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Clinical Data Abstractors (CDAs)

BCBSM supports Clinical Data Abstractors (CDAs) at OBI Hospitals to support data collection efforts. OBI Hospital Clinical Data Abstractors will report on NTSV cases.

OBI Registry

The OBI Registry is delayed which affects the the formal CDA training and data entry into the Registry.

HOW DOES THIS AFFECT CDA TRAINING? 

CDA Training will be online and self-paced with interactive modules and case scenarios.  The training will have two main focuses:

  1. Clinical Data Abstraction: Training materials focused on Clinical Data Abstraction will be available by the end of September.

  2. Web-Based OBI Registry: Training materials focused on entry of the abstracted data into the registry will follow when once the registry is live.

  • Post-training follow-ups will be scheduled with each Healthcare system to give CDAs an opportunity to further discuss their specific questions.

  • We will have an in-person session at our Semi-Annual meeting so we can do a deeper dive in areas of abstraction that are most difficult.

HOW DOES THIS AFFECT DATA REPORTING on the P4P Scorecard?

Measure 4 (Data Validation)

  • OBI has decided to focus all efforts on clinical data abstraction. The Measure 4 Validation Activity has been postponed until 2020. We had allocated 15 points in the P4P scorecard to the validation activity. Rather than reallocate these points, we will simply calculate a hospital’s points out of a total of 85 rather than 100 points.

  • Please see the updated 2019 Scorecard.

Measure 5 (Data Reporting)

  • When the web-based OBI registry is live and you have completed the CDA training, you will be given access to enter data directly into the registry.

  • The OBI Coordinating Center will adjust the data reporting requirement timelines and the P4P scorecard to reflect the registry delay.

what CDAs should be doing now:

  1. Each site received an email with 2019 case volume requirements. For 2019, each site will submit a sample of the first 30% of consecutive NTSV cases to OBI (January through December 2019). BEGIN identifying these consecutive NTSV cases for each month using the OBI case selection Criteria in the Data Manual. These are the cases that you will eventually complete full abstraction on in the registry.

  2. Review the variables and definitions in the Data Manual and begin looking for the documentation in your EMR to complete chart abstraction.

  3. Email any case selection or data definition questions to: OBI-CDA-Support@med.umich.edu

  4. Bookmark the OBI website; review the Provider Education Webinar, Reducing Primary Cesarean Webinars, and Data Abstraction Page. Updates will be posted on the Data Abstraction Page and communicated via email. The Data Abstraction page is the designated page with the most up-to-date CDA information.

  5. Watch the Provider Education Webinar to better understand OBI’s 2019 strategy to optimize care and support in the first stage of labor.

  6. Watch the Reducing Primary Cesarean Webinars to build your quality improvement foundation.

send us your CDA contact information

By September 20th: Submit a list of your site’s delivery providers to OBI-CDA-Support@med.umich.edu. This list should include Hospital Name, Provider Last Name, Provider First Name, NPI (https://npiregistry.cms.hhs.gov/) in an excel spreadsheet. These provider names will be preloaded into the Registry to streamline the data entry process.

2019

2019 will serve as a baseline year, where each site will submit a sample of the first 30% of consecutive NTSV cases to OBI for January through December 2019. The OBI Coordinating Center has notified each hospital of their individual OBI required monthly case sample for 2019.

2020

Beginning in 2020, each site will submit up to 100 cases monthly, following the sampling guidance in the table below. Case identification methods, sampling processes, and accuracy of data will be audited by the OBI Coordinating Center on a regular basis to confirm understanding and adherence to these guidelines.

2020 case reporting.PNG

CLINICAL DATA ABSTRACTION TRAINING

  • CDA training will be a self-paced online training with interactive modules and case scenarios

  • The training will have two main focuses: 1. Clinical abstraction of the variables, and 2. Data entry into the registry

  1. Training materials focused on Clinical Data Abstraction will be available by the end of September.

  2. Data entry training materials will follow when once the registry is live.

  • Post-training follow-ups will be scheduled with each Healthcare system to give CDAs an opportunity to further discuss their specific questions

  • We will have an in-person session at our Semi-Annual meeting so we can do a deeper dive in areas of abstraction that are most difficult.

Clinical Data Abstractor Background Survey

OBI is interested in learning more about you as the CDA and how we can best support you in your role. Please complete our short survey by Friday, September 6th: https://umich.qualtrics.com/jfe/form/SV_820yJCXuP3yk1Rr

Important Documents

OBI 2019 Data Collection manual

Paper abstraction forms

CDA timeline

OBI Case inclusion criteria

2019 Data Element Overview

CDA position description

CDA Roles & Responsibilities document

OBI Hospital Data Collaborative Agreements

The OBI Hospital Data Collaborative Agreement formalizes the relationship between a hospital and OBI. The OBI Remote Access Agreement enables the OBI Data Managers to perform remote audits. Both Agreements are required to support clinical data abstraction and safely and securely share data.

OBI Hospital Data Collaborative Agreement OBI Remote Access Agreement

Questions?

Contact the OBI Data Managers at OBI-CDA-Support@med.umich.edu.