I Need to Know Session January 30, 2006 Summary of reference document provided to NTK team members HIM, Manitoba Health

January 30, 2006 Who is Health Information Management? Branch within the Administration, Finance and Accountability Division 16 Staff specializing in health utilization data, financial data, privacy and confidentiality, and technical support Key customers are Minister/Deputy, Executive, program areas, RHAs, health agencies and the general public

January 30, 2006 Corporate Datasets Available Over 30 corporate datasets supported by Manitoba Health on mainframe systems A handful of other ‘manual’ datasets entered into desktop applications Key corporate datasets have been pulled off the mainframe by HIM for ongoing analyses While not a Data Warehouse, does provide easier access to previously ‘difficult to access’ information

January 30, 2006 What’s available? Population File Medical Claims Payment System Hospital Abstract System Drug Programs Information Network Personal Care Home System Mental Health Management Information System Vital Statistics MIS Data

January 30, 2006 General Schedule of Distribution Population, Medical Utilization Reports and Vital Statistics – July Hospital Utilization Reports – Dec/Jan Adhoc Reports – Ongoing Regional Profile Document – every 5 years to precede Comprehensive CHA Provincial Health Indicators – looking to resurrect – produce every 2 years

January 30, 2006 Wait Time Web Site Data Report on Volume and Wait Time on – Cardiac procedures – Radiation Therapy – Selected Diagnostic Procedures Ultrasound CT Scan MRI Stress MIBI Bone Density

January 30, 2006 Wait Time Web Site Data

January 30, 2006 Recent Changes to Data Holdings and Analyses ICD-9-CM to ICD-10-CA More Comprehensive Includes Risk factors to health Codes available now >30,000 from previous 12,000 CA version has added about 3,000 codes to ICD-10 to “Canadianize” it

January 30, 2006 Canadian Classification of Health Interventions (CCI) Developed in Canada to complement ICD-10- CA implementation Includes both surgical and non-surgical interventions Diagnostics include imaging, tests, measurements, biopsies and explorations

January 30, 2006 Canadian Classification of Health Interventions (CCI) Cont’d Cognitive, psychosocial and sensory therapeutic interventions Assistance with activities of daily living, environmental assessments, and counselling New category of therapeutic interventions strengthening the immune system

January 30, 2006 National Discharge Abstract Database (DAD) Effective for discharges April 1, 2004 Coded according to national standards Facilitates national comparisons Opportunities for training and educational support Access to analytic tools developed by CIHI

January 30, 2006 National Discharge Abstract Database (DAD) How is it different? More diagnosis fields More intervention fields Ability to capture ER waiting time Track days spent in Special Care Unit Mental health section Blood transfusion information

January 30, 2006 National Discharge Abstract Database (DAD) Case Mix Grouping Alternate level of care information Some fields from MB abstract appended to Manitoba file – Prenatal visits, weight, education, smoking, alcohol consumption, folic acid

January 30, 2006 New National Data Offerings Available to RHAs eCHAP reports Include info on: – volumes – lengths of stay – demographics – deaths, transfers – alternate levels of care – admission types – special care unit utilization and resource intensity

January 30, 2006 New National Data Offerings Available to RHAs cont’d Each RHA has a designated organizational contact to request added users to the service Can create customized reports by: – CMG – MCC – Provider Service – Patient Service – Peer Group – Hospital Summary

January 30, 2006 New National Data Offerings Available to RHAs cont’d Can access current fiscal year and two previous years Updated 85 days after end of quarter Reports are cumulative and produced quarterly Peer Groups are defined by bed size and type of facility

January 30, 2006 HIM Adhoc Services Continue HIM will continue to provide additional support around analysis of hospital abstract information ( e.g.,geographical analysis). Ad hoc requests can be requested once annual reports are distributed

January 30, 2006 Portal Project – CIHI Recent pilot project by CIHI - subset of the entire national discharge abstract database to authorized users Uses a product called MicroStrategy that provides a ‘data warehouse’ capability Only require Internet access Pilot looked at value and feasibility Hugely successful – now in Beta Phase Beta test will look at privacy, confidentiality and security issues and Service Agreements

January 30, 2006 Useful webpage links Wait times- Population- Annual Statistics- Statistics Canada Health indicators- XIE/free.htm XIE/free.htm CIHI- CIHI CIHI-

January 30, 2006 Question and Answer Session Specific Reports? Contacts? Other items? We are always just a phonecall away!