This week for Health Record Management we continued health data sets. (See Week 4 for definition of a health data set)
A line in the text that explains WHY having a data set is so important is:
“Having defined data sets ensures consistent data collection and reporting.”
I’m going to briefly explain the use of four data sets.
1- UHDDS – Uniform Hospital Discharge Data Set
Used By: For short term general hospitals (inpatient hospital)
Basic Elements of: Information collected is used in national databases. Includes diagnosis, principal procedure, and other significant procedures.
2- UACDS – Uniform Ambulatory Care Data Set
Used By: Ambulatory care facilities (physician offices, medical clinics, same-day surgery centers, outpatient hospital clinics and diagnostic departments, emergency treatment centers, and hospital emergency departments)
Basic Elements of: Used for patients for medical and/or surgical care provided to patients who depart from facility on the same day they receive care. (Outpatients)
3- MDS 2.0 – Minimum Data Set for Long Term Care Version 2.0
Used By: Long-term care facilities (nursing homes, assisted living)
Basic Elements of: Federally mandated form to collect demographic and clinical data.
4- OASIS-C – Outcomes and Assessment Information Set
Used By: Home health agencies
Basic Elements of: Assess the quality of home healthcare services. Used for reimbursement for home health services.