health policy panel
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Overview of Organization & Comparative Quality Data
Ron Spingarn, Deputy DirectorHealthcare Information Division
Email: rspingar@oshpd.ca.govPhone: (916) 326-3801
University of California at Davis
June 18, 2010
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OSHPD
FacilitiesDevelopment
WorkforceDevelopment
Administration
Cal-MortgageLoan
Insurance
HealthcareInformation
TechnicalAdvisory
Committee
Health DataTransparency
& EffectivenessCommittee
CA Health Policy& Data Advisory
Commission
(Coronary)Clinical
AdvisoryPanel
HealthProfessionsEducation
Foundation
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Data Flow from Facilities
Inpatient Facilities (443):- Acute Care Hosp. (386)
- Chemical Dependency Hosp. (6)- Acute Psych. Hosp. (30)
- Psych. Facilities (21)Emergency Department (322)
Ambulatory Surgery (574):- Acute Care (375)
- Surgical Clinic (hosp.) (115)- Surgical Clinic (non-hosp.) (84)
Utilization Data (4,715):- Skilled Nursing (1,144)
- Hospices (281)- Community & Free Clinics (983)
- Dialysis Clinics (401)- Surgical Clinics (209)-Home Health (1,215)
- Hospitals (510)Financial Data: Inpatient Facilities
(447)HealthcareInformation
Division
ClinicalData &
ResearchPatient
DischargeData
DataProducts
AggregateFinancial &Utilization
Data Coronary Artery Bypass Graft Surgery Hosp. (121)
Cardiac Surgeons (284)
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Licensed or Regulated Data Sources
Healthcare Practioners
Healthcare Facilities
Dept of Public Health (DPH)
Consumer Affairs
Primary Care Clinics
Hospitals
OSHPDHealthcare Information
Division
County-level Vital Statistics
(birth & death) From DPH
Specialty Clinics
Long Term Care
Hospices/Home Health Agencies
Legend
Patient-Level Data
Facility-Level (Financial & Utilization) Data
Rev 3/4/2009
Physicians (Cardiac Surgeons)
State Hospitals
Veteran Affairs
Developmental Services
Mental Health
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Requests for OSHPD Data
Peter McNair, and Hal Luft, UCSF :Readmissions That are the Sequelae of Hospital Acquired Conditions;Realigning Hospital Incentives by Bundling Readmissions and Outlier Costs into Prospective Payments and Engaging Insurers
Craig Newgard, MD, MPH, Oregon Health & Science University:Improving Pre Hospital Trauma Triage: Generating a Cost-Effective and Resource-Efficient Mechanism for the Field Triage of Injured Persons
Ashish Jha, MD, MPH, Harvard :
Postpartum Readmission: Reasons, Risk Factors & Regional Variation
Andrew D. Racine, M.D., Albert Einstein College of Medicine:The Impact of Palivizumab on Hospitalization Rates for Bronchiolitis in California
Mitchell Berman, M.D., Columbia University:
Outcome After Treatment of Cerebrovascular Disease, Outcome of Patients with Parkinson's Disease Following General Anesthesia
Examples:
Data Use Agreement Information - Contact:Jonathan Teague, Email: jteague@oshpd.ca.gov Phone: (916) 326-3805
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Quality Measures’ Reporting Levels by OSHPD
Area-LevelInpatient UtilizationPrevention Quality
Hospital-LevelInpatient MortalityInpatient Volume & UtilizationPediatric QualityPatient SafetyCoronary Artery Bypass Graft SurgeryMaternal Outcomes*Hip Fracture Repair Mortality*
Surgeon-LevelCoronary Artery Bypass Graft Surgery
*not yet released OSHPD measures in redAHRQ measures in blue
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AHRQ Quality Indicators Reported by OSHPDMortality Inpatient (15 available measures)
2006 – 2007: 8 reported 2008: 4 new (12 total)Volume and Utilization Inpatient (13 available measures)2005 – 2008: 11 reported
Area-Level Utilization Inpatient (4 available measures)2005 – 2008: all reported
Area-Level Patient Safety (7 available measures)2005 – 2008: 4 reported
Area-Level Prevention Quality (14 available measures)2005 – 2008: all reported
Area-Level Pediatric (5 available measures)2005 - 2008: all reported
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7 Measures of Conditions Available through OSHPD
8 Measures of Procedures Available through OSHPD
2006-2007 data reported: Acute Stroke Gastrointestinal Hemorrhage Hip Fracture
Beginning in 2008: Acute Myocardial Infarction
(AMI) Pneumonia Congestive Heart Failure
Release not planned: AMI without transfer cases
2006-2007 data reported: Esophageal Resection Pancreatic Resection Craniotomy Carotid Endarterectomy Percutaneous Transluminal Coronary Angioplasty
Beginning in 2008: Abdominal Aortic Aneurysm
Repair
Release not planned: Hip Replacement Coronary Artery Bypass GraftSurgery
AHRQ Inpatient Mortality Indicators
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AHRQ Inpatient Volume & Utilization Indicators
Volume Indicators: All measures reported by OSHPD, since 2005Esophageal ResectionPancreatic ResectionAbdominal Aortic Aneurysm RepairCarotid EndarterectomyCoronary Artery Bypass Graft SurgeryPercutaneous Transluminal Coronary Angioplasty
Utilization Indicators: 7 available; 5 reported by OSHPD since 2005Cesarean Delivery RateCesarean Delivery Rate – PrimaryVaginal Birth After Cesarean (VBAC) Rate, AllVaginal Birth After Cesarean (VBAC) Rate, UncomplicatedLaparoscopic Cholecystectomy
Under Consideration: Bi-lateral cardiac catheterization & Incidental appendectomy in elderly
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AHRQ Prevention Quality Indicators(Area-Level Measures)
Diabetes Short-term Complications Perforated Appendix Diabetes Long-term Complications Chronic Obstructive Pulmonary Disease (COPD) Hypertension Congestive Heart Failure (CHF)Low Birth Weight
Dehydration Bacterial Pneumonia Urinary Tract Infections Angina without Procedure Uncontrolled Diabetes Adult Asthma Lower-extremity Amputations among Patients with Diabetes
All 14 available measures reported by OSHPD since 2005:
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AHRQ Pediatric Quality Indicator (Area-Level Measures)All 5 available area-level rates reported by OHSPD since 2005:
Asthma Admission RateDiabetes Short-Term Complication Rate Gastroenteritis Admission Rate Perforated Appendix Admission Rate Urinary Tract Infection Admission Rate
AHRQ Utilization RatesAll 4 available area-level rates reported by OSHPD since 2005:
Coronary Artery Bypass Graft Surgery
Percutaneous Transluminal Coronary Angioplasty
Hysterectomy
Laminectomy or Spinal Fusion
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Patient Safety Indicators,Area-Level Rates (7 available)
4 reported by OSHPD beginning with 2005 data:
Iatrogenic Pneumothorax, Secondary Diagnosis Field
Selected Infections due to Medical Care, Secondary Diagnosis Field
Postoperative Wound Dehiscence
Postoperative Hemorrhage or Hematoma
No plans/undecided about Accidental Puncture/Laceration, Foreign Object Left in Body & Transfusion Reaction
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