Emergency Department Indicators Internet Information System

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Emergency Department Indicators Internet
Information System

• A federal-state partnership to enhance the
  analytic utility of statewide Emergency
  Department data
• Funded by the National Center for Health
  Statistics of the Centers for Disease Control
• Managed by the National Association of Health
  Data Organizations (NAHDO)

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State Health Data Systems

• State health data agencies are challenged to
  produce timely, relevant measures for
• Quality and market information
• Community assessment and HP 2010
• Child health and vulnerable populations
• Administrative data are an evolving source for
  morbidity and health systems performance data,
  but the analytic infrastructure is
  under-developed

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Solutions

• Federal leadership in content and analytic
  standards
• State-to-state transfer of state-developed
  technologies and best-practice
• Technical support to states to develop and
  implement measurement initiatives

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Emergency Department Indicators Internet
Information System

• Features
• Integration of federal and state data through
  comparative benchmarks
• State-to-state mentoring coordinated by NAHDO
• Cooperative effort to review and develop standard
  measures that are statistically and clinically
  relevant
• Knowledge Web a comprehensive view of
  hospital-based Emergency Department use,
  combining dynamic query and non-dynamic content
• Technology Combining Internet with existing
  tools for wide dissemination of information
• Transportable sharing technology across states

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Emergency Department Indicators Internet
Information System Prototype
Indicator Modules
Non-Dynamic Pages
Injury Module
General Information
Definition
Significance
Asthma Module
Home Page
Data Sources NHAMCS HI, ME, UT
Dynamic Query Homepage
Definition
National/State Modules
Significance
Indicators
Definition
Pediatric Module
Significance
Quality Of Care
References
Definition
Chronic/ Preventive
Significance
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Emergency Department Indicators Internet
Information System Prototype
Non-Dynamic Pages

• About the project
• Acknowledgements
• Contacts

General Information
Home Page
Data Sources

• About ED Encounter Data
• Limitations, Sources

Indicators

• Listing and Index of
• ED System Indicators

• Bibliography and links
• To related resources

References
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Content and StatisticalOutput for Each Module
Emergency Department Indicators Internet
Information System Prototype
Non-dynamic content For each module
Injury Module
Definition

• National-Regional-State
• And Sub-state measures

Definitions And content Unique to Each
module Available to user
Significance
Asthma Module
Definition

• Research-based indicators
• Supported by Admin. Data

Pediatric Module
Significance

• Flexibility in output by
• Permitting user-defined
• queries

Definition
Quality Of Care
Significance
Chronic/ Preventive
Definition

• New measures, refinement
• Of existing measures

Significance
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Emergency Department Indicators Internet
Information System Prototype

• Web-based data management and reporting system
• Based on individual records from
• Statewide hospital-based ED
• Encounter discharges
• User-defined queries
• Simple queries table with state-federal
  statistics
• Custom queries User defines own questions
• Links to content (references, policy-significance,
  related links

Dynamic Query Homepage
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Emergency Department Indicators Internet
Information System Prototype

• Internet Query System is based on the system
  developed by the Utah Department of Health
• Versions of this system have been successfully
  transported to other states and two platforms
• Coordination, recruitment, and project management
  performed by the National Association of Health
  Data Organizations (NAHDO)

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Emergency Department Indicators Internet
Information System Process
Beta-test Version Installed/tested In one
state March 2000
Indicator Standards Integrated Into
System (Ongoing)
Advisory Committee Appointed Dec. 1999
Installation Of System In 3 States Sept. 2000
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