DQResult

Clinical Event & Specialty Agreement Results Part II: SSDQA Comparison


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PEDSnet

Abstract

The results of a Clinical Events & Specialty Agreement check using the Multi-Site, Exploratory, Cross-Sectional parameters. This check investigates specialty utilization, both at the provider & care site levels, for patients with a sickle-cell diagnosis. This check was run to evaluate the impact of a targeted remapping of specialties to recover additional information from the source value fields.

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Description

  • After remapping the hematology specialties that could be re-identified via the source value fields, both Seattle (in the provider domain) and National (in the care site domain) displayed increases in the amount of visits associated with a hematologist.
  • National, as a result of this remapping, was able to recover all of the patients originally lost in the attrition.
  • Other than this, the findings from the previous round of specialty analysis stand.

Response to Findings

This analysis confirms that remapping these specialties improves patient retention and reflects a more expected pattern of specialty utilization. We formally applied this remapping, by creating an artificial concept identifier to represent hematology specialists that were re-identified, to our CDM and will continue to use this mapping throughout the rest of the analysis.

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Related Data Quality Results

Cohort Attrition Study Results Part IV: SSDQA Comparison
Created:2026-01-30
The results of a Cohort Attrition check using the Multi-Site, Exploratory, Cross-Sectional parameters. This check evaluates patient retention at each step of the attrition, after an additional attrition step was added requiring 2 or more Sickle Cell Anemia (SCA) diagnoses for each patient.

Data Source

PEDSnet Production Database (2025-04)
Created:2025-04
PEDSnet production database containing de-identified aggregate electronic healthcare information for ten contributing pediatric healthcare institutions. This database corresponds to Version 5.7 of the PEDSnet data model.

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Institutions

Children's Hospital Colorado
Children’s Hospital Colorado (Children’s Colorado) has defined and delivered pediatric health care excellence for more than 100 years. Founded in 1908, Children’s Colorado is a leading pediatric network entirely devoted to the health and well-being of children. Continually acknowledged as one of the nation’s outstanding pediatric hospitals by U.S. News & World Report and ranked 5th on its Best Children’s Hospitals 2015-16 Honor Roll, Children’s Colorado is known for both its nationally and internationally recognized medical, research, education and advocacy programs, as well as comprehensive everyday care for kids throughout Colorado and surrounding states. Children’s Colorado is the winner of the 2015 American Hospital Association-McKesson Quest for Quality Prize, and is a 2015 Most Wired hospital according to Hospitals & Health Networks magazine. Children’s Colorado also is recognized for excellence in nursing from the American Nurses Credentialing Centers and has been designated a Magnet® hospital since 2005. The hospital’s family-centered, collaborative approach combines the nation’s top pediatric doctors, nurses and researchers to pioneer new approaches to pediatric medicine. With urgent, emergency and specialty care locations throughout Metro Denver and Southern Colorado, including its campus on the Anschutz Medical Campus, Children’s Colorado provides a full spectrum of pediatric specialties.
Children's Hospital of Philadelphia
Founded in 1855, CHOP is the nation’s oldest hospital dedicated solely to the care of children. The Main Hospital has 500 beds, 40 percent of which are allocated to intensive care with over 24,000 inpatient admissions per year. CHOP is the community hospital and primary care center for children in West and South Philadelphia, and a major tertiary referral center for the greater Delaware Valley area with an estimated population of 10 million. CHOP serves a diverse population of children that includes large numbers of racial and ethnic minorities, healthy newborns, infants, children and adolescents. CHOP provides primary care through its extensive network of 31 Primary Care Centers, which care for ~250,000 patients per year, located in Philadelphia, southern New Jersey, and northern Delaware. The CHOP primary care network is organized as a practice-based research network called PeRC, which receives institutional infrastructure support for recruitment into projects. Ten large Specialty Care Centers provide a comprehensive range of outpatient subspecialty services in locations throughout the metropolitan area. Overall, there are nearly 2 million patient visits made to CHOP by 400,000 unique patients. The CHOP Emergency Room manages >90,000 patient visits per year.
Children's Minnesota
What does it mean to be the only health system in the state that cares exclusively for children? It means we're devoted to kids, and to the belief that every single one of them deserves a healthy, happy childhood. That's what drives us to be the experts, to have the most specialists in the most disciplines. It powers our special brand of care: compassionate, family-focused and made just for kids. It also moves us to do the right thing, to advocate for the wellbeing of all young people, in our hospitals, our community and beyond. Children's Minnesota is: - One of the largest freestanding pediatric health systems in the United States with two hospitals, nine primary care clinics, seven rehabilitation and nine specialty care sites. - The only health system and Level I Trauma Center in Minnesota to provide care exclusively to children from before birth through young adulthood. - The first and only hospital system in Minnesota and the 13th center in the nation to be verified as a Level I Children's Minnesota Surgery Center by the American College of Surgeons. - An award-winning health system, regularly ranked by U.S. News & World Report as a top children's hospital. - An independent and not-for-profit system (since 1924).
Children's Hospital of Philadelphia
Founded in 1855, CHOP is the nation’s oldest hospital dedicated solely to the care of children. The Main Hospital has 500 beds, 40 percent of which are allocated to intensive care with over 24,000 inpatient admissions per year. CHOP is the community hospital and primary care center for children in West and South Philadelphia, and a major tertiary referral center for the greater Delaware Valley area with an estimated population of 10 million. CHOP serves a diverse population of children that includes large numbers of racial and ethnic minorities, healthy newborns, infants, children and adolescents. CHOP provides primary care through its extensive network of 31 Primary Care Centers, which care for ~250,000 patients per year, located in Philadelphia, southern New Jersey, and northern Delaware. The CHOP primary care network is organized as a practice-based research network called PeRC, which receives institutional infrastructure support for recruitment into projects. Ten large Specialty Care Centers provide a comprehensive range of outpatient subspecialty services in locations throughout the metropolitan area. Overall, there are nearly 2 million patient visits made to CHOP by 400,000 unique patients. The CHOP Emergency Room manages >90,000 patient visits per year.
Children's National Hospital
Serving the nation’s children for more than 150 years, Children’s National Hospital has been an innovator in pediatric health care around the nation and around the world. Children’s National was one of the nation’s first children’s hospitals, opening in 1870 and growing from a modest 12-bed facility to a 323-bed facility that performs more than 17,000 surgeries and conducts more than 669,000 outpatient visits in more than 60 specialties each year. Formerly referred to as D.C. Children’s Hospital, Children’s National is the only exclusive provider of pediatric care in the Washington, D.C., metropolitan area. Today, the health system includes primary care health centers, regional outpatient centers, and affiliated pediatric primary and specialty care practices throughout the metropolitan area, in addition to providing tertiary care in our main hospital.

Related Data Quality Check

Clinical Events and Specialty Agreement: Multi-Site, Exploratory, Cross-Sectional Analysis
Created:2024-06-05Check Category:Concordance
This check computes types of clinical events that occur across clinician or facility specialties. It summarizes the quality of clinical specialty data in a study sample to examine multiple sites. The intention of the check is to evaluate the concordance of specific events (e.g., diagnosis of type I diabetes) and specialist providers or care sites (e.g., endocrinologist or endocrinology clinic) at the visit level.

Related Study

Semantic Data Quality Standards for Multi-Center Clinical Research Studies and Networks
Study Dates:2022-01 - PresentSponsor Site:PEDSnet Data Coordinating Center
Study aimed to define specific guidelines for data quality testing to allow users to assess fitness of data for a given use; to design analytic components to address data quality issues using a stakeholder-responsiveness process; to develop freely-available assessment and reporting tools for these guidelines.

Related Publications

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Except where otherwised noted, this item's license is described as a CC-BY Attribution 4.0 license.

Cite this Data Quality Result

Wieand, K. (2025, August). Clinical Event & Specialty Agreement Results Part II: SSDQA Comparison. [D Q Result]. PEDSpace Knowledge Bank. https://doi.org/10.24373/pdsp-590