1. 1 California Healthcare Atlas Integrating Geography & the Data Warehouse Presenter: Michael O’Neill March 2009

2. 2 Overview Brief High-level System Architecture Data Warehouse Summary History of our Atlas Live Demonstration Summary of Atlas’ Content & Capability Future ? http://www.oshpd.ca.gov/atlas

3. 3 Atlas System Architecture Locators Layers SourceData DataWarehouse ArcSDE Atlas Web Server Map Engine. NET Web Server Other Website Other Website Other Website User Internet ETL PDF

4. 4 About our Data Warehouse Inpatient o 12 years o 48M encounters o 400+ attributes Emergency Dept. o 3 years o 26M encounters o 500+ attributes Ambulatory Surgery o 3 years o 11M encounters o 500+ attributesFacility o 6350 total facility Financial * o 5 years in data mart (in progress) o 33 yrs in mainframe  1741 data elements o 17 yrs in hospital pivot tables  254 attributes Utilization * o 5 years in data mart (in progress) o 4200-2600 reports annually o 131 to 615 data elements each report 6 6 yrs old

5. 5 Atlas: Evolving Data Delivery v2v2v2v2 v1v1v1v1 Delivering healthcare data in increasingly more meaningful & contemporary ways. 2005 2007 PDF & Pivot 1995 ?

6. 6 Live Demonstration – v2.3 Locate oFind “things” on the mapSelect oDiscover hospital info & compareCreate oCreate specific types of thematic maps Other tabs oResults, Map, Help http://www.oshpd.ca.gov/atlas

7. 7 Feature: LOCATE Locate facilities by a wide variety of selection criteria Find… oaddress, oZIP code ocity, ocounty, omedical service study area (MSSA) ocensus tract oassembly district osenate district

8. 8 Feature: SELECT Select hospitals OR groups of hospitals Retrieve… oPatient Summaries by Facility oFinancial Reports oUtilization Reports oTop 25 Diagnosis Related Group Reports oFacility Reports oDemographics oBirth & Death Vital Statistics ( from CDPH ) oFair Pricing Policies

9. 9 Feature: CREATE Create a variety of maps… oPatient Origin & Patient Destination  Filtered by year, MDC/DRG, payer, gender, age, race, ethnicity oVital Record Statistics oCritical Access Hospitals oDisproportionate Share Hospitals oMental Health Professional Shortage Areas oDental Health Professional Shortage Areas oPrimary Care Health Professional Shortage Areas oMedically Underserved Populations oMedically Underserved Areas oUrban Rural and Frontier MSSAs

10. 10 Vision for the Future ? More data integration More visualization More giving data a voice More effective, easier, & faster investigations Conceptual design

11. 11 Questions ? Michael O’Neill gisWebmaster@oshpd.ca.gov http://www.oshpd.ca.gov/atlas