Use of the point of origin code from a universal billing form, UB-04, to efficiently identify hospitalized patients admitted from other health care facilities

Details

• Alternative Title:
  Am J Infect Control
• Personal Author:
  Prabaker, Kavitha K. ; Hayden, Mary K. ; Weinstein, Robert A. ; Lin, Michael Y.
• Description:
  Background:
  
  Recent exposure to health care facilities is a risk factor for carriage of multidrug-resistant organisms, but identification of hospitalized patients admitted from other health care facilities is often inefficient.
  
  Methods:
  
  At an acute care hospital, we utilized a standard point of origin code from a universal billing form (UB-04) to categorize hospitalized patients as admitted from any health care facility (long-term care facility vs acute care facility). In a prospective study, the point of origin code and information obtained from physician-documented history were validated against patient self-report.
  
  Results:
  
  Admission source for 523 patients was assessed. For identifying admission from any health care facility, the point of origin code had 86% sensitivity (95% confidence interval [CI]: 77-92) and 98% specificity (95% CI: 97-99). Physician-documented history had 75% sensitivity (95% CI: 65-84) and 98% specificity (95% CI: 96-99). For identifying patients from long-term care facilities, the sensitivities of the point of origin code and physician history were 50% (95% CI: 23-77) and 71% (95% CI: 42-92), respectively. For identifying patients admitted from acute care facilities, the sensitivities of the point of origin code and physician history were 93% (95% CI: 84-98) and 76% (95% CI: 64-85), respectively.
  
  Conclusion:
  
  The point of origin code is an accurate method of identifying patients admitted from another health care facility that is comparable with physician-documented history.
  
  
• Subjects:
  Article Epidemiologic Methods Hospitalization Hospitals Humans Long-term Care Facilities Multidrug-resistant Organisms Patient Transfer Prospective Studies Surveillance
• Source:
  Am J Infect Control. 40(7):659-662
• Pubmed ID:
  22245247
• Pubmed Central ID:
  PMC8381088
• Document Type:
  Journal Article
• Funding:
  U54 CK000161/CK/NCEZID CDC HHSUnited States/ ; 1U54CK000161/CK/NCEZID CDC HHSUnited States/
• Volume:
  40
• Issue:
  7
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:ff12c9c0da8b5d43dc63830db6e8a896ea1990408de2e675e87a487d5f3d4814
• Download URL:
  https://stacks.cdc.gov/view/cdc/109338/cdc_109338_DS1.pdf
• File Type:
  [PDF - 306.78 KB ]