What is a Data Dictionary?
A data dictionary is a collection of information explaining what
type of data is managed within a database, its format, arrangement,
and how the data is utilized. In many regards, it can be thought of
as the edicts in which all the data within your system need to
abide by.
Characteristics of Data Dictionary:
- Linkage over time - Such data permits
investigators to link dates and times with patient care events,
problems, and diagnoses.
- Timeliness - Facts based on patient-provider
interactions and other relevant information (e.g., employment,
health plan, health status, or outcomes) should be entered or
updated frequently enough to permit their timely use and analysis.
If databases are to be of assistance with direct patient care, then
information must be sufficiently up to date that caregivers can
rely on it in all clinical decision-making situations.
- Accuracy and completeness - Data used for
clinical care decision making about a given individual must be of
far greater accuracy and completeness than those required for
administrative uses. Databases used for clinical decision making
must, in describing an individual, describe only that
individual and do so accurately.
- Control, ownership, and governance - Whether a
given database has been established by the public or the private
sector (or is some hybrid) will have important implications for
inclusiveness and access.
- Origin of data - Databases can vary
widely in the source(s) of their information.
- Unique, universal person-identifiers - A
unique identifier (1) applies to one and only one person and (2)
does not change over time.
- Unique identifiers for health care providers and
practitioners
Benefits of Data Dictionaries in the Health
Sector
- Access - Helps to rectify if people
in a given region receiving appropriate care in a timely manner.
And if the services are equitably available and affordable by all
groups in that population. Know if social and cultural barriers
persist and the use of particular types of providers or facilities
differ by the patient or consumer characteristics.
- Expenses - It will help to get the
answers to the following questions - Can the rate of increase in
aggregate health expenditures be moderated? Can accurate estimates
be made of the costs of care in given geographic areas? Can health
care delivery and administration be made more efficient? Can
administrative costs be reduced? Can cost shifting within the
public sector (e.g., between states and the federal government, or
from the private to the public sector) be minimized?
- Quality of care - It will help to get the
answers to the following questions - Can the provision of health
services be organized so as to increase the likelihood of health
outcomes that are desired by individual patients? Can information
from these databases address three main quality problems: use of
inappropriate and unnecessary services, underuse of appropriate and
needed services, and poor technical and interpersonal performance?
Can clinical and other information in HDO files contribute to more,
and better, practice guidelines? Can credible information about
more effective and appropriate health care services be made
available to clinicians and institutions in a more timely, and less
threatening, fashion? Can useful information about the quality and
outcomes of care of different kinds of providers be assembled and
made available in convenient and prompt ways to consumers and
organizers of provider networks and plans (e.g., insurance
companies)?
- Delivery of health services - Helps to know
services that are appropriate and effective for the particular
health care problems. Variation of the provision of those services
across geographic areas, population groups, types of providers,
settings of care, and time.
- Disease occurrence and public health
- It can help to find facts regarding major causes of
death, illness, and disability for different groups in the
population and the change in patterns over time.
- Health outlining - It can help to
find ways to make the asset, place, operation, and financing of
facilities, capital equipment, health personnel, and other
resources be made more rational, more affordable, and more active
to clear community and regional needs.