Health Data Managment System

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    Data Collection, DatabaseData Collection, Database

    Management and ReportingManagement and Reportingin Real-Time based on SASin Real-Time based on SAS

    and Other Applicationsand Other Applications(mysql)(mysql)Beate Danielsen, MA, PhDBeate Danielsen, MA, PhD

    Barbara Murphy, RN, MSNBarbara Murphy, RN, MSN

    Shahzad Arain,Mphil,PAKShahzad Arain,Mphil,PAKJeffrey B. Gould, MD, MPHJeffrey B. Gould, MD, MPH

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    California Perinatal Quality CareCalifornia Perinatal Quality Care

    CollaborativeCollaborative

    Development of perinatal outcomes andinformation which allows for data drivenperformance improvement and

    benchmarking throughout California Quality improvement of NICU care

    Collaboration of a large and diverse

    network of stakeholders Development ofCPQCC Data Base for

    Research and QI

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    Status Two Years AgoStatus Two Years Ago

    40 participating centers Data submitted electronically or on paper Data errors and errors introduced through data

    handling (e.g., scanning)

    Elaborate and staff-intensive data correctionprocess

    Error reports, quarterly reports, annual summaryreport voluminous and staff-time intensive

    Different programming languages used Anticipation of enrollment of 80 more centers Little time for research

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    InfrastructureInfrastructure

    Microsoft/Access

    Microsoft/Excel

    Adobe Acrobat Writer and Distiller WINRAR

    SAS/Base, SAS/GRAPH, SAS/STAT

    Java

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    SolutionSolution

    WWW-based application handling:

    Data Base Management, Error and Quarterly

    Reporting

    Annual Reporting

    Additional products needed:

    MySQL & PHP

    JavaScript

    SAS/IntrNet

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    WWW-Based Data BaseWWW-Based Data Base

    Management (4)Management (4)

    Mysql PHP Web based integrated system

    successfully running in national ADIS

    control program (Pakistan)

    Developed by Shahzad Arain

    Real-time feedback to users

    Microsoft/Access data base /excel conversion

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    WWW-Based Data BaseWWW-Based Data Base

    Management (1)Management (1)

    Add Data

    Verification whether data for ID were

    previously submitted

    Real-time error checking via JavaScript

    Only error-free records can be submitted

    Context-sensitive help

    SAS/IntrNet used to process data and addthem to the CPQCC Master Data Base

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    WWW-Based Data BaseWWW-Based Data Base

    Management (2)Management (2)

    Edit Data

    Edit previously submitted data that might have

    been received as paper form, EDS

    submission, or via the WWW

    SAS/IntrNet used to retrieve previously

    submitted data from the CPQCC Master Data

    Base; the WWW form populated based onJavaScript and HTML that is generated by

    SAS

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    WWW-Based Data BaseWWW-Based Data Base

    Management (3)Management (3)

    Error reports Error reports generated in real-time

    Besides errors, submission statistics are

    displayed such as total number of records,total number of submissions per record, etc.

    SAS/IntrNet produces error report as HTML,Microsoft/Excel and PDF documents

    Quarterly reports Generated 4 times a year by CPQCC staff

    and uploaded on the web server

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    WWW-Based Data BaseWWW-Based Data Base

    Management (4)Management (4)

    Send reports/data via e-mail

    SAS/IntrNet sends error reports, quarterly

    reports, or center-specific data extract to

    designated contact

    The requested item is sent as a zipped,

    encrypted, and password-protected file

    Real-time feedback to users

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    WWW-Based Data BaseWWW-Based Data Base

    Management (5)Management (5)

    Additional functionality provided for

    CPQCC data center staff

    Addition of scanned data forms stored as

    Microsoft/Access data base

    Screening and addition of electronic data

    Instant network report with a number of

    network statistics Instant application server activity report

    Additional send functions

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    WWW-Based Data ReportingWWW-Based Data Reporting

    Shows annual data for a center compared

    to all CPQCC network centers

    Data presented as tables, standardized

    tables, and specialized charts

    SAS/IntrNet used to produce charts

    allowing an immense amount of graphical

    QI materials that can be navigated easily

    by the user

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    Cost-Benefit NoteCost-Benefit Note

    w/out SAS/IntrNet

    Hiring of 2 additional

    staff members

    One additionalTeleform license

    Paper and mail

    supplies Additional center-

    specific resources

    With SAS/IntrNet

    SAS/IntrNet license

    Application server

    Web server

    Staff training to ease

    transition to web-

    based data entry andreporting

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    OutlookOutlook

    Successful transition from EDS and paper-baseddata submissions to web-based submissionshinges upon quality technical support andCPQCC staff training

    On-line data collection has fully started earlierthis year

    Real-Time Reporting will hopefully be possible in

    2006 Valuable staff time has been freed up to focus

    on research and QI goals