Data validation is a major challenge for busy trauma registrars and registry managers. What are the most efficient ways to ensure trauma data quality?
With the January “Trauma Registry Q&A” column in Trauma System News, experts from Pomphrey Consulting launch a three-article series explaining the basic concepts and strategies of data validation.
This month, we clarify the guidance from the American College of Surgeons (ACS):
Changes in the National Trauma Data Standard go into effect on January 1. Registry software vendors will handle much of the transition work, but trauma registrars need to pay attention to several key points.
In this month’s “Trauma Registry Q&A” column, trauma registry experts from Pomphrey Consulting explain what to do now to prepare your trauma registry for 2017.
Q. I’m new to trauma registry. Could you explain what’s happening?
The National Trauma Data Standard (NTDS) Data Dictionary defines the data elements that make up the National Trauma Data Bank (NTDB). The American College of Surgeons revises the dictionary annually and makes the new standard available in July for the coming year. Registry system vendors need to update their software to reflect the changes. Trauma registrars need to understand the changes and may also need to modify certain aspects of their registry system.
Trauma data experts have always discouraged registrars from using medical record codes. But with the implementation of ICD-10, registry leaders are rethinking this recommendation.
In the October “Trauma Registry Q&A” column in Trauma System News, experts from Pomphrey Consulting answer questions about how and when trauma registrars can use medical record codes:
There is a lot of confusion about which procedures to include in a trauma registry and which are reportable to the National Trauma Data Bank (NTDB).
In the inaugural “Trauma Registry Q&A” column published in Trauma System News, registry experts from Pomphrey Consulting answer some common questions about capturing and reporting trauma procedures:
The U.S. healthcare system transitioned to ICD-10 on October 1, when Medicare began requiring all claims to use the new code set.
This is a challenge for many trauma registrars who already face a significant backlog. Experts say the transition to ICD-10 could cut registrar productivity in half for several months.
What can trauma registrars and trauma data managers do to shorten the learning curve? Recently, several registry experts shared practical tips for coding trauma charts with ICD-10.
Many trauma programs have trouble maintaining a concurrent trauma registry.
One reason is the difficulty of recruiting a full team of trauma registrars. Another problem, however, is inefficiency. Poor software setup and other issues force registrars to spend time on tasks that do not add value. The registry team has less time for chart abstraction, reporting, data analysis and other key activities.
According to Michelle Pomphrey, MLT, RN, CSTR, president of Pomphrey Consulting, the solution is to create more efficient registry processes. Recently, she discussed several problems that lead to inefficiency in a trauma registry.