health information solutions data collection, database management and reporting in real-time based...

Health Information Solutions

Data Collection, Database Management and Reporting in Real-Time based on SAS and

Other Applications

Beate Danielsen, MA, PhDBarbara Murphy, RN, MSNJeffrey B. Gould, MD, MPH


California Perinatal Quality Care Collaborative

• Development of perinatal outcomes and information which allows for data driven performance improvement and benchmarking throughout California

• Quality improvement of NICU care• Collaboration of a large and diverse

network of stakeholders• Development of CPQCC Data Base for

Research and QI


Status Two Years Ago• 40 participating centers• Data submitted electronically or on paper• Data errors and errors introduced through data

handling (e.g., scanning)• Elaborate and staff-intensive data correction

process• Error reports, quarterly reports, annual summary

report voluminous and staff-time intensive• Different programming languages used• Anticipation of enrollment of 80 more centers• Little time for research


Infrastructure

• Microsoft/Access

• Microsoft/Excel

• Adobe Acrobat Writer and Distiller

• WINRAR

• SAS®/Base, SAS/GRAPH®, SAS/STAT®

• Java


Solution

• WWW-based application handling:– Data Base Management, Error and Quarterly

Reporting– Annual Reporting

• Additional products needed:– MySQL & PHP– JavaScript– SAS/IntrNet®


WWW-Based Data Base Management (1)

• Add Data– Verification whether data for ID were

previously submitted– Real-time error checking via JavaScript– Only error-free records can be submitted– Context-sensitive help– SAS/IntrNet® used to process data and add

them to the CPQCC Master Data Base



• Edit Data– Edit previously submitted data that might have

been received as paper form, EDS submission, or via the WWW

– SAS/IntrNet® used to retrieve previously submitted data from the CPQCC Master Data Base; the WWW form populated based on JavaScript and HTML that is generated by SAS®



• Error reports– Error reports generated in real-time– Besides errors, submission statistics are

displayed such as total number of records, total number of submissions per record, etc.

– SAS/IntrNet® produces error report as HTML, Microsoft/Excel and PDF documents

• Quarterly reports– Generated 4 times a year by CPQCC staff

and uploaded on the web server



• Send reports/data via e-mail– SAS/IntrNet® sends error reports, quarterly

reports, or center-specific data extract to designated contact

– The requested item is sent as a zipped, encrypted, and password-protected file

• Real-time feedback to users



• Additional functionality provided for CPQCC data center staff– Addition of scanned data forms stored as

Microsoft/Access data base– Screening and addition of electronic data– Instant network report with a number of

network statistics– Instant application server activity report– Additional send functions


WWW-Based Data Reporting

• Shows annual data for a center compared to all CPQCC network centers

• Data presented as tables, standardized tables, and specialized charts

• SAS/IntrNet® used to produce charts allowing an immense amount of graphical QI materials that can be navigated easily by the user


Cost-Benefit Note

w/out SAS/IntrNet ®

• Hiring of 2 additional staff members

• One additional Teleform license

• Paper and mail supplies

• Additional center-specific resources

With SAS/IntrNet ®

• SAS/IntrNet license• Application server• Web server• Staff training to ease

transition to web-based data entry and reporting


Outlook

• Successful transition from EDS and paper-based data submissions to web-based submissions hinges upon quality technical support and CPQCC staff training

• On-line data collection has fully started earlier this year

• Real-Time Reporting will hopefully be possible in 2006

• Valuable staff time has been freed up to focus on research and QI goals

health information solutions data collection, database management and reporting in real-time based...

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