PMSI-HAD - Medicalization program of the information system concerning hospitalization at home

Head :
Agence Technique de l'Information sur l'Hospitalisation (ATIH)

Last update : 10/15/2013 | Version : 1 | ID : 261

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Métadonnées
Identification
General Aspects
Scientific investigator(s) (Contact)
Collaborations
Funding
Governance of the database
Additional contact
Type of database
Database objective
Population type
Dates
Size of the database
Data
Procedures
Promotion
Access
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General
Identification
Detailed name Medicalization program of the information system concerning hospitalization at home
Sign or acronym PMSI-HAD
CNIL registration number, number and date of CPP agreement, AFSSAPS (French Health Products Safety Agency) authorisation Autorisation par la CNIL
General Aspects
Medical area Anatomy - Cytology
Biology
Cancer research
Cardiology
Emergency medicine
Endocrinology and metabolism
General practice
Geriatrics
Hematology
Immunology
Infectious diseases
Internal medicine
Neurology
Odontology
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
Iatrogenic
Intoxication
Nutrition
Occupation
Pollution
Social and psychosocial factors
Others (details) Hospitalization, chronic diseases
Keywords Hospitalization at home (HAD, Hospitalisation à Domicile in French), hospital care at home, caring mode, Karnofsky index (IK), everyday life activity (AVQ), RPSS, RAPSS, dependency
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
Email demandes@atih.sante.fr
Organization Agence Technique de l'Information sur l'Hospitalisation
Collaborations
Funding
Funding status Public
Details État français, 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. Systematic collection of hospital activity
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. In 2004, a systematic collection of medical information has been set up for all the health establishments, publics or privates, having an authorization for hospitalization at home activities, since the 1st of January 2005. The specific of this collection, in comparison with the ones realized in other domains of hospitalization, concern the nature of the information collected: caring methods, main and associated, Karnofsky index. These variables define the classification into homogenous caring groups (GHPC). On the other hand, a certain degree of flexibility is accorded to the establishment, concerning the PMSI for HAD data production rhythm. Indeed, the collection is not necessarily made by stay or calendar week, but by medical treatment sequence: during an hospitalization at home, each sequence of medical treatment is defined as long as a combination of three classifying variables continues; the establishments have the freedom to create one or more summaries by RPSS, to cover the duration of each sequence.
Inclusion criteria All the patients hospitalized at home during the year.
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 General population
Gender Male
Woman
Geography area National
Detail of the geography area Metropolitan France and French overseas departments
Data collection
Dates
Date of first collection (YYYY or MM/YYYY) 2006
Size of the database
Size of the database (number of individuals) Greater than 20 000 individuals
Details of the number of individuals 150000 stays for 95 000 patients in 2010
Data
Database activity Current data collection
Type of data collected Clinical data
Paraclinical data
Biological data
Administrative data
Clinical data (detail) Direct physical measures
Medical registration
Paraclinical data (detail) Elements in the dossiers for non-physicians intervening, radiology
Biological data (detail) Results of biological examinations
Administrative data (detail) Sex, age geographic code, mode of entry, origin, mode of exit, destination, length of stay
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 Individual standardized medical-administration collection
Classifications used CIM-10 (CCAM)
Participant monitoring No
Links to administrative sources Yes
Linked administrative sources (detail) SNIIRAM
Promotion and access
Promotion
Access
Terms of data access (charter for data provision, format of data, availability delay) 1) Access to anonymous individual data:
- no access for private individuals
- for authorized requesting structures, obtaining individual data is subject to a declaration with the CNIL and obtaining approval from the latter;
All of these methods for obtaining the anonymous databases from the ATIH are described on its internet website
http://www.atih.sante.fr/index.php?id=0001900001FF

2) Access to aggregate data:
Cumulative data can also be accessed (par establishment, region, category, diagnostic, act, etc.) from the ATIH website for the years 2005 to the latest year in the process of collection.
http://www.atih.sante.fr/index.php?id=0005100012FF
Access to aggregated data Free access
Access to individual data Access on specific project only

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