Maybe Debbie's solution is OK - I don't see any language in the template to the 
effect that the numbers must add up to 100 percent, and multiple insurance is a 
fact of life in the real world. A footnote to the effect that the numbers are > 
100 because of multiple insurance per patient may resolve the issue.

From: Nathan Graham [mailto:[email protected]]
Sent: Wednesday, January 07, 2015 12:02 PM
To: 'Debbie Yoshihara'; [email protected]; Nadkarni, Prakash; 
'[email protected]' ([email protected]); '[email protected]' 
([email protected]); Alex Bokov ([email protected]); 
Fothergill, Rita, R <[email protected]> ([email protected]); 'Jason Lebsack 
([email protected])' ([email protected]); Mish Thomas F 
([email protected]); [email protected]; Justin Dale 
([email protected])
Cc: Steve Fennel
Subject: RE: Due Monday, January 12th: Population characterization (parts A and 
B) for PCORNet LOI

Debbie,

That's a good question - I somewhat arbitrarily picked one of the groups per 
patient (Oracle min() function on the ID number associated with the group).  
Maybe that's not a good approach - I'm open to other ideas.

--
Nathan

From: Debbie Yoshihara [mailto:[email protected]]
Sent: Wednesday, January 07, 2015 10:56 AM
To: Nathan Graham; [email protected]<mailto:[email protected]>; 
'[email protected]' 
([email protected]<mailto:[email protected]>); 
'[email protected]' ([email protected]<mailto:[email protected]>); 
'[email protected]' 
([email protected]<mailto:[email protected]>); 
Alex Bokov ([email protected]<mailto:[email protected]>); Fothergill, Rita, R 
<[email protected]<mailto:[email protected]>> 
([email protected]<mailto:[email protected]>); 'Jason Lebsack 
([email protected]<mailto:[email protected]>)' 
([email protected]<mailto:[email protected]>); Mish Thomas F 
([email protected]<mailto:[email protected]>); 
[email protected]<mailto:[email protected]>; 
Justin Dale ([email protected]<mailto:[email protected]>)
Cc: Steve Fennel
Subject: Re: Due Monday, January 12th: Population characterization (parts A and 
B) for PCORNet LOI

Hi,

When I do my query for Part B: Insurance Coverage Overview, there are patients 
(25%) which are in multiple
groups: for example, Commercial and Medicare FFS.  How are other groups marking 
this?  I will get > 100%
if I mark these individuals in both groups.  The effective date is the same, so 
I have no choice but to use both.

--- Debbie


On 1/7/2015 8:58 AM, Nathan Graham wrote:
All,

As we discussed in the GPC-dev call 
yesterday<http://listserv.kumc.edu/pipermail/gpc-dev/attachments/20150107/1a231dff/attachment-0001.pdf>,
 we're working on PCORnet Phase 
2<http://www.pcori.org/announcement/national-patient-centered-clinical-research-network-clinical-data-research-networks>
 letter of intent (LOI).  Much like the quarterly updates we've provided to 
PCORI, the LOI document 
template<http://www.pcori.org/sites/default/files/PCORI-PFA-CDRN-LOI-Template.doc>
 has a couple of sections with tables devoted to population characteristics:

*         Part A: Population Overview

*         Part B: Insurance Coverage Overview

Brittany sent out an e-mail to the site PIs on Friday (January 02, 2015) asking 
that each site fill in these sections (among others) by Tuesday, January 6th.  
However, as per GPC-dev meeting notes for January 6, 
2015<http://listserv.kumc.edu/pipermail/gpc-dev/attachments/20150107/1a231dff/attachment-0001.pdf>,
 Dr. Waitman has extended the requested deadline to Monday January 12th (for 
the tables in sections A and B at least).

Please let us know right away who from each site will be the primary contact 
for providing numbers for the tables in parts A and B.  For the PCORI quarterly 
updates, I believe I got population numbers from the following people:

*         University of Iowa: Prakash Nadkarni

*         Medical College of Wisconsin: Brad Taylor

*         Marshfield Clinic: Laurel Verhagen

*         San Antonio: Alex Bokov

*         Children's Mercy Hospital: Rita Fothergill

*         University of Nebraska: Jason Lebsack

*         University of Wisconsin - Madison: Tom Mish

*         University of Texas Southwestern: Phillip Reeder

*         University of Minnesota: Justin Dale

There's been some discussion regarding what "Number of active patients with 
data in the EMR" means.  After talking with Dr. Waitman yesterday I plan to use 
the same method we used to characterize enrollment for PCORI milestone 
1.1<https://informatics.gpcnetwork.org/trac/Project/ticket/97>:

"The GPC will use a refined definition of enrollment based upon the criteria we 
used in our proposal...2 visits in the 3 years where the visits are separated 
by greater than 30 days"

I also plan to use that number for "active patients" as the denominator for 
part B.

Thanks for your help!

Regards,

Nathan



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--

Debbie Yoshihara Informatics Specialist

SMPH-IT, Biomedical Informatics Services

School of Medicine and Public Health, UW-Madison

[email protected]<mailto:[email protected]>

Tel:(608)263-5643


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