Use of AHRQ’s Preventable Hospitalization Costs and Mapping Tool Brooks Daverman Tennessee Division of Health Planning

2 State Healthcare Report Card  Version 2 coming soon  Diabetes, hypertension and…  asthma  County-level maps

3 Purpose of Report  Motivated by high levels of chronic disease in Tennessee.  Pulls together all available data.  Presents at as local a level as possible.  First step toward all-payer claims database.

4 Report Combines 3 Types of Data  BRFSS survey data.  HEDIS measures voluntarily submitted by TN health plans and TennCare (TN Medicaid).  AHRQ mapping tool using hospital discharge data.

5 BRFSS Have you ever been told by a doctor that you have diabetes? (2008) 8.3 – 8.9% 9.0 – 10.5% 10.6 – 10.9% 11.0 – 12.0% 12.1 – 14.0%

6 Screening Measures  HbA1c testing rates – diabetes  %  LDL-C screening rates – diabetes  %  LDL-C screening rates – cardiovascular conditions  %

7 HEDIS Measure Example HbA1c Testing Rates Among Patients With Diabetes – 82.73% – 84.15% – 85.46% – 86.97% – 89.08%

8 Other County-Level HEDIS Data in Report  LDL-C Screening Rates  Patients with diabetes  Patients with cardiovascular conditions  Rates of Use of Appropriate Medication for People With Asthma  Ages 5-9 years  Ages years  Ages years  Total rates

9 Statewide HEDIS Data in Report HEDIS 2009 TN Health Plan Average vs. HEDIS 2009 National Averages Commercial HMOMedicaid HMO HEDIS 2009 TN HEDIS 2009 National HEDIS 2009 TN HEDIS 2009 National HbA1c Poor Control (>9.0%) - Patients With Diabetes* 26.0%28.4%47.3%44.8% LDL-C Control (<100 mg/dL) - Patients With Diabetes 40.8%45.5%26.0%33.8% Blood Pressure Control (<130/80 mm Hg) - Patients With Diabetes 29.7%33.4%31.2%30.7% Blood Pressure Control (<140/90 mm Hg) - Patients With Diabetes 67.2%65.6%56.7%56.9% Blood Pressure Control (<140/90 mm Hg) - Patients With Hypertension 61.3%63.4%52.8%55.8% LDL-C Control (<100 mg/dL) - Patients With Cardiovascular Conditions 56.2%59.7%42.8%40.1%

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