External Data Validation Tammy Morgan National TQIP Educator Trauma Quality Improvement Program (TQIP) Annual Scientific Meeting and Training 2012

Why TQIP External Validation?

• Reinforce data validation as a national standard

• Identify educational needs

• Validate accuracy of data as it translates into reports

• Increase confidence levels of facility reports All of the above elements added together, ensure that your data driven performance, is accurate, and the changes you make are based on solid valid data

How confident are you…..??

ACS Criteria: Level I, II & III Trauma Hospitals

What we’ve learned about the centers…

• Staffing • Training • Coding

• Missing data • Misinterpreted data definition

Staffing

• Do not meet suggested FTE/volume dedicated to the trauma registry

• Trauma Registry Staff supporting multiple hospitals

within their healthcare systems • Other responsibilities in addition to the trauma

registry

Training

• Many are not AIS trained • Many have never attended a Trauma Registrar

Course • Many do not have all that abstract data

participating in TQIP Education

Abstracting/Coding

• Using HIM coding

• Depending on the trauma registry software to assign the correct code by description

• AIS coding without proper training

• Coding without the proper coding tools • External injuries

Missing Data

• Complications by definition

• Comorbid Conditions by definition

• Mapping • Not capturing • Missing data fields in trauma registry software

Misinterpreted Data Definitions

• Hospital Complications

• Comorbid Conditions

• Total ICU Length of Stay • Total Ventilator Days

What we’ve learned about the process…

• Time consuming

• Expensive

• TQIP validation tool

• The data submission cycle does not work as well for TQIP as it does for NTDB

Where we’re headed…

• Provide a more current validation review

• Quarterly data submissions

• A change in the way we do

data validation • TQIP data review • Remote access

Take home message

• Data Dictionary

• TQIP Team

• TQIP Tools

• Validate Your Data

Thank You!!