Enhancing NSQIP-Pediatric through integration with the Pediatric Health Information System

Katherine J. Deans*, Jennifer N. Cooper, Shawn J. Rangel, Mehul V. Raval, Peter C. Minneci, R. Lawrence Moss

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Purpose We implemented and validated a linkage algorithm for cases in both the National Surgical Quality Improvement Program-Pediatric (NSQIP-Peds) and the Pediatric Health Information System (PHIS) to investigate healthcare utilization during the first post-operative year. Methods NSQIP-Peds and PHIS cases from our institution who were operated on between January 2010 and September 2011 were matched on gender and dates of birth, admission, and discharge. Rates of true matches were validated using medical records. We examined rates of emergency department (ED) visits, hospital readmissions, potentially preventable readmissions (PPR), and hospital charges within one year of the NSQIP-Peds encounter. Results Of the 2,409 NSQIP-Peds and 61,147 PHIS records, 93.6% met match criteria with 92.5% being true matches. Post-operative ED visit rates were 7.8% within 30 days, 17.2% between 31-180 days, and 18.1% between 181-365 days. Readmission rates were 5.5% within 30 days, 9.3% between 31-180 days, and 8.4% between 181-365 days. In patients undergoing inpatient procedures, 10.6% had readmissions within 30 days, and 23.7% had readmissions within 365 days that were potentially preventable. Conclusions Using indirect identifiers, a linked NSQIP-Peds-PHIS dataset demonstrated high rates of ED visits, readmissions, and PPR in the first post-operative year. This dataset may provide a more comprehensive way to study health care utilization and clinical outcomes.

Original languageEnglish (US)
Pages (from-to)207-212
Number of pages6
JournalJournal of pediatric surgery
Volume49
Issue number1
DOIs
StatePublished - Jan 2014

Keywords

  • Healthcare utilization
  • NSQIP-Peds
  • National Surgical Quality Improvement Project-Pediatrics
  • PHIS
  • Pediatric Health Information System
  • Preventable Readmissions

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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