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Using Administrative Data To Answer State Policy Questions
 Workshop Agenda and Materials

December 4-5, 2008
Rockville, MD

Day 1: Thursday, December 4, 2008

 

Registration (Breakfast provided)
8:00 am – 8:30 am

Welcome and Introductions
8:30 am – 9:00 am

Margie Shofer, B.S.N., M.B.A.
Agency for Healthcare Research and Quality

This session will provide an overview of the structure and goals for this workshop, and a brief introduction to the faculty. State teams will be asked to share their key policy questions and comment briefly on what they hope to get out of the workshop.

Session 1: HCUP Tools and Related Topics
9:00 am – 10:15 am

Claudia Steiner, M.D., M.P.H.
Agency for Healthcare Research and Quality
Presentation Slides Handout | Text Version

This session will include an overview of administrative data, addressing such questions as: What are administrative data? Where are administrative data housed in States? What is HCUP?

The session will introduce State teams to various Clinical Groupers: CCS, CCS-MHSA, CCS-CPT, and Chronic Condition Indicator. It will also review HCUPnet and related topics, such as State and national utilization statistics (benchmarks and comparisons) and QI benchmarks.

Following this session, participants should be better able to:

  • Appreciate some of the key attributes of administrative data, especially HCUPnet;
  • Know where to look for administrative data in their State;
  • Understand the importance and role of various Clinical Groupers and other administrative data resources.

Break
10:15 am – 10:30 am

Session 2: Using Administrative Data To Inform Policy
10:30 am – 11:30 am

Alan Weil, J.D., M.P.P.
Executive Director
National Academy for State Health Policy
Presentation Slides Handout | Text Version

Julie Sonier, M.P.A.
Director
Health Economics Program
Minnesota Department of Health
Presentation Slides Handout | Text Version

Robert Murray, M.A., M.B.A.
Executive Director
Maryland Health Services Cost Review Commission
Presentation Slides Handout | Text Version

This session will begin with a presentation by Alan Weil on using data to answer policy questions. Julie Sonier and Robert Murray will present specific examples of how their States have used administrative data to support policy decisions.

Following this session, participants should be better able to:

  • Understand how their State might be able to use administrative data to address their own policy challenges.

Lunch (Provided): 11:30 – 12:30

Session 3: AHRQ Quality Indicators
12:30 pm – 1:45 pm

Melanie Chansky, M.A.A.
Battelle Centers for Public Health Research and Evaluation
Presentation Slides Handout | Text Version

Melanie Chansky will present an overview of AHRQ’s PQIs, IQIs, PSIs, and PDIs and their role in public reporting, and discuss recent validation efforts and endorsement of measures by the National Quality Forum. She will also conduct a demonstration of how AHRQ tools can be used with State administrative data.

Following this session, participants should be better able to:

  • Understand AHRQ’s various quality indicators;
  • Navigate the AHRQ QI tools.

Session 4: Pulling It All Together: Demonstration of EQUIPS
 1:45 pm – 2:45 pm

Anne Elixhauser, Ph.D.
Agency for Healthcare Research and Quality
Presentation Slides Handout | Text Version

Anne Elixhauser will introduce participants to a new AHRQ tool, EQUIPS. This tool was designed to help display information about health care quality, utilization of services, and rates of conditions and procedures via a Web site to a wide audience, including the general public.

Following this session, participants will:

  • Have a better understanding of how information based on administrative data can be collected and displayed using a new AHRQ tool.

Break
2:45 pm – 3:00 pm

Session 5: Hospital Readmissions
3:00 pm – 3:30 pm

Susan McBride, R.N., Ph.D.
Professor of Research
Texas Tech University Health Sciences Center
Anita Thigpen Perry School of Nursing
Presentation Slides Handout | Text Version

This session will highlight the issue of hospital readmissions – both as a reflection of delivery system problems and as an opportunity for cost savings. The session will encourage participants to think about how (and how effectively) their States are able to connect individual records across the continuum of care.

Following this session, participants should be better able to:

  • Identify the role of transitions in care as a driver of readmissions;
  • Understand the importance of identifiers to allow each patient’s experience to be fully captured;
  • Appreciate the potential cost savings associated with reducing readmissions.

Session 6: Reactor Panel and Discussion
3:30 pm – 4:30 pm

Susan McBride, R.N., Ph.D.
Professor of Research
Texas Tech University Health Sciences Center
Anita Thigpen Perry School of Nursing

Rex Cowdry, M.D.
Executive Director
Maryland Health Care Commission
Department of Health & Mental Hygiene

Jill Rosenthal, M.P.H.
Program Director
National Academy for State Health Policy

Julie Sonier, M.P.A.
Director
Health Economics Program
Minnesota Department of Health

This session is designed to air the selected policy issues and questions raised by State teams in their applications and worksheets. Faculty will elicit questions from participants about what they hope to address with administrative data and will lead the group in a discussion of data issues, AHRQ tools, questions, challenges, and related issues.

This session will help participants:

  • Learn from the experiences of faculty and other States;
  • Identify challenges and strategies associated with using administrative data;
  • Prioritize ways to move forward in their States with using administrative data to address their policy questions.

Session 7: State Teams Breakout
4:30 pm – 5:30 pm

Faculty available for consultation.

State teams will begin group work on chosen policy issues, using a template to guide their discussion. AHRQ faculty will work with teams to determine the administrative data they have available to them and which AHRQ tools would help them answer their questions. Activity may be continued after formal conclusion of Day 1 as “homework” in preparation for Day 2’s intensive.

Following this session, participants should be better able to:

  • Identify AHRQ tools that they can use to address their State policy questions;
  • Address questions surrounding the appropriate use of administrative data in their State;
  • Develop strategies for using administrative data to answer State policy questions.

Day 2: Friday, December 5, 2008

Day Two Welcome (Breakfast provided)
8:00 am – 8:30 am

Session 8: HCUP Reports That Can Help Inform Policy
8:30 am – 9:00 am

Hannah Davis, M.S.
Agency for Healthcare Research and Quality
Presentation Slides Handout | Text Version

This session will introduce participants to HCUP reports and features that can help inform policy.

Following this session, participants should be better able to:

  • Understand the role of HCUP reports and features in the policy development process.

Session 9: State Teams Breakout
9:00 am – 10:00 am

State Teams

State teams will complete their group work on the template. AHRQ faculty will be available to work with teams to address any final data and/or tool questions. This will be the opportunity for States to finalize their “report out” to other workshop participants.

Break
10:00 am – 10:15 am

Session 10: Report Out, Lessons Learned, & Anticipated Next Steps
10:15 am – 12:00 pm

Alison Rein, M.S.
AcademyHealth

States will present the results of their group work and have an opportunity to raise additional questions for faculty and other States. This session also will focus States on thinking about how they can continue to work on these policy questions when they return home and what additional assistance might be needed to support their efforts.

Following this session, participants should be better able to:

  • Understand how other States are planning to use administrative data to address their policy questions;
  • Envision how they will use administrative data in their State to address their policy questions;
  • Come up with a list of next steps;
  • Identify appropriate AHRQ contact for additional technical assistance.

Session 11: Lunch Panel Discussion (Lunch will be provided at 12:00; session begins at 12:15)
12:00 pm – 1:15 pm

Faculty available for State consultation.

This session will consist of a final Tool Q&A with technical faculty about the tools presented during the workshop.

Following this session, participants should be better able to:

  • Address final questions they may have regarding using administrative data to answer State policy questions.
 

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