Administrative Coding of Type 1 and Type 2 Diabetes: Assessment of Validity and Implications of Coding Practices ob Outcome Evaluation
| atmire.migration.oldid | 1484 | |
| dc.contributor.advisor | Rabi, Doreen | |
| dc.contributor.advisor | Ghali, William | |
| dc.contributor.author | Burs, Simona | |
| dc.date.accessioned | 2013-10-01T22:25:28Z | |
| dc.date.available | 2013-11-12T08:00:19Z | |
| dc.date.issued | 2013-10-01 | |
| dc.date.submitted | 2013 | en |
| dc.description.abstract | Rationale: Administrative coding of diabetes mellitus is a difficult task. Objectives: to evaluate misclassification of diabetes status and type, examine contributors to classification uncertainty and explore how difficult cases are perceived by health professionals. Methods: A chart review was performed to validate coding of diabetes type in two data sources. The presence or absence of key clinical information and documentation deficiencies were evaluated. Health professionals were surveyed regarding classification of uncertain cases. Results: 1) Misclassification of diabetes status and type were higher in APPROACH (7.1% and 6.4%) than in ICD-10 (3.6% and 4.3%); 2) treatment with insulin was associated with classification uncertainty (Χ2=36.16; p<0.001); 3) documentation deficiencies were prevalent and were higher in the uncertain classification group (30% vs. 18%). Conclusions: This thesis highlights some elements related to diabetes misclassification. Clear documentation by physicians is required to improve administrative coding of diabetes. Improving administrative data quality may lead to improved outcomes. Keywords: administrative coding, diabetes mellitus, misclassification, insulin | en_US |
| dc.identifier.citation | Burs, S. (2013). Administrative Coding of Type 1 and Type 2 Diabetes: Assessment of Validity and Implications of Coding Practices ob Outcome Evaluation (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca. doi:10.11575/PRISM/24712 | en_US |
| dc.identifier.doi | http://dx.doi.org/10.11575/PRISM/24712 | |
| dc.identifier.uri | http://hdl.handle.net/11023/1064 | |
| dc.language.iso | eng | |
| dc.publisher.faculty | Graduate Studies | |
| dc.publisher.institution | University of Calgary | en |
| dc.publisher.place | Calgary | en |
| dc.rights | University of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission. | |
| dc.subject | Public Health | |
| dc.subject.classification | administrative coding | en_US |
| dc.subject.classification | diabetes mellitus | en_US |
| dc.subject.classification | misclassification | en_US |
| dc.title | Administrative Coding of Type 1 and Type 2 Diabetes: Assessment of Validity and Implications of Coding Practices ob Outcome Evaluation | |
| dc.type | master thesis | |
| thesis.degree.discipline | Community Health Sciences | |
| thesis.degree.grantor | University of Calgary | |
| thesis.degree.name | Master of Science (MSc) | |
| ucalgary.item.requestcopy | true |