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Colorado Hospital Association
Founded in 1921 to “support our members’ collaborative commitment to advance the health of their communities through affordable, accessible, high quality health ‐care.”
Our imperatives include:◦ Advocacy and Legislative Policy◦ Communication◦ Health Care Delivery and Payment Reform◦ Clinical Excellence◦ Education and Events◦ Hospital Emergency Preparedness◦ Rural Health and Hospitals◦ Data Analytics
Center for Health Information and Data Analytics at CHA
Created in 2013 to provide data analytics and information for our members and the organization’s activities.
Our Goals:◦ Support advocacy and evidence-based policy◦ Produce informative and actionable analytics for our members◦ Understand impact of reforms and legislation◦ Identify trends and drivers in the hospital industry
Our Challenges:◦ Big sets of disparate data from disjointed sources in unrelated forms◦ Lots of noise and errors◦ Going bravely where no analyst has gone before
Currently consists of two data scientists and two Alteryx licenses…
Checklist Project Consolidated nearly 700 checklists into digestible reports for each hospital
Highlighted strong and weak areas of checklist compliance to help maintain and improve quality
9
Project RED
10
Months Post-Implementation
6 months 9 months 12 months 15 months 18 months 21 months 24 months$0K
$50K
$100K
$150K
$200K
$250K
$300K
$350K
$400K
$450K
$500K
$550K
$600K
$650K
Median Estimate
Cost Savings Estimates
Months Post-Implementation
Baseline 6 months 9 months 12 months 15 months 18 months 21 months 24 months0.0%
0.5%
1.0%
1.5%
2.0%
2.5%
3.0%
3.5%
4.0%
4.5%
5.0%
5.5%
6.0%
6.5%
7.0%
Readmission Rate
6.5%
3.9%
3.8%3.7%
3.7%3.7%
3.1%
2.6%
Baseline
Goal Rate: 5.2%
Overall Same-Cause Readmission Rate
Provided data analytics, interpretation and visualsPublished white paper
Alteryx and Readmissions Almost 2 million records Matching patients on hospital, medical record numbers, birthday and sex
Counted a single readmission for any patient who returned to the hospital within 30 days of original discharge (no matter how many times in that 30 days) ◦ New tracking period began at 30 days from original discharge
11
Alteryx and Rural Migration
5 years worth of data
>2 million inpatient claims
43,000 ZIP codes
68 hospitals
65 counties, four rural regions and six metro regions
158,000 different Medicare DRG payment amounts
Location of Patient + Location of Hospital Market Owner analysis Migration Status of Patient Price of Hospital Stay Rural Migration Analysis
Inpatient Rural Migration, ’10-’14
2008 2009 2010 2011 2012 2013 2014Year
20%
25%
30%
35%
40%
45%
50%
55%
Proportion Leaving