1. Hospital Inpatient Discharge Data (HIDD) Hospital Inpatient Discharge Data (HIDD) Using Public Health Data New Mexico Data Users Conference November 17, 2004

2. A Word of Thanks... New Mexico’s Non-Federal Hospitals For their cooperation and compliance in submitting inpatient discharge data to the Health Policy Commission Health Policy Commission Team: Irma Montoya - HIDD Data Manager and Analyst Amanda Perea - HIDD Database Manager and Analyst Camille P. Clifford - System Development and Support

3. HIDD: Basis in Statute In accordance with the Health Information System Act, Section 24-14A-3 et seq. NMSA 1978 the New Mexico Health Policy Commission (HPC) is charged with collecting, analyzing and disseminating health information.

4. HIDD: Purpose To assist in the performance of health planning and policy making functions In administering, monitoring and evaluating a statewide health plan To inform consumers

5. HIDD 101 Inpatient discharge data from all non-federal, licensed, general and specialty hospitals in NM Ongoing data collection; began in 1990 Data submitted quarterly via electronic media Used in reports by the agency and other users

6. HIDD 101 - The Variables Facility Information Patient Demographics Clinical Information Payer and Charge Information Derived Information

7. HIDD: HPC Adds Value Rigorous Data Validation; re-submissions required when standards not met Derived Fields: standard diagnosis groups (MDC, CMS DRG, MMDC, AHRQ’s CCS) Derived Fields: geographic variables (Patient and Provider County, Health Districts) Derived Field: ID to track multiple stays

8. HIDD: HPC Adds Value Population Estimates: contract for custom age, ethnicity, county and sex breakdowns for specialized rate calculations - available to all Licensed 3rd Party Risk Adjustment: accounts for systematic variability in administrative data   HPC Hospital Comparison Guide controls for severity of illness, age, admission status, etc

9. HIDD: Restricted Access Strictly protects confidentiality of patients, providers and 3 rd party payers Data limited to specifications as identified in Request Form Access levels pre-defined

10. HIDD: Restricted Access Access Levels: defined in regulation   Aggregate Analysis   Consumer Reports   Research Dataset   Analysis Dataset   Linking Dataset

11. HIDD: Ongoing Users Hospitals (strategic planning) Private industry (health care planning) Researchers (health promotion, delivery assessments, prevention efforts) Government (epidemiological studies, intervention assessments, delivery and prevention assessments) Students (research papers, health care course work )

12. HIDD “ To Go “ Two Options:   HIDD online system: no charge www.healthlinknm.org   Custom requests: hourly rates apply All requests subject to HPC Approval per regulation

13. HIDD “ To Go “ HIDD Online: Interactive, iterative, extendible access Enhancements under construction: Coming in January 2005   More secure   More functionality

14. HPC: Websites HPC website: www.hpc.state.nm.us Healthlink New Mexico: www.healthlinknm.org