Data Element Summary

Data Element Summary.pdf

Patient Navigator Demonstration Program Evaluation

Data Element Summary

OMB: 0915-0328

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PNDP Common Data Elements
Data Element Summary

Some data elements require multiple variables to fully describe them. For example, there are multiple co-morbid condition variables
associated with the single data element “co-morbid conditions”.
TABLE 1. Patient Data Elements
Subject ID
1.
Data Source
2.
Other Source
3.
Gender
4.
Birth Year
5.
Ethnicity
6.
Race
7.
Primary Language
8.
Education
9.
10. Household Size
11. Household Income
12. Zip Code
13. Insurance Status
14. Chronic Disease That is Focus of Navigation
15. Enrollment Date
16. Identified Through Outreach?
17. Disease Stage
18. Co-morbid Conditions
19. Severity of Condition
20. Diagnosis Date

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PNDP Common Data Elements
Data Element Summary

TABLE 2: Patient Tracking Log
1. Subject ID
2. Patient Navigator ID
3. Date of Activity
4. Time Activity Started
5. Type of Communication
6. Persons Involved with Communication
7. Reason for Communication
8. Patient Navigator Activities
9. Barriers Addressed by Activity
10. Referrals Facilitated By Activity
11. Status of Patient in Navigation Program
12. Reason Navigation is Complete
13. Visits Made By Patient Since Last Contact

TABLE 3: Patient Navigator Socio-Demographic Characteristics
1.
Patient Navigator ID
2.
Gender
3.
Birth Year
4.
Ethnicity
5.
Race
6.
Language
7.
Additional Language(s) Spoken
8.
Education
9.
Additional Credentials/Training
10. Zip Code of Residence

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PNDP Common Data Elements
Data Element Summary

TABLE 4: Health Care Visit Data
1. Subject ID
2. Visit ID
3. Visit Date
4. Visit Type

TABLE 6: Appointment Data
1. Subject ID
2. Appointment Date
3. Appointment Type

TABLE 7: Alternative Appointment Data
1. Subject ID
2. Number of Broken Appointments
3. Date Broken Appointments Counted

TABLE 8: Health Care Coverage
1. Subject ID
2. Insurance Coverage at End of
Program
3. Date

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PNDP Common Data Elements
Data Element Summary

TABLE 9: Baseline Measures Relevant to Navigated Population
1. Site ID
2. Target Population
3. Screening Rate
4. Date Screening Rate Calculated
5. Health Care Visit Rate
6. Date Health Care Visit Calculated
7. No Show Rate
8. Date No Show Rate Calculated
9. Emergency Room Rate
10. Date Emergency Room Rate Calculated

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File Typeapplication/pdf
File TitleMicrosoft Word - DataElementSummary2-25-09.doc
Authoracash
File Modified2009-03-18
File Created2009-03-18

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