***DRAFT***
September 3, 1998
Human Resources
Data Elements
XI. HUMAN RESOURCES DATA ELEMENTS [Data reported once but may be corrected as needed.]:
Item |
FN-11 |
Source |
Other |
¬ ¾ ¾ ¾ ¾ ¾ ¾ ¾ ¾ Committee Recommendation ¾ ¾ ¾ ¾ ¾ ¾ ¾ ¾ ® |
|||
# |
Data Element |
Document |
Name |
Definition |
Workgroup Comments |
||
1 |
Organization Identifier | EE #34 FN-10 p.149 |
Federal ID Number or Nation Provider ID Number | Linkage | |||
2 |
Provider Identification | EE #35 FN-10 p.132 |
Federal ID Number or Nation Provider ID Number | Linkage | |||
3 |
Staff Unique ID | FN-10 p.70 |
Staff/ record identifier | A unique identifier that corresponds to a staff member independent of the organization reporting. May be same as Provider ID | Linkage | ||
4 |
Staff’s Date of Birth | FN-10 p.70 |
The staff member’s date of birth. (mm/dd/yyyy) | Staff analyses; client-staff match/appropriateness issues | |||
5 |
Staff’s Gender | FN-10 p.70 |
Sex | The staff member’s gender. (male/female) | Staff analyses; client-staff match/appropriateness issues | ||
6 |
Staff’s Ethnicity (Check all that apply) | FN-10 p.70 |
Race | The US Census definition. American Indian/Alaskan Native Asian or Pacific Islander Black/African American White Other |
Staff analyses; client-staff match/appropriateness issues | ||
7 |
Staff’s Hispanic Origin | FN-10 p.71 |
The US Census definition. Hispanic origin Not of Hispanic origin |
Staff analyses; client-staff match/appropriateness issues | |||
8 |
Date of employment/ affiliation | FN-10 p.71 |
The most recent date when current employment or affiliation with this organization began. (mm/dd/yyyy) | ||||
Item |
FN-11 |
Source |
Other |
¬ ¾ ¾ ¾ ¾ ¾ ¾ ¾ ¾ Committee Recommendation ¾ ¾ ¾ ¾ ¾ ¾ ¾ ¾ ® |
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# |
Data Element |
Document |
Name |
Definition |
Workgroup Comments |
||||
9 |
Discipline/ Training/ Profession | FN-10 p.71 |
The staff member self-selects one category that
best reflects the major discipline, training, or occupation for which they have been
trained or hired: Psychiatrist Other physician Psychologist Social worker Clinical mental health counselor Substance abuse counselor Other mental health professional Mental Health worker with less than a bachelor’s degree Registered nurse Licensed practical or vocational nurse Vocational rehabilitation counselor Schoolteacher Activity therapist (e.g., art, music, dance , recreational, or occupational therapist) Public, hospital, or business management/ administration Speech therapist Dietician Pharmacist or assistant Dentist or dental assistant Other physical health professional or assistant Medical records administrator or technician Other worker (support, maintenance, administration) |
Resource allocation | |||||
10 |
Highest degree/ education level | FN-10 p.72 |
Highest degree/ education level as of date of report | The staff member’s education level as of the
reporting date. Less than high school diploma or GED High school diploma or GED Some college Associate degree Bachelor’s degree Master’s degree Doctorate (e.g., M.D., Ph.D., Sc.D., J.D., Ed.D., D.O.) |
Appropriateness; standards | ||||
Item |
FN-11 |
Source |
Other |
¬ ¾ ¾ ¾ ¾ ¾ ¾ ¾ ¾ Committee Recommendation ¾ ¾ ¾ ¾ ¾ ¾ ¾ ¾ ® |
|||||
# |
Data Element |
Document |
Name |
Definition |
Workgroup Comments |
||||
11 |
License/ certification | FN-10 p.72 |
Licensed to practice in this profession: in this State (yes/no) in another State (yes/no) in another country (yes/no) If a physician: board certified in specialty (yes/no) Not applicable |
||||||
12 |
Employment/ affiliation status | FN-10 p.73 |
Employ-ment/ affiliation status with this organization | The staff member’s employment/affiliation
status within the organization: Salaried, payroll employee (full or part time) Paid under contractual arrangement Student, trainee, resident, intern Volunteer Attending |
|||||
13 |
Languages other than English | FN-10 p.74 |
The staff member selects the primary language,
other than English, the staff member can use for communication in service delivery. Spanish Sign Other |
||||||
14 |
Percent of full time equivalents | Workgroup |
Percent of employee’s full time (2030 hours/year) s/he works for this employer/organization | ||||||
15 |
Separation date | FN-10 p.75 |
If applicable, the month during which the relationship/affiliation between the individual and the organization was terminated. | ||||||