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:
Health and Wellness for all Arizonans Bureau of Public Health Statistics Khaleel S. Hussaini Ph.D. Chief, Public Health Statistics firstname.lastname@example.org
Health and Wellness for all Arizonans Hospital Discharge Data 2008-2013 16,543,849 inpatient and emergency department records during 2008-2013. 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.
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
Health and Wellness for all Arizonans Prevention Quality Indicators
Inpatient Hospitalizations 2008-2013 #Top 20 DRGs (Diagnostic Related Groups) 2008-2013CountsPercent 1Vaginal Delivery W/O Complicating Diagnoses 310,6317.68 2Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc 123,9353.06 3Psychoses 111,0332.74 4Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc 103,5622.56 5Cesarean Section W/O Cc/Mcc 92,4262.28 6Cellulitis W/O Mcc 64,0971.58 7Septicemia or Severe Sepsis W/O Mv 96+ Hours W Mcc 57,0481.41 8Cesarean Section W Cc/Mcc 56,0961.39 9Kidney & Urinary Tract Infections W/O Mcc 49,8561.23 10Simple Pneumonia & Pleurisy W Cc 47,3541.17 11Vaginal Delivery W Complicating Diagnoses 46,7721.16 12Chest Pain 46,3451.15 13Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc 43,6011.08 14Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc 41,1281.02 15Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc 37,5750.93 16Bronchitis & Asthma W/O Cc/Mcc 37,2990.92 17Circulatory Disorders Except Ami, W Card Cath W/O Mcc 35,6370.88 18Renal Failure W Cc 32,3930.8 19Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc 31,9520.79 20Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc 31,5640.78
Inpatient Hospitalizations 2008-2013 #Top 20 Principal Diagnoses (ICD9-CM codes) 2008-2013CountsPercent 1Pneumonia, organism unspecified 90,7512.21 2Care involving other specified rehabilitation procedure 80,7671.97 3Coronary atherosclerosis of native coronary artery 68,4261.67 4Unspecified septicemia 67,0481.63 5Osteoarthrosis, localized, not specified whether primary or secondary, lower leg 63,9921.56 6Previous cesarean delivery, delivered, with or without mention of antepartum condition 63,2671.54 7Atrial fibrillation 51,5951.26 8Acute kidney failure, unspecified 50,9201.24 9Other chest pain 47,0451.15 10Obstructive chronic bronchitis with (acute) exacerbation 45,8161.12 11Second-degree perineal laceration, delivered, with or without mention of antepartum condition 45,6081.11 12Subendocardial infarction, initial episode of care 41,4251.01 13Urinary tract infection, site not specified 40,9921 14First-degree perineal laceration, delivered, with or without mention of antepartum condition 37,1030.9 15Acute pancreatitis 36,4140.89 16Post term pregnancy, delivered, with or without mention of antepartum condition 34,9360.85 17Cellulitis and abscess of leg, except foot 34,8360.85 18Cerebral artery occlusion, unspecified with cerebral infarction 33,0930.81 19Normal delivery 32,1340.78 20Acute appendicitis without mention of peritonitis 29,8120.73
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?