On the top of the slide are the logos for the Department of Health & Human Services and the AHRQ logo. The Department of Health & Human Services logo is an artistic image of an eagle with the outlined profile of faces. The AHRQ logo reads, “AHRQ – Agency for Healthcare Research and Quality: Advancing Excellence in Health Care, www.ahrq.gov”.
Slide 2
The HCUP Partnership: A Voluntary Federal-State-Private Sector Collaboration
This presentation uses a template with a blue background and a header with the AHRQ and Department of Health & Human Services logos on the left and the HCUP logo on the right. The header and body of the slide are separated by two horizontal lines, one light blue line and one dark blue.
The body of the slide shows a map of the United States. States are color coded according their HCUP partnership status.
Hawaii, Washington, Oregon, California, Nevada, Utah, Arizona, Colorado, Texas, Oklahoma, Kansas, Nebraska, South Dakota, Minnesota, Iowa, Missouri, Arkansas, Tennessee, Kentucky, Indiana, Illinois, Wisconsin, Ohio, Michigan, West Virginia, Florida, Georgia, South Carolina, North Carolina, Virginia, Maryland, Delaware, New Jersey, New York, Connecticut, Rhode Island, Massachusetts, New Hampshire, and Vermont are HCUP Partners
New Mexico is not an HCUP partner due to a legal barrier
Alabama, Mississippi, Idaho, Montana, and Wyoming do not collect inpatient data
Alaska, Louisiana, Pennsylvania, North Dakota, Maine, and the District of Columbia are not HCUP partners
The box below the map contains the following text: 38 states in partnership and 90% of all discharges.
Slide 3
The Foundation of HCUP is Billing Data
On the left is a graphic of a UB-92 (UB-04) Billing Form
To the right of form is a bracket with the following text:
Patient demographics (age, sex)
Diagnoses & procedures
(ICD-9-CM, DRG)
Expected payer
Length of stay
Patient disposition
Admission source & type
Admission month
Charges
Slide 4
The Making of HCUP Data
A white arrow starting in the upper left quadrant of the slide circles the slide and ends in the lower left quadrant. The arrows follow pictures and graphics of Patient enters hospital, Billing record created, Hospital sends billing data and any additional data elements to data organizations, and ends with States store data in varying formats. The arrow points to the HCUP logo with “AHRQ standardizes data to create uniform HCUP databases” underneath.
Slide 5
What is HCUP? And what is not?
There are two columns in the table.
The left column entitled “What it is” lists: Claims (bills) for health care encounters; All payer; including the uninsured, Hospital; ambulatory surgery; emergency department data; All claims; Accessible multiple ways: raw data, regular reports, on-line
The right column entitled “What it is not” lists: A survey; Specific to a single payer, e.g. Medicare; Outpatient visits, pharmacy, laboratory; A sample; Just another database
Slide 6
HCUP is a Family of Databases, Tools, Products
From the HCUP logo in the upper left quadrant, arrows point to graphics of HCUP Databases, Software Tools, HCUPnet, Research Publications, and User Support.
Slide 7
Types of HCUP Databases
Superimposed on top of a map of the United States are three boxes with an identical graphic of a disk underneath the text. From right to left, the boxes are labeled: State Emergency Department Databases (SEDD), State Ambulatory Surgery Databases (SASD), and State Inpatient Databases (SID). Two red arrows from the State Inpatient Databases box point to two more disks underneath the box which are labeled Nationwide Inpatient Sample (NIS) and Kids' Inpatient Database (KID).
Slide 8
HCUP Supports High Impact Health Services, Policy, and Clinical Research
The following logos appear on this slide: HSR, American Journal of Public Health, The New England Journal of Medicine, Cancer, Health Affairs, JAMA, Annals of Surgery, Journal of General Internal Medicine, Pediatrics, Health Economics, The National Academies, PharmacoEconomics, Newsweek, The Lancet, International Journal of Health Care Finance & Economics, The Journal of Rural Health, Inquiry, Morbidity and Mortality Weekly Report, National Healthcare Disparities Report, and Obstetrics & Gynecology.
Slide 9
HCUP Supports Federal and Non-Federal Initiatives
The following logos appear on this slide: U.S. Office of Management and Budget, FDA, The Commonwealth Fund, Allies Against Asthma, HSRA, NIAID, Utah Department of Health, CDC, Injury Control Research Center, NASA, SAMHSA, National Institutes of Health, National Oceanic and Atmospheric Administration, U.S. Government Accountability Office, Suicide Prevention Resource Center, American Urological Association, Medpac, CMS, March of Dimes, and Institute of Medicine.
Slide 10
Supports Policy Deliberations and Legislation
HCUP was used to determine national and state burden of hospital care following motorcycle injuries
Analyses used in West Virginia 's hearings to remove their motorcycle-helmet law
To the right of the text are graphics of a motorcycle and a helmet.
Slide 11
AHRQ Quality Indicators
Most widely used HCUP tool
Used for reporting hospital quality of care
AHRQ provides benchmarks against which to compare your numbers
To the left of the text are images of AHRQ Guide to Prevention Quality Indicators, AHRQ Guide to Patient Safety Indicators, AHRQ Guide to Inpatient Quality Indicators, and a Pediatric Quality Indicators Fact Sheet.
Slide 12
HCUP Fact Books
This slide shows cover images of HCUP Fact Book 5, HCUP Fact Book 8, and HCUP Fact Book 10.
Slide 13
HCUP Statistical Briefs
The image on the left is of HCUP Statistical Brief #36. The image on the right is a bar graph labeled Figure 1. Trends of total hospital stays for potentially preventable conditions, 1997-2004.
Slide 14
Other Statistical Briefs Include:
Hospital stays related to depression
Trends in risk-adjusted mortality
Trends in preventable hospitalizations
Infections with MRSA in U.S. hospitals
Childbirth-related stays in U.S. hospitals
Adverse drug events
Admissions for traumatic brain injury
Bariatric surgery utilization and outcomes
The national hospital bill
…
Slide 15
Facts and Figures
The image on the left is a bar graph entitled Discharge Prevalence for All-listed Diabetes by Median Income of Patients' Zip Code, 2005. The image on the right is the cover of HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2005.
Slide 16
HCUPnet: Quick, Free Access to HCUP Data
Free, interactive online query system
Users generate tables of outcomes by diagnoses and procedures
Data can be cross-classified by patient and hospital characteristics
http://hcupnet.ahrq.gov
Slide 17
Welcome to HCUPnet
This slide is a screen shot of the HCUPnet home page: http://hcupnet.ahrq.gov/.
Superimposed on the screenshot are two yellow boxes. The upper right box contains the following text: HCUPnet is a powerful online query tool that gives you free, instant access to healthcare statistics. The other dialogue box points to the National Statistics on All Stays section of the screenshot and says: HCUPnet provides national information on hospital stays based on the Nationwide Inpatient Sample.
Slide 18
Select State and Year:
This slide is a screen shot of the HCUPnet online database. The yellow dialogue box on the lower right has the following text: …and it gives access to data from participating states from HCUP's State Inpatient Databases.
Slide 19
Select the type of query you want:
This slide is a screen shot of the HCUPnet online database. The yellow dialogue box in the lower right reads: HCUPnet takes you through a step-by-step process to select the information you want.
Slide 20
Do you want information on:
This slide is a screen shot of the HCUPnet online database. The yellow dialogue box in the lower right has the following text: You select the level of diagnosis and procedure information: ICD codes, Clinical Classifications, DRGS.
Slide 21
Select outcomes and measures for which you want statistics
This slide is a screen shot of the HCUPnet online database. The yellow dialogue box in the lower right has the following text:
HCUPnet provides information on:
Numbers of discharges
Hospital LOS and charges
Discharge status
How patients were admitted
Slide 22
Select patient and hospital characteristics
This slide is a screen shot of the HCUPnet online database. The text in the yellow dialogue box in the middle on the right says: Are you interested in particular patient groups? Specific hospital characteristics?
Slide 23
State statistics - 2005 New York - principal procedure only
This slide is a data table that contains data for principal procedure performed in New York State in 2005.
The yellow dialogue box in the lower right hand has the following text: You get your results instantly. HCUPnet is based on aggregated statistics to speed data transfer and protect patient confidentiality.
Slide 24
State Statistics - New York - all-listed
This slide is a line graph entitled Total number of discharges CCS all-listed procedure category 158, Spinal Fusion. The x-axis is labeled with consecutive years from 1997 until 2005. The y-axis is labeled with the total number of discharges in 2,000 increments from zero until 18,000. The points along the line from left to right are: 8,701 in 1997, 10,306 in 1998, 10,827 in 1999, 12,000 in 2000, 12,968 in 2001, 13,793 in 2002, 15,342 in 2003, 16,195 in 2004, and 16,808 in 2005. The bottom of the page has a table with corresponding values of the points on the graph.
Superimposed on the line graph is a yellow dialogue box pointing to the line graph with the following text: You can request information on trends for the nation and for any participating state.
Slide 25
Repeat this query on another database
This slide is a screen shot of the HCUPnet online database. The text in the yellow dialogue box says: You can repeat your query instantly on another database.
Slide 26
Results
This slide is a screen shot of the HCUPnet online database. The yellow dialogue box contains the following text: HCUPnet also provides information on ED visits for some states.
Slide 27
Indicator Selection
This slide is a screen shot of the HCUPnet online database. The yellow dialogue box on the lower right contains the following text: … and on national-level information on quality of care, based on the AHRQ Quality Indicators.
Slide 28
Welcome to HCUPnet
This slide is a screen shot of the HCUPnet online database. The yellow dialogue box points to Welcome to HCUPnet and contains the following text: Visit HCUPnet at: http://hcupnet.ahrq.gov
Slide 29
What types of questions can HCUPnet answer?
What are the most common conditions treated in hospitals in my state?
What are the most expensive conditions? Procedures?
How many CABGs were performed in 2003?
What percentage of hospitalizations are uninsured ?
For what conditions are uninsured patients hospitalized? Patients covered by Medicaid ?
What is the trend in hospitalizations for MRSA?
What is the cost of C-section versus vaginal deliveries?
What types of hospitals treat what kinds of patients?
What types of patients are seen in the emergency department and then admitted to the hospital?
Slide 30
For more information
General Technical Assistance—HCUP User Support
- Phone: 1-866-290-HCUP (4287)
Anne Elixhauser—
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