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Statewide Hospital Discharge Data: Collection, Use, Limitations, and Improvements
Author(s) -
Andrews Roxanne M.
Publication year - 2015
Publication title -
health services research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.706
H-Index - 121
eISSN - 1475-6773
pISSN - 0017-9124
DOI - 10.1111/1475-6773.12343
Subject(s) - data collection , health care , medicine , ethnic group , health services research , payment , agency (philosophy) , medicaid , pace , data quality , public health , business , nursing , finance , marketing , economic growth , philosophy , statistics , mathematics , geodesy , epistemology , sociology , anthropology , geography , economics , metric (unit)
Objectives To provide an overview of statewide hospital discharge databases ( HDD ), including their uses in health services research and limitations, and to describe Agency for Healthcare Research and Quality ( AHRQ ) Enhanced State Data grants to address clinical and race–ethnicity data limitations. Principal Findings Almost all states have statewide HDD collected by public or private data organizations. Statewide HDD , based on the hospital claim with state variations, contain useful core variables and require minimal collection burden. AHRQ 's Healthcare Cost and Utilization Project builds uniform state and national research files using statewide HDD . States, hospitals, and researchers use statewide HDD for many purposes. Illustrating researchers' use, during 2012–2014, HSR published 26 HDD ‐based articles on health policy, access, quality, clinical aspects of care, race–ethnicity and insurance impacts, economics, financing, and research methods. HDD have limitations affecting their use. Five AHRQ grants focused on enhancing clinical data and three grants aimed at improving race–ethnicity data. Conclusion ICD ‐10 implementation will significantly affect the HDD . The AHRQ grants, information technology advances, payment policy changes, and the need for outpatient information may stimulate other statewide HDD changes. To remain a mainstay of health services research, statewide HDD need to keep pace with changing user needs while minimizing collection burdens.