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Clinical Data Abstractors (CDAs)

In addition to P4P, BCBSM will provide Clinical Data Abstractors (CDAs) at the OBI Hospitals to support our data validation and collection efforts. The percentage of the FTE at each hospital is based on a BCBSM algorithm that uses a hospital’s 2016 delivery volume (from MDHHS birth certificate data) and estimated number of NTSV cases.

The OBI Hospital’s Clinical Data Abstractors will report on NTSV cases. 1200 cases (100 NTSV cases/month) a year is considered a full-time employee (FTE). BCBSM support is based on a fully loaded RN salary of $97,210. BCBSM will support up to 80%, which amounts to a $77,768 payment for one full FTE. Your hospital will receive a portion of that payment commensurate with your delivery volume. Your hospital will receive the BCBM payment at the end of June 2019. OBI expects your site to have the Clinical Data Abstractor on-site by August 2019.

CDAS should be on-site by August 2019.

OBI’s data reporting efforts will begin in third quarter 2019.

BCBSM will support CDAs at hospitals that are not P4P eligible too. To be eligible for a CDA, the hospital must submit the Participation Agreement AND participate fully in the OBI Performance Index. OBI will keep a P4P Index Scorecard for these hospitals, and if they do not achieve 90 points or greater then BCBSM reserves the right to retract the funding for the Clinical Data Abstractor.

Clinical Data Abstractor position description

The Clinical Data Abstractor (CDA) position description serves to assist with recruitment and the the Clinical Data Abstractor Roles & Responsibilities document serves as a guide for both the CDA as well as their supervisor. In addition, OBI created a CDA timeline document.

OBI Data Requirements in 2019

The hospital-based Clinical Data Abstractors (CDAs) will:

1. Data Validation

Validate our two data sources to confirm the quality and reliability of our data: a. Blue Cross Blue Shield of Michigan PPO and BCN claims data b. Michigan Department of Health and Human Services birth certificate data matched with inpatient discharge data from the Michigan Hospital Association Data validation for the two data sources is a one-time effort. Hospitals will report data regarding 30 patients for BCBSM PPO data and 30 patients for birth certificate data validation via the OBI registry. These 30 patients will be provided by the OBI Coordinating Center. These patients will be a mix of low-risk and non-low risk patients.

2. Data Reporting

The OBI 2019 Data Elements Overview document reflects the data variables that will be collected on Term Singleton Vertex patients from January 2019 onward via the OBI registry on a consecutive sample of cases each month from OBI participating hospitals per the table below. The chart abstracted data will provide unique and critical information about labor management (not available in other sources) and maternal and neonatal outcomes.

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CDA Data Priorities   

OBI will ask the CDAs to complete the BCBSM & birth certificate data validation first before starting the patient medical record data abstraction.

OBI Data

In 2019, OBI will soon have 3 data sources:

1.      BCBSM PPO and BCN claims data 2.      MDHHS Birth certificate data matched with MHA inpatient discharge data 3.      Patient level data from the electronic medical record (EMR) (real time data)

These data sources will be complimentary and provide insight into different areas. Our registry will be able to generate reports with the different data sources.

OBI Hospital Data Collaborative Agreement

This Agreement is required between OBI and participating hospitals to participate in the Obstetrics Initiative Collaborative. Hospitals submitted the attached Participation Agreement earlier this year, which served as letters of interest in joining OBI. The OBI Hospital Data Collaborative Agreement formalizes the relationship between a hospital and OBI in support of clinical data abstraction and to safely and securely share data.

The following four documents require signature by June 14, 2019: 1. OBI Hospital Data Collaborative Agreement a. Exhibit A-1: Authorization to Release Safe Reduction of Primary Cesarean Birth Safety Bundle Data to the Michigan Hospital Association b. Exhibit C: Business Associate Agreement 2. OBI Remote Access Agreement (to permit remote audits) Please note: Edits to these documents are not permitted.

Questions?

Contact OBI Data Manager, April Richmond, BSN, RN at arichmo@med.umich.edu or (734) 936-6586.