Health Services Research & Development

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2007 HSR&D National Meeting Abstract

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National Meeting 2007

2011 — Assessing Cost at Each Stage of Care

Smith MW (HERC) , Wagner TH (HERC), Yu W (HERC), King SS (HERC)

Workshop Objectives:
VA is an integrated system that provides a wide array of services. Veterans often move through several care settings in an episode of care. Determining the total cost of care requires familiarity with a variety of VA and non-VA databases. Workshop attendees will learn how to assign costs to care in all settings. They will learn about strengths and weaknesses of alternative data sources for inpatient and outpatient care.

Activities:
This workshop will feature four presentations that describe databases and methods appropriate for assigning cost in different care settings. The first will discuss the use of Decision Support System (DSS) data. The second will describe the Health Economics Resource Center (HERC) average cost data and compare it to DSS data. The third will review cost data sources for prosthetics and for contract care, and it will describe Medicare data available to VA researchers. The final presentation will illustrate the use of these datasets in VA studies and through a hypothetical study of rehabilitation care. Time will be reserved for questions from audience members.

Target Audience:
Health services researchers, including investigators, project managers, and programmers.

Assumed Audience Familiarity with Topic:
We will assume basic familiarity with VA institutions (VISNs, VAMCs, Austin Automation Center). We will assume no familiarity with the datasets we will describe. Programming ability is not assumed or required.