Literature DB >> 22473110

Using Medicaid claims to identify children with asthma.

Kevin J Dombkowski1, Kara Lamarand, Shiming Dong, Wei Perng, Sarah J Clark.   

Abstract

OBJECTIVE: To assess the accuracy of using administrative data from state-managed programs to identify children with asthma in a statewide immunization information system. We wished to understand the degree to which alternative asthma case definitions applied to administrative data influence the accuracy of cases identified in an immunization information system. DESIGN &
SETTING: Children aged 2 to 18 years were sequentially classified into 3-case definition groups on the basis of Michigan Department of Community Health administrative data (2005-2006): (1) children with a Children's Special Health Care Services (CSHCS) Program qualifying diagnosis of asthma (CSHCS cases); (2) those having 1 or more asthma medication claims (Rx cases); or (3) those without asthma medications having 1 or more health services claim reporting an asthma diagnosis code (Dx cases). PARTICIPANTS: Children were randomly selected from each asthma case definition group; parents were invited to participate in a telephone interview to document physician diagnosis of asthma, symptoms, activity limitations, medications, and asthma health services use. MAIN OUTCOME MEASURES: The positive predictive value of parent report of a physician diagnosis of asthma; asthma severity, based on National Asthma Education and Prevention Program criteria.
RESULTS: : Of 440 completed interviews, 89% of parents confirmed the child's high-risk status, reporting physician diagnosis of asthma (83%), wheezy-cough (5%), or reactive airway disease (1%). The positive predictive value varied for CSHCS cases (100%), Rx cases (91%) and Dx cases (73%, P < .0001). Although reported asthma severity levels were similar among CSHCS and Rx cases (P = .9100), asthma severity was lower among Dx cases (P = .0218).
CONCLUSIONS: Medicaid administrative data can be used to accurately identify children with asthma and represents a feasible approach for Medicaid programs and health plans to identify priority groups for targeted influenza vaccination reminders.

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Year:  2012        PMID: 22473110     DOI: 10.1097/PHH.0b013e31821a3fa7

Source DB:  PubMed          Journal:  J Public Health Manag Pract        ISSN: 1078-4659


  9 in total

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2.  Statewide pandemic influenza vaccination reminders for children with chronic conditions.

Authors:  Kevin J Dombkowski; Anne E Cowan; Rachel C Potter; Shiming Dong; Maureen Kolasa; Sarah J Clark
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4.  Adoption of a Portal for the Primary Care Management of Pediatric Asthma: A Mixed-Methods Implementation Study.

Authors:  Alexander G Fiks; Nathalie DuRivage; Stephanie L Mayne; Stacia Finch; Michelle E Ross; Kelli Giacomini; Andrew Suh; Banita McCarn; Elias Brandt; Dean Karavite; Elizabeth W Staton; Laura P Shone; Valerie McGoldrick; Kathleen Noonan; Dorothy Miller; Christoph U Lehmann; Wilson D Pace; Robert W Grundmeier
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5.  Identifying perianal fistula complications in pediatric patients with Crohn's disease using administrative claims.

Authors:  Jeremy Adler; Hannah K Jary; Sally J Eder; Shiming Dong; Emily Brandt; Jessica K Haraga; Kevin J Dombkowski
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6.  Sex differences in the association between asthma incidence and modifiable risk factors in Korean middle-aged and older adults: NHIS-HEALS 10-year cohort.

Authors:  Susan Park; Sun-Young Jung; Jin-Won Kwon
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7.  A cross-sectional study of the identification of prevalent asthma and chronic obstructive pulmonary disease among initiators of long-acting β-agonists in health insurance claims data.

Authors:  David D Dore; Najat Ziyadeh; Bin Cai; C Robin Clifford; Heather Norman; John D Seeger
Journal:  BMC Pulm Med       Date:  2014-03-19       Impact factor: 3.317

8.  A data mining approach for grouping and analyzing trajectories of care using claim data: the example of breast cancer.

Authors:  Nicolas Jay; Gilles Nuemi; Maryse Gadreau; Catherine Quantin
Journal:  BMC Med Inform Decis Mak       Date:  2013-11-30       Impact factor: 2.796

9.  Optimizing community-level surveillance data for pediatric asthma management.

Authors:  Wande O Benka-Coker; Sara L Gale; Sylvia J Brandt; John R Balmes; Sheryl Magzamen
Journal:  Prev Med Rep       Date:  2018-02-08
  9 in total

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