AI Article Synopsis

  • Trauma registries currently collect data only during the hospital stay, missing long-term patient information after discharge, which hampers improvement programs.
  • This study aimed to create a comprehensive patient record by linking trauma registry data with insurance claims data to track patients beyond discharge.
  • The successful linkage resulted in a 27.5% overall match rate, highlighting the potential for better understanding long-term outcomes and enhancing patient care.

Article Abstract

Introduction: Trauma registries and their quality improvement programs only collect data from the acute hospital admission, and no additional information is captured once the patient is discharged. This lack of long-term data limits these programs' ability to affect change. The goal of this study was to create a longitudinal patient record by linking trauma registry data with third party payer claims data to allow the tracking of these patients after discharge.

Methods: Trauma quality collaborative data (2018-2019) was utilized. Inclusion criteria were patients age ≥18, ISS ≥5 and a length of stay ≥1 d. In-hospital deaths were excluded. A deterministic match was performed with insurance claims records based on the hospital name, date of birth, sex, and dates of service (±1 d). The effect of payer type, ZIP code, International Classification of Diseases, Tenth Revision, Clinical Modification diagnosis specificity and exact dates of service on the match rate was analyzed.

Results: The overall match rate between these two patient record sources was 27.5%. There was a significantly higher match rate (42.8% versus 6.1%, P < 0.001) for patients with a payer that was contained in the insurance collaborative. In a subanalysis, exact dates of service did not substantially affect this match rate; however, specific International Classification of Diseases, Tenth Revision, Clinical Modification codes (i.e., all 7 characters) reduced this rate by almost half.

Conclusions: We demonstrated the successful linkage of patient records in a trauma registry with their insurance claims. This will allow us to the collect longitudinal information so that we can follow these patients' long-term outcomes and subsequently improve their care.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11091961PMC
http://dx.doi.org/10.1016/j.jss.2023.11.002DOI Listing

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