KEYWORDS:
Data Quality, AFIX, Providers, Data Completeness, Data Accuracy, Data Timeliness
BACKGROUND:
KIDSNET is Rhode Island's integrated preventive health tracking system for children born since 1/1/97. Immunization data is submitted by Providers either electronically or on bar-coded paper forms. Slightly more than 50% of the Providers immunizing children under 6 are submitting data to KIDSNET for approximately 75% of Rhode Island's children.
OBJECTIVE:
To describe a method for improving registry data quality by utilizing the AFIX model to assess data at the Provider level.
METHOD:
The AFIX model is being utilized to improve KIDSNET data quality. Data assessments are completed at the same time as CASA assessments for Providers. Provider immunization data is reviewed for completeness, accuracy and timeliness. Chart audits are then performed for those children identified in CASA as not up-to-date as well as those with "suspicious" data identified in the data assessment. Feedback and incentives for both data quality and immunization practices are provided.
RESULT:
Corrections to KIDSNET data are made based on chart reviews and feedback from Providers. Missing data is added, while coding errors, data entry and transcription errors are corrected and patient lists are updated. CASA rates before and after chart reviews are compared to show the impact of data quality on assessment of immunization rates.
CONCLUSION:
Assessment and feedback are essential components to improving the quality of data submitted by providers. Without feedback, providers may be unaware of errors or omissions in data they supply to the registry or the impact of their data's timeliness. As stated in the PROW standards, "By enabling access to complete immunization records, immunization registries support providers in delivering age-appropriate and timely immunizations, and in reducing both under- and over-immunization."
LEARNING OBJECTIVES:
To understand how AFIX can be used to improve data quality.
To identify the components of data quality at the provider level.
Back to Improving Registry Data Quality Through Provider Chart Audits
Back to The 2003 Immunization Registry Conference (October 27-29, 2003)