Overview of Organization &
Comparative Quality Data
Ron Spingarn, Deputy Director
Healthcare Information Division
Email: rspingar@oshpd.ca.gov
Phone: (916) 326-3801
University of California at Davis
June 18, 2010
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Facilities
Development
Health
Professions
Education
Foundation
Workforce
Development
OSHPD
Healthcare
Information
Cal-Mortgage
Loan
Insurance
Administration
(Coronary)
Clinical
Advisory
Panel
CA Health Policy
& Data Advisory
Commission
Health Data
Technical
Transparency
Advisory
& Effectiveness
Committee
Committee
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Data Flow from Facilities
Data
Products
Aggregate
Financial &
Utilization
Data
Healthcare
Information
Division
Clinical
Data &
Research
Patient
Discharge
Data
Utilization Data (4,715):
- Skilled Nursing (1,144)
- Hospices (281)
- Community & Free Clinics (983)
- Dialysis Clinics (401)
- Surgical Clinics (209)
-Home Health (1,215)
- Hospitals (510)
Financial Data: Inpatient Facilities (447)
Coronary Artery Bypass Graft Surgery
Hosp. (121)
Cardiac Surgeons (284)
Inpatient Facilities (443):
- Acute Care Hosp. (386)
- Chemical Dependency Hosp. (6)
- Acute Psych. Hosp. (30)
- Psych. Facilities (21)
Emergency Department (322)
Ambulatory Surgery (574):
- Acute Care (375)
- Surgical Clinic (hosp.) (115)
- Surgical Clinic (non-hosp.) (84)
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Licensed or Regulated
Data Sources
County-level Vital
Statistics
(birth & death) From DPH
Healthcare Facilities
Hospitals
Long Term Care
Dept of Public
Health (DPH)
Primary Care Clinics
Specialty Clinics
Hospices/Home
Health Agencies
OSHPD
Healthcare
Information
Division
Veteran Affairs
Developmental
Services
State Hospitals
Legend
Mental Health
Healthcare
Practioners
Patient-Level Data
Consumer
Affairs
Physicians
(Cardiac Surgeons)
Facility-Level (Financial &
Utilization) Data
Rev 3/4/2009
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Requests for OSHPD Data
Examples:
Peter McNair, and Hal Luft, UCSF :
Readmissions That are the Sequelae of Hospital Acquired Conditions;
Realigning Hospital Incentives by Bundling Readmissions and Outlier Costs into
Prospective Payments and Engaging Insurers
Craig Newgard, MD, MPH, Oregon Health & Science University:
Improving Pre Hospital Trauma Triage: Generating a Cost-Effective and ResourceEfficient Mechanism for the Field Triage of Injured Persons
Ashish Jha, MD, MPH, Harvard :
Postpartum Readmission: Reasons, Risk Factors & Regional Variation
Andrew D. Racine, M.D., Albert Einstein College of Medicine:
The Impact of Palivizumab on Hospitalization Rates for Bronchiolitis in California
Mitchell Berman, M.D., Columbia University:
Outcome After Treatment of Cerebrovascular Disease, Outcome of Patients with
Parkinson's Disease Following General Anesthesia
Data Use Agreement Information - Contact:
Jonathan Teague, Email: jteague@oshpd.ca.gov
Phone: (916) 326-3805
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Quality Measures’ Reporting Levels by OSHPD
Area-Level
Inpatient Utilization
Prevention Quality
Hospital-Level
Inpatient Mortality
Inpatient Volume & Utilization
Pediatric Quality
Patient Safety
Coronary Artery Bypass Graft Surgery
Maternal Outcomes*
Hip Fracture Repair Mortality*
Surgeon-Level
Coronary Artery Bypass Graft Surgery
*not yet released
OSHPD measures in red
AHRQ measures in blue
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AHRQ Quality Indicators Reported by OSHPD
Mortality Inpatient (15 available measures)
2006 – 2007: 8 reported
2008: 4 new (12 total)
Volume and Utilization Inpatient (13 available measures)
2005 – 2008: 11 reported
Area-Level Utilization Inpatient (4 available measures)
2005 – 2008: all reported
Area-Level Patient Safety (7 available measures)
2005 – 2008: 4 reported
Area-Level Prevention Quality (14 available measures)
2005 – 2008: all reported
Area-Level Pediatric (5 available measures)
2005 - 2008: all reported
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AHRQ Inpatient Mortality Indicators
7 Measures of Conditions
Available through OSHPD
8 Measures of Procedures
Available through OSHPD
2006-2007 data reported:
Acute Stroke
Gastrointestinal Hemorrhage
Hip Fracture
2006-2007 data reported:
Esophageal Resection
Pancreatic Resection
Craniotomy
Carotid Endarterectomy
Percutaneous Transluminal
Coronary Angioplasty
Beginning in 2008:
Acute Myocardial Infarction (AMI)
Pneumonia
Congestive Heart Failure
Release not planned:
AMI without transfer cases
Beginning in 2008:
Abdominal Aortic Aneurysm Repair
Release not planned:
Hip Replacement
Coronary Artery Bypass Graft
Surgery
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AHRQ Inpatient Volume & Utilization Indicators
Volume Indicators: All measures reported by OSHPD, since 2005
Esophageal Resection
Pancreatic Resection
Abdominal Aortic Aneurysm Repair
Carotid Endarterectomy
Coronary Artery Bypass Graft Surgery
Percutaneous Transluminal Coronary Angioplasty
Utilization Indicators: 7 available; 5 reported by OSHPD since 2005
Cesarean Delivery Rate
Cesarean Delivery Rate – Primary
Vaginal Birth After Cesarean (VBAC) Rate, All
Vaginal Birth After Cesarean (VBAC) Rate, Uncomplicated
Laparoscopic Cholecystectomy
Under Consideration: Bi-lateral cardiac catheterization & Incidental
appendectomy in elderly
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AHRQ Prevention Quality Indicators
(Area-Level Measures)
All 14 available measures reported by OSHPD since
2005:
Diabetes Short-term Complications
Perforated Appendix
Diabetes Long-term Complications
Chronic Obstructive Pulmonary
Disease (COPD)
Hypertension
Congestive Heart Failure (CHF)
Low Birth Weight
Dehydration
Bacterial Pneumonia
Urinary Tract Infections
Angina without Procedure
Uncontrolled Diabetes
Adult Asthma
Lower-extremity Amputations
among Patients with Diabetes
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AHRQ Pediatric Quality Indicator (Area-Level Measures)
All 5 available area-level rates reported by OHSPD since 2005:
Asthma Admission Rate
Diabetes Short-Term Complication Rate
Gastroenteritis Admission Rate
Perforated Appendix Admission Rate
Urinary Tract Infection Admission Rate
AHRQ Utilization Rates
All 4 available area-level rates reported by OSHPD since 2005:
Coronary Artery Bypass Graft Surgery
Percutaneous Transluminal Coronary Angioplasty
Hysterectomy
Laminectomy or Spinal Fusion
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Patient Safety Indicators,
Area-Level Rates (7 available)
4 reported by OSHPD beginning with 2005 data:
Iatrogenic Pneumothorax, Secondary Diagnosis Field
Selected Infections due to Medical Care, Secondary Diagnosis Field
Postoperative Wound Dehiscence
Postoperative Hemorrhage or Hematoma
No plans/undecided about Accidental Puncture/Laceration, Foreign
Object Left in Body & Transfusion Reaction
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