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PubMed · 12432860

Can computerized cost data substitute for chart review?

Daniel Shine·Punidha Sundaram·Deborra M Torres·Barbara Johnstone·Joseph Jaeger·Barbara Sanguliano
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Abstract

Identification of alternatives to manual chart review might improve efficiency in quality improvement work. This study at a large community teaching hospital in central New Jersey considered whether selected charges from a patient-level costs database could identify compliance with Sixth Scope of Work indicators in congestive heart failure (CHF). Charges resulting from specific tests, from test outcomes, and from prescribed treatments were identified from among 75 randomly chosen patients with CHF. In the sample 65% (as determined by database analysis) and 69% (as determined by chart review) complied with the principal peer review organization criterion. This difference was less than that found between review and re-review of study charts.

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Adrenergic beta-AntagonistsAngiotensin-Converting Enzyme InhibitorsAnticoagulantsCenters for Medicare and Medicaid Services, U.S.Clinical Laboratory TechniquesData Interpretation, StatisticalHeart FailureHospital CostsHospitals, CommunityHospitals, TeachingHumansMedicaidMedical AuditMedicareNew JerseyProfessional Review OrganizationsQuality Indicators, Health CareUnited StatesJournal Article

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Daniel Shine, Punidha Sundaram, Deborra M Torres, Barbara Johnstone, Joseph Jaeger, Barbara Sanguliano. Can computerized cost data substitute for chart review?. https://doi.org/10.1111/j.1945-1474.2002.tb01013.x

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