2017 CSTE Annual Conference Analysis and Reporting of Injury-Related Inpatient Hospitalizations Using ICD-10-CM-coded Administrative Billing Data Svetla Slavova, PhD Kentucky Injury Prevention and Research Center (KIPRC) KIPRC is a bona fide agent for the Kentucky Department for Public Health, Cabinet for Health and Family Services
Injury Hospitalization Subset of an ICD-9-CM-coded State Hospital Discharge Data (HDD) Set Available from: https://www.cdc.gov/injury/stateprograms/indicators.html
Injury Hospitalization Subset of an ICD-10-CM-coded State Hospital Discharge Data (HDD) Set a. Identify injury records by searching the principal diagnosis field for any of the ICD-10-CM codes in the CDC case selection criteria for injury hospitalizations (Table 5): b. From the injury records, identify the subset of records that indicate an initial or subsequent encounter for treatment of an injury. Reference: ISW9. (2016). injury Surveillance Workgroup 9. The Transition from ICD-9-CM to ICD-10-CM: Guidance for analysis and reporting of injuries by mechanism and intent. . Retrieved from Atlanta, GA. Available from http://www.safestates.org/?page=ISWReports
Injury-Related Inpatient Hospitalizations in Kentucky Acute Care Hospitals, by Quarter, 2014 -2016 8,000 7,000 6,000 Number of injury cases 5,000 4,000 7,303 6,974 6,876 6,851 6,790 6,768 6,655 6,435 6,313 6,117 5,936 5,938 3,000 2,000 1,000 0 2014Q1 2014Q2 2014Q3 2014Q4 2015Q1 2015Q2 2015Q3 2015Q4 2016Q1 2016Q2 2016Q3 2016Q4 Total Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health. May 2017. Data source: Kentucky Inpatient Claims, 2013-2016, Office of Health Policy, Cabinet for Health and Family Services. Data are provisional and subject to change.
Percentage of Injury Hospitalizations with Valid External Cause of Injury Codes 94% 93.2% 93.2% 93% 93.0% 93.2% 92% 91.9% 91.8% 91.6% Number of injury cases 91.7% 91% 90.9% 90.8% 91.0% 90% 89% 88.7% 88% 87% 86% 2014Q1 2014Q2 2014Q3 2014Q4 2015Q1 2015Q2 2015Q3 2015Q4 2016Q1 2016Q2 2016Q3 2016Q4 % Injury Cases with a Cause of Injury (Based on Available Ecode) Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health. May 2017. Data source: Kentucky Inpatient Claims, 2013-2016, Office of Health Policy, Cabinet for Health and Family Services. Data are provisional and subject to change.
Percentage of Injury Hospitalizations with Valid External Cause of Injury Codes Estimated changes in level and trend through segmented regression 1 Perc_injury-records_with_external_cause_code t = β 0 + β 1 * time t + β 2 *i ntervention t + β 3 * time-after-intervention t + e t , proc autoreg data=inputdataset outest=outputdataset; model perc_ecode_compl=time interv timeafter/method=ml dwprob; run ; 1 Wagner AK, Soumerai SB, Zhang F, Ross ‐ Degnan D. Segmented regression analysis of interrupted time series studies in medication use research. J Clin Pharm Therap 2002; 27(4), 299-309.
Percentage of Injury Hospitalizations with Valid External Cause of Injury Codes Estimated changes in level and trend through segmented regression 1 Perc_injury-records_with_external_cause_code t = β 0 + β 1 * time t + β 2 *i ntervention t + β 3 * time-after-intervention t + e t , Percentage of Injury Hospitalizations with Valid External Cause of Injury Code 95.0 93.0 Parameter Estimates 91.0 St. t Value Approx 89.0 Variable DF Estimate y = 0.4395x + 93.129 Error Pr > |t| y = 0.936x + 88.882 87.0 Intercept 1 93.129 0.5455 170.71 <.0001 85.0 Time 1 0.4395 0.1513 2.9 0.0198 83.0 Intervention 1 -3.7502 0.9179 -4.09 0.0035 81.0 Time-after- 1 0.4965 0.295 1.68 0.1308 79.0 intervention 77.0 75.0 -8 -6 -4 -2 0 2 4 6 1 Wagner AK, Soumerai SB, Zhang F, Ross ‐ Degnan D. Segmented regression analysis of interrupted time series studies in medication use research. J Clin Pharm Therap 2002; 27(4), 299-309.
Injury Hospitalizations by Intent, Kentucky, 2014 - 2016 2014Q1 2014Q2 2014Q3 2014Q4 2015Q1 2015Q2 2015Q3 2015Q4 2016Q1 2016Q2 2016Q3 2016Q4 UNINTENTIONAL 85% 85% 84% 85% 84% 83% 84% 88% 88% 88% 88% 89% INTENTIONAL SELF- HARM 8% 8% 9% 9% 9% 9% 8% 9% 8% 9% 9% 8% ASSAULT 2% 3% 3% 2% 2% 3% 3% 2% 3% 3% 3% 3% UNDETERMINED 4% 4% 4% 4% 5% 5% 5% 1% 1% 1% 1% 1% 90% 20% 89% 18% Number of injury cases 88% 16% 87% 14% 86% 12% 85% 10% 84% 8% 83% 6% 82% 4% 81% 2% 80% 0% UNINTENTIONAL INTENTIONAL SELF-HARM ASSAULT UNDETERMINED Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health. May 2017. Data source: Kentucky Inpatient Claims, 2013-2016, Office of Health Policy, Cabinet for Health and Family Services. Data are provisional and subject to change.
Fall Injury Hospitalizations, Kentucky, 2013 - 2016 4000 3,350 3500 3,278 3,253 3,232 3,155 3,106 3,099 3,067 3,060 3,040 3,050 3,035 3,021 2,997 2,951 3000 2,707 Number of injury cases 2500 2000 1500 1000 500 0 2013Q1 2013Q2 2013Q3 2013Q4 2014Q1 2014Q2 2014Q3 2014Q4 2015Q1 2015Q2 2015Q3 2015Q4 2016Q1 2016Q2 2016Q3 2016Q4 FALLS Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health. May 2017. Data source: Kentucky Inpatient Claims, 2013-2016, Office of Health Policy, Cabinet for Health and Family Services. Data are provisional and subject to change.
Firearm Injury Hospitalizations, Kentucky, 2013 - 2016 140 119 120 114 110 106 95 100 Number of injury cases 83 79 77 77 77 75 80 74 74 71 67 59 60 40 20 0 2013Q1 2013Q2 2013Q3 2013Q4 2014Q1 2014Q2 2014Q3 2014Q4 2015Q1 2015Q2 2015Q3 2015Q4 2016Q1 2016Q2 2016Q3 2016Q4 FIREARM Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health. May 2017. Data source: Kentucky Inpatient Claims, 2013-2016, Office of Health Policy, Cabinet for Health and Family Services. Data are provisional and subject to change.
Natural/Environmental Cause of Injury Hospitalizations, Kentucky, 2013 - 2016 140 123 116 120 111 110 100 Number of injury cases 87 87 85 76 80 65 64 59 60 51 50 46 41 38 40 20 0 2013Q1 2013Q2 2013Q3 2013Q4 2014Q1 2014Q2 2014Q3 2014Q4 2015Q1 2015Q2 2015Q3 2015Q4 2016Q1 2016Q2 2016Q3 2016Q4 NATURAL/ENVIR Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health. May 2017. Data source: Kentucky Inpatient Claims, 2013-2016, Office of Health Policy, Cabinet for Health and Family Services. Data are provisional and subject to change.
Poisoning Injury Hospitalizations, Kentucky, 2013 - 2016 1400 1,312 1,289 1,265 1,225 1,223 1,203 1,197 1,176 1,172 1,158 1200 1,137 1,078 1,056 1,053 1,040 1,024 1000 Number of injury cases 800 600 400 200 0 2013Q1 2013Q2 2013Q3 2013Q4 2014Q1 2014Q2 2014Q3 2014Q4 2015Q1 2015Q2 2015Q3 2015Q4 2016Q1 2016Q2 2016Q3 2016Q4 POISONING Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health. May 2017. Data source: Kentucky Inpatient Claims, 2013-2016, Office of Health Policy, Cabinet for Health and Family Services. Data are provisional and subject to change.
Kentucky Drug Poisoning Hospitalizations, 2013 - 2016 1,400 1,267 1,235 1,209 1,155 1,154 1,149 1,147 1,200 1,123 1,122 1,101 1,088 1,037 1,007 996 1,000 985 1,000 Number of injury cases 800 600 400 200 0 2013Q1 2013Q2 2013Q3 2013Q4 2014Q1 2014Q2 2014Q3 2014Q4 2015Q1 2015Q2 2015Q3 2015Q4 2016Q1 2016Q2 2016Q3 2016Q4 DRUG POISONING (injury data set) Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health. May 2017. Data source: Kentucky Inpatient Claims, 2013-2016, Office of Health Policy, Cabinet for Health and Family Services. Data are provisional and subject to change.
Kentucky Drug Poisoning Hospitalizations, 2013 - 2016 2,000 1,800 1,600 1,400 Number of injury cases 1,200 1,000 800 600 400 200 0 2013Q1 2013Q2 2013Q3 2013Q4 2014Q1 2014Q2 2014Q3 2014Q4 2015Q1 2015Q2 2015Q3 2015Q4 2016Q1 2016Q2 2016Q3 2016Q4 DRUG POISONING (injury data set) DRUG POISONING (any diagnosis or external cause code) Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health. May 2017. Data source: Kentucky Inpatient Claims, 2013-2016, Office of Health Policy, Cabinet for Health and Family Services. Data are provisional and subject to change.
Injury Hospitalizations with “All Transportation” Mechanism, Kentucky, 2013 - 2016 1400 1,277 1,171 1200 1,141 1,096 1,086 1,067 1,055 945 1000 931 Number of injury cases 866 856 753 747 800 685 658 600 471 400 200 0 2013Q1 2013Q2 2013Q3 2013Q4 2014Q1 2014Q2 2014Q3 2014Q4 2015Q1 2015Q2 2015Q3 2015Q4 2016Q1 2016Q2 2016Q3 2016Q4 ALL TRANSPORTATION Produced by the Kentucky Injury Prevention and Research Center, a bona fide agent for the Kentucky Department for Public Health. May 2017. Data source: Kentucky Inpatient Claims, 2013-2016, Office of Health Policy, Cabinet for Health and Family Services. Data are provisional and subject to change.
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