US Department of Health and Human Services' Health Indicators Warehouse (HIW) Webinar

1. What
Data
is
Available?
An
Introduc6on
to
the
Data
Sources
at
HHS
Monday,
January
23,
2012
11:00
am
-­‐
12:30
PM
EST

2.
Arnaub
Cha:erjee
Special
Assistant
Office
of
the
Chief
Technology
Officer,
HHS

3. Agenda
1. Welcome:
Todd
Park
(CTO,
HHS)
2. Overview
of
Health
Indicators
Warehouse:
James
Craver
3. CMS
Data
Update:
Niall
Brennan
4. Features
of
MONAHRQ:
Carol
Sniegoski
5. IOM
Perspec6ve:
Danielle
Turnipseed
6. Q&A
(20
minutes)
• If
you
wish
to
ask
a
ques6on,
please
type
in
‘chat’
window
and
click
on
‘send
to
organizer’
in
the
drag-­‐down
menu
• Webinar
will
be
archived

4.
Todd
Park
Chief
Technology
Officer
U.S.
Department
of
Health
and
Human
Services

5. The Health Data Initiative:
Unleashing the Power of Open Data and
Innovation to Improve Health

6. The
Health
Data
Ini6a6ve:
turning
HHS
and
our
sister
agencies
into
the
“NOAA
of
health
data”
Weather
data
• Weather
newscasts
• Weather
websites
FUELS
• Weather
mobile
apps
• Weather
insurance
• And
more
Made
available
to
the
public

7. Health
Data
Ini6a6ve
core
ac6vi6es:
liberate
data
and
catalyze
innova6on
1. Publish
brand
new
HHS
data
for
public
access
–
while
rigorously
protecNng
privacy
and
confidenNality
2. Make
exis6ng
HHS
data
much
more
accessible
-­‐-­‐
“machine-­‐
readable,”
accessible
via
applicaNon
programming
interfaces
(APIs),
free,
much
easier
to
find
3. Energe6cally
publicize
our
data
to
innovators
-­‐-­‐
who
can
use
it
as
raw
material
to
develop
applicaNons
and
services
that
help
improve
health
and
health
care

8. What
kinds
of
data
are
we
libera6ng?
Community
Health
Community
Health
Govt
Provider
Data
Example:
Directories
Spending
&
Quality
HHS
• Health
Indicators
Data
Being
Warehouse,
at
healthindicators.gov
Liberated
• 1,170
metrics
of
Medical/
“Blue
community
health
Scien6fic
Bu:on”
and
health
care
Knowledge
performance
Consumer
• Launched
2/2011
Product
Informa6on

9. What
kinds
of
data
are
we
libera6ng?
Community
Provider
Directories
&
Health
Quality
Data
Examples:
Provider
Govt
Spending
Directories
• NaNonwide
&
Quality
directories
of
care
HHS
providers
Data
Being
• Provider
quality
Liberated
COMPARE
APIs
at
data.medicare.gov,
Medical/
“Blue
launched
9/2010
Scien6fic
Bu:on”
Knowledge
• Medicare
claim
files
for
provider
quality
Consumer
Product
measurement,
Informa6on
coming
1/2012

10. What
kinds
of
data
are
we
libera6ng?
Community
Health
“Blue
Bu:on”
Data
Provider
Govt
Directories
• VA,
HHS,
DoD
joint
Spending
venture
&
Quality
HHS
• Allows
veterans,
Data
Being
Medicare
beneficiaries,
and
Liberated
acNve
duty
military
Medical/
to
download
their
“Blue
Scien6fic
Bu:on”
own
claims
or
Knowledge
personal
health
Consumer
informaNon
Product
• Launched
10/2010
Informa6on

11. What
kinds
of
data
are
we
libera6ng?
Community
Health
Consumer
Product
Provider
Informa6on
Example:
Govt
Directories
Spending
&
Quality
HHS
• FDA
recall
(drugs,
Data
Being
devices,
food)
data
Liberated
in
downloadable
XML
format
Medical/
“Blue
• Published
10/2010
Scien6fic
Bu:on”
Knowledge
Consumer
Product
Informa6on

12. What
kinds
of
data
are
we
libera6ng?
Community
Health
Medical/Scien6fic
Provider
Govt
Knowledge
Examples:
Directories
Spending
&
Quality
HHS
• NaNonal
Library
of
Data
Being
Medicine
API
Portal,
Liberated
deployed
9/2010,
including
Medical/
Scien6fic
“Blue
ClinicalTrials.gov
and
Bu:on”
Pillbox
APIs
Knowledge
• Medline
Plus
Consumer
Connect,
launched
Product
Informa6on
11/2010

13. What
kinds
of
data
are
we
libera6ng?
Community
Health
Govt
Spending
Data
Provider
Example:
Govt
Directories
Spending
&
Quality
HHS
• Medicare
claims
“basic
standalone
Data
Being
files”
–
first-­‐ever
Liberated
claim-­‐level
files
Medical/
(“slimmed”
for
“Blue
Scien6fic
privacy
protecNon),
Bu:on”
Knowledge
available
for
free
Consumer
public
download
for
Product
all
major
types
of
Informa6on
care
as
of
5/2011

14. Bringing
it
all
together:
HealthData.gov,
the
one-­‐stop
place
to
get
all
of
our
free,
publicly
available
data,
launched
2/2011

15. Publicizing
our
data
to
innovators
across
America
• Challenges
and
“code-­‐a-­‐thons”
(health2challenge.org)
• Many
innovator
“meetups”
and
conferences
• Annual
“health
datapaloozas”

16. The
goal:
a
self-­‐propelled,
open
“ecosystem
of
innova6on”
using
data
to
improve
health
(and
create
jobs
of
the
future)
A
Rapidly
Growing
Array
of
Innova6ve
Products
and
Services
That:
• Help
consumers
take
control
of
Health-­‐Related
Data
from
their
health
and
health
care
• Help
employers
promote
health
and
wellness
FUELS
• Help
care
providers
deliver
beeer
care
• Help
journalists
shed
light
• Help
local
leaders
make
beeer-­‐
informed
decisions
• Support
all
of
the
above
through
“data
intermediary”
services
• And
much
more

17. The
Third
Annual
Health
Data
Ini6a6ve
Forum
–
The
Health
Data
Palooza!
• This
year’s
Palooza
will
take
place
on
June
5-­‐6,
2012
at
the
Walter
E.
Washington
ConvenNon
Center
in
Washington,
DC.
• This
year’s
event
will
be
hosted
through
the
Health
Data
ConsorNum,
a
public-­‐private
partnership
between
the
InsNtute
of
Medicine,
Robert
Wood
Johnson
FoundaNon,
Consumers
Union,
Academy
Health,
InnocenNve,
Health
2.0,
the
Mayo
Clinic’s
Center
for
InnovaNon
and
several
other
organizaNons.
• Will
showcase
250
of
the
best
innovaNons
in
three
tracks:
consumer,
provider
and
community
apps
• Please
visit
www.hdiforum.org
for
more
informaNon
on
registraNon,
Nmelines
for
submission
and
details
about
each
submission
category.

18. Examples:
helping
consumers
take
control
of
their
health
and
health
care
• iTriage
• Healthline
• Castlight
• Pa6ents
Like
Me
• Asthmapolis
• Food
Oasis

19. Examples:
helping
care
providers
deliver
be:er
care
(and
succeed
as
accountable
delivery
systems)
• Aetna
• Essence
Group/Lumeris
• Doximity
• Press
Ganey
• Rise
Health
• ElizaLIVE

20. Examples:
helping
communi6es
improve
health
• Ozioma
• ESRI
• Network
of
Care
for
Healthy
Communi6es
• Palan6r/CDC

21. Selected
announcements
at
the
Forum
• EPA
challenge
• Walgreens
2.0
+
challenge
• Aetna
Founda6on
challenge
• Sanofi
Aven6s
diabetes
challenge
• NCIIA
Nursing
Home
of
the
Future
“invent-­‐a-­‐thon”
• University
of
Michigan:
na6on’s
first
consumer
health
informa6cs
masters
degree
program
• Startup
Health:
new
health
startup
“seed
accelerator/entrepreneurship
academy”
• New
“Health
Data
Consor6um”

22. Founding
members
of
the
Health
Data
Consor6um
• Academy
Health
• California
HealthCare
Founda6on
• Consumers
Union
• ESRI
• Gallup-­‐Healthways
Well-­‐Being
Index
• Grantmakers
in
Health
• Health
2.0
• InnoCen6ve
• Ins6tute
of
Medicine
• Lucile
Packard
Founda6on
for
Children’s
Health
• Mayo
Clinic
Center
for
Innova6on
• Na6onal
Associa6on
of
Coun6es
• O’Reilly
Media
• Robert
Wood
Johnson
Founda6on
• U.S.
Department
of
Health
and
Human
Services

23. A
historic
moment
and
opportunity
New
Incen6ves
+
Informa6on
Libera6on
=
Rocket
Fuel
for
Innova6on

24.
James
Craver
Public
health
analyst
Office
of
Analysis
and
Epidemiology
NaNonal
Center
for
Health
StaNsNcs
Centers
for
Disease
Control
and
PrevenNon.

25.
Niall
Brennan
Director,
Policy
and
Data
Analysis
Group
Center
for
Strategic
Planning
Centers
for
Medicare
and
Medicaid
Services

26.
Carol
Sniegoski
Center
for
Delivery,
OrganizaNon,
and
Markets
Agency
for
Health
Research
and
Quality

27. Agency for Healthcare Research and Quality
Advancing Excellence in Health Care • www.ahrq.gov
Input Your Data.
Output Your Website.
Carol Sniegoski
Agency for Healthcare Research and Quality
monahrq.ahrq.gov
monahrq@ahrq.gov

28. Input Your Data.
Output Your Website.
Advancing
Excellence in
Health Care
MONAHRQ: a free, downloadable software tool from AHRQ.
Turns healthcare data into a website.

29. Input Your Data.
Output Your Website.
Advancing
Excellence in
Health Care
MONAHRQ: a free, downloadable software tool from AHRQ.
Turns healthcare data into a website.
Download MONAHRQ from
monahrq.ahrq.gov
MONAHRQ

30. Input Your Data.
Output Your Website.
Advancing
Excellence in
Health Care
MONAHRQ: a free, downloadable software tool from AHRQ.
Turns healthcare data into a website.
Download MONAHRQ from
Input your local monahrq.ahrq.gov
hospital
discharge data
MONAHRQ

31. Input Your Data.
Output Your Website.
Advancing
Excellence in
Health Care
MONAHRQ: a free, downloadable software tool from AHRQ.
Turns healthcare data into a website.
Download MONAHRQ from
Input your local monahrq.ahrq.gov
hospital
discharge data
MONAHRQ
Input Hospital
Compare
measures*
* Available from HealthData.gov

32. Input Your Data.
Output Your Website.
Advancing
Excellence in
Health Care
MONAHRQ: a free, downloadable software tool from AHRQ.
Turns healthcare data into a website.
Download MONAHRQ from
Input your local monahrq.ahrq.gov
hospital
discharge data
MONAHRQ
Input Hospital
Compare
measures* MONAHRQ runs on your
desktop
* Available from HealthData.gov

33. Input Your Data.
Output Your Website.
Advancing
Excellence in
Health Care
MONAHRQ: a free, downloadable software tool from AHRQ.
Turns healthcare data into a website.
Download MONAHRQ from
Input your local monahrq.ahrq.gov
hospital
discharge data Output a local
MONAHRQ healthcare
reporting website
Input Hospital
Compare
measures* MONAHRQ runs on your
desktop
* Available from HealthData.gov

34. Input Your Data.
Output Your Website.
Advancing
Excellence in
Health Care
MONAHRQ: a free, downloadable software tool from AHRQ.
Turns healthcare data into a website.
Download MONAHRQ from
Input your local monahrq.ahrq.gov
hospital
discharge data Output a local
MONAHRQ healthcare
reporting website
Input Hospital
Compare
measures* MONAHRQ runs on your You host, public or
desktop private
* Available from HealthData.gov

35. Input Your Data.
Output Your Website.
Advancing
Excellence in
Health Care
MONAHRQ: a free, downloadable software tool from AHRQ.
Turns healthcare data into a website.
Download MONAHRQ from
Input your local monahrq.ahrq.gov
hospital
discharge data Output a local
MONAHRQ healthcare
reporting website
Input Hospital
Compare
measures* MONAHRQ runs on your You host, public or
desktop private
MONAHRQ was a finalist in round 2 of the HHSinnovates competition.
* Available from HealthData.gov

36. Who uses MONAHRQ?
Advancing
Excellence in
Health Care
Who uses MONAHRQ to build a website?
• Hospital associations
• Community quality collaboratives
• Local data organizations
• Local public health departments

37. Who uses MONAHRQ?
Advancing
Excellence in
Health Care
Who uses MONAHRQ to build a website?
• Hospital associations
• Community quality collaboratives
• Local data organizations
• Local public health departments
Who can use MONAHRQ-generated websites?
• Consumers
• Providers
• Analysts
• Policy makers

38. The MONAHRQ-generated
reporting website
Advancing
Excellence in
Health Care

39. The MONAHRQ-generated
reporting website
Advancing
Excellence in
Health Care
Local data (AHRQ Quality
Local data
Indicators: hospital level)
Local data (AHRQ Quality
Indicators: county level) Local data

40. The MONAHRQ-generated
reporting website
Advancing
Excellence in
Health Care
Hospital Compare measures*
(patient safety, imaging use, mortality
& readmissions, process of care,
HCAHPS patient experience survey)
Local data (AHRQ Quality
Local data
Indicators: hospital level)
Local data (AHRQ Quality
Indicators: county level) Local data
* Available from HealthData.gov

41. Hospital quality report
Advancing
Excellence in
Health Care
Search page
Select hospitals in your Select quality measures
area by health topic

42. Hospital quality report
Advancing
Excellence in
Health Care
Classification
table
Choice of
benchmarks:
local or national Friendly icons
Sortable columns
Help popups
Drilldown to details
* Available from HealthData.gov

43. Hospital quality report
Advancing
Excellence in
Health Care
Bar charts
Ordered from best to worst
Labeled with number
showing rate
Local and national
benchmarks in contrast
color

44. County level quality report
Advancing
Excellence in
Health Care
Maps
Rates for counties in
your data set
Colored by quintile
Drilldown to details
Includes estimated
cost savings from
reducing
hospitalizations

45. Why MONAHRQ?
Advancing
Excellence in
Health Care
MONAHRQ helps make healthcare data useful
• Input your data, output your reporting website
• Create friendly, usable reports that apply best practices in
reporting
• Report both local and national data, including benchmarks
• Report without reinventing the wheel

46. Why MONAHRQ?
Advancing
Excellence in
Health Care
MONAHRQ helps make healthcare data useful
• Input your data, output your reporting website
• Create friendly, usable reports that apply best practices in
reporting
• Report both local and national data, including benchmarks
• Report without reinventing the wheel
First released in June 2010, MONAHRQ is used for statewide reporting in
several states
• Nevada • Hawaii • Maine
• Kentucky • Arkansas • Utah

47. Why MONAHRQ?
Advancing
Excellence in
Health Care
MONAHRQ helps make healthcare data useful
• Input your data, output your reporting website
• Create friendly, usable reports that apply best practices in
reporting
• Report both local and national data, including benchmarks
• Report without reinventing the wheel
First released in June 2010, MONAHRQ is used for statewide reporting in
several states
• Nevada • Hawaii • Maine
• Kentucky • Arkansas • Utah
Learn more, visit live MONAHRQ reporting sites, or download MONAHRQ:
monahrq.ahrq.gov
monahrq@ahrq.gov

48.
Danielle
P.
Turnipseed
Program
Officer,
ExecuNve
Office
InsNtute
of
Medicine

49. The Institute of Medicine
Advising the nation. Improving health

50. The Institute of Medicine asks and
answers the nation’s most pressing
questions about health and health care.
The IOM is an independent, nonprofit organization that
works outside of government to provide unbiased and
authoritative advice to decision makers and the public.
Established in 1970, the IOM is the health arm of the
National Academy of Sciences, which was chartered
under President Abraham Lincoln in 1863.
50

51. The IOM serves as adviser to the nation
to improve health.
§ Unbiased, authoritative advice
§ Evidence-based recommendations
§ Committees composed to avoid conflicts of interest
§ Neutral venue for open dialogue and discussion
§ Honorific organization
51

52. Go Viral to Improve Health
IOM-NAE Health Data Collegiate Challenge
§ Interdisciplinary
teams of 2-5
students
§ Open to
undergraduate and
graduate students
§ Register by 2/10,
submit app by 3/28
$18,000
IN PRIZES
52

53. Agenda
1. Welcome:
Todd
Park
(CTO,
HHS)
2. Overview
of
Health
Indicators
Warehouse:
James
Craver
3. CMS
Data
Update:
Niall
Brennan
4. Features
of
MONAHRQ:
Carol
Sniegoski
5. IOM
Perspec6ve:
Danielle
Turnipseed
6. Q&A
(20
minutes)
• If
you
wish
to
ask
a
ques6on,
please
type
in
‘chat’
window
and
click
on
‘send
to
organizer’
in
the
drag-­‐down
menu
• Webinar
will
be
archived