National Prosthetic Patient Database (NPPD) Information Paper (Kiley, 2010)

National Prosthetic Patient Database (NPPD) Information Paper

Author: Liz Kiley Director, Data Collection and Extraction Program VHA Prosthetic and Sensory Aids Service (113)

Source: National Prosthetic Patient Database (NPPD) User Manual Version 3.0 – September 2004 (Revised October 2008) NPPD INFORMATION PAPER

INTRODUCTION:

The National Prosthetic Patient Database (NPPD) was established in 1997. Prior to the national database:  No uniformity in nomenclature of Prosthetic items  Not able to monitor national contracts for compliance  Not able to measure outcomes – unable to link Prosthetic items to other clinical data systems  Unable to do cost analysis  Lack of management tools to capture and analyze data  Lack of a method to review prescription practices

PURPOSE:

To provide a clinical review, to increase quality, reduce costs, and improve efficiencies of the Prosthetic Program. NPPD is a central database of Prosthetic data recorded at each VHA facility. NPPD is used to routinely view, analyze, and validate patient transaction data. Patient Transactions (Purchase Orders, Stock Issues, Home Oxygen Bill, and Orthotic Lab Work Orders) are created in the Prosthetic software package and posted to the individual veterans’ Prosthetic record.

Prosthetic HCPCS (Healthcare Common Procedure Coding System) are mapped to NPPD Groups and Lines providing a means to analyze, validate, summarize, and report usage and cost at the medical center and national levels.

CAPABILITIES:

Increase Quality  Develop consistency in services  Review prescription and management practices  Develop training  Monitor home medical equipment  Measure performance improvements o Monitor entering of Serial Numbers for patient safety recalls o Compliance with National Contracts

Reduce Costs  Comparison of costs system-wide  Identifies common items for consolidated contracting  Identifies costs for MCCF purposes o Medical Care Cost Fund – billing based on HCPCS codes  Improves contracting cost benefits Improve Efficiency  Data validation  Improved budget management  Identify coding errors and provide training  Compare unique SSNs for multiple site and item usage

LIMITATIONS:

 Data pulled from 125 facilities  Over 1,000 purchasing agents entering data  No standard nomenclature for Item field  No standard nomenclature for Vendor field  Station naming conventions can change from quarter to quarter

NPPD DATA REQUESTS:

Requestor must submit a Data Transfer Agreement (DTA) Form along with the other documents outlined in the Patient Care Services (PCS) Data Transfer Agreement Policy to the database steward who will forward them to the PCS Office of Strategic Planning and Measurement.

 Database Steward: Data Collection and Extraction Program Prosthetic Team located in Westchester, IL (near Hines VAH campus).

 Website: http://vaww.infoshare.va.gov/sites/OSPM/default.aspx