STATUS: Active Project
This proposed project will develop and evaluate the linkage of CY2021 National Ambulatory Medical Care Survey (NAMCS) and EHR data from federally qualified health centers (FQHCs) with the Centers for Medicare & Medicaid Services (CMS) Transformed Medicaid Statistical Information System (T-MSIS) administrative data.
NCHS, with its extensive expertise in database design, data linkage, and statistical analyses; the Health Resources and Services Administration (HRSA), with its subject matter expertise on FQHCs, the implementation of health IT at these centers, and understanding of the unique challenges of the hard-to-reach populations who receive care at these safety net settings of care; and the Centers for Medicare & Medicaid Services (CMS), with its subject matter and policy expertise on Medicaid and administrative claims data to collaboratively improve data capacity on PCOR on maternal health care provided at FQHCs for those with Medicaid.
The data file resulting from the work proposed in this project, as well as the developmental data linkage work, will enhance researchers’ ability to analyze data on maternal health care provided at these health centers – particularly for those with Medicaid as the primary source of payment – and subsequently gain insight into the relationships among patient characteristics, health care services utilization, and outcomes for these maternal health visits.
PROJECT PURPOSE & GOALS
The purpose of this project is to address the following objectives:
- Build upon work developed from a prior project titled, “Enhancing Surveillance of Maternal Health Clinical Practices and Outcomes with Federally Qualified Health Centers’ (FQHCs) Electronic Health Records Visit Data”.
- Evaluate the linkage of CY2021 NAMCS FQHC maternal health EHR data with the T-MSIS administrative data.
- Create and make publicly available a CY2021 NAMCS FQHC EHR data to CY2020-CY2021 T-MSIS linked dataset along with an end user guide.