1. Vermont Explor Annual Meeting May 1, 2006 Capitol Plaza Hotel

2. AGENDA Introductions all around Review of 2005 Data HIDI ~ Kevin and Ken Birth Information Network ~ Peggy Brozicevic, VDH Cancer Registry ~ Ali Johnson, VDH Uses of data at federal level: AHRQ 12:30 PM: Lunch 1 PM: VITL, health information exchange and e-HIM ~ Greg Farnum 1:30 PM: Dian Kahn, Pat Jones & Mike Davis, BISHCA –Data uses at state level: Act 53 financial reports and quality measures –Expansion of outpatient data collection 2:15 PM: HospitalData.org - Strategic planning tool 2:30 PM: Roundtable discussion –Best practices/problem-solving –Networking: Web site? Listserv? Conference calls? More meetings?

3. Introductions

4. Review of 2005 Data Excellent in all areas except for: –Line item charges and HCPCS/CPTs

5. 3-Year Trend by Type of Visit Note: A patient visit can fall into more than one category

6. 3-Year Trend by Payer

7. 3-Yr Trend by Admit Type 25,097 26,946 27,997

8. Admit Type by Bill Type Outpatients Inpatients 21,45419,70322,297

9. 3-Yr Trend by Disposition Inpatients Only

10. Notable Outpatient Procedures

11. Procedures: Change from ’02 to ‘05 Procedure Classes provided by AHRQ

12. Procedures: Change from ’02 to ‘05 CCS: Clinical Classification Software, provided by AHRQ Discharge records grouped on principal procedure

13. Diagnoses: Change from ’02 to ‘05 Discharge records grouped on principal diagnosis

14. HIDI ~ Ken Kuebler and Kevin Stock

15. Birth Information Network ~ Peggy Brozicevic

16. Cancer Registry ~ Ali Johnson

17. AHRQ’s Uses of the Data Health Cost and Utilization Project (HCUP) Constructs research databases: –Main dataset, as of 2003: 37 states’ inpatient stays 21 states’ ambulatory surgeries 17 states’ emergency room visits –National Inpatient Sample –Kids Inpatient Dataset –others

18. AHRQ’s Publications National Healthcare Quality Report National Healthcare Disparities Report Fact Books (Avoidable Hospitalizations) Statistical Briefs (Reasons for ER visits)

19. AHRQ’s Software Quality Indicators (desktop application): –Inpatient Prevention –Patient Safety Pediatric Record Groupers (lookup tables): –Clinical Classification Software ICD-9 procs/diags, CPT, MHSA –Procedure Classes –Chronic Condition Indicator –Comorbidity Software

20. AHRQ Stat Brief #1 In 2003, percentage of non-childbirth hospitalizations via the ED: – US: 55%VT: 55% –Payer is Medicaid or Medicare: – US: 66%VT: 63%

21. Lunch

22. VITL ~ Greg Farnum Health information exchange and e-HIM

23. BISHCA Dian Kahn, Pat Jones & Mike Davis –Data uses at state level: Act 53 financial reports and quality measures –Expansion of outpatient data collection

24. HospitalData.org Strategic planning tool Used by marketing and planning to predict utilization by patients from a given geographic area By DRG, procedure, and other categories Demonstration

25. Roundtable Discussion –Best practices/problem-solving Your questions and answers What’s going on at your hospital –Networking among hospitals Web site? More Listservs? Datacoordinators@vtexplor.org Conference calls? More meetings?

26. Contacts Lauri Scharf Lauri@vtexplor.org (802) 223-3461 x108 Vermont Explor: www.vtexplor.orgwww.vtexplor.org Kevin Stock kstock@mail.mhanet.com (573) 893-3700 HIDI: http://web.mhanet.com/ Click on “Hospital Data Services”http://web.mhanet.com/ HIDInet: https://www.mhanet.com/hidinet/https://www.mhanet.com/hidinet/