National Prosthetic Patient Database (NPPD (Prosthetics & Sensory Aids Service))

<p>The National Prosthetics Patient Database (NPPD) established a central database of Prosthetics data recorded at each Veterans Health Administration facility. Its objective was to enable clinical reviews to increase quality, reduce costs, and improve efficiency of the Prosthetics program. Increase the quality of the services to our Veterans by providing a means to develop consistency in services, review prescription and management practices, develop training, monitor Home Medical Equipment, and measure performance improvements. Reduce costs by comparing costs system-wide, identifying common items for consolidated contracting, identifying costs for Medical Cost Care Funds (MCCF) purposes and improving contracting cost benefit. Improve efficiency by validating the data, improving budget management, determining where coding errors occur, providing training, and comparing unique social security numbers for multiple site usage and item issue. The NPPD Menu provides patient information, patient eligibility, Prosthetic treatment, date of provision, cost, vendor, and purchasing agent information. This system tracks average cost data and its usage and provides on both a monthly and quarterly basis detailed and summary reports by station, Veterans Integrated Service Network (VISN) and agency. The NPPD Menu resides in Veterans Health Information Systems and Technology Architecture (VistA) at the medical center level. This data is updated quarterly. Data is rolled up at each facility and transmitted to Hines. The data is then loaded into the Corporate Data Warehouse (CDW) from which data extracts are done. The data is also put into a ProClarity cube and is available to VA local, regional, and national managers online. National managers have the ability to properly monitor, oversee and manage the national program and regional managers are able to effectively manage their respective areas using this tool. The primary purpose of this database is to provide financial and clinical oversight of the Prosthetics program and is used primarily by the Prosthetics and Sensory Aids (PSA) including VISN staff, VISN Prosthetics Representatives, Prosthetics Program Managers and other Prosthetics staff.</p>

国家假肢患者数据库（NPPD）旨在建立一套集中式的假肢数据档案，该档案记录了在每位退伍军人卫生管理局设施中记录的假肢数据。其宗旨在于通过促进临床评估，提升服务质量、降低成本并优化假肢项目的效率。通过提供一种确保服务一致性的手段，NPPD旨在提升对退伍军人的服务质量，包括审查处方及管理实践、开发培训课程、监测家庭医疗设备以及衡量性能改进。通过系统性地比较成本、识别共同项目以实现集中采购、识别医疗成本护理基金（MCCF）用途的成本以及优化合同成本效益，从而降低成本。通过验证数据、改善预算管理、确定编码错误发生地点、提供培训以及对比多个地点使用和物品发放的唯一社会保障号码，以提高效率。NPPD菜单提供患者信息、患者资格、假肢治疗、提供日期、成本、供应商以及采购代理信息。该系统追踪平均成本数据及其使用情况，并按月度和季度向各站点、退伍军人综合服务网络（VISN）和机构提供详细和汇总报告。NPPD菜单位于医疗中心级别的退伍军人卫生信息系统与技术架构（VistA）中。数据每季度更新一次。数据在每个设施汇总后，传输至Hines。随后，数据被加载至企业数据仓库（CDW），从中进行数据提取。数据还存入ProClarity立方体，并向VA本地、区域和国家管理者在线提供。国家管理者能够有效监控、监督和管理全国项目，而区域管理者则能利用此工具有效管理各自的区域。该数据库的主要目的是提供对假肢项目的财务和临床监督，主要由假肢和感官辅助设备（PSA）部门使用，包括VISN工作人员、VISN假肢代表、假肢项目经理以及其他假肢工作人员。