7th Annual AMIA Invitational Health Policy Meeting December 12-13 ...

Project Overview Purpose/Type of Data Project Features Results Challenges
Regional Infection Prevention Collaborative to Reduce
(MRSA) Infections. Indiana Univ/Regenstrief Inst.
Regional collaborative to identify and spread effective
strategies for MRSA reduction. Funding from AHRQ.
All-Payer Claims Database Council (APCD) program to
support states in developing and deploying APCD
systems. National federation of government, private,
nonprofit academic orgs. Funding from the
Commonwealth Fund, Academy Health’s State Coverage
Initiative, AHRQ, National Governor’s Assn, California
Healthcare Foundations and others. 2
Harmonization and Use of a Healthcare Quality
Measure for Surgical Site Infections (SSI). Collaboration
between CDC and American College of Surgeons (ASC) to
harmonize different SSI measures. 3
AMIA Invitational Health Policy Meeting 2012
Page 35 12/10/2012
Use of EHR/HIE data to help
prevent MRSA infection.
(One aspect of
comprehensive prevention
program).
Use of state claims data to
provide information on
costs. Aim to develop
seamless, cross-state
dataset of longitudinal
patient records.
Collaboration for
harmonization of quality
measure data used for SSI
surveillance in CDC’s
National Healthcare Safety
Network and ASC’s National
Surgical Quality
Improvement Program.
Use electronic data from
regional HIE to identify
admitted patients with
prior evidence of MRSA and
send email alert to
infection prevention staff.
(Also use other MRSA
reduction strategies, e.g.,
training).
Council coordinates and
supports state APCDs,
helps to harmonize and
develop data collection
rules across state
databases. Builds
consensus for development
of APCD data collection
standards as foundation for
cross-state analytics and
reporting.
CDC and ACS partnered to
improve SSI data supply
chain, starting with
agreement on one set of
SSI measurement specs.
Work toward data transfer
from ASC web reporting
system to CDC’s system.
MRSA rates decreased in
participating hospitals; data
on impact of intervention
made available to staff
including rapid feedback on
progress, etc. Applying
strategies to other hospitalacquired
infections.
Current participation by
nearly 2 dozen states.
Provides multi-state analysis
platform. Developing
strategy to integrate
Medicare data into APCD.
Harmonized SSI measure
endorsed by NQF and
adopted by CMS for hospital
IQR program in Jan. 2012.
Initial harmonization effort
provides momentum for
related challenges.
� Reduced and backlogged IT
staff and data analysts
� Competing public health
initiatives
� Communication problems
� Labs not willing to share
data with “research org”
� Lack of federal and state
funding
� Lack of uniform approach
to building, funding and
supporting APCDs
� Incomplete data,
especially Medicare
� Differences in measure
specifications in the areas
of procedure sampling
� Duration of patient follow
up and risk adjustment of
outcomes