Official Website of the Assistant Secretary for Technology Policy/Office of the National Coordinator for Health IT
Physical place of available services or resources.
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Facility Address
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Submitted by rdillaire on
Comment: CMS CCSQ supports the inclusion of "Facility Address" in USCDI Version 6 as it will supplement the core set of information necessary to identify facilities and link service and outcome data to a specific physical institution or facility.
Submitted by mturchioe on
The Alliance for Nursing Informatics (ANI) supports the inclusion of this data element and add our comments below. Please see previously submitted ANI comments for additional recommendations.
Submitted by BLampkins_CSTE on
CSTE supports inclusion of this data element in USCDI V6. Please see previously submitted CSTE comments for additional recommendations.
Submitted by rdillaire on
Data Element: Facility Address (Level 2)
Submitted by BLampkins_CSTE on
CSTE agrees with CDC's recommendation for this data element.
Submitted by nedragarrett_CDC on
CDC supports the inclusion of this data element in USCDI v5 as it is an element that may be necessary for calculation of our digital quality metrics from FHIR data.
Submitted by yale-coredQMRoadmap on
Thank you for opportunity to comment on this data element. The Centers for Medicare and Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC) emphasize the importance of patient safety being reflected in the USCDI standards. Identifying facility information, such as Facility Address, is critical to differentiate specific service locations and link data/records for public health and healthcare purposes. CMS and CDC strongly recommend the Facility Address data element (Level 2) in the Facility Information data class be added to USCDI. This addition would promote patient safety.
Submitted by yale-coredQMRoadmap on
CMS-CCSQ recommends this Level 2 data element be added to USCDI v5. Together with the Facility Identifier, Facility Type, and Facility Name, the Facility Address data element will supplement the core set of information necessary to identify facilities and link service and outcome data to a specific physical institution or facility. This was previously identified as a joint CMS-CDC priority. Currently, in the absence of a unique Organization/Hospital Identifier in the USCDI, it can be difficult to differentiate specific service locations and link data or records for public health and healthcare purposes. Location information is routinely captured in EHR systems. Since Facility Names and Facility Identifiers (e.g., CCNs) can be shared by separately located facilities, Facility Address can provide critical identifying information to differentiate specific locations and accurately link data to optimally track care quality and health outcomes.
Submitted by nedragarrett_CDC on
Submitted by nedragarrett_CDC on
CDC's Comment for draft USCDI v6
CDC has recommended inclusion of this field since USCDIv4 supporting a number of applications.
Facility address is an important piece of information for deaths, births and fetal deaths that occur in health care settings and are reported via an EHR, so support for a facility address data element as a core element would be beneficial.
Deaths in Hospital:
The place of death for in-hospital deaths may be provided by a funeral director or the medical certifier. Since medical certifiers may document place of death, it would be useful to have facility information as a core data element within the medical certifier’s EHR.
Births and Fetal Deaths in Healthcare Settings:
Most births and fetal deaths occur in a hospital or other health care facilities like birthing centers or clinic/doctor’s offices. When the mother or infant are transferred to another facility, the address of that facility also needs to be recorded.
Sources: U.S. STANDARD CERTIFICATE OF DEATH -- REV. 11/2003; Physician’s Handbook on Medical Certification of Death; Facility Worksheet for the Live Birth Certificate
Additionally, the facility address is required in both laboratory domain and public health. In the laboratory domain, the test ordering facility address needs to be included in the data as required by the CLIA Regulation §493.1241(c)(1). The address of the test-performing laboratory is also required as indicated by the CLIA regulation §493.1291(c)(2). Test ordering facility is also an “R” or a required field in Public health profiles in both Laboratory Orders Interface (LOI) and Laboratory Results Interface (LRI). We strongly support including this element USCDI V6.
Furthermore, CDC is requesting an Organization/Hospital Identifier data element be included as part of Facility Address. Explanation to request an Organizational Identifier.
The National Health Care Surveys includes two separate surveys: National Hospital Care Survey and National Ambulatory Medical Care Survey (NAMCS)
Facility Identifier: National Hospital Care Surveys would benefit from a Facility Identifier because they sample at the hospital level (i.e. the hospital from the sampled location is the only site of interest) and it is associated with the physical place of available services or resources.
The recommendation differs for NAMCS Health Center Component who samples at the health center level (i.e. every subsidiary care delivery site under the sampled health center is sampled along with the health center). For that reason:
Facility Managing Organization Identifier: NAMCS Health Center Component samples all care delivery sites under the sampled health center. To increase NAMCS quality control it would be helpful to receive Facility Managing Organization Identifier, as it is associated with health care provider locations and ambulatory providers.