+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Cost estimates for statewide reporting of injuries by E coding hospital discharge abstract data base systems

Cost estimates for statewide reporting of injuries by E coding hospital discharge abstract data base systems

Public Health Reports 105(6): 635-638

A key element in the study of trauma problems is the design and development of adequate and affordable surveillance systems. One proposed method is the use of data available from hospital discharge abstract data base systems. However, surveillance systems based on existing data bases usually do not include codes that can identify the external causes of injuries, a critical limitation of the ability to determine the mechanisms of injuries. One obstacle to adding external cause of injury codes, known as E codes under the International Classification of Diseases, to uniform hospital discharge abstract data base systems is the cost of such a change. This study provided an estimate of the type and size of the costs for one State, based upon a survey of hospitals, information system vendors, and medical records experts. Two categories of the costs involved in adding E codes to hospital discharge abstract data base systems were identified. One-time implementation costs, which include modification of the computerized data base and the coding guidelines used by medical record personnel, average $600 per hospital. Annual costs resulting from increased operating expenses to include E codes average about $600 per hospital, because of the increased workload of coding and entry of the additional data. Adding E codes to hospital discharge abstract data base systems appears to be financially feasible for statewide surveillance of serious injury.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 039699807

Download citation: RISBibTeXText

PMID: 2124364

DOI: 10.2307/4628965

Related references

Hospital charges for people with AIDS in Washington State: utilization of a statewide hospital discharge data base. American Journal of Public Health 78(8): 949-952, 1988

Can Statewide Emergency Department, Hospital Discharge, and Violent Death Reporting System Data Be Used to Monitor Burden of Firearm-Related Injury and Death in Rhode Island?. Journal of Public Health Management and Practice, 2018

Strategies to improve external cause-of-injury coding in state-based hospital discharge and emergeny department data systems - Recommendations of the CDC workgroup for improvement of external cause-of-injury coding. Morbidity and Mortality Weekly Report 57(RR1, Suppl. S): 1-8,13-16, 2008

Enhancing the Value of Statewide Hospital Discharge Data: Improving Clinical Content and Race-Ethnicity Data. Health Services Research 50 Suppl 1: 1265-1272, 2015

Hospital data reporting on postpartum hemorrhage: under-estimates recurrence and over-estimates the contribution of uterine atony. Maternal and Child Health Journal 16(7): 1542-1548, 2012

Medical terminology coding systems and medicolegal death investigation data: searching for a standardized method of electronic coding at a statewide medical examiner's office. Journal of Forensic Sciences 54(1): 207-211, 2008

Statewide Hospital Discharge Data: Collection, Use, Limitations, and Improvements. Health Services Research 50 Suppl 1(): 1273-1299, 2015

Hospital cost per case: analyses using a statewide data system. Medical Care 17(10): 1037-1047, 1979

Use of hospital discharge data to evaluate notifiable disease reporting to Colorado's Electronic Disease Reporting System. Public Health Reports 126(1): 100-106, 2011

A new comorbidity index based on hospital discharge abstract data predicts hospital mortality. Journal of General Internal Medicine 9(4 SUPPL 2): 51, 1994

Factors associated with changes in occupancy rates of California short-term hospitals: an analysis of statewide hospital discharge data. Medical Care 14(8): 674-684, 1976

Use of statewide hospital discharge data to evaluate the economic burden of neurocysticercosis in Los Angeles County (1991-2008). American Journal of Tropical Medicine and Hygiene 83(1): 106-110, 2010

Race and ethnicity reporting in statewide hospital data: progress and future challenges in a key resource for local and state monitoring of health disparities. Journal of Public Health Management and Practice 17(2): 167-173, 2012

Injury coding and hospital discharge data. JAMA 263(14): 1913-1913, 1990

Uniform-reporting systems for billing and discharge data. Topics in Health Care Financing 6(2): 59-78, 1979