Skip to main content

Data Validation: Hospital Concerns Raised

Statewide Data Validation Project Raises Concerns Among Hospitals

A new data remediation project was discussed at a May 17 DOH forum for all providers that submit data to the Statewide Planning and Research Cooperative System. SPARCS plans to go back through data submitted for inpatient and emergency department cases since 2016 and validate that the injury, cause and place settings are complete and accurate, as required by the guidelines released at the end of April.

DOH said that in the next two weeks, it will generate a list of claims that need reconciliation. Each hospital will need to go through records from 2016 to the present and update them to meet the new SPARCS requirements. The requirements are contingent for each year, meaning 2016 has its own set of data, 2017 has its own set, etc.

Hospitals eagerly await details, as a remediation project like this could pose many challenges. Some hospitals have changed billing systems and, as a result, may not have access to records that far back. In addition, the medical record notes may not have complete information to identify the place where an injury occurred. With tremendous workforce challenges, hospitals may struggle to staff a project like this while maintaining the regular SPARCS submission requirements.

DataGen is aware of these challenges and awaits the DOH list. Our UDS team has done SPARCS remediation for 30 years, and we are positioned to help. DOH's estimated volume of records requiring remediation is 50,000, with a facility volume range of approximately 200 to 2,000 records. The majority of records are from 2018, 2019 and the first two months of 2020. As we learn more, we will continue to share updates.

Looking to save time on your SPARCS submissions? DataGen’s web-based software automates formatting, syncing, error sweeping and submission to SPARCS. Reach out to DataGen today to learn more.

Comments

Popular posts from this blog

3️⃣ SOPS® Beyond Scores: How to Make an Impact

Addressing Survey Fatigue to Improve Patient Safety Culture  Healthcare facilities rely on the Surveys on Patient Safety Culture™ (SOPS®) to assess their safety climate. However, survey fatigue can hinder participation and impact response rates. To ensure meaningful feedback, healthcare organizations must take strategic steps to encourage engagement while maintaining staff confidence. Watch the third video from our six-part patient safety culture series Access the full video on our YouTube:  3️⃣ SOPS® Beyond Scores: How to Make an Impact 1. Flexible participation: A solution to increase SOPS® response rates  One way to combat survey fatigue is by varying staff participation. Instead of requiring all employees to complete every survey, healthcare facilities can rotate participation. For example, if a unit has eight nurses, four can take one survey while the others complete a different one. This method ensures valuable feedback without overwhelming staff.  Additionall...

NCQA PCMH 2025 annual reporting: Standards and guidelines

For practices recognized under the National Committee for Quality Assurance’s (NCQA) Patient-Centered Medical Home (PCMH) model, understanding and meeting the NCQA PCMH 2025 annual reporting requirements is critical to sustaining recognition.  NCQA continues to refine its NCQA PCMH standards and guidelines , emphasizing team structure, care continuity and data integrity. Here’s what your practice needs to do to stay compliant and ensure a smooth reporting process. This blog is a continuation of our piece back in July 2024, which listed three updates to NCQA PCMH's 2025 annual reporting requirements . What is NCQA PCMH?  The NCQA Patient-Centered Medical Home (PCMH) is a model of care that emphasizes care coordination, patient engagement and continuous quality improvement. The PCMH framework is designed to improve healthcare outcomes by fostering strong patient-provider relationships and enhancing team-based care.  Since its inception, the NCQA PCMH program has evolved to...