Use of the point of origin code from a universal billing form, UB-04, to efficiently identify hospitalized patients admitted from other health care facilities

Background Recent exposure to health care facilities is a risk factor for carriage of multidrug-resistant organisms, but identification of hospitalized patients admitted from other health care facilities is often inefficient. Methods At an acute care hospital, we utilized a standard point of origin...

Full description

Saved in:
Bibliographic Details
Published in:American journal of infection control 2012-09, Vol.40 (7), p.659-662
Main Authors: Prabaker, Kavitha K., MD, Hayden, Mary K., MD, Weinstein, Robert A., MD, Lin, Michael Y., MD, MPH
Format: Article
Language:English
Subjects:
Billings
Biological and medical sciences
Drug resistance
Epidemiologic Methods
Epidemiology. Vaccinations
Family medical history
General aspects
Health facilities
Hospitalization - statistics & numerical data
Hospitals
Human exposure
Humans
Infection Control
Infectious Disease
Infectious diseases
Long-term care facilities
Medical sciences
Multidrug-resistant organisms
Patient admissions
Patient Transfer - statistics & numerical data
Prospective Studies
Surveillance
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Recent exposure to health care facilities is a risk factor for carriage of multidrug-resistant organisms, but identification of hospitalized patients admitted from other health care facilities is often inefficient. Methods At an acute care hospital, we utilized a standard point of origin code from a universal billing form (UB-04) to categorize hospitalized patients as admitted from any health care facility (long-term care facility vs acute care facility). In a prospective study, the point of origin code and information obtained from physician-documented history were validated against patient self-report. Results Admission source for 523 patients was assessed. For identifying admission from any health care facility, the point of origin code had 86% sensitivity (95% confidence interval [CI]: 77-92) and 98% specificity (95% CI: 97-99). Physician-documented history had 75% sensitivity (95% CI: 65-84) and 98% specificity (95% CI: 96-99). For identifying patients from long-term care facilities, the sensitivities of the point of origin code and physician history were 50% (95% CI: 23-77) and 71% (95% CI: 42-92), respectively. For identifying patients admitted from acute care facilities, the sensitivities of the point of origin code and physician history were 93% (95% CI: 84-98) and 76% (95% CI: 64-85), respectively. Conclusion The point of origin code is an accurate method of identifying patients admitted from another health care facility that is comparable with physician-documented history.
ISSN:0196-6553
1527-3296
DOI:10.1016/j.ajic.2011.08.013