#715: NextD request on mapping payer_type variable
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 Reporter:  afurmanchuck  |       Owner:  nsmith
     Type:  problem       |      Status:  assigned
 Priority:  critical      |   Milestone:
Component:  data-stds     |  Resolution:
 Keywords:                |  Blocked By:
 Blocking:                |
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Changes (by afurmanchuck):

 * cc: gpc-dev@… (removed)
 * component:  data-quality => data-stds
 * milestone:  next-d =>


Old description:

> The aim of NextD project is evaluation of Affordable Act Effect on health
> outcomes of patients with type 2 diabetes. In oversimplified language,
> effect on health from having Medicaid insurance. One must must know
> effects of other insurances or their absence in order to definitively say
> if ACA expansion actually effective.
>
> In last PCORI cdm 4.1 refresh sites reported from 80% to 100% of
> encounters missing information on insurance used. Clearly, PCORI table
> ENCOUNTER could not be used for next-D project to report insurance.
>
> We ask sites to respond to this ticket with timelines they might need in
> order to remap source insurance values to PCORI categories.
> For Next-D purposes we would ask to remap into following categories:
> 1.Medicare
> 2.Medicaid
> 3.Other Government
> 4.Department of corrections
> 5.Private health insurance
> 6.Blue cross/Blue shield
> 7.Managed care, unspecified
> 8.No payment
> 9.Miscellaneous/Other
> 9999.Unavailable/No payer specified/blank
> NI.No information
> UN.Unknown
> OT.Other
>

> NU team will be offering help on remapping or extra allocation if
> requested.
>
> Respond to this ticket by September 21st, 2018.

New description:

 The aim of NextD project is evaluation of Affordable Act Effect on health
 outcomes of patients with type 2 diabetes. In oversimplified language,
 effect on health from having Medicaid insurance. One must must know
 effects of other insurances or their absence in order to definitively say
 if ACA expansion actually effective.

 In last PCORI cdm 4.1 refresh sites reported from 80% to 100% of
 encounters missing information on insurance used. Clearly, PCORI table
 ENCOUNTER could not be used for next-D project to report insurance.

 We ask sites to respond to this ticket with timelines they might need in
 order to remap source insurance values to PCORI categories.
 For Next-D purposes we would ask to remap into following categories:
 1.Medicare
 2.Medicaid
 3.Other Government
 4.Department of corrections
 5.Private health insurance
 6.Blue cross/Blue shield
 7.Managed care, unspecified
 8.No payment
 9.Miscellaneous/Other
 9999.Unavailable/No payer specified/blank
 NI.No information
 UN.Unknown
 OT.Other

 Categories 9,9999,NI,UN,OT could not contribute more than 20% total.
 Explanations must be provided if your site face this situation. NU team
 will be offering help on remapping or extra allocation if requested.

 Respond to this ticket by September 21st, 2018.

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Ticket URL: 
<http://informatics.gpcnetwork.org/trac/Project/ticket/715#comment:4>
gpc-informatics <http://informatics.gpcnetwork.org/>
Greater Plains Network - Informatics
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