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  1. 1. Progress Report of the Virginia Rural Health Data Council March 17, 2010
  2. 2. Presenter <ul><li>Ken Cook, Chairman </li></ul><ul><li>Virginia Rural Health Data Council </li></ul><ul><li>Contact info: </li></ul><ul><li>Virginia Rural Health Resource Center </li></ul><ul><li>1314 Peters Creek Road, Suite 230 </li></ul><ul><li>Roanoke, Virginia 24017 </li></ul><ul><li>[email_address] </li></ul><ul><li>(540) 904-2509 </li></ul>
  3. 3. Workgroup/Council Members <ul><li>David Bowen , National Center for Analysis of Healthcare Data </li></ul><ul><li>Karen Cameron , Central Virginia Health Planning Agency </li></ul><ul><li>Michelle Chesser , Joint Commission on Health Care </li></ul><ul><li>Ken Cook, VRHRC </li></ul><ul><li>Chris Delcher , Virginia Health Information </li></ul><ul><li>Kathy Wibberly , Virginia Department of Health, OMHPHP </li></ul><ul><li>Tim Perkins , Virginia Department of Health, Office of EMS </li></ul><ul><li>Ann Peton , National Center for Analysis of Healthcare Data </li></ul><ul><li>Karen Roberto , Virginia Tech Center for Gerontology </li></ul><ul><li>Glen Sink, Center and Council for Rural Virginia </li></ul><ul><li>Ken Studer , Virginia Department of Health, OMHPHP </li></ul>
  4. 4. Progress Towards Goal C1 <ul><li>C1. Establish the Virginia Rural Health Data and Rural Definitions Council. </li></ul><ul><li>Done in 2009 </li></ul><ul><li>Most workgroup members agreed to serve on Council </li></ul><ul><li>Welcoming additional members </li></ul>
  5. 5. Original Workgroup Tasks <ul><li>Define “Rural” to provide a framework for the State Rural Health Plan </li></ul><ul><li>Development of a data structure supporting “rural” </li></ul>
  6. 6. Goal C2 <ul><li>C2. Create a rural health data website/electronic database portal that will provide essential rural health relevant research, statistics, quality indicators and data, and links and references for VARHP partners, government and policymakers, researchers and the general public. </li></ul>
  7. 7. Database Efforts <ul><li>Next task was to develop a list of data elements that when examined would identify disparities in health status </li></ul><ul><li>Identified 52 data measures/indicators </li></ul><ul><ul><li>17 demographic </li></ul></ul><ul><ul><li>9 workforce </li></ul></ul><ul><ul><li>20 access measures </li></ul></ul><ul><ul><li>6 quality </li></ul></ul>
  8. 8. Database Efforts <ul><li>Workgroup prioritized list to 32 indicators to be included in initial database </li></ul><ul><li>Indicators selected because of their relative ease to obtain data and ability to standardize data to perform calculations and comparisons </li></ul>
  9. 9. Presenting the Data <ul><li>Goal: Establish a website/electronic database portal to provide essential rural health relevant research, statistics, quality indicators and data, links and references for RHP partners, policymakers, researchers and the general public. </li></ul>
  10. 10. “ Dream Site” <ul><li>Click on maps of counties for data </li></ul><ul><li>County-to-county/region-to-region/rural-to-urban continuum comparison </li></ul><ul><li>Download data in Excel, maps </li></ul><ul><li>Conduct simple analysis/comparisons on site </li></ul><ul><li>Make site as interactive as possible </li></ul>
  11. 11. Virginia Rural Health Data Portal <ul><li>Data Portal publicly launched November 09! </li></ul><ul><li> </li></ul><ul><li>Contracted with Virginia Economic Bridge to establish and clean databases, and to develop data side of portal. </li></ul><ul><li>Contracted with Virginia Network for Geospatial Healthcare Research for geospatial component. </li></ul>
  12. 12. Progress Towards Goal C3 <ul><li>C3. Incorporate the 32 measures…during the first year of the VA-RHP implementation </li></ul><ul><li>Mostly Done </li></ul><ul><li>Many of the 32 have been included </li></ul><ul><li>Have had issues with manpower data, but these are being resolved and should have on within 6 months </li></ul>
  13. 13. Future Plans for Data Portal <ul><li>Add manpower data </li></ul><ul><li>Add disease prevalence data </li></ul><ul><li>Improve MUA and HPSA data for partial areas </li></ul><ul><li>Improve aspects of geospatial component </li></ul><ul><li>More Quality layers (data is in system) </li></ul><ul><li>Ability to compare data </li></ul><ul><li>Grants and other funding </li></ul>
  14. 14. Progress Towards Goal C4 <ul><li>C4. Utilize the USDA Isserman model four- level delineation of rurality as the rural definition for framing the development of the VA-RHP </li></ul>
  15. 15. Our Definition of Rural <ul><li>After long discussions, the Isserman Model was selected as the definition of rural upon which the plan and data comparisons can be made. </li></ul><ul><li>Isserman Model is used by the USDA </li></ul><ul><li>There are quirks unique to Virginia with respect to this definition </li></ul>
  16. 16. Isserman in Virginia <ul><li>Four classes of urban/rural </li></ul><ul><ul><li>Urban (31 jurisdictions) </li></ul></ul><ul><ul><li>Mixed urban (17 jurisdictions) </li></ul></ul><ul><ul><li>Mixed rural (20 jurisdictions) </li></ul></ul><ul><ul><li>Rural (67 jurisdictions) </li></ul></ul><ul><li>Map showing locations and how defined is on page 36 of the Plan, jurisdiction names on pages 37-38. </li></ul>
  17. 17. Progress on Goal C4 <ul><li>Done in 2009, but efforts need to continue to modify model where differences exist between counties and independent cities contained within those counties </li></ul><ul><li>Baseline analysis needs to be performed to establish impact of RHP activities and to focus future efforts </li></ul>
  18. 18. Progress Towards Goal C5 <ul><li>C5. Hold roundtable discussions to discuss the feasibility of collaboration/coordination of electronic health records </li></ul><ul><li>No activity to date </li></ul><ul><li>Since goal was established, the HITECH Act has pushed this concept along </li></ul>
  19. 19. Goals for Coming Year <ul><li>Add manpower and disease prevalence data to Portal </li></ul><ul><li>Improve ability to perform comparisons </li></ul><ul><li>Data maintenance schedules </li></ul><ul><li>Fundraising and sustainability planning </li></ul><ul><li>Promote Data Portal to users </li></ul><ul><li>Consider connections with EMS database </li></ul><ul><li>Perform baseline assessment of rural areas </li></ul>