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Overview of Organization & Comparative Quality Data. Ron Spingarn, Deputy Director Healthcare Information Division Email: [email protected] Phone: (916) 326-3801. University of California at Davis June 18, 2010. Facilities Development. Workforce Development. Health

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Overview of Organization & Comparative Quality Data

Ron Spingarn, Deputy DirectorHealthcare Information Division

Email: [email protected]

Phone: (916) 326-3801

University of California at Davis

June 18, 2010


Facilities

Development

WorkforceDevelopment

Health

ProfessionsEducationFoundation

OSHPD

(Coronary)

Clinical

Advisory

Panel

Healthcare

Information

Cal-Mortgage

Loan

Insurance

Administration

CA Health Policy

& Data Advisory

Commission

Health Data

Transparency

& Effectiveness

Committee

Technical

Advisory

Committee


Data Flow from Facilities

  • 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)

DataProducts

Aggregate

Financial &

Utilization

Data

Healthcare

Information

Division

Coronary Artery Bypass Graft Surgery Hosp. (121)

Cardiac Surgeons (284)

Clinical

Data &

Research

  • 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)

PatientDischarge

Data


Requests for oshpd data
Requests for OSHPD Data

Examples:

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

Data Use Agreement Information - Contact:Jonathan Teague, Email: [email protected] Phone: (916) 326-3805


Quality measures reporting levels by oshpd
Quality Measures’ Reporting Levels by OSHPD

Area-Level

  • Inpatient Utilization

  • Prevention Quality

    Hospital-Level

  • Inpatient Mortality

  • Inpatient Volume & Utilization

  • Pediatric Quality

  • Patient Safety

  • Coronary Artery Bypass Graft Surgery

  • Maternal Outcomes*

  • Hip Fracture Repair Mortality*

    Surgeon-Level

  • Coronary Artery Bypass Graft Surgery

    *not yet released OSHPD measures in red

    AHRQ measures in blue


Ahrq quality indicators reported by oshpd
AHRQ Quality Indicators Reported by OSHPD

  • Mortality 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



Ahrq inpatient volume utilization indicators
AHRQ Inpatient Volume & Utilization Indicators

  • Volume Indicators: All measures reported by OSHPD, since 2005

    • Esophageal Resection

    • Pancreatic Resection

    • Abdominal Aortic Aneurysm Repair

    • Carotid Endarterectomy

    • Coronary Artery Bypass Graft Surgery

    • Percutaneous Transluminal Coronary Angioplasty

  • Utilization Indicators: 7 available; 5 reported by OSHPD since 2005

    • Cesarean Delivery Rate

    • Cesarean Delivery Rate – Primary

    • Vaginal Birth After Cesarean (VBAC) Rate, All

    • Vaginal Birth After Cesarean (VBAC) Rate, Uncomplicated

    • Laparoscopic Cholecystectomy

      Under Consideration: Bi-lateral cardiac catheterization & Incidental appendectomy in elderly


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

AHRQ Prevention Quality Indicators(Area-Level Measures)

All 14 available measures reported by OSHPD since 2005:


Ahrq pediatric quality indicator area level measures
AHRQ Pediatric Quality Indicator (Area-Level Measures)

All 5 available area-level rates reported by OHSPD since 2005:

  • Asthma Admission Rate

  • Diabetes Short-Term Complication Rate

  • Gastroenteritis Admission Rate

  • Perforated Appendix Admission Rate

  • Urinary Tract Infection Admission Rate

AHRQ Utilization Rates

All 4 available area-level rates reported by OSHPD since 2005:

  • Coronary Artery Bypass Graft Surgery

  • Percutaneous Transluminal Coronary Angioplasty

  • Hysterectomy

  • Laminectomy or Spinal Fusion


Patient safety indicators area level rates 7 available
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