Data Trends in Michigan

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Data Trends in Michigan
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Why are we so busy?
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Patients in Beds 2004 MIDB
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Variation from Norm by Service 2004 MIDB
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Trends in Observation Patients

• Observation patients are increasing
• Nineteen percent are operative

Note Not all hospitals participate in the MODB
so data understates volume.
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Trends in Observation Patients
Note Not all hospitals participate in the MODB,
so actual volumes may be higher.
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Trends in Heart Care

• Michigan ranks 13th in Heart Disease Deaths

Sources United States Department of Health and
Human Services (US DHHS), Centers for Disease
Control and Prevention (CDC), National Center for
Health Statistics (NCHS), Compressed Mortality
File (CMF) compiled from 1999-2002, Series 20,
No. 2H 2004 on CDC WONDER On-line Database.
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Trends in Heart Care

• Initial AMIs are going down in spite of
  demographics peaked 4th Qtr. 2002
• PCIs on non-AMI patients are increasing while
  Major Surgeries are decreasing
• Cardiac Caths are starting to decrease

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Trends in Heart Care
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Trends in Heart Care
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Trends in Heart Care
R2 0.0023
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Trends in Care - Mortality Rates

• Mortality rates in Michigan are falling
• Data are severity adjusted using APR-DRG Norms
  for Michigan

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Trends in Care - Mortality Rates

• Reasons for Decline
• Increase in Hospice Care
• Increase in LTAC Utilization
• Improved Documentation
• Improved Care

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Trends in Care - Mortality Rates
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Trends in Care - Mortality Rates Selected APR
DRGs
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Septicemia
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Trends in Infant Mortality

• Among 33 industrialized nations, the United
  States is tied with Hungary, Malta, Poland and
  Slovakia with a death rate of nearly 5 per 1,000
  babies, according to a new report. Latvia's rate
  is 6 per 1,000.
• Michigans rate is5.69 per 1000 for2005
• Detroits rate is 12.36 per 1000
• In Michigan 74.0of all births areDRG 391
  comparedto 69.4 in Detroit

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Poverty and Health Care

• Discharge rates are higher in zip codes where the
  Median Household Income was less than 30,000

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Poverty and Health Care

• Rates are higher for low income households for
  almost all services

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Poverty and Health Care

• but the variation diminishes as we age

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Questions?