Purpose: to foster active dialog among APHA members about the use of state-based hospital discharge data for injury surveillance in order to move toward useful standards.
Hospital Discharge Data Systems (HDDS) exist in at least 42 states. HDDS data have been recommended for use in state-based monitoring of injury morbidity. Currently, there is substantial variation among the systems. Discussion is needed to sort out the factors that contribute to differences in accuracy, and completeness of HDD collection and the gathering of external cause codes (ICD 9 and ICD 10). To facilitate comparability in the analysis and presentation of state-based HDDS data, standards need to be developed for using HDDS in injury surveillance. To address this issue, an ad hoc working group was convened by the National Center for Injury Prevention and Control (NCIPC) to assist in a joint effort of STIPDA, CSTE, and CDC to produce a report that includes state-specific injury surveillance indicators using HDDS data from several states. The working group proposed an initial set of standard case definitions for computing these indicators. This roundtable will provide an overview of the issues and applications of these proposed standards to HDDS data from New Mexico and Kentucky to stimulate discussion on this topic.
Learning Objectives: 1) Increase injury data expertise among APHA members; 2) draw on participants' expertise to improve data systems and uses; 3) address difficult issues and explore potential solutions; 4) create active networks among injury data providers and users.
Keywords: Data/Surveillance, Coding
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.