Can administrative data identify active diagnoses for long-term care resident assessment?
Article Type: Brief article
Subject: Long-term care of the sick (Health aspects)
Long-term care of the sick (Methods)
Nursing home patients (Care and treatment)
Nursing home patients (Medical examination)
Author: Berlowitz, Dan R.
Pub Date: 12/30/2010
Publication: Name: Journal of Rehabilitation Research & Development Publisher: Department of Veterans Affairs Audience: Academic Format: Magazine/Journal Subject: Health Copyright: COPYRIGHT 2010 Department of Veterans Affairs ISSN: 0748-7711
Issue: Date: Dec 30, 2010 Source Volume: 47 Source Issue: 8
Topic: Event Code: 260 General services Computer Subject: Company systems management
Organization: Government Agency: United States. Department of Veterans Affairs
Geographic: Geographic Scope: United States Geographic Code: 1USA United States
Accession Number: 246450387
Full Text: The Minimum Data Set is widely used in care planning for nursing home residents and can serve as an important source of diagnostic information on veterans receiving rehabilitation in this important setting. This study examines whether data files can be used in place of clinicians' assessments to identify active diagnoses. We found that Department of Veterans Affairs (VA) data files are not a suitable replacement and that for many diagnoses there was poor agreement between nurses and databases. Further efforts are required to determine best approaches for identifying active diagnoses for residents residing in VA nursing homes.

Dan R. Berlowitz, MD, MPH, et al.
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