Maximising the value of hospital administrative datasets.
Mandatory and standardised administrative data collections are prevalent in the largely public-funded acute sector. In these systems the data collections are used for financial, performance monitoring and reporting purposes. This paper comments on the infrastructure and standards that have been established to support data collection activities, audit and feedback. The routine, local and research uses of these datasets are described using examples from Australian and international literature. The advantages of hospital administrative datasets and opportunities for improvement are discussed under the following headings: accessibility, standardisation, coverage, completeness, cost of obtaining clinical data, recorded Diagnostic Related Groups and International Classification of Diseases codes, linkage and connectivity. In an era of diminishing resources better utilisation of these datasets should be encouraged. Increased study and scrutiny will enhance transparency and help identify issues in the collections. As electronic information systems are increasingly embraced, administrative data collections need to be managed as valuable assets and powerful operational and patient management tools.
Nadathur
Shyamala G
SG
Department of Medicine, Monash Medical Centre, Monash University, Clayton, VIC 3168, Australia. shyamala.nadathur@med.monash.edu.au
D022126:Access to Information; D001315:Australia; D016208:Databases, Factual / Q000592:standards*; D006739:Hospital Administration; D006751:Hospital Information Systems; D019451:Information Management; D011787:Quality of Health Care