Vermont Explor Annual Meeting

1
Vermont Explor Annual Meeting

• May 1, 2006
• Capitol Plaza Hotel

2
AGENDA

• Introductions all around
• Review of 2005 Data
• HIDI Kevin and Ken
• Birth Information Network Peggy Brozicevic, VDH
• Cancer Registry Ali Johnson, VDH
• Uses of data at federal level AHRQ
• 1230 PM Lunch
• 1 PM VITL, health information exchange and e-HIM
  Greg Farnum
• 130 PM Dian Kahn, Pat Jones Mike Davis,
  BISHCA
• Data uses at state level Act 53 financial
  reports and quality measures
• Expansion of outpatient data collection
• 215 PM HospitalData.org - Strategic planning
  tool
• 230 PM Roundtable discussion
• Best practices/problem-solving
• Networking
• Web site? Listserv? Conference calls? More
  meetings?

3
Introductions
4
Review of 2005 Data

• Excellent in all areas except for
• Line item charges and HCPCS/CPTs

5
3-Year Trend by Type of Visit
Note A patient visit can fall into more than one
category
6
3-Year Trend by Payer
7
3-Yr Trend by Admit Type
27,997
26,946
25,097
8
Admit Type by Bill Type
21,454
19,703
22,297
Outpatients
Inpatients
9
3-Yr Trend by Disposition
Inpatients Only
10
Notable Outpatient Procedures
11
Procedures Change from 02 to 05
Procedure Classes provided by AHRQ
12
Procedures Change from 02 to 05
CCS Clinical Classification Software, provided
by AHRQ Discharge records grouped on principal
procedure
13
Diagnoses Change from 02 to 05
Discharge records grouped on principal diagnosis
14
HIDI Ken Kuebler and Kevin Stock
15
Birth Information Network Peggy Brozicevic
16
Cancer Registry Ali Johnson
17
AHRQs Uses of the Data

• Health Cost and Utilization Project (HCUP)
• Constructs research databases
• Main dataset, as of 2003
• 37 states inpatient stays
• 21 states ambulatory surgeries
• 17 states emergency room visits
• National Inpatient Sample
• Kids Inpatient Dataset
• others

18
AHRQs Publications

• National Healthcare Quality Report
• National Healthcare Disparities Report
• Fact Books (Avoidable Hospitalizations)
• Statistical Briefs (Reasons for ER visits)

19
AHRQs Software

• Quality Indicators (desktop application)
• Inpatient Prevention
• Patient Safety Pediatric
• Record Groupers (lookup tables)
• Clinical Classification Software
• ICD-9 procs/diags, CPT, MHSA
• Procedure Classes
• Chronic Condition Indicator
• Comorbidity Software

20
AHRQ Stat Brief 1

• In 2003, percentage of non-childbirth
  hospitalizations via the ED
• US 55 VT 55
• Payer is Medicaid or Medicare
• US 66 VT 63

21
Lunch
22
VITL Greg Farnum

• Health information exchange and e-HIM

23
BISHCA

• Dian Kahn, Pat Jones Mike Davis
• Data uses at state level Act 53 financial
  reports and quality measures
• Expansion of outpatient data collection

24
HospitalData.org

• Strategic planning tool
• Used by marketing and planning to predict
  utilization by patients from a given geographic
  area
• By DRG, procedure, and other categories
• Demonstration

25
Roundtable Discussion

• Best practices/problem-solving
• Your questions and answers
• Whats going on at your hospital
• Networking among hospitals
• Web site?
• More Listservs? Datacoordinators_at_vtexplor.org
• Conference calls?
• More meetings?

26
Contacts

• Lauri Scharf
• Lauri_at_vtexplor.org
• [phone] x108
• Vermont Explor www.vtexplor.org
• Kevin Stock
• kstock_at_mail.mhanet.com
• [phone]
• HIDI http//web.mhanet.com/ Click on Hospital
  Data Services
• HIDInet https//www.mhanet.com/hidinet/