Administrative Coding of Type 1 and Type 2 Diabetes: Assessment of Validity and Implications of Coding Practices ob Outcome Evaluation

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atmire.migration.oldid1484
dc.contributor.advisorRabi, Doreen
dc.contributor.advisorGhali, William
dc.contributor.authorBurs, Simona
dc.date.accessioned2013-10-01T22:25:28Z
dc.date.available2013-11-12T08:00:19Z
dc.date.issued2013-10-01
dc.date.submitted2013en
dc.description.abstractRationale: 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, insulinen_US
dc.identifier.citationBurs, 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/24712en_US
dc.identifier.doihttp://dx.doi.org/10.11575/PRISM/24712
dc.identifier.urihttp://hdl.handle.net/11023/1064
dc.language.isoeng
dc.publisher.facultyGraduate Studies
dc.publisher.institutionUniversity of Calgaryen
dc.publisher.placeCalgaryen
dc.rightsUniversity 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.subjectPublic Health
dc.subject.classificationadministrative codingen_US
dc.subject.classificationdiabetes mellitusen_US
dc.subject.classificationmisclassificationen_US
dc.titleAdministrative Coding of Type 1 and Type 2 Diabetes: Assessment of Validity and Implications of Coding Practices ob Outcome Evaluation
dc.typemaster thesis
thesis.degree.disciplineCommunity Health Sciences
thesis.degree.grantorUniversity of Calgary
thesis.degree.nameMaster of Science (MSc)
ucalgary.item.requestcopytrue
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