Welcome Virtual Office Hours Using Peer Support to Improve the Accuracy of IPHIS
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1 Welcome Virtual Office Hours Using Peer Support to Improve the Accuracy of IPHIS March 11, 2016
2 Please sign in with your Name, your Organization and your Title in the Questions Box
3 Please mute your line! Use the MUTE button on your phone or *6 to place the call on MUTE and *6 to come off of MUTE
4 Agenda 11:30 AM Welcome Review of agenda & objectives Beth White, MSN, OPQC 11:35 AM Improving accuracy in IPHIS variables related to principal payment source, particularly Ohio Medicaid John Paulson, MS ODH Statistician 11:55 AM Open Lines Jay Iams, MD OPQC Lead OB Faculty, John and Beth 12:28 PM Additional resources & Next month s topics Beth
5 Objectives Improve accuracy in IPHIS variables related to principal payment source Discuss troublesome issues confronting birth registry data abstraction related to principal payment source Describe successful strategies to consistently meet the challenge of accurate IPHIS documentation.
6 The focus of healthcare for women and infants over the next century depends on the quality of the data collected by those who fill out the birth certificates. Bill Callaghan, MD MPH Chief, Maternal and Infant Health Branch Division of Reproductive Health Centers for Disease Control and Prevention December 1, 2011
7 Payer Information in Vital Statistics Why is accuracy important? The birth certificate is a legal document: future generations may wish to know this information Birth certificate medical data are used to improve public health and to offer services to mothers Knowing payer of delivery informs mother s socio-economic status and is associated with many outcomes. Helps to assess health coverage of pregnant women via Medicaid expansion under the Affordable Care Act
8 Principal Source of Payment 3. Principal source of payment Facility Tab Definitions Instructions Sources Key words/abbreviations The principal source of payment at the time of delivery: Private insurance (Blue Cross/Blue Shield, Aetna, etc.) Check the box that best describes the principal source of payment for this delivery. 1 st 2 nd Hospital Face Sheet Admitting Office Face Sheet Medicare Medicaid (or a comparable State program) Purchase directly or self-pay (no third party identified) Other - (Indian Health Service, CHAMPUS/ TRICARE, other government [federal, state, local]) Uninsured If other is checked, specify the payer. If the principal source of payment is not known, mark unknown. This item should be completed by the facility. If the birth did not occur in a facility, it should be completed by the attendant or certifier. 3 rd Admitting Office Managed Care reference This item should reflect knowledge of the most up to date managed care product names in this hospital s service area. From the Guide to Completing the Facility Worksheet for Live Birth Rev. 10/14
9 Principal Source of Payment: The Facility Worksheet* Principal source of payment for this delivery (At time of delivery): Health insurance through Private insurance current or former employer or union. Other Government Medicaid (Please refer to the Medicaid Card Example Tip Sheet) Purchased directly Uninsured Unknown Champus/Tricare Other (Specify, e.g., Indian Health Service) *rev. 10/14
10
11 Principal Source of Payment Ohio Medicaid HMO
12 Non-Medicaid Health Insurance: Just a Sample: Many Private Health Insurance Carriers in Ohio Some have both private and Medicaid products! Ask if you re not sure. All Health Insurance Marketplace and Medicaid plans cover pregnancy and childbirth.
13
14 IPHIS Screen Principal Source of Payment
15 Principal Source of Payment in IPHIS
16 Principal payer of delivery, 2015 births
17 Principal Source of Payment unknown by hospital size and year Percent of birth records with unknown payer
18 Low birth weight rate by payer of delivery, 2015 births
19 Principal payer Medicaid deliveries, Ohio 2015 by mother s race and age Mother s age
20 Principal Source of Payment in Vital Statistics The single best thing you can do to ensure good payer data in the birth registry is to understand the Medicaid Managed Care Providers in your birth population and correctly assign those to the Medicaid payer choice in IPHIS.
21 Your Turn: Open Discussion What challenges do you have with IPHIS? What would you like to ask or tell your birth certificate abstractor colleagues?
22 Additional Resources vitalsupport.odh.ohio.gov ODH/Vital Statistics Help Desk: , Option 3 Availability of slides on OPQC.net Revised Guide to Completing the Facility Worksheet for Live Birth Revised Facility Worksheet 2014 Additional IPHIS Variables: OPQC/ODH.Vital Statistics
23 What s Next Webinars/VOH Next Webinar: Newer Challenges in IPHIS Accuracy, Part I: Same Sex Couples, Surrogacy, Other New Changes Friday, May 6, :30 AM Next Virtual Office Hours: Breastfeeding and Exclusive Breast feeding variables Friday, April 15, :30 AM Regional Workshops May 17, 2016, 9:00 AM to Noon Doctor s Hospital, Columbus, Ohio May 24, 2016, 9:00 AM to Noon St. Luke s Hospital, Maumee (Toledo), Ohio June 7, 2016, 9:00 AM to Noon Aultman Hospital, Canton, Ohio
24 5 Online IPHIS Modules Always Free! Always Available! Go at Your Own Pace! Great Overview of IPHIS! IPHIS Self Study Modules: Resources
25 For Your Participation!
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