ITMO public health
Last update : 10/23/2013 | Version : 1 | ID : 268
| General | |
| Identification | |
| Detailed name | Information System Medicalization Program for follow-up and rehabilitation care |
| Sign or acronym | PMSI-SSR |
| General Aspects | |
| Medical area |
Cancer research Cardiology Endocrinology and metabolism Geriatrics Hematology Immunology Infectious diseases Neurology Ophthalmology Otolaryngology or ENT Physical medicine and rehabilitation Pneumology Psychology and psychiatry Rare diseases Rheumatology Study of allergies Traumatology Urology, andrology and nephrology |
| Health determinants |
Addictions Climate Genetic Geography Iatrogenic Intoxication Nutrition Occupation Pollution Social and psychosocial factors |
| Others (details) | Data on each pathology |
| Keywords | Follow-up and rehabilitation care (FRC), hospital stays, re-training, reintegration |
| Scientific investigator(s) (Contact) | |
| Name of the director | Agence Technique de l'Information sur l'Hospitalisation (ATIH) |
| Address | 117 boulevard Marius Vivier Merle 69329 LYON CEDEX 03 |
| demandes@atih.sante.fr | |
| Organization | Agence Technique de l'Information sur l'Hospitalisation |
| Collaborations | |
| Funding | |
| Funding status |
Public |
| Details | Etat et assurance maladie |
| Governance of the database | |
| Sponsor(s) or organisation(s) responsible | Agence Technique de l'Information sur l'Hospitalisation (ATIH) |
| Organisation status |
Public |
| Additional contact | |
| Main features | |
| Type of database | |
| Type of database |
Health relevant administrative databases |
| Database recruitment is carried out by an intermediary |
A selection of health institutions and services |
| Database recruitment is carried out as part of an interventional study |
No |
| Additional information regarding sample selection. | Exhaustive annual collection |
| Database objective | |
| Main objective |
PMSI is a tool for medico-economic analysis of hospital activity. Its main purpose is to describe hospital activity to enable a better division of budgetary envelopes, according to the medical and economic complexity of the pathologies treated in each establishment. By its medical-administrative content, it allows to study hospital morbidity and its caring (diagnosis and actions), and the analysis of regional and interregional fluxes of hospitalizations. It's finally used as an internal management tool for some health establishments. A collection of synthetic medical information respecting a normalized format has been created for hospitalizations into structures having an authorized activity in follow-up and rehabilitation care. The object of this collection and its treatment is to allow a quantified description, in medical terms, of the activity of the establishment and, on the other hand, through an algorithm based on the information contained in the collection, to group the hospital stays in defined sets, which could found a part of the financing of the establishments. The collection concerns every kind of hospital stay, complete or partial, in public or private establishments. The collect rules are regularly established. For public or private establishments participating to hospital public service, the collect began the 1st July 1998, and for other private establishments from 1st July 2003. The specificities of the PMSI-SSR (FRC) collect are the following: - recaps are constituted per calendar week, from Monday to Sunday. A FRC hospital stay is covered by one pr more standardizes weekly recaps (SWR, RHS in French). - Three professional categories participate to the collect: doctors (diagnosis and medical actions), nurses (dependence score/Everyday activities grid), reeducators (rehabilitation and readaptation acts) |
| Inclusion criteria | Every SSR stay in hospitals or clinics |
| Population type | |
| Age |
Newborns (birth to 28 days) Infant (28 days to 2 years) Early childhood (2 to 5 years) Childhood (6 to 13 years) Adolescence (13 to 18 years) Adulthood (19 to 24 years) Adulthood (25 to 44 years) Adulthood (45 to 64 years) Elderly (65 to 79 years) Great age (80 years and more) |
| Population covered |
Sick population |
| Gender |
Male Woman |
| Geography area |
National |
| Detail of the geography area | Metropolitan France and French oversea departments |
| Data collection | |
| Dates | |
| Date of first collection (YYYY or MM/YYYY) | 1998 |
| Size of the database | |
| Size of the database (number of individuals) |
Greater than 20 000 individuals |
| Details of the number of individuals | In 2011, the base included more than 1 300 000 stays, corresponding to more than 35 millions of days. |
| Data | |
| Database activity |
Current data collection |
| Type of data collected |
Clinical data Paraclinical data Administrative data |
| Clinical data (detail) |
Direct physical measures |
| Paraclinical data (detail) | Dependence score, rehabilitation and readaptation acts |
| Administrative data (detail) | Age, sex, geographic code of residence, date of entry and exit |
| Presence of a biobank |
No |
| Health parameters studied |
Health event/morbidity Health event/mortality Health care consumption and services |
| Care consumption (detail) |
Hospitalization Medicines consumption |
| Procedures | |
| Data collection method | Standardized weekly collect (RHS in French) for each patient hospitalized in SSR |
| Classifications used | - International classification of diseases (10th revision) = CIM-10. - Medical acts catalogue (CdAM), still marginally used in 2005. - Common classification of medical acts (CCAM). - Dependence grid of everyday acts. - Rehabilitation and readaptation activities catalogue (CdARR), until 30/06/2013. - Rehabilitation and readaptation specific activities catalogue (CSARR), mandatory since 01/07/2013. - Homogenous day group (GHJ in French), grouped in Major Clinical Categories (CMC in French) until 2008. - Dominant Morbidity Groups (GMD in French) grouped in Major Clinical Categories (CMC in French) until 2009. |
| Participant monitoring |
No |
| Links to administrative sources |
Yes |
| Linked administrative sources (detail) | SNIIR-AM |
| Promotion and access | |
| Promotion | |
| Link to the document | http://www.atih.sante.fr/index.php?id |
| Link to the document | http://www.atih.sante.fr/?id |
| Link to the document | http://www.ncbi.nlm.nih.gov/pubmed?term |
| Access | |
| Terms of data access (charter for data provision, format of data, availability delay) |
1) Access to anonymous individual data: - Not available for private individuals - For authorized applicant structures, individual data access depends on a CNIL declaration and accord - The full terms to obtain anonymous data from ATIH are described on the website http://www.atih.sante.fr/index.php?id=0001900001FF 2) Aggregate data access: the website of Agence Technique de l'Information sur l'Hospitalisation (ATIH) makes available aggregate data, and allows to consult the weekly recaps of the base anonymous output, with several selection criteria. http://www.atih.sante.fr/?id=000B30000000 |
| Access to aggregated data |
Free access |
| Access to individual data |
Access on specific project only |
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