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    This document describes databases related to US healthcare systems. It discusses 6 databases: the Compendium of US Health Systems database containing information on 626 health systems; the Physician Compare National Database with information on individual professionals; the Certified Healthcare Safety Professional credential; the Provider Enrollment and Chain/Ownership System electronic portal for Medicare enrollment; the Medicare Data on Provider Practice and Specialty assigning Medicare providers to practices; and the National Provider Identifier unique identifier for covered providers under HIPAA. Tables and relationships between health systems, physician groups, and physician information are presented, along with example query questions, reports, and forms.

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    This document describes databases related to US healthcare systems. It discusses 6 databases: the Compendium of US Health Systems database containing information on 626 health systems; the Physician Compare National Database with information on individual professionals; the Certified Healthcare Safety Professional credential; the Provider Enrollment and Chain/Ownership System electronic portal for Medicare enrollment; the Medicare Data on Provider Practice and Specialty assigning Medicare providers to practices; and the National Provider Identifier unique identifier for covered providers under HIPAA. Tables and relationships between health systems, physician groups, and physician information are presented, along with example query questions, reports, and forms.

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    Download as PPTX, PDF, TXT or read online from Scribd
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    85 views14 pages

    543 Presentation

    Uploaded by

    api-543686548
    This document describes databases related to US healthcare systems. It discusses 6 databases: the Compendium of US Health Systems database containing information on 626 health systems; the Physician Compare National Database with information on individual professionals; the Certified Healthcare Safety Professional credential; the Provider Enrollment and Chain/Ownership System electronic portal for Medicare enrollment; the Medicare Data on Provider Practice and Specialty assigning Medicare providers to practices; and the National Provider Identifier unique identifier for covered providers under HIPAA. Tables and relationships between health systems, physician groups, and physician information are presented, along with example query questions, reports, and forms.

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    Download as PPTX, PDF, TXT or read online from Scribd
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    of 14

    2016 COMPENDIUM OF US HEALTHCARE SYSTEMS

    HCIN 543
    CHRISTOPHER MANAOIS
    Compendium of US Health Systems
     Composed of 626 Health Systems
     At least one hospital and at least one group of physicians who provide
    comprehensive care WHAT
     Connected to each other and with the hospital through common
    ownership or joint management DATABASES
    ARE USED?

    Physician Compare National Database


     Published by the Centers for Medicare & Medicaid Services (CMS)
     Contains information on individual eligible professionals
    Certified Healthcare Safety Professional (CHSP)
     Premiere safety credential for healthcare safety

    HEALTH SYSTEM TABLETABLES & DATA DICTIONARIES


    Provider Enrollment and Chain/Ownership System (PECOS)
     Electronic portal where providers enroll in Medicare

    Medicare Data on Provider Practice and Specialty (MD-


    PPAS)
     Assigns Medicare providers to practices based on tax information

    Tax Identification Name (TIN)


     Legal name of where services are billed

    PHYSICIAN GROUP TABLE


    TABLES & DATA DICTIONARIES
    National Provider Identifier (NPI)
     Unique identifier for HIPAA Administrative Simplification
    Standard covered providers

    PHYSICIAN TABLE
    TABLES & DATA DICTIONARIES
    ER DIAGRAM,
    RELATIONSHIPS
    Primary Keys
    Health System- health_sys_id
    Physician Group- PAC ID
    Physician Info- NPI
    Relationships
    One-to-Many
    QUERY
    QUESTIONS
    QUERY
    QUESTIONS
    (CONT’D)
    QUERY QUESTIONS
    (CONT’D)
    Report 1:

    REPORTS
    Report 2:

    REPORTS
    (CONT’D)
    Report 3:

    REPORTS
    (CONT’D)
    FORMS, WHO CAN UTILIZE THEM?

    Form 1

    Audience for this


    database:
     Insurance Companies
    Form 2
     Fellow Physicians
     Healthcare Facilities
    providing Medicare Services
     Patients

    Form 3
    REFERENCES

    Agency for Healthcare Research and Quality (n.d.). Compendium of U.S. Health
    Systems. Retrieved from https://www.ahrq.gov/chsp/data-
    resources/compendium.html

    Data.Medicare.gov (n.d.). Physician Compare National Downloadable File.


    Retrieved from https://data.medicare.gov/Physician-Compare/Physician-Compare-
    National-Downloadable-File/mj5m-pzi6/data

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