Assessing Outpatient Utilization with VA Data · 2/3/2017 FY ‘17 Database & Methods Schedule ......

Assessing Outpatient Utilization with VA Data

Database amp Methods Cyberseminar Series

February 6 2017

Denise M Hynes MPH PhD RN

Director amp Research Career Scientist

VIReC amp CINCCH Department of Veterans Affairs

Hines IL

Professor College of Medicine amp School of Public

Health University of Illinois Chicago IL

2


Informational seminars to help VA researchers

understand how to use VA and non-VA data in research and quality improvement

Topics

bull Application of VA and non-VA data to research and quality

improvement questions

bull Limitations of secondary data use

bull Resources to support VA data use

232017

3

Date Topic

10316 Overview of VA Data amp Research Uses

1172016 Requesting Access to VA Data

1252016 Healthcare Utilization with MedSAS amp CDW

192017 VA Medicare Data (VACMS)

262017 Assessing Outpatient Utilization with VA Data

362017 Mortality Ascertainment amp Cause of Death

432017 Assessing Race amp Ethnicity

652017 Pharmacy Data

7102017 CAPRIVistAWeb for EHR Access

872017 Comorbidity Measures Using VA and CMS Data

8212017 Advanced Topics in Comorbidity Measures

9112017 CDW microbiology lab amp pharmacy domains

232017

FY lsquo17 Database amp Methods Schedule First Monday of the month 100pm-200pm ET

Visit our Education page for more information amp

registration links wwwvirecresearchvagov

Schedule shifts by one week in event of VA holiday

4



February 6 2017




Hines IL



5

Poll 1 Your role as a data user

What is your role in the VA

bull Research investigatorPI

bull Data manager analyst or programmer

bull Project coordinator

bull Other ndash please describe via the QampA function

232017

6

Todayrsquos Topics

bull Introduction

bull Where to start with VA outpatient data sources

bull Brief Overview of Medical SAS amp CDW amp Medicare

outpatient datasets

bull Examples of research focused on outpatient care

bull Resources on VA outpatient datasets

232017

7

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

Learning Objectives

By the end of this cyberseminar attendees will

8

bull Understand concepts about outpatient care measurement and data choices

bull Understand basic content and organization of key VA outpatient data

bull Appreciate the value of non-VA data sources to characterize outpatient use

bull Know where to find resources about VA outpatient data

232017

9

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

10

Ascertaining Outpatient Care Depends on Your Focus

Frequency

bull How many encounters with primary care provider (PCP) per year

Temporal relationship to inpatient care

bull Time to follow-up surgical appointment

Type of settingprovider

bull PCP encounter Lab

bull Chemotherapy Group counseling

Purpose of encounter

bull Diagnoses treated (ICD910)

bull Procedures performed (CPT)

232017

11

Data Sources for Assessing Outpatient Care

Best data sources depend on your focus

National Sources

bull Corporate Data Warehouse (CDW)

bull National Patient Care Dataset (NPCD)MEDSAS Outpatient Data

bull VACMS Outpatient Datasets

Other sources

bull Veterans Health Information Systems and Technology Architecture (VistA)Computerized Patient Record System (CPRS)

bull Non-VA Community CareFee-basis

bull Managerial Cost Accounting (MCA) National Data Extracts

bull Surgery Data

bull Pharmacy Data

232017

12

Todayrsquos Topics

bull Introduction


bull Brief Overview of Medical SAS amp CDW outpatient data



232017

13

Poll 2 Your experience with MedSAS Datasets

How would you rate your overall knowledge of the VA Medical SAS (MedSAS) datasets

1 Never Used MedSAS Datasets

2

3

4

5 Frequently used MedSAS

232017

14

What are the MedSAS Outpatient datasets

bull Outpatient encounter information

bull Care delivered at all VA facilities and some non-VA

facilities paid for by VA

bull Contain data for a small percentage of non-Veterans who

received care in a VA facility

232017

232017

15

Top 15 Clinic Stops in MedSAS Visit FY16 File

Outpatient Service Stop Code Count Laboratory 108 11913003 Primary Care 323 10322281

Tele Primary Care 338 5823381

Mental Health Clinic Individual 502 4925466

Telephone Triage 103 2185344

Audiology 203 1876337

Optometry 408 1727172

TelephoneAncillary 147 1695192

Physical Therapy 205 1595220

Clinical Pharmacy 160 1581623 Dental 180 1504839 Emergency Dept 130 1417030

Podiatry 411 1256514

Ophthalmology 407 1118318

X-Ray 105 1047992

Examples of Outpatient Services You will Find in MEDSAS

16

Outpatient Services You Might Not Expect Yet May Need to Consider in

InclusionExclusion Criteria

bull EmployeeOccupational Health

bull Care via Telephone

bull Rehab amp Treatment Programs

bull Residential Rehabilitation Treatment Program (RRTP)

bull Psychosocial Rehabilitation

bull Substance Abuse or Mental Health Day Treatment

bull Non-medical care

bull Chaplain

bull Assistance for special populations

bull HUDVASH (housing assistance for homeless)

bull Veterans Justice Outreach

bull Incarcerated Vets Reentry

bull Vocational Assistance amp Compensated Work Therapy (CWT) 232017

17

MedSAS Technical Details

bull Data steward National Data Systems (NDS)

bull Hosted on mainframe computer at the Austin Information

Technology Center (AITC)

bull Fiscal year files also available on a quarterly basis

bull Researchers advised to use annual closed-out datasets

bull Common element patient identifier (scrambled SSN)

232017

PTF data

18

232017

VA Data Flow to the MEDSAS Outpatient Datasets

Acronyms

Austin Information Technology Center (AITC) National Data Systems (NDS) National Patient Care Database (NPCD)

19

Event Provides information about individual outpatient

encounters

Inpatient Provides information about professional services

Encounters received during inpatient stay

MedSAS Outpatient Datasets Summary

File Information Provided

Visit Reports services provided to a patient in a 24-hour

period at a single facility

232017

20

Visit

Primary Care Clinic Stop

Ophthalmology Clinic Stop

MedSAS Visit vs Event File

Outpatient clinic stops during a single day at

one facility

Physical Therapy Clinic Stop

Event EventEvent

232017

21

Assessing Diagnoses

Outpatient Event (SE) amp Inpatient Encounters (IE) files

bull Up to 10 diagnoses per record

bull ICD-10-CM system of codes (as of first qtr 2016)

DXLSF

bull Primary Diagnosis for Encounter

DXF2-DXF10

bull Secondary Diagnoses

232017

22

Assessing Procedures


bull Up to 20 procedures per record

bull CPT-4 system of codes

CPT1-CPT20

bull Services and procedures performed by a provider

bull Repetition allowed

(Number of procedure code variables changed from 15 to 20 in FY2005)

232017

23

Assessing Provider Type


bull Up to 10 provider types per record

bull CMS Provider Classification System

PROV1-PROV10

bull Provider types and areas of specialization

bull Providers not extracted in any particular order PROV1 not necessarily the primary provider

232017

24

Peer-Reviewed Publications Using MedSAS Data

Best W R Khuri S F Phelan M Hur K Henderson W G Demakis J G amp Daley J

(2002) Identifying patient preoperative risk factors and postoperative adverse events in

administrative databases Results from the Department of Veterans Affairs National

Surgical Quality Improvement Program Journal of the American College of Surgeons

194(3) 257-266

Carlson K F Nugent S M amp Grill J (2010) Accuracy of external cause-of-injury coding

in VA polytrauma patient discharge records Journal of Rehabilitation Research and

Development 47(8) 689

Smith B M Evans C T Ullrich P Burns S Guihan M Miskevics S amp Weaver F

M (2010) Using VA data for research in persons with spinal cord injuries and disorders

Lessons from SCI QUERI Journal of Rehabilitation Research amp Development 47(8)

679-688

Sohn M W Zhang H Arnold N Stroupe K Taylor B C Wilt T J amp Hynes D M

(2006) Transition to the new raceethnicity data collection standards in the Department

of Veterans Affairs Population Health Metrics 4(1) 7

Swarztrauber K Anau J amp Peters D (2005) Identifying and distinguishing cases of

parkinsonism and Parkinsons disease using ICD‐9 CM codes and pharmacy data

Movement Disorders 20(8) 964-970 232017

25

Poll 3 Your experience with CDW Datasets

How would you rate your overall knowledge of the CDW

1 Never Used CDW

2

3

4

5 Frequently used CDW

232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems

CDW Origin amp Content

232017

27

Details of outpatient encounters outpatient visits and

inpatient encounters

- Appointment location

- Diagnosis

- Procedure

- Problems reported by patients

- Exams and tests performed

232017

28

CDW Outpatient Data

bull Data housed on Microsoft SQL server and can be queried

using SQL language

bull Data organized by domains

bull Includes care delivered at all VA facilities and some non-

VA facilities paid for by VA

bull Contains very small percentage of non-Veterans who


232017

29

httpvawwvirecresearchvagovCDWDocumentationhtm

Ascertaining Outpatient Use with CDW

232017

30

Assessing Diagnoses Using CDW

Need to Join SQL tables within the Outpatient

Domain to produce the output

1 Create a temporary table (outpat) from the outpatvisit

table

2 Joins in diagnoses icd10 codes and code descriptionsmdash use WHERE clause to limit variables of interest

3 Use good SQL coding practices to narrow queries

232017

31

Limits to primary

DX only

httpvawwvirecresearchvagovCDWFactbookFB-

CDW-Outpatient-Domainpdf page140

Assessing Outpatient Diagnoses in CDW

232017

32



Assessing Provider Type Using CDW

232017

33

Peer-Reviewed Publications Using CDW Data

Fihn S D Francis J Clancy C Nielson C Nelson K Rumsfeld J amp Graham G L

(2014) Insights from advanced analytics at the Veterans Health Administration Health

Affairs 33(7) 1203-1211

Goetz M B Hoang T Kan V L Rimland D amp Rodriguez-Barradas M (2014)

Development and validation of an algorithm to identify patients newly diagnosed with

HIV infection from electronic health records AIDS Research and Human Retroviruses

30(7) 626-633

Perrin R A amp Bollinger M J (2010) VHA Corporate Data Warehouse height and weight

data opportunities and challenges for health services research Journal of

Rehabilitation Research and Development 47(8) 739

Price L E Shea K amp Gephart S (2015) The Veterans Affairss Corporate Data

Warehouse Uses and Implications for Nursing Research and Practice Nursing

Administration Quarterly 39(4) 311-318

Wang L Porter B Maynard C Evans G Bryson C Sun H amp Nielson C (2013)

Predicting risk of hospitalization or death among patients receiving primary care in the

Veterans Health Administration Medical Care 51(4) 368-373

232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35

Research Example 1 Elderly veterans with dual eligibility for VA and

Medicare services Where do they obtain a colonoscopy

Research Example 2 Ambulatory medical follow-up in the year after

surgery and subsequent survival in a national cohort of Veterans

Health Administration surgical patients

Research Example 3 Prevalence of clinically recognized alcohol

and other substance use disorders among VA outpatients with

unhealthy alcohol use identified by routine alcohol screening

Examples of VA Research Using Outpatient Data

232017

36

Research Example 1 Malhorta A Vaughan-Sarrazin M amp Rosenthal G E (2015)

Elderly veterans with dual eligibility for VA and Medicare services Where do they obtain

a colonoscopy The American Journal of Managed Care 21(4) e264

Objectives

bull To determine whether colonoscopies

received by older dually-enrolled Veterans

in FY 2009 were provided by VHA or by

Medicare

bull To identify factors related to use of VA vs

non-VA colonoscopies

bull To determine clinical factors that predict if

a colonoscopy was provided by a VA or

non-VA provider

Design Retrospective cohort study

Constructs

Receipt of colonoscopy as performed or

reimbursed by VA or as reimbursed by

Medicare

232017

Research Example 1 Malhorta Vaughan-Sarrazin amp Rosenthal (2015)

37

Data Sources MedSAS and Other Sources

MedSAS

bull Administrative records for encounters at all VA clinics (data elements described in next slide)

Other Sources

VA Fee-based program

bull Data on encounters provided outside the VA health system paid for

by the VA

Medicare Beneficiary Summary File

bull Medicare enrollment

Carrier Standard Analytic File (Part B)

bull Claims for services outside the VA reimbursed by Medicare

Data sources merged using scrambled SSN 232017


38

Cohort Identification

Eligible population drawn from 15 million VA patients in 15 Veterans

Integrated Service Networks (VISNs)

Inclusion

bull 65 or older

bull Had ge 2 visits to a VA primary care provider during FY 2009

Exclusion

bull Not enrolled in Medicare Parts A and B at the beginning of year

bull Enrolled in Medicare HMO

232017


39

Study Variables

CPT codes for colonoscopy (performed or reimbursed by

the VA or reimbursed by Medicare in FY 2010)

bull Colonoscopies not performed for diagnosis were

identified using a previously published algorithm (El-

Serag et al 2006)

Type of primary care VA clinic where patient received care

bull VA Medical Center (VAMC) or

bull Community-based outpatient center (CBOC)

El-Serag HB Petersen L Hampel H Richardson P Cooper G (2006) The use of screening colonoscopy for patients

cared for by the Department of Veterans Affairs Arch Intern Med166(20)2202-2208

232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)

Mean age in yrs (plusmnSD) 771 (71) 750 (62) 728 (57) 761 (61)

Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017

Table 1 Receipt of Colonoscopy Through the VA or Medicare by Dually Eligible Veterans According

to Demographic and Clinical Characteristics

Assessing full complement of outpatient care may require multiple

data sources

41

Research Example 2 Schonberger R B Dai F Brandt C amp Burg M M (2015)

Ambulatory medical follow-up in the year after surgery and subsequent survival in a

national cohort of Veterans Health Administration surgical patients Journal of

Cardiothoracic and Vascular Anesthesia 30 (3) 671-679

Objective To evaluate the association

between medical follow-up during the first

year following surgery and survival during the

second post-surgical year


Constructs

bull Perioperative assessment

bull Postoperative outcome

232017

Research Example 2 Schonberger Dai Brandt amp Burg (2015)

42

Data Source Corporate Data Warehouse

Cohort

bull Patients who had at least one surgery between 2006-2011

bull Additionally were discharged 10 days after surgery

bull And survived 365 days after surgery

Variables used in regression analysis

bull Type of surgery

bull American Society of Anesthesiologists (ASA) Physical Status

score

bull ICD-9-CM

bull Body Mass Index

bull Date of death occurring 2 years after surgery

232017


43

Outpatient Service Stop Code

Cardiology 303

Diabetes 306

Endocrinology 305

Geriatric primary care 350

Hypertension 309

Primary care 323

Pulmonology 312

Womenrsquos clinic 322

Outpatient Services Assessed Using MEDSAS

232017

-


44

Variable Follow up Visit

n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)

Table 1 Patient Characteristics Stratified by Visit Status

620 (122)

Surgical service

Cardiac surgery 116 (07) 15453 (7 )

Ear nose and throat 756 (47) 9474 (43)

General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)

Neurosurgeryspine 1137 (7) 17714 (81)

Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)

Plastic surgery 293 (18) 3328 (15)

Podiatry 398 (25) 2 914 (13)

Thoracic surgery 260 (16) 3409 (16)

Urology 281 (17) 10046 (46)

Vascular surgery 2314 (142) 29749 (135) 32063 (136)

Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45

Research Example 3 Williams E C Rubinsky A D Lapham G T Chavez L J Rittmueller S E

Hawkins E J amp Bradley K A (2013) Prevalence of clinically recognized alcohol and other substance

use disorders among VA outpatients with unhealthy alcohol use identified by routine alcohol screening Drug

and Alcohol Dependence 135 95-103

Objective To determine the prevalence of

clinically documented alcohol and other

substance use disorders among VA outpatients

with previously documented unhealthy alcohol

use

Design Cross-sectional retrospective cohort

study

Population VA outpatients with clinical or

administrative documentation of unhealthy

alcohol use

Construct Alcohol andor substance abuse

disorder as determined by scores on the

Alcohol Use Disorders Identification Test

Consumption (AUDIT-C)

232017

Research Example 3 Williams E C et al (2013)

46


The cohort was selected from a national sample of outpatients randomly

selected for standardized record review by the External Peer Review

Program (EPRP)

Inclusion criteria

bull VA outpatient visit 13-24 months prior to the date of the medical record review

bull Had an outpatient visit in the month immediately preceding EPRP record

review

bull Screened positively for unhealthy alcohol use as defined by scores on the

AUDIT-C (ge 3 points for women ge 4 points for men)

232017

Research Example 3 Williams et al (2013)

47

Study Variables

ICD-9-CM diagnosis of any of the following on the date of or 365 days prior to

alcohol screening

bull Alcohol use disorder (diagnosis for abuse or dependence)

bull Alcohol-specific medical diagnosis (including Intoxication withdrawal

alcoholic cardiomyopathy alcoholic polyneuropathy alcoholic gastritis

alcoholic liver disease alcoholic dementia alcoholic toxicity)

bull Non-alcohol substance use disorder (including cannabis hallucinogen

sedative opioid cocaine or amphetamine use or dependence)

Outpatient Visit to VA specialty addiction treatment

Positive scores for unhealthy alcohol use as documented on the (AUDIT-C)

232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51

VIReC Research User Guides (RUGS)

232017

52

232017

MedSAS Research User Guide

53

httpvawwvirecresearchvagovMedSASDocumentationhtm

MedSAS Data Documentation

232017(VA Intranet)

54

VHA Data Portal Data Sources

Data Sources

232017

55

Data Sources

VHA Data Portal Resources

232017

56

232017

CDW Factbooks

57

Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)

VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)

VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp

VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)

VINCI httpvawwvincimedvagovvincicentral (VA Intranet)

Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)

CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)

Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101 Q

uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58

HSRData Listserv HelpDesk

VIReC Options for Specific Questions

bull Community knowledge

sharing

bull ~1200 VA data users

bull Researchers operations

data stewards managers

bull Subscribe by visiting httpvawwvirecresearchvagovSupportH

SRData-Lhtm (VA Intranet)

bull Individualized support

virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes


VA Information Resource Center (VIReC)

Department of Veterans Affairs Hines IL

VA Information Resource Center

Hines VA Hospital

virecvagov

708-202-2413

60

Mortality Ascertainment amp Cause of Death


Chuck Maynard PhD

Acting Associate Director

Denver-Seattle COIN

2


Informational seminars to help VA researchers

understand how to use VA and non-VA data in research and quality improvement

Topics

bull Application of VA and non-VA data to research and quality

improvement questions

bull Limitations of secondary data use

bull Resources to support VA data use

232017

3

Date Topic













232017





4



February 6 2017




Hines IL



5







232017

6

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

7

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

Learning Objectives


8





232017

9

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

10


Frequency










232017

11



National Sources




Other sources




bull Surgery Data

bull Pharmacy Data

232017

12

Todayrsquos Topics

bull Introduction





232017

13




2

3

4


232017

14







232017

232017

15













X-Ray 105 1047992


16










bull Chaplain






17








232017

PTF data

18

232017


Acronyms


19


encounters







232017

20

Visit





one facility


Event EventEvent

232017

21

Assessing Diagnoses




DXLSF


DXF2-DXF10


232017

22





CPT1-CPT20




232017

23





PROV1-PROV10



232017

24






194(3) 257-266







679-688







25



1 Never Used CDW

2

3

4


232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

3

Date Topic













232017





4



February 6 2017




Hines IL



5







232017

6

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

7

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

Learning Objectives


8





232017

9

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

10


Frequency










232017

11



National Sources




Other sources




bull Surgery Data

bull Pharmacy Data

232017

12

Todayrsquos Topics

bull Introduction





232017

13




2

3

4


232017

14







232017

232017

15













X-Ray 105 1047992


16










bull Chaplain






17








232017

PTF data

18

232017


Acronyms


19


encounters







232017

20

Visit





one facility


Event EventEvent

232017

21

Assessing Diagnoses




DXLSF


DXF2-DXF10


232017

22





CPT1-CPT20




232017

23





PROV1-PROV10



232017

24






194(3) 257-266







679-688







25



1 Never Used CDW

2

3

4


232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

4



February 6 2017




Hines IL



5







232017

6

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

7

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

Learning Objectives


8





232017

9

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

10


Frequency










232017

11



National Sources




Other sources




bull Surgery Data

bull Pharmacy Data

232017

12

Todayrsquos Topics

bull Introduction





232017

13




2

3

4


232017

14







232017

232017

15













X-Ray 105 1047992


16










bull Chaplain






17








232017

PTF data

18

232017


Acronyms


19


encounters







232017

20

Visit





one facility


Event EventEvent

232017

21

Assessing Diagnoses




DXLSF


DXF2-DXF10


232017

22





CPT1-CPT20




232017

23





PROV1-PROV10



232017

24






194(3) 257-266







679-688







25



1 Never Used CDW

2

3

4


232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

5







232017

6

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

7

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

Learning Objectives


8





232017

9

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

10


Frequency










232017

11



National Sources




Other sources




bull Surgery Data

bull Pharmacy Data

232017

12

Todayrsquos Topics

bull Introduction





232017

13




2

3

4


232017

14







232017

232017

15













X-Ray 105 1047992


16










bull Chaplain






17








232017

PTF data

18

232017


Acronyms


19


encounters







232017

20

Visit





one facility


Event EventEvent

232017

21

Assessing Diagnoses




DXLSF


DXF2-DXF10


232017

22





CPT1-CPT20




232017

23





PROV1-PROV10



232017

24






194(3) 257-266







679-688







25



1 Never Used CDW

2

3

4


232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

6

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

7

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

Learning Objectives


8





232017

9

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

10


Frequency










232017

11



National Sources




Other sources




bull Surgery Data

bull Pharmacy Data

232017

12

Todayrsquos Topics

bull Introduction





232017

13




2

3

4


232017

14







232017

232017

15













X-Ray 105 1047992


16










bull Chaplain






17








232017

PTF data

18

232017


Acronyms


19


encounters







232017

20

Visit





one facility


Event EventEvent

232017

21

Assessing Diagnoses




DXLSF


DXF2-DXF10


232017

22





CPT1-CPT20




232017

23





PROV1-PROV10



232017

24






194(3) 257-266







679-688







25



1 Never Used CDW

2

3

4


232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

7

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

Learning Objectives


8





232017

9

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

10


Frequency










232017

11



National Sources




Other sources




bull Surgery Data

bull Pharmacy Data

232017

12

Todayrsquos Topics

bull Introduction





232017

13




2

3

4


232017

14







232017

232017

15













X-Ray 105 1047992


16










bull Chaplain






17








232017

PTF data

18

232017


Acronyms


19


encounters







232017

20

Visit





one facility


Event EventEvent

232017

21

Assessing Diagnoses




DXLSF


DXF2-DXF10


232017

22





CPT1-CPT20




232017

23





PROV1-PROV10



232017

24






194(3) 257-266







679-688







25



1 Never Used CDW

2

3

4


232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

Learning Objectives


8





232017

9

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

10


Frequency










232017

11



National Sources




Other sources




bull Surgery Data

bull Pharmacy Data

232017

12

Todayrsquos Topics

bull Introduction





232017

13




2

3

4


232017

14







232017

232017

15













X-Ray 105 1047992


16










bull Chaplain






17








232017

PTF data

18

232017


Acronyms


19


encounters







232017

20

Visit





one facility


Event EventEvent

232017

21

Assessing Diagnoses




DXLSF


DXF2-DXF10


232017

22





CPT1-CPT20




232017

23





PROV1-PROV10



232017

24






194(3) 257-266







679-688







25



1 Never Used CDW

2

3

4


232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

9

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

10


Frequency










232017

11



National Sources




Other sources




bull Surgery Data

bull Pharmacy Data

232017

12

Todayrsquos Topics

bull Introduction





232017

13




2

3

4


232017

14







232017

232017

15













X-Ray 105 1047992


16










bull Chaplain






17








232017

PTF data

18

232017


Acronyms


19


encounters







232017

20

Visit





one facility


Event EventEvent

232017

21

Assessing Diagnoses




DXLSF


DXF2-DXF10


232017

22





CPT1-CPT20




232017

23





PROV1-PROV10



232017

24






194(3) 257-266







679-688







25



1 Never Used CDW

2

3

4


232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

10


Frequency










232017

11



National Sources




Other sources




bull Surgery Data

bull Pharmacy Data

232017

12

Todayrsquos Topics

bull Introduction





232017

13




2

3

4


232017

14







232017

232017

15













X-Ray 105 1047992


16










bull Chaplain






17








232017

PTF data

18

232017


Acronyms


19


encounters







232017

20

Visit





one facility


Event EventEvent

232017

21

Assessing Diagnoses




DXLSF


DXF2-DXF10


232017

22





CPT1-CPT20




232017

23





PROV1-PROV10



232017

24






194(3) 257-266







679-688







25



1 Never Used CDW

2

3

4


232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

11



National Sources




Other sources




bull Surgery Data

bull Pharmacy Data

232017

12

Todayrsquos Topics

bull Introduction





232017

13




2

3

4


232017

14







232017

232017

15













X-Ray 105 1047992


16










bull Chaplain






17








232017

PTF data

18

232017


Acronyms


19


encounters







232017

20

Visit





one facility


Event EventEvent

232017

21

Assessing Diagnoses




DXLSF


DXF2-DXF10


232017

22





CPT1-CPT20




232017

23





PROV1-PROV10



232017

24






194(3) 257-266







679-688







25



1 Never Used CDW

2

3

4


232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

12

Todayrsquos Topics

bull Introduction





232017

13




2

3

4


232017

14







232017

232017

15













X-Ray 105 1047992


16










bull Chaplain






17








232017

PTF data

18

232017


Acronyms


19


encounters







232017

20

Visit





one facility


Event EventEvent

232017

21

Assessing Diagnoses




DXLSF


DXF2-DXF10


232017

22





CPT1-CPT20




232017

23





PROV1-PROV10



232017

24






194(3) 257-266







679-688







25



1 Never Used CDW

2

3

4


232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

13




2

3

4


232017

14







232017

232017

15













X-Ray 105 1047992


16










bull Chaplain






17








232017

PTF data

18

232017


Acronyms


19


encounters







232017

20

Visit





one facility


Event EventEvent

232017

21

Assessing Diagnoses




DXLSF


DXF2-DXF10


232017

22





CPT1-CPT20




232017

23





PROV1-PROV10



232017

24






194(3) 257-266







679-688







25



1 Never Used CDW

2

3

4


232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

14







232017

232017

15













X-Ray 105 1047992


16










bull Chaplain






17








232017

PTF data

18

232017


Acronyms


19


encounters







232017

20

Visit





one facility


Event EventEvent

232017

21

Assessing Diagnoses




DXLSF


DXF2-DXF10


232017

22





CPT1-CPT20




232017

23





PROV1-PROV10



232017

24






194(3) 257-266







679-688







25



1 Never Used CDW

2

3

4


232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

232017

15













X-Ray 105 1047992


16










bull Chaplain






17








232017

PTF data

18

232017


Acronyms


19


encounters







232017

20

Visit





one facility


Event EventEvent

232017

21

Assessing Diagnoses




DXLSF


DXF2-DXF10


232017

22





CPT1-CPT20




232017

23





PROV1-PROV10



232017

24






194(3) 257-266







679-688







25



1 Never Used CDW

2

3

4


232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

16










bull Chaplain






17








232017

PTF data

18

232017


Acronyms


19


encounters







232017

20

Visit





one facility


Event EventEvent

232017

21

Assessing Diagnoses




DXLSF


DXF2-DXF10


232017

22





CPT1-CPT20




232017

23





PROV1-PROV10



232017

24






194(3) 257-266







679-688







25



1 Never Used CDW

2

3

4


232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

17








232017

PTF data

18

232017


Acronyms


19


encounters







232017

20

Visit





one facility


Event EventEvent

232017

21

Assessing Diagnoses




DXLSF


DXF2-DXF10


232017

22





CPT1-CPT20




232017

23





PROV1-PROV10



232017

24






194(3) 257-266







679-688







25



1 Never Used CDW

2

3

4


232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

PTF data

18

232017


Acronyms


19


encounters







232017

20

Visit





one facility


Event EventEvent

232017

21

Assessing Diagnoses




DXLSF


DXF2-DXF10


232017

22





CPT1-CPT20




232017

23





PROV1-PROV10



232017

24






194(3) 257-266







679-688







25



1 Never Used CDW

2

3

4


232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

19


encounters







232017

20

Visit





one facility


Event EventEvent

232017

21

Assessing Diagnoses




DXLSF


DXF2-DXF10


232017

22





CPT1-CPT20




232017

23





PROV1-PROV10



232017

24






194(3) 257-266







679-688







25



1 Never Used CDW

2

3

4


232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

20

Visit





one facility


Event EventEvent

232017

21

Assessing Diagnoses




DXLSF


DXF2-DXF10


232017

22





CPT1-CPT20




232017

23





PROV1-PROV10



232017

24






194(3) 257-266







679-688







25



1 Never Used CDW

2

3

4


232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

21

Assessing Diagnoses




DXLSF


DXF2-DXF10


232017

22





CPT1-CPT20




232017

23





PROV1-PROV10



232017

24






194(3) 257-266







679-688







25



1 Never Used CDW

2

3

4


232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

22





CPT1-CPT20




232017

23





PROV1-PROV10



232017

24






194(3) 257-266







679-688







25



1 Never Used CDW

2

3

4


232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

23





PROV1-PROV10



232017

24






194(3) 257-266







679-688







25



1 Never Used CDW

2

3

4


232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

24






194(3) 257-266







679-688







25



1 Never Used CDW

2

3

4


232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

25



1 Never Used CDW

2

3

4


232017

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

26

Nightly updates

Region 4

Data

Warehouse

Region 3

Data

Warehouse

Region 2

Data

Warehouse

Region 1

Data

Warehouse

gt 130 VistA

Systems


232017

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

27




- Diagnosis

- Procedure



232017

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

28

CDW Outpatient Data


using SQL language






232017

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

29



232017

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

30





table



232017

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

31

Limits to primary

DX only




232017

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

32




232017

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

33




Affairs 33(7) 1203-1211




30(7) 626-633










232017

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

34

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

35










232017

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

36




Objectives




Medicare





non-VA provider


Constructs



Medicare

232017


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN


37


MedSAS


Other Sources



by the VA







38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN


38




Inclusion

bull 65 or older


Exclusion



232017


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN


39

Study Variables





Serag et al 2006)






232017


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN


40

Characteristics No

Colonoscopy

(n=961207)

Colonoscopy

(VA or Medicare)

(n=99316)

Colonoscopy

Through VA

(n=33600)

Colonoscopy

Through Medicare

(n=65716)


Age (years)

65-69 174574 (181) 22620 (228) 11788 (350) 10832 (165)

70-74 190855 (198) 25247(254) 9664 (287) 15583 (237)

75-79 229832 (239) 27046 (272) 7695 (229) 19361 (295)

80-84 198351 (205) 16576 (167) 3234 (96) 13342 (203)

ge85 167595 (174) 7817 (79) 1219 (36) 6598 (100)

Male () 941180 (979) 97669 (983) 33020 (982) 64649 (984)

Number of screening

colonoscopies ()

NA 73164 (734) 26997 (803) 46167 (702)

232017




data sources

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

41










Constructs



232017


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN


42


Cohort







score

bull ICD-9-CM



232017


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN


43


Cardiology 303

Diabetes 306

Endocrinology 305


Hypertension 309

Primary care 323

Pulmonology 312



232017

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

-


44


n () or Mean (SD)

No Visit

n () or Mean (SD)

Total

n () or Mean (SD)

Total (n) 219 942 (931) 16258 236200

Age (yr) 624 (117) 567 (161)


620 (122)

Surgical service



General surgery 4845 (298) 50009 (227)

Gynecology 806 (5) 2778 (13)


Ophthalmology 152 (09) 1204 ( 06)

Oral surgery 171 (11) 1004 (05)

Orthopedics 3466 (213) 45914 (209)


Podiatry 398 (25) 2 914 (13)


Urology 281 (17) 10046 (46)


Other 1263 (78) 26946 (123) 28209 (119) 232017

15569 (66)

10230 (43)

54854 (233)

3584 (15)

18851 (8)

1356 (06)

1175 (05)

49380 (209)

3621 (15)

3312 (14)

3669 (16)

10327 (44)

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

45









use


study



alcohol use





232017


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN


46




Program (EPRP)

Inclusion criteria



review



232017


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN


47

Study Variables


alcohol screening









232017


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN


48

Used diagnosis

information from

the visit data in

MEDSAS

Outpatient data

Used specific

outpatient

treatment clinic

type in MEDSAS

Outpatient data

232017

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

49

Todayrsquos Topics

bull Introduction



outpatient datasets



232017

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

50

Resources

232017

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

51


232017

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

52

232017


53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

53



232017(VA Intranet)

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

54


Data Sources

232017

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

55

Data Sources


232017

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

56

232017

CDW Factbooks

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

57









uic

k lin

ks f

or

VA

da

ta r

eso

urc

es

232017

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

58




sharing







virecvagov

(708) 202-2413

232017

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

59

232017

Contact information

Denise Hynes





Hines VA Hospital

virecvagov

708-202-2413

60



Chuck Maynard PhD


Denver-Seattle COIN

60



Chuck Maynard PhD


Denver-Seattle COIN

Assessing Outpatient Utilization with VA Data · 2/3/2017 FY ‘17 Database & Methods Schedule ......

Documents

Transcript of Assessing Outpatient Utilization with VA Data · 2/3/2017 FY ‘17 Database & Methods Schedule ......