12
Regulations + EMR = Data! Using Race, Ethnicity and Language Data: Innovative Sources and Approaches Carolyn Wang Kong Kaiser Permanente, Northern California Region
Regulations + EMR = Data! Using Race, Ethnicity and Language Data: Innovative Sources and Approaches
Carolyn Wang Kong Kaiser Permanente, Northern California Region
2 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. February 14, 2013
— Lisbeth Schorr, Senior Fellow, Center for the Study of Social Policy
“No data without stories and no stories without data.”
Data isn’t everything…
Timing can be everything…
3 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. February 14, 2013
D FM D
Legend: Su '05, Sp '06 IU1 Upgrades ADT/HB/ED Manager/IPRx OnlineCadence HOV Inpatient Phase 2 (OpTime, ED Clinicals, ClinDoc, CPOE) New Inpatient
New Outpatient
SQ1 '08 Q2 '09 Q3 '09
J J AMJ FQ3 '06 Q2 '07 Q3 '07 Q4 '07Q1 '07 Q4 '09Q2 '08 Q3 '08 Q4 '08 Q1 '09
O N4 'Q1 '0 Q2 '05 Q3 '05 Q4 '05 Q1 '06 Q2 '06
N AJ A S OA M J MD J F MM J J N
Scanning AntiCoag
D J F M A A S O
STR
RCH
OAK
Ambulatory
DSA-ANT
SCL
Revenue Capture
S O
NSA
SRF
DSA
ROS
SSC
SRO
FRE
HAY
F M A M
RWC
SAC
FRS
SSF
SFO
CVA
NQ4 '06
J J A S O ND JAM JEnviro
J JA D
California Department of Managed Health Care
(DMHC) issues language assistance
regulations
Regulation Effective 1/1/2009
4 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. February 14, 2013
What did the regulations require? Capture, track and be able to report the language
preferences of membership Ensure 24/7 access to language assistance resources
including interpreters with demonstrated proficiency – and document it
Translate vital documents into top two languages preferred by membership
Train Health Plan employees who have regular contact with members on language assistance
Ensure that our contracted providers are compliant Monitor and regularly report compliance
What did and didn’t come “out of the box”
Out of the box: – Multiple language fields (primary spoken language, primary written language,
primary language, etc.)
Not in the box: – Interpreter Need (yes/no) – Documentation of interpreter offer, use or refusal – Presence of Language and Interpreter Needs Fields to support workflow – Documentation triggered by Interpreter Need Field
5 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. February 14, 2013
6 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. February 14, 2013
What data did we need any for what reasons?
Compliance Monitoring Service Planning Cost/Efficiency
Are we capturing language data?
Are we offering interpreter services?
What are our top languages?
Are members accepting or refusing offer of interpreter services?
What language resources are being used?
What is the cost of providing language assistance?
Which resource is most expensive? Least expensive?
Where is there variation?
The end result (release 2.0)
7 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. February 14, 2013
Compliance Monitoring Views
8 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. February 14, 2013
Service Planning View
9 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. February 14, 2013
Service Planning View
10 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. February 14, 2013
Cost/Efficiency Views
11 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. February 14, 2013
Pitfalls
Data is only as good as it’s entered Systems don’t load data at the same time Training on utility of data never ends
12 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. February 14, 2013
