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Vermont Explor Annual Meeting
May 1, 2006
Capitol Plaza Hotel
AGENDA• Introductions all around• Review of 2005 Data• HIDI ~ Kevin and Ken• Birth Information Network ~ Peggy Brozicevic, VDH• Cancer Registry ~ Ali Johnson, VDH• Uses of data at federal level: AHRQ• 12:30 PM: Lunch• 1 PM: VITL, health information exchange and e-HIM ~ Greg Farnum• 1:30 PM: Dian Kahn, Pat Jones & Mike Davis, BISHCA
– Data uses at state level: Act 53 financial reports and quality measures– Expansion of outpatient data collection
• 2:15 PM: HospitalData.org - Strategic planning tool• 2:30 PM: Roundtable discussion
– Best practices/problem-solving– Networking:
• Web site? Listserv? Conference calls? More meetings?
Introductions
Review of 2005 Data
• Excellent in all areas except for:– Line item charges and HCPCS/CPTs
3-Year Trend by Type of Visit
0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
1 2 3 4 1 2 3 4 1 2 3 4
2003 2004 2005
Invasive OP Procedures
ER Visits
Observation Stays
Inpatient Stays
Hospital (All)
dyear QUARTER
Data
Note: A patient visit can fall into more than one category
3-Year Trend by Payer
0
5,000
10,000
15,000
20,000
25,000
1 2 3 4 1 2 3 4 1 2 3 4
2003 2004 2005
Blue Cross / Blue Shield Champus Commercial Medically Indigent / Free Other Government Plans
Self Pay Workers Comp HMO Medicaid Medicare
Hospital (All)
Visits
dyear QUARTER
title
3-Yr Trend by Admit Type
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
45,000
50,000
1 2 3 4 1 2 3 4 1 2 3 4
2003 2004 2005
Elective
Emergent
Newborn
Urgent
Hospital (All) Bill Type (All) Payer (All)
Sum of Discharges
dyear Qtr
Admit Type
25,097 26,946 27,997
Admit Type by Bill Type
0
2,500
5,000
7,500
10,000
12,500
15,000
17,500
20,000
22,500
25,000
1 2 3 4 1 2 3 4 1 2 3 4
2003 2004 2005
111 - Elective
111 - Urgent
131 - Elective
131 - Urgent
Hospital (All) Payer (All)
Sum of Discharges
dyear Qtr
Bill Type
Admit Type
Outpatients
Inpatients
21,45419,703 22,297
3-Yr Trend by Disposition
8,7629,274 9,167 8,878 8,841 8,956 9,057
8,658 8,875 8,902 8,7968,173
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
1 2 3 4 1 2 3 4 1 2 3 4
2003 2004 2005
Died
Discharged / transferred to another short-term generalhospital for IP care
Discharged / transferred to another type of institution forIP care or referred for OP services
Discharged / transferred to intermediate care facility (ICF)
Discharged / transferred to skilled nursing facility (SNF)
Discharged to home health services
Discharged to home or self care
Discharged/transferred to another type of institution for IPcare or referred for Rehab Services
Discharged/transferred within this institution to hospital-based Medicare approved Swing bed.
Left against medical advice
Hospital (All)
Sum of Discharges
dyear q
title
Inpatients Only
Notable Outpatient Procedures
Procedures: Change from ’02 to ‘05
Procedure Classes provided by AHRQ
Procedures: Change from ’02 to ‘05
CCS: Clinical Classification Software, provided by AHRQ
Discharge records grouped on principal procedure
Diagnoses: Change from ’02 to ‘05
Discharge records grouped on principal diagnosis
HIDI ~ Ken Kuebler and Kevin Stock
Birth Information Network ~Peggy Brozicevic
Cancer Registry ~ Ali Johnson
AHRQ’s Uses of the Data
• Health Cost and Utilization Project (HCUP)• Constructs research databases:
– Main dataset, as of 2003:• 37 states’ inpatient stays• 21 states’ ambulatory surgeries• 17 states’ emergency room visits
– National Inpatient Sample– Kids Inpatient Dataset– others
AHRQ’s Publications
• National Healthcare Quality Report
• National Healthcare Disparities Report
• Fact Books (Avoidable Hospitalizations)
• Statistical Briefs (Reasons for ER visits)
AHRQ’s Software
• Quality Indicators (desktop application):– Inpatient Prevention– Patient Safety Pediatric
• Record Groupers (lookup tables):– Clinical Classification Software
• ICD-9 procs/diags, CPT, MHSA
– Procedure Classes– Chronic Condition Indicator – Comorbidity Software
AHRQ Stat Brief #1
• In 2003, percentage of non-childbirth hospitalizations via the ED:– US: 55% VT: 55%
– Payer is Medicaid or Medicare:– US: 66% VT: 63%
Lunch
VITL ~ Greg FarnumHealth information exchange and e-HIM
BISHCA
• Dian Kahn, Pat Jones & Mike Davis– Data uses at state level: Act 53 financial
reports and quality measures– Expansion of outpatient data collection
HospitalData.org
• Strategic planning tool
• Used by marketing and planning to predict utilization by patients from a given geographic area
• By DRG, procedure, and other categories
• Demonstration
Roundtable Discussion
– Best practices/problem-solving• Your questions and answers• What’s going on at your hospital
– Networking among hospitals• Web site? • More Listservs? [email protected]• Conference calls? • More meetings?
Contacts
Lauri [email protected] (802) 223-3461 x108Vermont Explor: www.vtexplor.org
Kevin Stock [email protected](573) 893-3700HIDI: http://web.mhanet.com/ Click on “Hospital Data Services”HIDInet: https://www.mhanet.com/hidinet/
