Validity of Data

Published On 07/11/2011

Our Quality Indicators allow us to reference data for improvement and standardization of practices that result in the superior quality of care and customer service we give each patient. We strive to report accurate and honest information about the quality of care we provide at Methodist Le Bonheur Healthcare. We have 7 Associates that abstract information for 5 hospitals. Our abstractors attend abstraction clinics so they will be up to date on the most current abstraction rules. Our abstracted information is entered into a computerized system that checks the information for completeness and accuracy. Each missed opportunity is reviewed by our Clinical Decision Support department and all corrections are made before the data is submitted to the Centers for Medicare and Medicaid (CMS) or The Joint Commission.

The Centers for Medicare and Medicaid (CMS) perform an independent check of our data validity. Each quarter an independent audit is performed on information that has been submitted to CMS. These audits are performed by people that are not associated with Methodist Le Bonheur Healthcare. They review several hundred different data elements to see how many times our answers match theirs. CMS considers a passing grade to be anything over 80%.


Quarter Validation Score
2nd Quarter 2009 98%
1st Quarter 2009 98%
4th Quarter 2008 98%
3rd Quarter 2008 98%