Broward Regional Health Planning Council HEALTH DATA WAREHOUSE June 18, 2009 Mike De Lucca,...

Broward Regional Health Planning Council HEALTH DATA WAREHOUSE

June 18, 2009

Mike De Lucca, President/[email protected]

Michele Rosiere, Division [email protected]

www.BRHPC.org954.561.9681

http://www.brhpc.org/

HEALTH DATA WAREHOUSE MILESTONES

2Broward Regional Health Planning Council

BRHPC HEALTH DATA WAREHOUSE

•Collaborated with Local Health Planning Councils Representing Florida’s 67 Counties•Developed web-based statewide infrastructure: o To identify, prioritize and address community health issueso Identify potential quality concernsoIdentify areas needing further study & investigationoTrack changes over timeoFacilitate decision making by federal, state and local policy makers; healthcare leaders; clinicians; etc. oMaximizes existing resources


BRHPC HEALTH DATA WAREHOUSE


Broward Regional Health Planning Council 5

SIGNING UP FOR THE HEALTH DATA WAREHOUSE

1) Go to www.brhpc.org2) Click on the “>>Please click here to login” link in the Health Data Warehouse Website Login section.



3) Click on REGISTER to create a new user account.



4) Please enter at least your email address and a password in the boxes below and then click the register button to create your new account.



Once you have complete the registration process you will be directed to the main Health Data Warehouse page.

PQI CATEGORIES


CHRONIC CONDITION INPATIENT UTILIZATION

Chronic Conditions last 12 months or longer and

(a)places limitations on self-care, independent living & social interactions; and/or

(b) results in need for ongoing intervention with medical products, services and special equipment.

Chronic condition identification utilizes

o all five-digit ICD-9-CM diagnosis codes,

o excludes external cause of injury codes (E codes).


SUICIDE SURVEILLANCE SELF INFLICTED INJURY E-CODES

E-Code Categories

E950-Solid or liquid substances

E9500-Analgesics antipyretics and antirheumatics

E9501-Barbiturates

E9502-Other sedatives and hypnotics

E9503-Tranquilizers and other psychotropic agents

E9504-Other specified drugs and medicinal substances

E9505-Unspecified drug or medicinal substanceE9506-Agricultural and horticultural chemical, pharmaceutical

E9507-Corrosive and caustic substances

E9509-Other and unspecified solid and liquid substances

E950-Other & unspecified solid & liquid substances Total

E951-Other utility gas – Total

E9520-Motor vehicle exhaust gas

E9521-Other carbon monoxide

E952-Unspecified gases and vapors – Total

E953-Hanging strangulation and suffocation


External Cause of Injury Code Overview

E-Codes represent diagnostic categories utilizing the 9th revision of the International Classification of Diseases (ICD-9).

E-codes differ from nature of injury codes (N-codes)by providing data on the cause, rather than type, of injury. For example, a traumatic head injury, coded with an N-code, could result from a car accident or gunshot wound, both coded with E-codes.

Additionally, E-codes distinguish self-inflicted injuries, essential information for suicide surveillance.

Data Source: Agency for Health Care Administration Hospital Inpatient Data

EMERGENCY DEPARTMENT ACUITY (CPT) STRATIFICATION


EMERGENCY DEPARTMENT AMBULATORYNYU ALGORITHM EMERGENCY VS. AVOIDABLE


USING THE PREVENTION QUALITY INDICATORS (PQI) MODULE TO PRODUCE A REPORT

Report 1: Using the (PQI) module to produce a report for: All Counties, Year = 2007, All Quarters, With Charge

Information, Showing the Observed Rates, Stratified by Hospital/Gender, Using the standard exclusion of cases where Patient County does not equal Hospital County.

Select “All of Florida”, 2007 and All Quarters selections.


REPORT CRITERIA SELECTIONFig2: (1) Select “Yes” for “Show Charge information”, “Show Rates” and “Same Patient & Hospital County”.(2) Then select the stratifers Hospital and Gender. (Notice, that when we select “Hospital” as one thestratifiers a popup box is displayed explaining why the Denominator/Rates cannot be displayed for all PQIsexcept PQI-2 and PQI-9). (3) click on the “Generate Report” button.


GENERATE REPORT


SAMPLE PQI QUERY RESULT #1

Fig5: The report has finished downloading and is displayed. (1) At the very top you will notice the definition of our report (2007, All of Florida, All Qtrs and the stratifiers) (2) Near the top in the middle there is a link to the help/tutorial. Clicking on “For Help click here” displayed a popup window with the tutorial. (3) Near the top right is where you can export the report. You can export to CSV/Excel and PDF formats. For PDF formats there are 3 different page size/orientation choices (Please choose based on the width of the report) (4) Notice that for PQI-1 there are no Denominators or Obs.Rate as explained on Fig2 above.


SAMPLE PQI QUERY RESULT #2


Fig6: This is the same report as in Fig5 above demonstrating that for PQI-2 there are Denominators and Obs.Rates. As an example, we take “Morton Plant North Bay Hospital” and see that for 2007 there were 10 (Numerator) cases of perforated appendicitis out of 42 (Denominator) cases of appendicitis fitting the AHRQPQI-1 definition.

EXCLUSIONS


MODULE DATA SOURCES

Acuity Stratification, Avoidable - NYU AlgorithmSource - Florida AHCA Emergency Department (ED) Patient Data

Prevention Quality Indicators, Chronic Conditions, Suicide Incidence - Source: Florida AHCA Inpatient Discharge Data

Note: For all Modules, cases with different Patient Counties and Hospital Counties are now included. It is up to the user, when running reports on the website, to decide whether to exclude these cases.


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