Hi Debbie,

Marshfield isn't an Epic site, but I can tell you that our approach from the 
beginning was to artificially create encounters based on patient, date, 
provider, place of service - rather than trying to pull events, which we've 
found on other projects/network collaborations to generate noise.

We've discussed this with the coordinating center as part of our Data 
Characterization review. Their direction is that for the CDM every encounter 
should be a patient-provider interaction. Our numbers were inflated by things 
like demographics records. Our ratio of procedures to encounters was further 
thrown off by our Dental records, because our CDT dental procedures don't count 
for their analysis.

>From what I've seen, encounter definition is one of the items that requires 
>guidance/recommendations at the DRN OC/coordinating center level. For that 
>reason, we haven't made any adjustments yet (but we are open to doing so).

I'm not sure if this is helpful, but it's our experience... If you have any 
questions, please let me know.

Thanks,
Laurel

From: gpc-dev-boun...@listserv.kumc.edu 
[mailto:gpc-dev-boun...@listserv.kumc.edu] On Behalf Of Debbie Yoshihara
Sent: Friday, June 10, 2016 10:59 AM
To: 'gpc-dev@listserv.kumc.edu'
Subject: CDM v3 procedures/encounter EPIC installations


Hi,



We've noticed that we have a lot of procedures but they are not tied to any 
encounters in EPIC.

So our PX/Encounter is very low.



What did other GPC sites do about this?

1) Leave it as it is

2) Tie procedures to encounters using dates

3) Other



We were going to leave it as it is, but if other sites had some way of 
associating procedures

to encounters, we'd like to try it.



Thanks,

Debbie Yoshihara

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