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Figure 5-1. A snapshot of data flow in a complex health care system (Text Description)

Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement

Data Collection LevelData Resource
National Level CollectionMedicareNational Vital Statistics Systems
Accreditation and Quality Improvement (QI) Organizations (e.g., National Committee for Quality Assurance (NCQA), Joint Commission)Government Agency Administered Surveys (e.g., National Health Interview Survey [NHIS] and Behavioral Risk Factor Surveillance System [BRFSS])
Multi-State CollectionHealth PlansHealthcare Cost & Utilization Project (HCUP)
Regional Quality Improvement OrganizationsMedical Expenditure Panel Survey (MEPS)
State Level CollectionState Vital Statistics Systems 
State Surveillance
Public Insurance Programs (e.g., Medicaid and State Children's Health Insurance Program [SCHIP])
Health and health care promotion activities
Provider Level CollectionPhysician Practices; Hospitals; Local Public Health Agencies; Community health centers (CHCs); Other Health Delivery Entities (e.g., nursing homes) 
Individual DataPatient Medical RecordSurveys of Person's Health or Health Care

Arrows connect Medicare to the State Level and Provider Level Collections, to Patient Medical Record, and to Health Plans. Arrows also connect Accreditation and QI Organizations to the State Level Collections. The Provider Level Collections and Patient Medical Record are linked by arrows to the Regional Quality Improvement Organizations. Regional Quality Improvement Organizations and State Vital Statistics Systems are connected by a double-headed arrow. State Vital Statistics Systems and National Vital Statistics Systems are connected by a double-headed arrow. Public Insurance Programs are connected to MEPS by a double-headed arrow; MEPS is also connected to Surveys of Person's Health or Health Care by a double-headed arrow. Surveys of Person's Health or Health Care is also connected to Government Agency Administered Surveys.

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Page last reviewed March 2010
Internet Citation: Figure 5-1. A snapshot of data flow in a complex health care system (Text Description): Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement. March 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/final-reports/iomracereport/reldatafig51txt.html