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Health and Wellness for all Arizonans Bureau of Public Health Statistics Khaleel S. Hussaini Ph.D. Chief, Public Health Statistics

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Presentation on theme: "Health and Wellness for all Arizonans Bureau of Public Health Statistics Khaleel S. Hussaini Ph.D. Chief, Public Health Statistics"— Presentation transcript:

1 Health and Wellness for all Arizonans Bureau of Public Health Statistics Khaleel S. Hussaini Ph.D. Chief, Public Health Statistics

2 Health and Wellness for all Arizonans Hospital Discharge Data ,543,849 inpatient and emergency department records during Cases with a discharge status as ‘dead’ and/or newborns were excluded. Utilized standard DRGs and ICD 9 CM codes. Prevention Quality Indicators (PQI) as well as top 20 DRGs and top 20 ICD (i.e. Principal Dx) were analyzed for inpatient hospitalization. Analyzed length of stay (LOS) and total charges.

3 Health and Wellness for all Arizonans Prevention Quality Indicators 1.Bacterial Pneumonia 2.Dehydration 3.Congestive Heart Failure (CHF) 4.Hypertension 5.Adult Asthma Admission (AAA) 6.Chronic Obstructive Pulmonary Disorder (COPD) 7.Uncontrolled Diabetes 8.Diabetes Short-term Complications

4 Health and Wellness for all Arizonans Prevention Quality Indicators

5 Inpatient Hospitalizations #Top 20 DRGs (Diagnostic Related Groups) CountsPercent 1Vaginal Delivery W/O Complicating Diagnoses 310, Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc 123, Psychoses 111, Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc 103, Cesarean Section W/O Cc/Mcc 92, Cellulitis W/O Mcc 64, Septicemia or Severe Sepsis W/O Mv 96+ Hours W Mcc 57, Cesarean Section W Cc/Mcc 56, Kidney & Urinary Tract Infections W/O Mcc 49, Simple Pneumonia & Pleurisy W Cc 47, Vaginal Delivery W Complicating Diagnoses 46, Chest Pain 46, Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc 43, Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc 41, Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc 37, Bronchitis & Asthma W/O Cc/Mcc 37, Circulatory Disorders Except Ami, W Card Cath W/O Mcc 35, Renal Failure W Cc 32, Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc 31, Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc 31,

6 Inpatient Hospitalizations #Top 20 Principal Diagnoses (ICD9-CM codes) CountsPercent 1Pneumonia, organism unspecified 90, Care involving other specified rehabilitation procedure 80, Coronary atherosclerosis of native coronary artery 68, Unspecified septicemia 67, Osteoarthrosis, localized, not specified whether primary or secondary, lower leg 63, Previous cesarean delivery, delivered, with or without mention of antepartum condition 63, Atrial fibrillation 51, Acute kidney failure, unspecified 50, Other chest pain 47, Obstructive chronic bronchitis with (acute) exacerbation 45, Second-degree perineal laceration, delivered, with or without mention of antepartum condition 45, Subendocardial infarction, initial episode of care 41, Urinary tract infection, site not specified 40, First-degree perineal laceration, delivered, with or without mention of antepartum condition 37, Acute pancreatitis 36, Post term pregnancy, delivered, with or without mention of antepartum condition 34, Cellulitis and abscess of leg, except foot 34, Cerebral artery occlusion, unspecified with cerebral infarction 33, Normal delivery 32, Acute appendicitis without mention of peritonitis 29,

7 Length of Stay and Charges TOPDRGN ObsVariableMeanStd DevMedianQuartile RangeMinimumMaximum 1 310,631 LOS CHARGES 10,373 5,042 9, , ,935 LOS CHARGES 52,466 18,208 49, , ,033 LOS CHARGES 22,048 27,396 14, , ,562 LOS CHARGES 20,307 13,317 17, , ,426 LOS CHARGES 18,234 6,982 16, , ,097 LOS CHARGES 18,480 13,878 15, , ,048 LOS CHARGES 54,122 44,497 42, ,149, ,096 LOS CHARGES 25,914 21,521 21, , ,856 LOS CHARGES 18,781 12,134 16, , ,354 LOS CHARGES 24,540 17,822 20, , ,772 LOS CHARGES 14,050 10,087 11, , ,345 LOS CHARGES 18,483 10,302 16, , ,601 LOS CHARGES 70,908 27,393 65, , ,128 LOS CHARGES 17,450 14,205 14, , ,575 LOS CHARGES 28,690 13,760 25, , ,299 LOS CHARGES 12,133 9,164 9, , ,637 LOS CHARGES 37,518 17,724 33, , ,393 LOS CHARGES 27,183 20,312 22, , ,952 LOS CHARGES 32,914 14,286 29, , ,564 LOS CHARGES 15,874 13,428 12, ,736

8 Charges by Payer type

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18 Health and Wellness for all Arizonans So what…? Are the top DRGs and Principal Diagnosis cases consistent with reality? What data elements can comprise of hospital price transparency? Who champions this cause and what resources are needed?


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