1. Big Data Webinar 8/2 http://www.slideshare.net/andreacamden/big-data-webinar-82
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Big Data Webinar 8/2
by andreacamden on Aug 03, 2012
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Lisa Letourneau
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1 of 4 8/9/2012 2:32 PM
2. Big Data Webinar 8/2 http://www.slideshare.net/andreacamden/big-data-webinar-82
Big Data Webinar 8/2 — Presentation Transcript
1. Camden Coalition of Camden Coalition of Healthcare Providers Healthcare ProvidersImproving care
and reducing costs in Camden, NJ with the help of innovative local data systems Kennen S. Gross, PhD,
MPH Director, Research & Evaluation Camden Coalition of Healthcare Providers
www.camdenhealth.org
2. The mission of CCHP is to improve thehealth status of all Camden residents by increasing the
capacity, quality and access to care in the city.
3. • • •• •• • • •• • ••• www.camdenhealth.org
4. "What we have before us are somebreathtaking opportunities disguised asinsolvable problems." -John
Gardner Secretary of Health, Education and Welfare 1965-1968
5. Diabetes COPD Multi-CC No-CC
6. Traditional Intervention ParadigmDiabetes COPD Multi-CC No-CC
7. Traditional Intervention ParadigmDiabetes COPD Multi-CC No-CC High Utilizer
8. Hotspotting Intervention ParadigmDiabetes COPD Multi-CC No-CC High Utilizer
9. Identify and Develop engage Evaluate theUnderstand interventions patients impact ofthe problem to
target the needing the solutions problem intervention www.camdenhealth.org
10. Issue #1:Getting access to local healthcare data www.camdenhealth.org 10
11. Issue #2:Limitations of Existing Population Datasets www.camdenhealth.org 11
12. Issue #3:Healthcare data that reflects the population www.camdenhealth.org 12
13. Issue #3:Healthcare data that reflects the population www.camdenhealth.org
14. CCHP Solution:Camden Health Database Data processing/cleaning Yearly Clams Data Data Use
Agreements Probabilistic matching IRB Agreement Geocoding Camden Residents All-Payer Claims
Longitudinal Dataset Demographics Inpatient and Emergency visits Diagnosis codes
Charges/receipts Insurance www.camdenhealth.org
15. Different Strategies for Undertaking this Analysis www.camdenhealth.org
16. Business Intelligence Issues START WITH WHY Legal Issues Data Access
Issueswww.camdenhealth.org
17. Defining the Project: QA/PI or Research Quality Assurance Process Research Project Improvement
Business Associates Institutional Review Agreements (BAAs) Boards • • • • • • www.camdenhealth.org
18. Data Storage & Transfer Security www.camdenhealth.org
19. Areas of data available through claims www.camdenhealth.org
20. Data Quality Issues••• www.camdenhealth.org
21. Probabilistic Linkage www.camdenhealth.org
22. Geocoding and GIS Analysis www.camdenhealth.org
23. Camden Cost Curve, 2011www.camdenhealth.org
24. Camden Hospital Utilization Typology Inpatient visits, 2011 ED visits, 2011 0 1 2 3 to 4 5+ 0 44,728
(85%) patients 5,210 Inpatient visits 63,489 ED visits 1 $28,000,000 (50%) IP payment $25,800,000
(59%) ED payment 2 to 3 985 (2%) patients 1,856 IP visits 503 (1%) patients 4,129 ED visits 2,026
Inpatient Visits 4,144 ED Visits 4 to 5 $10,000,000 (17%) IP 1,563 (3%) patients payment $10,900,000
(20%) in IP payment 1,239 IP visits $1,700,000 (4%) ED $1,700,000 (4%)in ED payment 6 to 7
4,961(9%) patients 6,962 ED visits payments 28,447 ED visits $6,700,000 (18%) in IP $11,500,000
(27%) in payment 8 to 9 ED payment $2,800,000 (6%) in ED payment 10 + www.camdenhealth.org 24
25. Camden Hospital Utilization, 2011www.camdenhealth.org
26. Camden Hospital Inpatient and Emergency Revenue, 2011 www.camdenhealth.org
27. Camden ED use by diagnosis, 2011 “Ambulatory Care Sensitive Conditions” and are often amenable
to outpatient managementwww.camdenhealth.org
28. Camden Inpatient use by Diagnosis, 2011 “Ambulatory Care Sensitive Conditions” and are often
amenable to outpatient managementwww.camdenhealth.org
29. Another way to look at ICD data www.camdenhealth.org
2 of 4 8/9/2012 2:32 PM
3. Big Data Webinar 8/2 http://www.slideshare.net/andreacamden/big-data-webinar-82
30. Another way to look at ICD data www.camdenhealth.org
31. Camden High Utilizers, 2011www.camdenhealth.org
32. Camden Spatial Analysis of Hospital Costswww.camdenhealth.org
33. CCHP Solution:Camden Health Information Exchange Web based HIE system Customized Daily
HL-7 HIE Daily Data data cleaning Feeds Vendor Share and processing HIE Daily Report List of
patients currently in hospital with 2+IP and/or 6+ ED in last 6 months CCHP care teams review cases
Enroll patients in Care Management / Care Transitions program before discharge
www.camdenhealth.org
34. www.camdenhealth.org
35. www.camdenhealth.org
36. Issue #4:EMR’s not customizable
37. CCHP Solution:Customized data collection tools -Quantify the “dose” per client -Understand staffing
-Continuous quality improvement
38. Patient utilization profile 14 12 10Length of Stay 8 6 4 2 0 1/3/2011 2/3/2011 3/3/2011 4/3/2011
5/3/2011 6/3/2011 7/3/2011 8/3/2011 9/3/2011 10/3/2011 11/3/2011 12/3/2011 C ED IP
www.camdenhealth.org 38
39. 1 year pre-enrollment Post-enrollment Charges = $745,018; Receipts: $95,358; Charges = $0;
Receipts= $0 Inpatient days: 55; ED visits: 1 Inpatient days: 0; ED visit=0 12 10 8Length of Stay 6 4 2 0
C ED IP www.camdenhealth.org
40. 1 year pre-enrollment Post-enrollment (10 months) Charges = $112,664; Receipts: $22,365 Charges =
$64,974; Receipts= $12,380 3 2.5 2Length of stay 1.5 1 0.5 0 ED IP
41. 1 year pre-enrollment Post-enrollment Charges = $312,525; Receipts: $59,133 Charges = $0;
Receipts= $0 Inpatient days: 24; ED visits: 2 Inpatient days: 0; ED visit=0 9 8 7 6Length of stay 5 4 3 2 1
0 ED IP
42. 1 year pre-enrollment Post-enrollment Charges = $745,018; Receipts: $95,358; Charges = $0;
Receipts= $0 Inpatient days: 55; ED visits: 1 Inpatient days: 0; ED visit=0 12 10 8Length of Stay 6 4 2 0
ED IP
43. Data access is a necessary but not sufficient step towards innovative delivery reforms. Data Quality is
essential Measurement is essential Statistical Literacy is essential Effective Dissemination in essential
Maintaining partnerships is essential
44. Thank you for your timeQuestions/comments please contact me atken@camdenhealth.org
www.camdenhealth.org
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