have reported in Volume 20 (thesis year 1975) a total of 10,374 theses titles from 28 Canadian and 239 United States universities. We are sure that this broader base for theses titles reported will greatly enhance the value of this important annual reference work. The organization of Volume 20 is identical to that of past years. It consists of theses titles arranged by discipline and by university within each discipline.
Author: Mårten T. Landahl
Publisher: Courier Dover Publications
ISBN: 0486832775
Category : Science
Languages : en
Pages : 147
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Book Description
This classic monograph on unsteady transonic flow — the flow of air encountered at speeds at or near the speed of sound — is of continuing interest to students and professionals in aerodynamics, fluid dynamics, and other areas of applied mathematics. After a brief Introduction, Swedish physicist Mårten T. Landahl presents a chapter in which the two-dimensional solution is derived, succeeded by a discussion of its relation to the subsonic and supersonic solutions. Three chapters on low aspect ratio configurations follow, covering triangular wings and similar planforms with curved leading edges, rectangular wings, and cropped delta wings, and low aspect ratio wing-body combinations. The treatment concludes with a consideration of the experimental determination of air forces on oscillating wings at transonic speeds.
Author: Ravi Tomar
Publisher: CRC Press
ISBN: 1000486168
Category : Computers
Languages : en
Pages : 281
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Book Description
JavaScript is an easy-to-use, flexible, dynamic, prototype-based programming language predominantly used over the web. Although the initial focus of the language was to assist in the generation of dynamic web content, it soon found its way into numerous other applications. This book aims to cover the fundamentals of the language by providing a strong start for people who wish to start their journey to the JavaScript programming language. It provides the mandatory theoretical background, which is much needed for implementation of the exhaustive hands-on exercises and includes over 4000 lines of code for grasping a maximum understanding of the material. FEATURES A strong theoretical background and understanding of the fundamentals of the JavaScript language Hands-on and demo exercises at the end of every chapter Exercises, theory-based questions, MCQs and true/false questions for helping readers to evaluate their understanding from time to time A dedicated chapter providing extended case studies for using the language This book is targeted at undergraduate as well as postgraduate students who want to learn about front-end programming or who wish to learn a lightweight, easy-to-use programming language for working on their projects. For programmers having experience in other languages, it will serve as a quick summary to get a hold of a new language.
Author: Rigby
Publisher:
ISBN: 9781418914219
Category :
Languages : en
Pages : 0
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Author: Bruce Tinsley
Publisher: Andrews McMeel Pub
ISBN: 9780836207781
Category : Humor
Languages : en
Pages : 96
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Book Description
Mallard Fillmore lampoons everything from political correctness to Phil, Oprah, and Geraldo to our government's insatiable appetite for spending our money. His marvelous supporting cast includes wickedly wonderful cariacatures of everyone who's anyone, from Hollywood to D.C. to Arkansas.
