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Enhancing Data Submission for Hospitals: Options for NTDS Participation

Explore three options for hospital participation in the NTDS data submission process. Hospitals can directly submit data or collaborate with third parties who can submit on their behalf. This shared data submission approach allows either party to sign HIPAA agreements, ensuring data integrity and security. Both hospitals and third parties have access to valuable resources, including error reports and benchmarking. Facility information, injury severity, and patient outcomes can be analyzed to improve care and operational efficiency.

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Enhancing Data Submission for Hospitals: Options for NTDS Participation

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  1. www.ntdsdictionary.org

  2. www.ntdbdatacenter.com

  3. Three Options • Direct hospital participation • Third party submits data for hospitals according to new policies • Third parties and hospitals “share” data submission task

  4. Shared Data Submission • Hospital will provide facility information • Third party may submit data file for hospital • Either hospital or third party may sign HIPAA agreement • Both parties will have access to error reports, benchmarking, etc.

  5. Facility Information

  6. Facility Information • Hospital characteristics • Trauma level • Bed size • Teaching status • Staffing • AIS coding versions • Inclusion/exclusion criteria

  7. Questions Possible with Facility Information • Injury severity/type by admitting hospital designation (i.e., an assessment of over-under triage). • The prevalence of injury severity/type presenting to frontier, rural, suburban and urban hospitals by bed size and available resources. • Procedure types by admitting hospital designation. • Length of stay by injury type and hospital designation. • Resource utilization by injury characteristics (e.g., procedures, ICU LOS, insurance, etc.) and hospital size and designation. • Frequency of inter-facility transfer after hospitalization by injury severity and hospital trauma designation. • Hospital complications by injury characteristics, hospital designation and patient age.

  8. Filtered on trauma level and bed size Age LOS ICU LOS ISS Transfer status Gender Discharge disposition Discharge status Principal payment source Injury type Intentionality Mechanism Alcohol/drugs ED disposition Benchmarking

  9. Injury Information in NTDS • Injury Location (Zip Code or FIPS code) • Trauma type (blunt, penetrating, burn) • Injury intentionality • EMS GCS • ED GCS • EMS Revised Trauma Score • ED Revised Trauma Score • AIS (calculated) • AIS (inferred from ICD-9-CM) • ISS (calculated and inferred) • Co-morbid conditions

  10. Process Information in NTDS • Total EMS response time • Total EMS scene time • Total EMS time • Total ED time

  11. Outcomes Information in NTDS • Total ICU length of stay • Total ventilator days • Hospital complications • Total hospital length of stay • Hospital discharge disposition • Functional Capacity Index • Type of ED death

  12. Systems Benchmarking • Encourage state wide participation • Define/collect systems demographics • Establish benchmark report based on NTDS data elements

  13. Systems Information

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