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OFFICE OF THE ASSISTANT SECRETARY FOR HEALTH FPAR 2.0 Data Collection Webinar for Title X Grantees May 15, 2019 3:00 p.m. – 4:30 p.m. ET
O F F I C E O F T H E A S S I S T A N T S E C R E T A R Y F O R H E A L T H
FPAR 2.0 Data Collection
Webinar for Title X Grantees
May 15, 2019
3:00 p.m. – 4:30 p.m. ET
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O F F I C E O F T H E
A S S I S T A N T S E C R E T A R Y F O R H E A L T H
Today‘s Agenda
• Welcome and Introductions
• Current State of FPAR
• Overview of FPAR 2.0
• Overview of the FPAR 2.0 Data Submission Process
• Review Results from Past Work with Grantees/Sites
• Preparing for FPAR 2.0
• Timeline of Key Dates
• Next Steps
• Q&A
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Note: This webinar will be recorded
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O F F I C E O F T H E
A S S I S T A N T S E C R E T A R Y F O R H E A L T H
Today‘s Speakers
Ana Carolina Loyola Briceno, MPH
Health Scientist
Office of Population Affairs
Dr. Stephen Hasley, MD, FACOG
Chief Medical Informatics Officer
American College of Obstetricians and Gynecologists
Dr. Nadia Ramey, PhD, MPH
Senior Director of Health IT and Clinical Informatics
American College of Obstetricians and Gynecologists
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O F F I C E O F T H E
A S S I S T A N T S E C R E T A R Y F O R H E A L T H
The Current State of FPAR (FPAR 1.0)
• Family Planning Annual Report (FPAR): annual reporting requirement for family planning
services delivery projects authorized and funded under the Population Research and
Voluntary Family Planning Programs (Section 1001 of Title X of the Public Health Service Act,
42 United States Code [USC] 300).
• Data is required of all Title X family planning services grantees and are used to:
monitor compliance with statutory requirements;
comply with accountability and federal performance reporting requirements for
Title X family planning funds;
guide strategic and financial planning;
respond to inquiries from policy makers and Congress about Title X;
and estimate the impact of Title X-funded activities on key reproductive health outcomes.
• Data are submitted and presented in summary form, which protects the confidentiality of
individuals who receive Title X-funded services.
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O F F I C E O F T H E
A S S I S T A N T S E C R E T A R Y F O R H E A L T H
Why FPAR 2.0?
• Current aggregate data collected through FPAR reporting processes limit OPA’s capacity to monitor data quality and to conduct patient-level analyses that are more informative and useful to service delivery efforts.
• Since 2012, OPA has been developing an interoperable, standards-based reporting system to collect a set of defined and agreed upon data elements across the 4,000 Title X service sites, known as FPAR 2.0.
• FPAR 2.0 has three main goals:
1. Improve the quality of data sent to OPA to improve the ability to assess key performance metrics related to family planning and reproductive health;
2. Reduce the burden of annual reporting requirements on the Title X network; and
3. Contribute to a learning healthcare environment by sending quality improvement-related information back to Title X providers.
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O F F I C E O F T H E
A S S I S T A N T S E C R E T A R Y F O R H E A L T H
FPAR 1.0 – Grantee-level Data
FPAR 1.0
• Data submitted to OPA have been aggregated at the Title X grantee-level
• Grantee-level data: summative data from sites for each grantee (i.e., each row of data reflects aggregate data for one of the ~90 Title X grantees)
• Reporting period: Jan. 1 – Dec. 31
• Grantees enter and submit their data into the FPAR Data System
• Collected through: December 31, 2020
• Submitted: February 2020 & 2021
How we are
currently
collecting FPAR
data.
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O F F I C E O F T H E
A S S I S T A N T S E C R E T A R Y F O R H E A L T H
FPAR 2.0 – Encounter-level Data Requirement
FPAR 1.0
• Data submitted to OPA have been aggregated at the Title X grantee-level
• Grantee-level data: summative data from sites for each grantee (i.e., each row of data reflects aggregate data for one of the ~90 Title X grantees)
• Reporting period: Jan. 1 – Dec. 31
• Grantees enter and submit their data into the FPAR Data System
• Collected through: December 31, 2020
• Submission: February 2020 & 2021
FPAR 2.0
• OPA will require Title X grantees to collect and submit FPAR data at the encounter-level
• Encounter-level: data at the individual patient visit level (i.e., each row of data reflects a unique patient visit or “encounter” at a Title X service site)
• Reporting period: Jan. 1 – Dec. 31
• Grantees will submit encounter-level data to a secure data repository
• Begin collecting: January 1, 2021
• Submission: TBD
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O F F I C E O F T H E
A S S I S T A N T S E C R E T A R Y F O R H E A L T H
Data Submission – FPAR 2.0 Data Elements
• 52 standardized data elements at every family planning encounter
Parity
Gravidity
Pregnancy intention
Sexual activity
Dates and results for last Pap test
HPV co-test
Chlamydia, Gonorrhea, HIV testing results
Systolic blood pressure
Height
Weight
Smoking status
Whether contraceptive counseling and counseling to achieve pregnancy were provided
• List of data elements will be posted on the OPA website
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O F F I C E O F T H E
A S S I S T A N T S E C R E T A R Y F O R H E A L T H
Data Collection – Preparing for FPAR 2.0
• If current EHR vendor doesn’t capture the data elements,
collection options include:
Petition EHR vendor to include FPAR 2.0 elements
Add the elements manually
Add missing data elements to final report
Stand-alone database to enter data elements and generate report
Change EHR vendors
Utilize web-based service
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O F F I C E O F T H E
A S S I S T A N T S E C R E T A R Y F O R H E A L T H
Options for Data Quality Evaluation – Preparing for FPAR 2.0
• Review data in EHR, encounter by encounter
• Download data from EHR into common format for manual
evaluation
• Use analytic tool, if provided by vendor
• Engage third party vendor
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O F F I C E O F T H E
A S S I S T A N T S E C R E T A R Y F O R H E A L T H
Data Submission – Available Formats
• Goal: To establish technical systems and mechanisms that allow
the registry to obtain required patient demographics and clinical
data from the sites.
• To accomplish this, we use two mechanisms widely available
from vendors:
C-CDA
Flat-files and open APIs
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O F F I C E O F T H E
A S S I S T A N T S E C R E T A R Y F O R H E A L T H
Review Findings from Past Work
• Completion of FPAR 2.0 Data Dictionary and IHE Family Planning Profile
• Developed FHIR profiles for FPAR 2.0 data elements; tested with Title X
grantee data
• Developed a basic stand-alone database application for FPAR 2.0 reporting
• Tested different interoperability standards for FPAR 2.0 data elements
• Determined secure data transfer and storage options (third-party vendor as
a data repository)
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O F F I C E O F T H E
A S S I S T A N T S E C R E T A R Y F O R H E A L T H
Preparing for FPAR 2.0
2020 will be dedicated entirely to preparing the Title X network for FPAR 2.0 data collection and submission. Grantees can expect the following type of assistance:
• The Family Planning National Training Center (FPNTC) Technical assistance
• ACOG Communicating grantee/site needs to EHR vendors and data quality/review
vendorso Unified specification document for data quality vendors
Stand-alone database application for FPAR 2.0 reporting
• FPAR 2.0 requirement guidance OPA
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O F F I C E O F T H E
A S S I S T A N T S E C R E T A R Y F O R H E A L T H
Timeline
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Jan. 1 – Dec. 31, 2019
Jan. 1 – Dec. 31, 20202020 June 2019 Jan. 1, 2021 2021
TBD
FPAR 2.0 Webinar
(Subs/Sites)
Collect FPAR 1.0
Data
Submit FPAR 1.0
Data
Prepare Grantee Systems
Technical Assistance
Begin encounter-level data collection
Submit encounter-level data
Feb. 2020
Feb. 2021
2020
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O F F I C E O F T H E
A S S I S T A N T S E C R E T A R Y F O R H E A L T H
Next Steps
• FPAR 2.0 Data Collection Webinar for Subrecipients and Sites
June 2019
• List of FPAR 2.0 of Data Elements – coming soon!
To be posted on the OPA website
• FPAR 2.0 Readiness Document – coming soon!
Public comment – provide your feedback
• National Title X Grantee Meeting
July 16-19, 2019
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O F F I C E O F T H E
A S S I S T A N T S E C R E T A R Y F O R H E A L T H
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Q & A
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O F F I C E O F T H E
A S S I S T A N T S E C R E T A R Y F O R H E A L T H
Contact Us!
Ana Carolina Loyola Briceno
Dr. Stephen Hasley
Dr. Nadia Ramey
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O F F I C E O F T H E
A S S I S T A N T S E C R E T A R Y F O R H E A L T H
Thank You!
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