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S  0$ ``  >*  0 `   @*  0l `   @*  01" =CMS 23f  0Ľ1"  vAssess, RSS, London, Nov, 2004 23f H  0޽h ? ̙33 Default Design 0 N(    0J` 2RECONSTRUCTING COMPLEX HEALTH SERVICE DATA WITH 830$  6O `  Bby$  6PT lf  Gilbert MacKenzie & Xuefang Li $    6Y @  a!The Centre for Medical Statistics$"!:   3 A0 @} x   <A ??  H  0޽h ? ̙33  ^ V @  (     6 * J Introduction" M  04@ Increasingly there is interest in monitoring and evaluating Hospital Performance in the NHS. This has led to the compilation of P<0  6dzPS S $   6 ` [ League Tables .  6P'  S $   6 PSo  S $   6h o  S $   0h p  : 2   0`P p  : 2   0`  8 Classically, such data are observational and their formal statistical evaluation is by covariate or  case-mix adjustment But NHS hospital performance indicators may not be patient-based or directly related to patient well-being  hence complicating  case-mix adjustment <   @  H  0޽h ? ̙33(    P h (    6d  UPerformance Indicators "  080 HThese may include:  6dL S $   6`   Occupied Bed-daysF   6k S $    6dL S $    0d  y Re-admission Rates F  6|w k  S $   6w L  S $   0 @S   Medial Outlier Rates J  j  6 PE tNB: Often these are Episode  rather than patient-based t;  6g : Y "H  0޽h ? ̙33X `|( P   y 6$*  WClassical Data Structure "o z 0*@   C Patient Admission(s) Completed Consultant Episode(s)  $BC { 0X* v8Typically, in any period, hospital data are of the form "9 27F | 0*   jBut Performances Indicators are typically based on the Activity of the hospital ie, on the last two above.>k 2[PH  0޽h ? ̙33 MEp<(  < < 6|* RNorth Staffs Study " < 0@#* Aims To compile a Cumulative Event Patient History (CEPH) file For All ordinary Admissions to all Hospitals in North Staffordshire for 1997-2000 In order to provide a patient-based analysis of performance on a year to year basis : 20 2 21 2' 2. 2- 2 20 1 .,,E3H < 0޽h ? ̙33 @6(  @ @ 6(6* RNorth Staffs Study "> @ 0>*^ Data Data Source LHA NHS Warehouse Data Episode-Based for All Admissions to all Hospitals in NS for 1997-2000 Some 326,236 episodes over this period. But NHS identifier missing in 25% of episodes !!  2& 2 23 2 2 2) 2 2' 2 2 2& 3          )            ayH @ 0޽h ? ̙33 _W`(  ` ` 6V*  @P = Missing Values for Main Variables in the 325,236 Episodes >>&,;&& ` 0Z*PP > 2 X ` 0A? ` 0pd* >  2 ` 0g*Cc  >  2 ` 0j*V v  >  2 ` 0Tn*  >  2H ` 0޽h ? ̙33  HF(  Hu H 0t*0  Ideal Data Structure Record 1 Pat 1, Adm 1, E1 Record 2 Pat 1, Adm 1, E2 Record 3 Pat 1, Adm 2, E1 Record 4 Pat 2, Adm 1, E1 Record 5 Pat 2, Adm 2, E1 Record 6 Pat 2, Adm 2, E2 Record 7 Pat 2, Adm 3, E1 Record 8 Pat 3, Adm 1, E1P  2 8( H 6* RNorth Staffs Study "X H 0@ P X H 0P pX H 0  H 0*@ : 2   H 0t*  A Patient 1 2   H 08*P 0p  A Patient 2 2   H 0*P 0`p ] Patient 38 2H H 0޽h ? ̙33 xp( YdZ   6*  `"Simple Patient Matching Algorithm "#"  0* s3NHS Matching Criteria : C= (Sex, DOB, Postcode) $4 21'  0ܣ*P Step 1: Define Set A as Missing ID (n=82,906 episodes) Step 2: Define Set B as Known ID (n=242,330 episodes) Step 3: Use C to match Set A with Set B Step 4: Consolidate 13,114 Matches in Set B Step 5: Call the reduced Set A set Set A* & Set B , Set B* Step 6: Use C to to match Set A* with Set B* Step 7: Consolidate Matches in Set B* Step 8. Finally Use C to match A** with A** Step 9: Allocate new NHS numbers to residual in A*** 28>*!"2H  0޽h ? ̙33 DE(  D D 6̿*   NMatching Result "Q D 0t*% Overall Result Total Missing = 82,906 (25.5%) After 1st Match = 69, 771 (21.5%) After 2nd & 3rd = 46, 527 (14.3%) Accuracy About 4%-5% are wrongly matched Also about 7% with known NHS numbers were really different people (Sex, DOB, Postcode).r 2| 2 2 2P 27 2 3 '  P  6>%13H D 0޽h ? ̙33 L;(  L L 0*` AData Structure Ideal Attained * Record 1 Pat 1, Adm 1, E1 Record 2 Pat 1, Adm 1, E2 Record 3 Pat 1, Adm 2, E1 Record 4 Pat 2, Adm 1, E1 Record 5 Pat 2, Adm 2, E1 Record 6 Pat 2, Adm 2, E2 Record 7 Pat 2, Adm 3, E1 Record 8 Pat 3, Adm 1, E1 * But variable number of records per patientB 2 825X L 0  P  L 6H*H)p  :  L 0*c PNow the Target CEPH File is a Flat SPSS System File With one record per patientQ 2QH L 0޽h ?L ̙33 yq$(   $L $ 0l,` Data Structure Target CEPH file structure Record 1 Pat 1, E1 E2 E1 EX Record 2 Pat 2, E1 E1 E2 E1 Record 3 Pat 3, E1 EX EX EX . Where 1) E s are sets of episode data 2) E1 E2 => Relates to same Admission 3) EX => a set of system missing values 4) Within patient the E records are in chronological order.  2    E1;T*,- $ <,GyHZt @ :  $ 0,   W'Regular Cases by Variables System File ( 2(H $ 0޽h ?$ ̙33. Pn(  P6 P 0(#,m Defining Complex File Structures SPSS File type GROUPED command File Type Grouped File='c:\my documents\oldcare\LHA20-21new.dat' Record= #epi_id 300-301 Case=nhs_num 1-10 missing=nowarn. Record Type 1. Data list /V0101 12 V0201 14-24 (A) V0301 26-33 (A) V0401 35 & Record Type 2 . Data list /V0102 12 V0202 14-24 (A) V0302 26-33 (A) V0402 35 & Etc to a max of 51 episode records for the NS study End File Type. NB Other subcommands include: Duplicate, Skip, Ordered, Case. K 2    \\$!T    xH P 0޽h ? ̙33 e]#(( K"d (  ( 0,C,`  7 Data Structure Making the CEPH file useable Record 1 Pat 1, E1 E2 E1 EX {index structure} Record 2 Pat 2, E1 E1 E2 E1 {index structure} Record 3 Pat 3, E1 EX EX EX {index structure} . . .   2  '*,M@} !( <],GFH(  Pp : X #( 0L`, 8 Now build up useful patient-based Performance Indicator quantities using SPSS s powerful transformation language  use Vector and Loops to store and search frequently used quantities & addresses, eg  2,ItH ( 0޽h ?!( ̙33 NF,(  , , 6k, @Examples of Index Building Comment compute SUMR - the number of episodes (records) per patient vector vdata48=V4801 to V4851. compute #sumr=0. loop #j =1 to 51. if ( not(missing (Vdata48(#j )) )) #sumr= #sumr+1. end loop. compute sumr=#sumr. Comment compute SUMA - the number of admissions per patient. Vector vdata47=V4701 to V4751. compute #suma=0. loop #j =1 to 51. if ( not ( missing (vdata47(#j )) ) ) #suma=vdata47(#j ) . end loop. compute suma=#suma. 21)?gC!H , 0޽h ? ̙33D  T(  T T 6d,`P v  $<Examples of Index Building Cont d Comment compute first episode address for each admission. Vector vdata47=V4701 to V4751. Comment Zeroise. Do repeat i=Adm01 to Adm51. Compute i=0. end repeat. Comment Declare Missing. missing values adm01 to adm51 (0). Vector Adm=Adm01 to Adm51. 2<7?,| T 0,  ZComment compute address. compute Adm(1)=1. compute #k=1. loop #J=2 to sumr. do if (vdata47(#j) eq vdata47(#j-1) +1). compute #k = #k+1. compute adm(#k)=#j. end if. end loop. 2 2P!!.H T 0޽h ? ̙33 7/0X(  X X 6h, RNorth Staffs Study " X 0,a oQResults Data Episodes = 321788, Admissons= 284,965 Patients = 188,745 Comprehensive patient-based Index built covering all major NHS Performance Indicators 5 Files: 1997, 1998, 1999, 2000 & 1997-2000 Descriptive analysis by Hospital types and diagnostic category (modelling to follow)  2 2D 2) 22 2] 21 2I>$W.H X 0޽h ? ̙33 @\P(  \X \ 0A?  \ 6, RNorth Staffs Study "H \ 0޽h ? ̙33 PdZ(  d d 6, RNorth Staffs Study "b d 0, j  > Numbers of patients by trust by year 1997 1998 1999 2000 Acute Trust 43975 44396 42006 44517 Combined Trust 4392 4051 5084 3965 Total 47554 48138 46194 46859 p?  %5 (    'H d 0޽h ? ̙331 `hq(  h h 6, RNorth Staffs Study "/ h 6, STable 3.3 Average & Median length of stay by disease by year in the Acute Trust Z@ ?    B h C A? H h 0޽h ? ̙33 <4pl(  l l 6, RNorth Staffs Study " l 6,@, $ Table 3.4 Average & Median length of stay by disease by year in the Combined Trust G BF  <  " " "  B l C A?H l 0޽h ? ̙33 f^p(  pX p 0A?  p 6, RNorth Staffs Study " p 0d, @ >  2H p 0޽h ? ̙33T t(  t t 0\)P0p : 2  t 6+` TSome Conclusions The Complex File Commands Mixed, Group and Nested are very useful - flexible and safe. Need to be revised to remove Dependence on ASCII input for complex health data  too big. Transformation language is SPSS means Database Index can be built easily. Patient-based Performance Indicators as a standard is an exciting prospect. 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