Linking Trauma Registry Patients With Insurance Claims: Creating a Longitudinal Patient Record.
J Surg Res
; 295: 274-280, 2024 Mar.
Article
in En
| MEDLINE
| ID: mdl-38048751
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.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Medical Record Linkage
/
Insurance
Limits:
Humans
Language:
En
Journal:
J Surg Res
Year:
2024
Type:
Article