1. State Consumer Health Information and Policy Advisory Council Meeting
How the Florida Department of Health Uses Data from the Agency for Health Care Administration
Division of Public Health Statistics and Performance Management
Florida Department of Health
State Consumer Health Information and Policy Advisory Council Meeting
September 26, 2019

2. Memorandum of Understanding (MOU)
MOU between the Agency for Health Care Administration(AHCA) and Department of Health (DOH)
Since 2009 and renewed every three years
Inter-agency data use agreements required
Linkage of data sets, release and presentation of data consistent with Florida Administrative Code rules 59E and 59B

3. Data Exchanged Between AHCA and DOH
Quarterly, AHCA sends data to DOH:
Hospital Discharge
Emergency Department
Ambulatory Surgery
Annually, DOH sends data to AHCA:
Births
Deaths
Fetal Deaths

4. DOH Uses of AHCA Data for Public Health Projects
Project or Study Title
Council of State and Territorial Epidemiologists Surveillance Indicators for Substance Use and Mental Health
Injury Data Surveillance
Disease Surveillance System Data Validation and Decision Making
Maternal and Infant Health Care Quality Improvement
Duval County Health Department Outcomes Surveillance Project
Multi-State Analysis of Ambient Health, Air Quality, and Occupational Emergency Department Visits
Environmental Public Health Tracking (EPHT)
Ongoing Chronic Disease Epidemiology and Surveillance
Fetal and Infant Mortality Review (Orange County)
Opioid Misuse and the Typology of Behavioral Health Service in Orange County, FL
Florida Birth Defects Registry (FBDR)
Prescription Drug Monitoring Program Annual Report
Heroin-related Morbidity and Mortality
Prescription and Illicit Drug Misuse and Abuse
Illicit Drug Use and Prescription Drug Misuse in Polk County, Florida
Trends in C. Difficile Infection

5. Maternal and Infant Health Care Quality Improvement Project
Study title: Maternal and Infant Health Care Quality Improvement
Purpose: To improve the maternal and infant health care quality in Florida
Also known as the Florida Perinatal Quality Collaborative (FPQC)
Partnership between DOH and University of South Florida (USF)
Participating hospitals receive timely reports that measure specific health care quality and data quality indicators.
Data required: Previously linked hospital and Vital Statistics birth data

6. Standardized Data Linking Methodology
In 2010, DOH and USF collaborated on data linking methodology
Deterministic: Exact or partial agreement on specific patient identifiers. Minimizes false positives.
Stepwise: Series of steps where specific patient identifiers are matched.
Hierarchical: Linking steps ordered; higher confidence steps precede steps of lesser confidence.
Unique feature: Mothers and infants first linked within hospital data, then linked to Vital Statistics birth data.

7. Importance of Patient Identifiers
Identifiers such as social security numbers (SSN) help reduce risk of false positives (linking records that should not be linked)
From 2018 hospital discharge data:
Infants
Total: 241,190
Valid INFANTLINK: 195,000 (80.1%)
Female patients over 8 years old
Total: 2,575,720
Valid SSN: 2,388,756 (92.7%)
While patients might be reticent to provide SSN, most still do.

8. FLHealth CHARTS
Deidentified, aggregated AHCA data are provided publicly through FLHealth CHARTS Data from a variety of sources are also provided, including data from sister agencies such as the Departments of Children and Families, Corrections, and Education. Karen Freeman, CHARTS Manager, will provide a live demonstration: