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Healthcare Cost and Utilization Project (HCUP)

Healthcare Cost and Utilization Project (HCUP). Healthcare Data and Tools … And an Overview of HCUPnet Anne Elixhauser, Ph.D. State Healthcare Quality Improvement Workshop December 7, 2007—Philadelphia, PA. The HCUP Partnership: A Voluntary Federal-State-Private Sector Collaboration. AK.

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Healthcare Cost and Utilization Project (HCUP)

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  1. Healthcare Cost and Utilization Project(HCUP) Healthcare Data and Tools… And an Overview of HCUPnet Anne Elixhauser, Ph.D. State Healthcare Quality Improvement Workshop December 7, 2007—Philadelphia, PA

  2. The HCUP Partnership: A Voluntary Federal-State-Private Sector Collaboration AK WA VT MT ME ND MN NH OR ID WI MA SD NY MI WY RI IA PA CT NV NE OH IN UT IL NJ DC CO WV CA VA DE MO KS KY MD NC TN OK AZ AR SC NM GA AL Legend MS TX HCUP Partner LA FL Legal Barrier Does Not Collect Inpatient Data 38 states in partnership 90% of all discharges HI Not a Partner

  3. The Foundation of HCUP is Billing Data Patient demographics (age, sex) Diagnoses & procedures (ICD-9-CM, DRG) Expected payer Length of stay Patient disposition Admission source & type Admission month Charges UB-92 (UB-04) Billing Form

  4. The Making of HCUP Data Billing record created Patient enters hospital AHRQ standardizes data to create uniform HCUP databases Hospital sends billing data and any additional data elements toData Organizations States store data in varying formats

  5. What is HCUP? And what is it not?

  6. HCUP is a Family of Databases, Tools, Products HCUP Databases Software Tools HCUPnet Research Publications User Support

  7. State Ambulatory Surgery Databases (SASD) State Emergency Department Databases (SEDD) State Inpatient Databases (SID) Nationwide Inpatient Sample (NIS) Kids’ Inpatient Database (KID) Types of HCUP Databases

  8. HCUP Supports High Impact Health Services, Policy , and Clinical Research

  9. HCUP Supports Federal and Non-Federal Initiatives

  10. Supports Policy Deliberations and Legislation HCUP was used to determine national and state burden of hospital care following motorcycle injuries Analyses used in West Virginia’s hearings to remove their motorcycle-helmet law

  11. AHRQ Quality Indicators • Most widely used HCUP tool • Used for reporting hospital quality of care • AHRQ provides benchmarks against which to compare your numbers

  12. HCUP Fact Books

  13. HCUP Statistical Briefs

  14. Other Statistical Briefs Include: • Hospital stays related to depression • Trends in risk-adjusted mortality • Trends in preventable hospitalizations • Infections with MRSA in U.S. hospitals • Childbirth-related stays in U.S. hospitals • Adverse drug events • Admissions for traumatic brain injury • Bariatric surgery utilization and outcomes • The national hospital bill • …

  15. Facts and Figures

  16. HCUPnet: Quick, Free Access to HCUP Data • Free, interactive online query system • Users generate tables of outcomes by diagnoses and procedures • Data can be cross-classified by patient and hospital characteristics http://hcupnet.ahrq.gov

  17. HCUPnet is a powerful online query tool that gives you free, instant access to healthcare statistics. HCUPnet provides national information on hospital stays based on the Nationwide Inpatient Sample.

  18. … and it gives access to data from participating states from HCUP’s State Inpatient Databases.

  19. HCUPnet takes you through a step-by-step process to select the information you want.

  20. You select the level of diagnosis and procedure information: ICD codes, Clinical Classifications, DRGS.

  21. HCUPnet provides information on: • numbers of discharges • hospital LOS and charges • discharge status • how patients were admitted

  22. Are you interested in particular patient groups? Specific hospital characteristics?

  23. You get your results instantly. HCUPnet is based on aggregated statistics to speed data transfer and protect patient confidentiality.

  24. You can request information on trends for the nation and for any participating state.

  25. You can repeat your query instantly on another database.

  26. HCUPnet also provides information on ED visits for some states.

  27. … and on national-level information on quality of care, based on the AHRQ Quality Indicators.

  28. Visit HCUPnet at: http://hcupnet.ahrq.gov

  29. What types of questions can HCUPnet answer? • What are the most common conditions treated in hospitals in my state? • What are the most expensive conditions? procedures? • How many CABGs were performed in 2003? • What percentage of hospitalizations are uninsured? • For what conditions are uninsured patients hospitalized? patients covered by Medicaid? • What is the trend in hospitalizations for MRSA? • What is the cost of C-section versus vaginal deliveries? • What types of hospitals treat what kinds of patients? • What types of patients are seen in the emergency department and then admitted to the hospital?

  30. For more information • General Technical Assistance—HCUP User Support • E-mail: hcup@ahrq.gov • Phone: 1-866-290-HCUP (4287) • Anne Elixhauser— • E-mail: anne.elixhauser@ahrq.hhs.gov

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