DATA – 1) List of Data Sources & Context

• List from Health 2.0 Conference (Annotated Context)
  • 1. Community Health Status Indicators(data from multiple sources)
    • Health indicators at County Level – (e.g. birth, death, etc.)
  • 2. County Health Rankings (data from multiple sources)
    • Same as #1 – health indicators at the County Level (index ranking)
  • 3. Data2010(data from multiple sources)
    • National health objectives (e.g. X% of women get a mammogram)
  • 4. Hospital Quality Compare (CMS)
    • Satisfaction ratings from surveys at Individual Entity (hospital) Level
  • 5. Nursing Home Compare (CMS)
    • Satisfaction from surveys at Individual Entity (nursing home) Level
  • 6. US Food Environment Atlas(USDA)
    • Mixed Levels (county, region, state), census partial source
  • 7. National Healthcare Quality and Disparities Reports (AHRQ)
    • Effectiveness, efficiency & safety of care (differences by race/ethnicity, income, etc.)  – National & State Level
  • 8. The State of the USA (data from multiple sources)
    • Overall health & economic status of – Individual Community Level
  • 9. Postmarket Drug Surveillance Programs (FDA)
    • Reporting of adverse effects – Individual Drug Level
  • 10. Centers for Medicare & Medicaid Services Cost Report Data (CMS)
    • Cost of delivering Medicare/Medicaid  services at different types of facilities – Individual Entity Level
  • 11. Part B National Summary Data File (CMS)
    • Medicare services and payments – Procedure Code Level
  • 12. Medicare Health Outcomes Survey (CMS)
    • Medicare beneficiary survey on health status indicators (e.g. How many diabetics had an eye exam this year) – Individual Indicator Level
  • 13. Women, Infants, and Children (WIC) Participation and Cost Data (USDA)
    • Participation & cost of service – State Level
  • 14. Supplemental Nutrition Assistance Program Participation and Cost Data (USDA)
    • Participation & cost of service – State Level
  • 15. The Office of Women’s Health – Quick Health Data Online (data from multiple sources)
    • Health Indicators with a focus on women (eg. mammogram rates) – State & County Level
  • 16. Health Information Technology and Health Data Standards (NLM)
    • Standards (some) for exchanging health data – Individual Code Level
  • 17.  National Survey of Substance Abuse Treatment Services (SAMHSA)
    • Substance abuse treatment, trends, cost and facilities – Population Level
  • 18.  Treatment Episode Data Set (SAMHSA)
    • Substance abuse treatment – patterns & costs – Population Level
  • 19.  National Survey on Drug Use and Health (SAMHSA)
    • Same thing as #17
  • 20.  DataSF – Open San Francisco Data Sets
    • A specific city’s municipal data
  • 21.  Center for Biomedical Informatics and Information Technology (CBIIT)
    • Bio informatics (eg micro arrays, etc.)
• Additional Sources
  • Dartmouth Atlas for Unwarranted Variation
    • Unwarranted variation in cost and effectiveness – Medicare Population Level and Individual Entity (hospital) Level and Regional Level
    • http://www.dartmouthatlas.org/
  • National Committee for Quality Assurance (NCQA) HEDIS and Quality Measurement
    • Clinical measures – Quality Index & Relative Resource Use (RRU) – Commercial & Medicare – Clinical Metric Level
    • http://www.ncqa.org/tabid/177/Default.aspx
  • Robert Wood Johnson Foundation Aligning Forces for Quality (AF4Q)
    • Quantitative & Qualitative – Clinical measures and patient experience  – Community Level (select)
    • http://www.rwjf.org/qualityequality/af4q/
  • Behavioral Risk Factor Surveillance System (CDC)
    • Survey of Behavioral Factors – State Level
    • http://www.cdc.gov/brfss/
  • Shortage Designation: Health Professional Shortage Areas & Medically Underserved Areas/Populations
    • Areas where there are shortages of primary care physicians – County Level
    • http://bhpr.hrsa.gov/shortage/
  • Food Desert
    • Geography of Nutrition – Census Block Level
    • http://www.ers.usda.gov/data/fooddesert/fooddesert.html
  • Consumer Assessment of Healthcare Providers and Systems (CAHPS)
    • Covers satisfaction, clinical (chronic, wellness) and health entity responsiveness – historical – determines reimbursement rates – Individual Entity (payer) Level and Individual Contract Level and County Level
    • https://www.cahps.ahrq.gov/default.asp
  • CMS Performance Data
    • Part C and Part D – Covers satisfaction, clinical (chronic, wellness) and health entity responsiveness – historical – determines reimbursement rates – Individual Entity (payer) Level and Individual Contract Level and County Level
    • http://www.cms.gov/PrescriptionDrugCovGenIn/06_PerformanceData.asp
  • Non- Health Care
    • Census / Socio-Economic
    • Web / Social / Mobile

BIZ PROBLEMS – 2) Connections between Data and Biz Needs: A Mad Libs Approach

“I am a _______________ and want to _______________ for _______________ population.”

What data should I use (source, level, etc.) and how should I use them?

•  Entities
  • Payer
  • Provider
  • Hospital
  • Nursing Home
  • ACO
  • Co-Opt (state based – dedicated funding)
• Biz Goal
  • Improve Quality (Clinical Measures, Patient/Customer Satisfaction)
  • Reduce Costs (Efficiency, Unwarranted variation)
  • Maximize Profits (Quantity, Price, Benefit Configuration, Product)
  • Behavior Change (Compliance, Prevention)
• Populations
  • Individual
  • Commercial
  • Medicare
  • Medicaid
  • Military (TRICARE)
• Members
  • Chronic
  • Wellness
  • Satisfaction
  • Demographic / Socio-Economic
  • Psychographic
• Levels (Geographic, Clinical Groupers, Biz Groupers)

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