Strategies to improve external cause-of-injury coding in state-based hospital discharge and emergency department data systems: recommendations of the CDC Workgroup for Improvement of External Cause-of-Injury Coding.

Each year, an estimated 50 million persons in the United States experience injuries that require medical attention. A substantial number of these persons are treated in an emergency department (ED) or a hospital, which collects their health-care data for administrative purposes. State-based morbidit...

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Published in:MMWR Recommendations & Reports Vol. 57; no. RR-1; pp. 1 - 16
Main Authors: Annest JL, Fingerhut LA, Gallagher SS, Grossman DC, Hedegaard H, Johnson RL, Kohn M, Pickett D, Thomas KE, Trent RB
Format: CEU exam questions pictorial tables/charts Journal Article
Published: Centers for Disease Control & Prevention (CDC) 3/28/2008
Online Access:View this record in EBSCOhost
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      dt: 3/28/2008
      vid: 57
      iid: RR-1
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      pub: Centers for Disease Control & Prevention (CDC)
      place: Atlanta, Georgia
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        atl: Strategies to improve external cause-of-injury coding in state-based hospital discharge and emergency department data systems: recommendations of the CDC Workgroup for Improvement of External Cause-of-Injury Coding.
      aug:
        au:
          Annest JL
          Fingerhut LA
          Gallagher SS
          Grossman DC
          Hedegaard H
          Johnson RL
          Kohn M
          Pickett D
          Thomas KE
          Trent RB
        affil: National Center for Injury Prevention and Control, 4770 Buford Highway, NE, MS F-62, Atlanta, GA 30341-3717; jla1@cdc.gov
      sug:
        subj:
          Coding
          Emergency Service Information Systems
          Hospitals, Public
          Patient Discharge
          Wounds and Injuries Classification
          Acronyms
          Assault and Battery Classification
          Education, Continuing (Credit)
          International Classification of Diseases
          Morbidity
          Self-Injurious Behavior Classification
          Trauma Classification
          United States
      ab: Each year, an estimated 50 million persons in the United States experience injuries that require medical attention. A substantial number of these persons are treated in an emergency department (ED) or a hospital, which collects their health-care data for administrative purposes. State-based morbidity data systems permit analysis of information on the mechanism and intent of injury through the use of external cause-of-injury coding (Ecoding). Ecoded state morbidity data can be used to monitor temporal changes and patterns in causes of unintentional injuries, assaults, and self-harm injuries and to set priorities for planning, implementing, and evaluating the effectiveness of injury-prevention programs. However, the quality of Ecoding varies substantially from state to state, which limits the usefulness of these data in certain states. This report discusses the value of using high-quality Ecoding to collect data in state-based morbidity data systems. Recommendations are provided to improve communication regarding Ecoding among stakeholders, enhance the completeness and accuracy of Ecoding, and make Ecoded data more useful for injury surveillance and prevention activities at the local, state, and federal levels. Implementing the recommendations outlined in this report should result in substantial improvements in the quality of external cause-of-injury data collected in hospital discharge and ED data systems in the United States and its territories.
      pubtype: Trade Publication
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        exam questions
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    language: English
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