Actionable Transparency for Healthcare Data

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snapshots and hyperlinks, can be provided by contacting www.emPoweredDecisions.us
Additionally, powerpoints and pivots can be easily published to organizational websites. * Copyright www.emPoweredDecisions.us
Example StateExample Hospital
Example County
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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
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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)
Actionable
Transparency
Home
Next
Our County
Our 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

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
Info pdf Snapshot m-power Pivot xls
Info pdf Snapshot m-power Pivot N/A
Colorado SIM: State Innovation Model
Colorado Health Foundation Report Card
Colorado Business Group for Health
CoHID: Colorado Health Indicator Warehouse
CCAHC – Colorado Commission on Affordable HC
State Health Assessment and Priorities
SHIP – State Health Improvement Plan
Performance and Strategy Tools
CoRHIO Regional Health Information Org.
Home
Corral
all your
data in
one
place

Pivot xls
Social
Progress
Index

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

Colorado Health Foundation: Colorado Health Report Card

Denver County:
County Health Rankings
Birth Certificates
Death Certificates
Communicable Diseases
CALPHO – Colorado Assoc of Public Health Officials
NACCHO – Natl Assoc of County & City Health Officials
CoHID (Colorado Health Indicator Database)
Denver School-Based Health Centers
Community Health Assessment
County Strategic Plan
CHIP – Community Health Improvement Plan
County’s Public Health Accreditation Report
CoHID
Home
Corral
all your
data in
one
place

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

CoHID (Colorado Health Indicator Database):
Birth Data
Death Data
PRAMS - Pregnancy-related
Trauma Registry
Cancer Registry
CALPHO
NACCHO
Colorado Cancer Registry
School-based Primary Health Clinics
Community Health Assessment
County Strategic Plan
CHIP – Community Health Improvement Plan
County’s Public Health Accreditation Report

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

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.

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
CHA – Colorado Hospital Association
AHA – American Hospital Association
Dartmouth Atlas
JCAHO – The Joint Commission
G. Swan, Pivot Table Repository of Healthcare Data, July 2016
Snapshot: List Hospitals
Fishbone Overview
Snapshot: TPS, 2016
* Copyright www.emPoweredDecisions.us
Hospital: Denver Health Medical Center
Corral
all your
data in
one
place

Our Hospital: Denver Health Medical Center:
Medicare Cost Reports
CMS Time and Effectiveness
CMS Hospital Infection Rates
CMS Pricing IP 100 DRGs
CMS Pricing OP 30 Procedures
Colorado Quality Report by Hospital
G. Swan, Pivot Table Repository of Healthcare Data, July 2016 Fishbone Overview
CMS – Hospital Compare
CMS/Total Performance Score
LeapFrog – Hospital Safety
CIVHC/APCD – Not Available
CORHIO – Not Available
* Copyright www.emPoweredDecisions.us
Home
Corral
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
Dartmouth Atlas

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
APHA American Public Health AssociationUS
CDC Data and Statistics
Health System Transformation and Improvement
Home
Corral all your
data in one place

CMS – Centers for Medicare and Medicaid Services
NHE – National Health Expenditures
AHRQ HCUP – Discharges by Payer
Hospital Infection Rates
CMS Hospital Pricing IP 100 DRGs
Hospitals TPS – Total Performance
Gallup Poll: Health and Well-Being
NAHQ
ACOs – Shared Savings Program
Home
Corral all your
data in one place

HCPF (HealthFirst Medicaid): Health Care & Public Financing
HCPF Expenditure Reports
HCPF Caseload Trends
Quality and Health Improvement
CHI – Medicaid Enrollment
CIVHC/APCD – Medicaid Utilization
ACOs – Shared Savings Program
See CIVHC/APCD
Home
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
Info Page Snapshots Pivots Pivot xls
Info Page Snapshots Pivots Pivot xls
Colorado Health Foundation
Home
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
pdf Medicaid pdf Private Pivot xls
Info pdfX Snapshot m-power Pivot N/A
APCD National Council

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
Colorado Children's Campaign - Kids Count
National Education
X
Corral all your
data in one place

Return to Education Our County Our State - Public Health CMS/Medicare Education/ESH

Economic Metrics:
US Census.gov DOLA Colorado
American Community Survey
BEA Bureau of Economic Analysis
BLS Bureau of Labor and Statistics
FRED – Federal Reserve Economic Data
X
X
Corral all your
data in one place

International Metrics
OECD – Health Metrics
Global Burden of Illness
Our World in Data
Guidelines Intl Network (GIN)
Cochrane Disease Registers
WHO – World Health Organization
World Bank – Country Statistics
JCIA – The Joint Commission International
JCIA – International Library of Measures
CIA – Country Statistics
Corral all your
data in one place

TPS – Quintiles of Colorado Hospitals, 2016

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

Health Grades:
- Three tiers, only
- No trends
- No numerators

Actionable Transparency for Healthcare Data

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