To re-iterate: I don't see any indication that more than 20% is feasible, 
regardless of priority.

I provided all our code, mapping tables, etc. If you can suggest improvements 
to our methods, please do.

--
Dan

________________________________
From: Al'ona Furmanchuk [furmanc...@icnanotox.org]
Sent: Tuesday, September 18, 2018 12:38 PM
To: Mei Liu
Cc: Dan Connolly; ,; Sravani Chandaka; Xing Song
Subject: Re: PCORNet CDM insurance payer mapping by KUMC for next-D

Top critical.
As I was asked on today's call I am submitting ticket now. I will do visuals 
for data elements I am asking + I will be very verbal on importance on 
insurance mapping for NextD.

The focus of NextD is on effect of ACA on health outcomes. It is only possible 
to study if insurance of person using for health services is known.



On Tue, Sep 18, 2018 at 12:22 PM, Mei Liu 
<mei...@kumc.edu<mailto:mei...@kumc.edu>> wrote:
The 20% coverage at KUMC may be sufficient for PCORI data standard, but the 
NEXT-D project may benefit from more coverage.
Alona can probably comment on how critical it is.

Mei

From: Dan Connolly
Sent: Tuesday, September 18, 2018 12:13 PM
To: Al'ona Furmanchuk 
<furmanc...@icnanotox.org<mailto:furmanc...@icnanotox.org>>; Mei Liu 
<mei...@kumc.edu<mailto:mei...@kumc.edu>>
Cc: , <gpc-dev@listserv.kumc.edu<mailto:gpc-dev@listserv.kumc.edu>>; Sravani 
Chandaka <schand...@kumc.edu<mailto:schand...@kumc.edu>>; Xing Song 
<xs...@kumc.edu<mailto:xs...@kumc.edu>>
Subject: PCORNet CDM insurance payer mapping by KUMC for next-D

Mei,

Alona pointed out on today's gpc-dev call that only 20% of KUMC's CDM 
encounters have insurance mapped, and that next-D depends on having more like 
80% mapped.

I thought perhaps that 20% was before some recent work in this area, but the 
most recent EDC report we submitted to PCORNet was generated Aug 2. Table IVC. 
Missing or Unknown Values, Required Tables shows 80.4% missing for 
PAYER_TYPE_PRIMARY and 100% missing for PAYER_TYPE_SECONDARY.


The internal ticket for this work was #4867. A July 3 comment says "Point of 
interest, payer is specified for about 20% of patient encounters". I don't see 
any indication that this was insufficient nor that more was feasible.



Ticket 4867 included work in both i2p-transform and HERON ETL. The 
i2p-transform work included 
payer_map.csv<https://github.com/kumc-bmi/i2p-transform/blob/master/curated_data/payer_map.csv>.

For more details, see:
https://github.com/kumc-bmi/i2p-transform/pull/104
https://github.com/kumc-bmi/i2p-transform/commit/bf191f70fa0b0393f0c3dd0977ce124fd8fdc28b

The HERON part was an insurance_and_payer_4687 branch that landed July 9.
https://github.com/kumc-bmi/heron/commit/5072746bf1070ce73042b3138f0accd0e5ce87d7


--
Dan


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