Chart Abstraction Services

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Chart Data Abstraction Services

National Hospital IP/OP Quality Measures (Core Measures)

Direct Difference provides data abstraction support services for CMS, JCAHO, and other national quality core and non-core measure initiatives including:

  • HF
  • AMI
  • PN
  • SCIP
  • VTE
  • Stroke
  • Inpatient ED
  • Immunization
  • HOP Surgery
  • HOP AMI & CP
  • HOP ED Throughput
  • HOP Stroke
  • HOP PM (Pain Management)
  • Future approved core measure initiatives
ACC-NCDR Registries

With more than 2,200 hospitals nationwide participating in the NCDR, Direct Difference offers experienced and knowledgable assistance with the following registries.

  • ACTION Registry®-GWTG™ for high-risk STEMI/NSTEMI myocardial infarction patients
  • CARE Registry® for carotid  artery stenting and endarterectomy procedures
  • CathPCI Registry® for cardiac catheterization and percutaneous coronary intervention procedures
  • ICD Registry™ for tracking implantable cardioverter defibrillator procedures
  • IMPACT Registry™ for adult and pediatric congenital heart conditions (limited availability)
  • STS/ACC TVT Registry™ for transcatheter valve therapy procedures (limited availability)
  • PVI Registryfor Peripheral Vascular procedures (coming soon)
STS National Database

The Society of Thoracic Surgeons offers outcome programs in the areas of Adult Cardiac, General Thoracic and Congenital surgery. DAS provides  abstraction services for the STS Registry on a selected basis at this time.

IRR/CAAR and Audit services

Direct Difference also provides Interrater Reliability (IRR) and CAAR re-abstaction and audit services for hospitals with a need to review internal staff abstraction accuracy rates.

Get With The Guidelines

Although a voluntary initiative, Get With The Guidelines® (GWTG )is the leading hospital-based quality improvement program for the American Heart Association and the American Stroke Association and assists healthcare providers to treat stroke and heart patients according to the most up-to-date guidelines.

Hospital-Specific Data Collection and More

In addition to the above services, Direct Difference can provide custom data collection and analysis for hospital-specific needs including internal audits and IRR services.  Please contact us to explore how we can serve you! A Quick Overview of CAAR-the voluntary data validation program proposed by Joint Commission In an effort to increase data reliability, The Joint Commission has implemented a voluntary program of validation for core measures titled Category Assignment Agreement Rate (CAAR).  This program is a one-to-one comparison of the original abstraction (and abstractor) and a re-abstraction.  While currently voluntary, expectations are the program will eventually become mandatory.  Current objectives include a re-abstraction of 12 cases per quarter sampled from abstractions previously submitted to TJC. There should be at least one of each time case that was previously submitted including Inpatient, Outpatient and Behavioral Health.  The objective is to determine consistency in abstraction and to highlight knowledge deficiencies between abstractors, providing an opportunity for enhanced learning. The Joint Commission has mandated all TJC-approved PMS software vendors develop and implement a module within their applications in order to process and provide comparison capabilities for re-abstraction efforts.  The software vendors are required to report to TJC which hospitals are participating at this point, but are not asking for validation percentages at this time.  Information is not publicly reported, but again, there is an expectation it will. Software application protocols may vary, but re-abstraction reports reflecting mis-matches should be available in the CAAR module.  Information from the re-abstractions will not be reflected in reports from the original submissions. Hospitals are encouraged to contact their specific PMS vendor. Contact Direct Difference for information on how to succeed with CAAR.