THREE-YEAR EDIE ANALYTICS DASHBOARDS

The reports contained within are a companion to the annual EDIE Report produced by Apprise Health Insights for the Oregon Health Leadership Council. Please refer to that report for more detail on some of the metrics used in these dashboards (e.g. High Utilizers, Joiners, Leavers, Stayers, etc.).

These reports combine two sources of data: real-time emergency department data from Collective Medical Technologies (EDIE) with more detailed emergency department dis-charge data from Apprise Health Insights (INFOH).

A “High Utilizer” is defined as a patient who seeks medical attention specifically at an emergency department five or more times a year.

Quick Facts

• The total number of ED visits fell by 0.3% compared to 2017.• The number of High Utilizer visits fell by 2.8% compared to 2017.• Co-morbid Mental Health related visits increased by 17.9% from 2017 to 2019.• Co-morbid Substance Use Disorder related visits decreased by 0.4% from 2017 to 2019.• Potentially Avoidable visits from High Utilizers decreased by 10.9% compared to 2017.• Population-adjusted Potentially Avoidable visits decreased in all regions except Eastern Oregon and Southern Coast (2017-

2019).

Presented: June 19, 2020For the Period: Q1 2017 - Q4 2019

© 2020 Apprise Health Insights. All rights reserved.

4000 Kruse Way Place • Suite 100 • Lake Oswego, OR 97035 • Tel: (503) 479-6021 • http://www.oahhs.orgAPPRISE HEALTH INSIGHTS IS A SUBSIDIARY OF THE OREGON ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS

2017-2019 EDIE DASHBOARDUTILIZATION AND MOVEMENT

High Utilization Group Visits(Three-Year Comparison)

Jan

Feb

Mar

Apr

May Jun

Jul

Aug Sep

Oct

Nov Dec

16K

17K

18K

19K

Number of Emergency Department Visits in Oregon(Three-Year Comparison)

Noteworthy Trends:

The number of total ED visits in 2019 fell by 0.3% compared to2017.

1,284,783 - Total ED visits in 2017

1,266,469 - Total ED visits in 2018

1,280,986 - Total ED visits in 2019

The number of high utilizer visits in 2019 fell by 2.8% compared to2017.

222,579 - Total high utilizer ED visits in 2017

211,134 - Total high utilizer ED visits in 2018

216,436 - Total high utilizer ED visits in 2019

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

100K

105K

110K

115K

2019 2018 2017

2019 2018 2017

2017-2019 EDIE DASHBOARDHIGH UTILIZER COMORBIDITY, MENTAL HEALTH, AND SUBSTANCE USE DISORDER

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

3400

3600

3800

4000

4200

Comorbidity* & Substance Use Disorder(High Utilizer Visits)

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

1200

1400

1600

Comorbidity* & Mental Health(High Utilizer Visits)

Insights:

-Mental Health related visits have increased over the past three years, while Substance Use Disorder related visits saw a slight decrease compared to 2017.-Mental Health visits with Comorbidity increased by 17.9% from 2017-2019.

-Substance Use Disorder visits with Comorbidity decreased by 0.4% from 2017-2019.

47,8922019

45,9692018

48,0772017

Total High Utilizer Visits

19,1402019

16,4792018

16,2382017

Total High Utilizer Visits

*HCUP Clinical Calassifications Software Refined (CCSR), and update to Clinical Classifications Software (CCS), may affect Comorbidity Q4 2019 onward.

2017-2019 EDIE DASHBOARDHIGH UTILIZER COMORBIDITY, MENTAL HEALTH, AND SUBSTANCE USE DISORDER REGIONS

Insights:

-Population-adjusted Mental Health visits with Comorbidity were highest in Central Oregon and Southern Oregon in 2019. Increases were seen from 2017-2019 in all regions except Valley and Northwest Oregon.

-Population-adjusted Substansce Use Disorder visits with Comorbidity were highest in Southern Oregon and Valley in 2019. Decreases were seen from 2017-2019 in all regions except Central Oregon.

Central Oregon Southern Oregon Eastern Oregon Portland Metropolitan Area Valley Northwest Oregon Southern Coast

10.7

4.5

6.57.5 6.9

7.8

4.9 4.8 5.34.1 4.1 4.6

3.32.5 2.7

1.4 1.3 1.2 0.8 1.4 1.0

Comorbidity* & Mental Health by Region(High Utilizer Visits /1000 Residents )

Central Oregon Southern Oregon Eastern Oregon Portland Metropolitan Area Valley Northwest Oregon Southern Coast

12.1 11.713.8

17.816.2

17.6

8.2 8.4 7.79.0 8.6 9.0

14.913.6 14.6 14.7

13.010.9

6.43.9

2.6

Comorbidity* & Substance Use Disorder by Region(High Utilizer Visits /1000 Residents )

2017 2018 2019

2017 2018 2019

*HCUP Clinical Calassifications Software Refined (CCSR), and update to Clinical Classifications Software (CCS), may affect Comorbidity Q4 2019 onward.

2017-2019 EDIE DASHBOARDHIGH UTILIZER POTENTIALLY AVOIDABLE VISITS

Jan

Feb

Mar

Apr

May Jun

Jul

Aug Sep

Oct

Nov Dec

1600

1800

2000

Potentially Avoidable Visits(High Utilizers)

2019 2018 2017

Potentially Avoidable Visits Insights:

Potentially Avoidable visits from High Utilizers has decreased from2018-2019 by 10.9%

22,916 - Potentially Avoidable visits from High Utilizers in 2017

20,407 - Potentially Avoidable visits from High Utilizers in 2018

20,418 - Potentially Avoidable visits from High Utilizers in 2019

Population-adjusted Potentially Avoidable visits were highest inSouthern Oregon and Northwest Oregon in 2019. Decreases were seenfrom 2017-2019 in all regions except Eastern Oregon and SouthernCoast.

Potentially Avoidable Visits:

When a patient uses an emergency department for any non-urgenthealth related issue that can be safely and effectively treated in a settingoutside of an emergency room.

Southern Oregon Northwest Oregon Eastern Oregon Valley Central Oregon Southern Coast Portland Metropolitan Area

7.66.9 7.2

6.6 6.35.8 5.5 5.3 5.6

6.3

5.3 5.4 5.1

4.04.7

4.24.7

4.3 4.63.9 3.8

Potentially Avoidable Visits by Region(High Utilizer Visits/1000 Residents)

Appendix - Region Designations

© 2020 Apprise Health Insights. All rights reserved.

4000 Kruse Way Place • Suite 100 • Lake Oswego, OR 97035 • Tel: (503) 479-6021 • http://www.oahhs.orgAPPRISE HEALTH INSIGHTS IS A SUBSIDIARY OF THE OREGON ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS

Adventist Health Portland Good Samaritan Regional Medical Center

Kaiser Sunnyside Medical Center McKenzie-Willamette Medical Center

Kaiser Westside Medical Center PeaceHealth Cottage Grove Community Medical Center

Legacy Emanuel Medical Center PeaceHealth Peace Harbor Medical Center

Legacy Good Samaritan Medical Center PeaceHealth Sacred Heart Medical Center at RiverBend

Legacy Meridian Park Medical Center PeaceHealth Sacred Heart Medical Center University District

Legacy Mount Hood Medical Center Salem Hospital

OHSU Hospital Samaritan Albany General Hospital

Providence Milwaukie Hospital Samaritan Lebanon Community Hospital

Providence Portland Medical Center Santiam Memorial Hospital

Providence St Vincent Medical Ctr Legacy Silverton Medical Center

Providence Willamette Falls Medical Ctr Salem Health West Valley

Shriners Hospital for Children Columbia Memorial Hospital

Tuality Healthcare Providence Newberg Medical Center

Legacy Unity Behavioral Health Providence Seaside Hospital

Mid-Columbia Medical Center Samaritan North Lincoln Hospital

Providence Hood River Memorial Hospital Samaritan Pacific Communities Hospital

St Charles Bend Adventist Health Tillamook

St Charles Madras Willamette Valley Medical Ctr

St Charles Prineville Bay Area Hospital

St. Charles Redmond Coquille Valley Hospital

Blue Mountain Hospital District Curry General Hospital

Good Shepherd Health Care System Lower Umpqua Hospital

Grande Ronde Hospital Southern Coos Hospital & Health Center

Harney District Hospital Asante Ashland Community Hospital

Lake District Hospital Asante Rogue Regional Medical center

Pioneer Memorial Hospital (H) Asante Three Rivers Medical Center

Saint Alphonsus Medical Center - Baker City Mercy Medical Center

Saint Alphonsus Medical Center - Ontario Providence Medford Medical Center

CHI St Anthony Hospital Sky Lakes Medical Center

Wallowa Memorial Hospital

Portland Metropolitan Area

Central Oregon

Eastern Oregon

Valley

Northwest Oregon

Southern Coast

Southern Oregon