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ATHN Data Quality Counts

How to Apply for Data Management FundingAnn Forsberg

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ATHN’s Strategic Opportunities

Network Infrastructure

Develop electronic database capacity

• Gain and engage ATHN Affiliates re: database

• Build community trust

• Expand local capacity by funding and training data managers

• Establish regional data management structure

• Define and establish the core dataset: bleeding and clotting

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HTC Needs Assessment

• eSurvey on ATHN website– Initiated mid-October

• Respondents– 79 of 134 (59%) HTCs responded_ 39 of 72 (54%) ATHN Affiliates

• Objectives of survey– Assess state of current data

collection and use– Facilitate improved data collection – Develop fact base to provide data

manager funding/support to HTC’s

Completed!Completed!

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Currently Using Lab Tracker

Users

Non Users

(Based on 79 Respondents)

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Data Routinely Computerized in Lab Tracker

0 20 40 60 80 100

Contacts

Diagnoses

Surgeries

Med - Coag

Meds- Other

Labs

Infusion records

% of HTCs

(Based on 79 Respondents)

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Region IRegion I

Region IIRegion II

Region IIIRegion III

Region IV NorthRegion IV North

Region VIIRegion VII

Region IV SouthRegion IV South

Region VIRegion VI

Region V WestRegion V West

Region V EastRegion V EastRegion VIIIRegion VIII

Region XRegion X

Region IXRegion IX

Hawaii & Guam Region IX

Puerto Rico & Virgin Is Region II

Map of the Regions in the National Network

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Coagulation Medications (Based on 79 Respondents)

% Reporting HTCs Routinely Computerizing in Lab Tracker

0 20 40 60 80 100

All HTCs

I

II

III

IV-N

IV-S

V-E

V-W

VI

VII

VIII

IX

X

% of Region HTCs % of All HTCs

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Surgeries (Based on 79 Respondents)

% Reporting HTCs Routinely Computerizing in Lab Tracker

0 20 40 60 80 100

All HTCs

I

II

III

IV-N

IV-S

V-E

V-W

VI

VII

VIII

IX

X

% of Region HTCs % of All HTCs

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Infusion Records (Based on 79 Respondents)

% Reporting HTCs Routinely Computerizing in Lab Tracker

0 20 40 60 80 100

All HTCs

I

II

III

IV-N

IV-S

V-E

V-W

VI

VII

VIII

IX

X

% of Region HTCs % of All HTCs

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Core User

• Collects Core Data– Demographics – Diagnoses – Coagulation medications – Surgeries – Laboratory tests – Contact info – Insurance

AND• Uses for either medical record or more than

annual visits

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Lab Tracker User Level

0

5

10

15

20

25

30

35

HTC respondents

Superuser

Core User

Early User

Non-User

Super User: Use as medical record AND for more than annual visits AND capture core data plus infusions or non-coag medsCore User: Captures core data (i.e., demographics, diagnoses, coagulation meds, surgeries, labs, contact info, insurance) AND uses for either medical record or more than annual visits Early User: Captures at least demographics and diagnoses

(Based on 79 Respondents)

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Average Hours per Position per Month

0%

20%

40%

60%

80%

100%

Super User Core User Early User

RN Admin Dedicated Data Mgr LSW PT MD Other

.91 FTE .26 FTE .12 FTE

(Based on 79 Respondents)

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Perceived Current Data Manager Staffing

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Adequacy of Staffing

No time

Significantly inadequate

Somewhat inadequate

Adequate

Additional staff required: Aver. 42 hrs/mo; range: 3-160 hrs/mo(Based on the initial 79 respondents).

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Variation on Perceived Adequacy of Staffing

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

All HTCs I II III

IV-N

IV-S V-E

V-W VIVII

VIII IX X

Adequate Somewhat inadequate Significantly inadequate No time

Additional staff required: Aver. 42 hrs/mo; range: 3-160 hrs/mo(Based on the initial 79 respondents).

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Desired Support of ATHN Affiliates

• Manpower

– Local data managers

– Central help desk (Telephone support)

– Regional super users (For most experienced)

• Lab Tracker (Web) Training

– Regional

– Web based

• Technical Support

– Virtual help desk (On line support)

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ATHN Data Quality Counts: $400,000 NOW

• Capacity Building at HTCs

• Application process

• Deadline September 15, 2008

• Email applications to chaupt@athn.org

• 15 awards in first round

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Awards Based on Merit and Need

• To secure complete and accurate core data for use in disaster preparedness, electronic UDC submission and patient management beyond annual visits;

• To support current Lab Tracker users to increase the amount and/or quality of their data;

• To jumpstart data collection using Lab Tracker® (web) by centers who are not currently users of Lab Tracker due to lack of funds for data management staffing.

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Simple Application Process

• Need: Why you should be funded?

• Objectives: What you commit to do?

• Performance Indicators: What measurements and milestones will document progress?

• Budget: How much money? How will you use it?

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HTC Commitment Required

• To use best efforts to achieve objectives

• Provide a six month progress report

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ATHN Data Quality Counts

• A major step forward

• Flexible so HTCs can ask for what they needed

• Additional funding cycles to follow

• Provides ATHN experience in funding process

• Helps ATHN Affiliates expand capacity

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Technology Committee – Thank You

• Geoffrey Allen

• Pam Bryant

• John Drake

• Karmin Enge

• Rebecca Hauke

• Michael O’Conner

• Tom Ortel

• Lew Parker

• Steven Pipe

• Angie Riedel

• Brenda Riske

• Linda Smith (CDC)

• Ray Stanhope

• Julie Thomas

• Leonard Valentino

• Diane Aschman

• Ann Forsberg, Chair