All-Payer Claims Database Conference Jo Porter, MPH October 14, 2009

APCD Conference; 10/14/ Why Standardization? Implications for data collection, data release, meta rules development, and tools development Resources to be saved Data submitters Data collectors Data users Implications for the research agenda

APCD Conference; 10/14/ Data Submission GOAL: Consistency in collection standards, codes, methodology to create interstate comparability in the data and reduce costs for submission and release of data

4 44 Resources To Be Saved For data submitters (payers): Uniform and consistent coding with national requirements (ASC X12N standards) for data submission substantially reduces programming costs Less government relations resources used with uniform reporting requirements Potential for inequitable geographic operational costs reduced Payers could optimally submit one file vs. 50 Payers could use standard files for self-funded clients APCD Conference; 10/14/09

5 55 Resources To Be Saved For data users: Data consistency allows for consistent and accurate interstate / national comparisons using a large volume of data Preparation time and costs greatly reduced accessing data files Shared tools and analysis code

Proposed Process 3 Stage Process Stage 1: Assess what data elements are captured, and how, for existing and developing state systems Stage 2: Build consensus among working group members about data elements and definitions Stage 3: Bring the consensus standards to a formal standards organization APCD Conference; 10/14/09 6

7 7 Resources & Contact Information Regional All Payer Health Information Council (RAPHIC): National Association of Health Data Organizations (NAHDO): Jo Porter, University of New Hampshire / RAPHIC,