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Data Collection, Database Management and Reporting in Real-Time based on SAS and Other Applications. Beate Danielsen, MA, PhD Barbara Murphy, RN, MSN Jeffrey B. Gould, MD, MPH. California Perinatal Quality Care Collaborative.
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Data Collection, Database Management and Reporting in Real-Time based on SAS and Other Applications Beate Danielsen, MA, PhD Barbara Murphy, RN, MSN Jeffrey B. Gould, MD, MPH Health Information Solutions
California Perinatal Quality Care Collaborative • Development of perinatal outcomes and information which allows for data driven performance improvement and benchmarking throughout California • Quality improvement of NICU care • Collaboration of a large and diverse network of stakeholders • Development of CPQCC Data Base for Research and QI Health Information Solutions
Status 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 correction process • Error reports, quarterly reports, annual summary report voluminous and staff-time intensive • Different programming languages used • Anticipation of enrollment of 80 more centers • Little time for research Health Information Solutions
Infrastructure • Microsoft/Access • Microsoft/Excel • Adobe Acrobat Writer and Distiller • WINRAR • SAS®/Base, SAS/GRAPH®, SAS/STAT® • Java Health Information Solutions
Solution • WWW-based application handling: • Data Base Management, Error and Quarterly Reporting • Annual Reporting • Additional products needed: • MySQL & PHP • JavaScript • SAS/IntrNet® Health Information Solutions
WWW-Based Data Base 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 add them to the CPQCC Master Data Base Health Information Solutions
WWW-Based Data Base 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 on JavaScript and HTML that is generated by SAS® Health Information Solutions
WWW-Based Data Base 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 Health Information Solutions
WWW-Based Data Base 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 Health Information Solutions
WWW-Based Data Base 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 Health Information Solutions
WWW-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 Health Information Solutions
w/out SAS/IntrNet ® Hiring of 2 additional staff members One additional Teleform 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 and reporting Cost-Benefit Note Health Information Solutions
Outlook • Successful transition from EDS and paper-based data submissions to web-based submissions hinges upon quality technical support and CPQCC staff training • On-line data collection has fully started earlier this year • Real-Time Reporting will hopefully be possible in 2006 • Valuable staff time has been freed up to focus on research and QI goals Health Information Solutions