From: VA Vascular Injury Study (VAVIS): VA-DoD extremity injury outcomes collaboration
Indicators of persistent morbidity | Data used to identify | Data source |
---|---|---|
Use of unscheduled or emergency care for vascular issues | DSS Clinic Identifier and ICD-9 Codes | Outpatient (OPC) files; VA-CMS |
Use of scheduled care for polytrauma vascular issues | DSS Clinic Identifier and ICD-9 Codes | OPC files; VA-CMS |
Long-term use/escalating dose of opioid medications | VA Product, Dose, Day Supply | Pharmacy Benefits Management (PBM) Data; Medicare Part D VA-CMS |
NDC Code | ||
Trajectory of chronic pain (latent class analysis of pain scores from TRACC) | Pain Score | CDW vitals |
Conditions indicative of persistent morbidity (e.g., Venous stasis disease/venous ulcers, lymphedema) | ICD-9 Codes including but not limited to 729.81, 782.3, 729.5, 415.19, 451.11, 451.19 451.83, 451.82, V72.83 | PTF, OPC files, VA-CMS |
Prescriptions for compression stockings and wound care supplies (e.g., wound vac) indicative of swelling, venous stasis disease | VA Class | PBM Data, VA-CMS Durable Medical Equipment |
XA | ||
Use of prosthetic/orthotic devices (canes, walkers, special shoes, etc). | Health Care Financing Administration Coding System (HCPCS) Prosthetic and Sensory Aids Service (PSAS) Code; | National Prosthetics database |
CMS Durable Medical Equipment | ||
Additional procedures (open or endovascular) on the injured extremity | CPT-4; ICD-9A procedure codes | OPC/PTF VA-CMS |
Chronic antibody use (osteo or other potential infectious issues with the limb) | VA Product | PBM Data; Medicare Part D VA-CMS |
Duplex ultrasound, MRA/CTA or angiogram to evaluate the repair | CPT-4 procedure codes including but not limited to 93970, 93971, 93975, 93976, 93978, 93979, 93922, 93923, 93925, 93926, 93930, 93931, 93924 | OPC/PTF; VA-CMS |
Mean pain scores over 4 | Pain Score Mean per year | Corporate data warehouse Vital Signs |
Proportion of VA care | Visits VA/ Total Visits | OPC/PTF; VA CMS outpatient/inpatient |
Mortality | Date of Death | VA Vital Status file |