actionable transparency for healthcare data
TRANSCRIPT
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Example StateExample Hospital
Example County
Next
Resources
Corral all your data in one place
Actionable Transparency for emPowered Decisions *To advance the objectives of IHI”s Triple Aim it is imperative to organize the many healthcare-related indicators in an accessible format to facilitate stakeholder collaboration and effective decision-making.
- For Accountable Health Communities, the context:- A ‘Social Progress Index’- County Health Rankings (a Health Equity Index)- BRFSS (Behavior-Related Factors Surveillance Survey)
- IHI ‘Measures of Triple Aim Objectives’- Community Health (Populations)- Quality Patient-Centric Healthcare- Affordable and Universal Healthcare Access
- Framework of Data for “Community Health Assessment” (ACHI)- Local Community Stakeholder Collaboration- Comprehensive and Strategic Assessment- Priorities and Integrated Action, Accountability- Relevant, Timely and Open Monitoring for Improvement
Our County Our State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC International
Example Hospital
Example County
Example State
Organization
BackHome
Next
Every organization has its own unique set of data requirements and ‘most important metrics’. While corralling those unique data sets, and making them transparent to key stakeholders, high-performing organizations keep their finger on the pulse of their community and their industry, engaging with their colleagues in a holistic effort to promote a larger cause, the health of their communities and country.
Categories of Data
Next Corral all your data in
one place
County Health
Rankings
Social Progress
Index
Behavior-Related Factors
Core Measures, or Indicators, are needed reliably – timely, accurate and comprehensive - for tracking community health and economic status.
Data Warehouses are a critical resource for accessing needed information if Local Public Health Officials (LPHOs) are doing their most important work.
Collecting the data in a timely and accurate manner is first.
Open doors to stakeholders, as understandable and quickly accessible data, is the true substance of value.
Pivot tables are one key to unlock the value and benefits of this treasure trove.
- For “Accountable Health Communities”, Macro Views:- The ‘Social Progress Imperative’- County Health Rankings (Social Determinants of
Health)- BRFSS (Behavior-Related Factors, Surveillance
Survey)
ActionableTransparency
Home
Next
Our CountyOur State - Public Health
Consumer/Employee/Patient – Access to Quality/Cost-Effective Services:
Hospital Compare (CMS)
Health Grades
Healthcare Bluebook
Guroo (HCCI – Commercial Health Care Cost Institute
ZocDocs (patient-reviewed physicians, credentials and appointments)
Connect-for-Health (Colorado) – Select Health Insurance Plan
DORA – Physician, other professional and provider/facility licensure
AHD – American Hospital Directory Example
Data sets and pivot tables are not available
G. Swan, Pivot Table Repository of Healthcare Data, July 2016 Fishbone Overview * Copyright www.emPoweredDecisions.us
Home
Hospital Pricing - IP 100 DRGs
Hospital Pricing – OP 30 APCs
Relevant hyperlinks
in one place
Our County Our State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC International
State of Colorado Dept of Public Health and Environment (CDPHE):
Social Progress Index
County Health Rankings
BRFSS – Behavior Related
Birth Certificates Data Set
Death Certificates Data Set
Communicable Diseases
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Colorado SIM: State Innovation ModelColorado Health Foundation Report CardColorado Business Group for HealthCoHID: Colorado Health Indicator WarehouseCCAHC – Colorado Commission on Affordable HC
State Health Assessment and PrioritiesSHIP – State Health Improvement PlanPerformance and Strategy Tools CoRHIO Regional Health Information Org.
G. Swan, Pivot Table Repository of Healthcare Data, July 2016 Fishbone Overview * Copyright www.emPoweredDecisions.us
Home
Corral all your data in
one place
Our County Our State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC International
Pivot xls
Social Progress Index
Our County Our State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC International
County Health Rankings (Health Equity Index)- Excellent resource for Local Public Health Officials- Basic Snapshot for “Community Health Assessment”- Compare to peer counties and National Quintiles
Our County State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC International
Colorado Health Foundation: Colorado Health Report Card
Our County Our State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC International
Denver County:
Social Progress Index
County Health Rankings
BRFSS – Behavior Related
Birth Certificates
Death Certificates
Communicable Diseases
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CALPHO – Colorado Assoc of Public Health OfficialsNACCHO – Natl Assoc of County & City Health OfficialsCoHID (Colorado Health Indicator Database)Denver School-Based Health Centers
Community Health AssessmentCounty Strategic PlanCHIP – Community Health Improvement PlanCounty’s Public Health Accreditation Report
G. Swan, Pivot Table Repository of Healthcare Data, July 2016 Fishbone Overview * Copyright www.emPoweredDecisions.us
CoHID
Home
Corral all your data in
one place
Our County Our State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC International
Our County Our State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC International
CoHID Example: Extracted from “Injury Hospitalizations”of the Colorado Trauma Registry
Data in pivot table format allows users to quickly see different perspectives:- Annual Trends- Compare Peers- Filter on Metadata- PivotGraphs- Conditional
Formatting- Excel Features- Publish Dynamic Web
Pages- Easily Update as new
Data is acquired
Home Our County Our State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC International
CoHID (Colorado Health Indicator Database):
Birth Data
Death Data
BRFSS – Behavior Related
PRAMS - Pregnancy-related
Trauma Registry
Cancer Registry
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CALPHONACCHOColorado Cancer RegistrySchool-based Primary Health Clinics
Community Health AssessmentCounty Strategic PlanCHIP – Community Health Improvement PlanCounty’s Public Health Accreditation Report
G. Swan, Pivot Table Repository of Healthcare Data, July 2016 Fishbone Overview * Copyright www.emPoweredDecisions.us
Home Our County Our State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC International
Real-time Access to Birth Data:
Data from Birth Certificates are filed at the time of birth. Why is data available only after two to three years?
Using the selection filters at CoHID, data can only be selected one thin slice at a time. Whereas, a pivot table can hold the entire data set to allow users/stakeholders to see macro trends, disparities (by race, age, education, etc), and filtered views (with ‘slicers’).
A pivot table can have granularity and multiple metadata (filters).
Tools within Excel can facilitate calculations (eg per capita, ratios, etc), conditioned formatting and dynamic graphics (pivotgraph).
Pivots, with an icon option to download, would be an additional, highly valuable icon for downloading and flexible exploration of the available data.
Our County State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC International
Real-time Access to Mortality Data:
Data from Death Certificates are filed at the time of death. Why is data available only after two to three years?
Using the selection filters at CoHID, data can only be selected one thin slice at a time. Whereas, a pivot table can hold the entire data set to allow users/stakeholders to see macro trends, disparities (by race, age, education, etc), and filtered views (with ‘slicers’).
A pivot table can have granularity and multiple metadata (filters).
Tools within Excel can facilitate calculations (eg per capita, ratios, etc), conditioned formatting and dynamic graphics (pivotgraph).
Pivots, with an icon option to download, would be an additional, highly valuable icon for downloading and flexible exploration of the available data.
Our County Our State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC International
Hospital Benchmarking Metrics:
Medicare Cost Reports
CMS Hospital Patient Satisfaction
CMS Time and Effectiveness
CMS Hospital Infection Rates
CMS Pricing IP 100 DRGs
CMS Pricing OP 30 Procedures
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Info pdf Snapshot m-power Pivot xlsCHA – Colorado Hospital AssociationAHA – American Hospital AssociationDartmouth AtlasJCAHO – The Joint CommissionAHD – American Hospital Directory Example
G. Swan, Pivot Table Repository of Healthcare Data, July 2016
Snapshot: List Hospitals
Fishbone Overview
Snapshot: TPS, 2016
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Hospital: Denver Health Medical Center
Home Our County Our State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC International
Corral all your data in
one place
Our Hospital: Denver Health Medical Center:
Medicare Cost Reports
CMS Hospital Patient Satisfaction
CMS Time and Effectiveness
CMS Hospital Infection Rates
CMS Pricing IP 100 DRGs
CMS Pricing OP 30 Procedures
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CHA – Colorado Hospital AssociationColorado Quality Report by HospitalAHA – American Hospital AssociationJCAHO – The Joint CommissionAHD – American Hospital Directory Example
G. Swan, Pivot Table Repository of Healthcare Data, July 2016 Fishbone Overview
CMS – Hospital CompareCMS/Total Performance ScoreLeapFrog – Hospital SafetyCIVHC/APCD – Not AvailableCORHIO – Not Available
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Home Our County Our State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC InternationalCorral
all your data in
one place
State - Public Health
Our County
Hospitals
Other Facilities
CDC/ NCHS/HP 2020
CHI/Other NGO
CMS/Medicare
HCPF/Medicaid
APCD/CIVHC
Education/ESH
Economics/BEA
International
Other Facilities
CMS – Skilled Nursing Homes
CMS – Ambulatory Surgery Centers
CMS – Dialysis Centers
ACO Accountable Care Organizations
US Kidney Transplant Centers
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CHA – Colorado Hospital AssociationAHA – American Hospital AssociationDartmouth AtlasJCAHO – The Joint CommissionAHD – American Hospital Directory Example
G. Swan, Pivot Table Repository of Healthcare Data, July 2016 Fishbone Overview * Copyright www.emPoweredDecisions.us
Home Our County Our State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC International
CDC – Center for Disease Control
National Center for Health Stats
National Survey of Child Health
Healthy People 2020
Health Indicators Warehouse
NSCH - Natl Survey of Child Health
BRFSS - Behavior Related Factors
National Program of Cancer Registries
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Info pdf Snapshot m-power Pivot N/AAPHA American Public Health AssociationUSCDC Data and StatisticsHealth System Transformation and Improvement
G. Swan, Pivot Table Repository of Healthcare Data, July 2016 Fishbone Overview * Copyright www.emPoweredDecisions.us
Home Our County Our State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC International
Corral all your data in one place
CMS – Centers for Medicare and Medicaid Services
NHE – National Health Expenditures
CMS Hospital Patient Satisfaction
AHRQ HCUP – Discharges by Payer
Hospital Infection Rates
CMS Hospital Pricing IP 100 DRGs
Hospitals TPS – Total Performance
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Gallup Poll: Health and Well-BeingNAHQACOs – Shared Savings Program
G. Swan, Pivot Table Repository of Healthcare Data, July 2016 Fishbone Overview * Copyright www.emPoweredDecisions.us
Home Our County Our State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC International
Corral all your data in one place
HCPF (HealthFirst Medicaid): Health Care & Public Financing
NHE – National Health Expenditures
HCPF Expenditure Reports
HCPF Caseload Trends
Quality and Health Improvement
CHI – Medicaid Enrollment
CIVHC/APCD – Medicaid Utilization
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Gallup Poll: Health and Well-BeingACOs – Shared Savings Program
G. Swan, Pivot Table Repository of Healthcare Data, July 2016 Fishbone Overview * Copyright www.emPoweredDecisions.us
See CIVHC/APCD
Home Our County Our State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC International
Corral all your data in one place
CHI – Colorado Health Institute
CHAS Colorado Health Access Survey
County Data Workbooks
Workforce Prevalence
Colorado Health Report Card
County Health Profiles
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G. Swan, Pivot Table Repository of Healthcare Data, July 2016 Fishbone Overview * Copyright www.emPoweredDecisions.us
Colorado Health FoundationGallup Poll: Health and Well-Being
Home Our County Our State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC International
Corral all your data in one place
CIVHC – All Payer Claims Database (APCD):
Quality and Burden of Illness
Utilization and Chronic Conditions
Total Cost of Care (TCC)
ED (Emergency Dept) Utilization
Pricing Hospital IP Discharges
Pricing Hospital OP Procedures
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pdf Medicaid pdf Private Pivot xls
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APCD National Council
G. Swan, Pivot Table Repository of Healthcare Data, July 2016 Fishbone Overview * Copyright www.emPoweredDecisions.us
Home Our County Our State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC International
Education - Colorado:
CDE – Colorado Dept of Education
CDE – Data and Accountability
Colorado - SchoolView Data Center
National Survey of Child Health
ESH - Education Super Highway
SBHA - School-Based Health Alliance
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Colorado Children's Campaign - Kids Count National EducationX
G. Swan, Pivot Table Repository of Healthcare Data, July 2016 Fishbone Overview * Copyright www.emPoweredDecisions.us
Home Our County Our State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC International
Corral all your data in one place
Return to Education Our County Our State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC International
Economic Metrics:
NHE – National Health Expenditures
US Census.gov DOLA Colorado
American Community Survey
BEA Bureau of Economic Analysis
BLS Bureau of Labor and Statistics
FRED – Federal Reserve Economic Data
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G. Swan, Pivot Table Repository of Healthcare Data, July 2016 Fishbone Overview * Copyright www.emPoweredDecisions.us
Home Our County Our State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC International
Corral all your data in one place
International Metrics
Social Progress Index
OECD – Health Metrics
Global Burden of Illness
Our World in Data
Guidelines Intl Network (GIN)
Cochrane Disease Registers
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WHO – World Health OrganizationWorld Bank – Country StatisticsJCIA – The Joint Commission InternationalJCIA – International Library of MeasuresCIA – Country Statistics
G. Swan, Pivot Table Repository of Healthcare Data, July 2016 Fishbone Overview * Copyright www.emPoweredDecisions.us
Home Our County Our State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC International
Corral all your data in one place
TPS – Quintiles of Colorado Hospitals, 2016
Our County Our State - Public Health CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020 HCPF/Medicaid Economics/BEA
Other Facilities CHI/Other NGO APCD/CIVHC International
CoHID
Example Pivot: Colorado Population
Home
State - Public Health
Our County
Hospitals
Other Facilities
CDC/ NCHS/HP 2020
CHI/Other NGO
CMS/Medicare
HCPF/Medicaid
APCD/CIVHC
Education/ESH
Economics/BEA
International
CoHID can easily continue their current analytic tool, AND provide access to data in pivot table format.
CoHID Example:Colorado Trauma Registry
Currently, can only extract one location at a time, one year at a time.
The result is a pdf snapshot.
Instead of stakeholders having to transcribe or untangle the data into their own individual data register, CoHID should add an icon as an additional option for users to download the data in pivot format.
Once created, new data can easily be added as it is acquired.
Pivot allows for users to use features of Excel ie, calculations, graphs, conditional formatting and variance analysis.
Finally, pivot can publish to a web page for simple access to data.
Our County State - Public Health
CMS/Medicare Education/ESH
Hospitals CDC/ NCHS/HP 2020
HCPF/Medicaid Economics/BEA
Other Facilities
CHI/Other NGO APCD/CIVHC International
Internet Website
Tableau Video:Getting Started
Tableau:- Corral the Data Sets- Normalize (Clean) the Data- Validate Data x Accountability- Prepare/Disseminate Reports
Additional Considerations:- Access/Use Source Data Sets- Dashboards/Visualizations- MetaData/Filtered Views- Public-Facing Data Capability