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Cost estimates for statewide reporting of injuries by E coding hospital discharge abstract data base systems.
  • Published Date:
    1990 Nov-Dec
  • Source:
    Public Health Rep. 105(6):635-638
  • Language:
    English
Filetype[PDF-804.70 KB]


Details:
  • Alternative Title:
    Public Health Rep
  • Personal Author:
  • Description:
    A key element in the study of trauma problems is the design and development of adequate and affordable surveillance systems. One proposed method is the use of data available from hospital discharge abstract data base systems. However, surveillance systems based on existing data bases usually do not include codes that can identify the external causes of injuries, a critical limitation of the ability to determine the mechanisms of injuries. One obstacle to adding external cause of injury codes, known as E codes under the International Classification of Diseases, to uniform hospital discharge abstract data base systems is the cost of such a change. This study provided an estimate of the type and size of the costs for one State, based upon a survey of hospitals, information system vendors, and medical records experts. Two categories of the costs involved in adding E codes to hospital discharge abstract data base systems were identified. One-time implementation costs, which include modification of the computerized data base and the coding guidelines used by medical record personnel, average $600 per hospital. Annual costs resulting from increased operating expenses to include E codes average about $600 per hospital, because of the increased workload of coding and entry of the additional data. Adding E codes to hospital discharge abstract data base systems appears to be financially feasible for statewide surveillance of serious injury.

  • Subject:
  • Pubmed ID:
    2124364
  • Pubmed Central ID:
    PMCnull
  • Document Type:
    Journal Article
  • Funding:
    CCR49-00257Q/PHS HHS/United States
  • Collection(s):
    Public Health Reports
  • Main Document Checksum:
  • Supporting Files:
    No Additional Files
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      Personal Author:
      DeBoy, J M
      Published Date:
      1990 Nov-Dec
      Source:
      Public Health Rep. 105(6):584-588
      Description:
      In 1989 Maryland became the first State to enact legislation, separate from existing laboratory law, authorizing a comprehensive, self-supporting program to regulate cholesterol screening conducted outside of laboratories and physicians' offices. Thi...
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      1990 Nov-Dec
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      Martin, D J
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      Source:
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      Description:
      The use of condoms has been advocated as an important method of reducing the risk of AIDS for such people as gay men, prostitutes, IV drug users, adolescents, hemophiliacs, and others who may become infected with the human immunodeficiency virus (HIV...
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    4. A comparison of elderly participants in a community survey with nonparticipants.
      Personal Author:
      Adams, M M; Scherr, P A; Branch, L G; Hebert, L E; Cook, N R; Lane, A M; Brock, D B; Evans, D A; Taylor, J O;
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      1990 Nov-Dec
      Source:
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      Description:
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      Personal Author:
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      Published Date:
      1990 Nov-Dec
      Source:
      Public Health Rep. 105(6):610-616
      Description:
      A random sample of 232 U.S. hospitals was surveyed. Of those hospitals, 75 percent had hepatitis B vaccination programs. The presence of a program was associated with hospital size (60 percent of those with 100 beds, 75 percent with 100-499 beds, 90 ...
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    8. Smoking behavior and attitudes of employees of a large HMO before and after a work site ban on cigarette smoking.
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      Mullooly, J P; Schuman, K L; Stevens, V J; Glasgow, R E; Vogt, T M;
      Published Date:
      1990 Nov-Dec
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      Description:
      Smoking-related data collected during 1976-87 by anonymous cross-sectional surveys of nonphysician employees of a large medical care organization were used to assess how a work site smoking ban affected employees' smoking behavior and attitudes. The ...
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      Source:
      Public Health Rep. 105(6)
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      Personal Author:
      Hardy, A M
      Published Date:
      1990 Nov-Dec
      Source:
      Public Health Rep. 105(6):629-634
      Description:
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      Published Date:
      Nov-Dec 1990
      Source:
      Public Health Rep. 105(6)
      File Type:
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    12. Differentiating the barriers to adequate prenatal care in Missouri, 1987-88.
      Personal Author:
      Sable, M R; Stockbauer, J W; Schramm, W F; Land, G H;
      Published Date:
      1990 Nov-Dec
      Source:
      Public Health Rep. 105(6):549-555
      Description:
      Inadequate prenatal care has previously been identified as a significant risk factor for women who have low birth weight infants and infants who die during the neonatal period. Postpartum interviews with 1,484 primarily low-income women were conducte...
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    13. Epidemiologic field investigations by the Centers for Disease control and Epidemic Intelligence Service, 1946-87.
      Personal Author:
      Goodman, Richard A.; Bauman, Cindy F.; Gregg, Michael B.; Videtto, Janis F.; Stroup, Donna F.; Chalmers, Nancy P.;
      Published Date:
      1990 Nov-Dec
      Source:
      Public Health Rep. 105(6):604-610
      Description:
      The epidemiologic field investigation is an important tool used by the Centers for Disease Control (CDC) to provide assistance to State, local, and international public health agencies. The Epidemic Intelligence Service (EIS) of the CDC is an ongoing...
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    14. Training and service in public health practice, 1951-90--CDC's Epidemic Intelligence Service.
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      Thacker, Stephen B.; Goodman, Ricard A.; Dicker, Richard C.;
      Published Date:
      1990 Nov-Dec
      Source:
      Public Health Rep. 105(6):599-604
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      The Epidemic Intelligence Service (EIS) was created at the Centers for Disease Control (CDC) in 1951 as a combined training and service program in the practice of applied epidemiology. Since 1951, more than 1,700 professional have served in this 2-ye...
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    15. Measuring Tijuana residents' choice of Mexican or U.S. health care services.
      Personal Author:
      Guendelman, S; Jasis, M;
      Published Date:
      1990 Nov-Dec
      Source:
      Public Health Rep. 105(6):575-583
      Description:
      There is growing concern that the indigent health care burden in the southwestern United States may be caused partly by Mexican residents who cross the border to use U.S. health services. This article describes the first attempt to measure the extent...
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      Novello, Aantonia C.
      Published Date:
      1990 Nov-Dec
      Source:
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    17. Public Health Reports ; v. 105 , no. 6 : cover
      Published Date:
      Nov-Dec 1990
      Source:
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      File Type:
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      Watkins, E L; Larson, K; Harlan, C; Young, S;
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      1990 Nov-Dec
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      Public Health Rep. 105(6):567-575
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