The Next Revolution: The Role of Informatics in Improving Health Care

A Look at the S.C. Provider Comparison Network

Slide Presentation by Pete Bailey (Text Version)

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On August 1, 2001, Pete Bailey, M.P.H., made a presentation during the Web-assisted teleconference, The Next Revolution: The Role of Informatics in Improving Health Care entitled "A Look at the S.C. Provider Comparison Network."

This is the text version of Mr. Bailey's slide presentation. Select to access the PowerPoint® slides (1 MB).

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Note: This presentation is a demonstration of the South Carolina Provider Comparison Network, and the slides take the viewer through a possible data search that a provider might conduct on the Web. Because of the nature of this demonstration, most of the slides are pictures of Web sites.

Slide 1

Web-assisted Informatics Web conference

Pete Bailey, M.P.H.
A Look at the S.C. Provider Comparison Network
August 1, 2001

Slide 2

Time Period

The slide displays the S.C. Provider Comparison Network Web page that allows a visitor to select his/her data.

The page offers two options of time periods to select for comparison, one is the "Latest One-Year Period" and the other is the "Latest-Three Year Period Combined."

Slide 3

APR-DRGs

This slide features an example of the data providers can view and compare about their All Patient Refined Diagnosis Related Groups (APR-DRGs).  A table entitled "Top 10 APR-DRGs" lists the APR-DRGs by number and name such as:

• 372 Vaginal Delivery.
• 374 Vaginal Delivery with Sterilization &/OR D&C.
• 370 Cesarean Delivery.

Then the information on those APR-DRGs is further broken down into sub-categories such as:

• Severity.
• Your Patients.
• % of Patients.
• Statewide.
• % of Patients.
• # of MDs with 10 or more cases.

Slide 4

Top Diagnosis/Procedures

This slide features further breakdown of Top Diagnosis/Procedures for a specific APR-DRG, for example, Cesarean Delivery. A table breaks down the APR-DRG into Diagnosis/Procedure categories such as:

• All.
• Low Cervical C-Section.
• Classical C-Section.

And further breaks down each Diagnosis/Procedure into:

• Severity.
• Your Patients.
• % of Patients.
• Statewide.

Slide 5

Severity Level

This slide features a Web page showing the breakdown of the severity levels of a Low Cervical C-Section. The levels are:

• All.
• Minor.
• Moderate.
• Major.
• Extreme.

Slide 6

Comparison Categories

After the provider has chosen to investigate a Low Cervical C-Section of moderate severity level, the next Web page allows him/her to view comparisons of that procedure in the following categories:

• Length of Stay.
• Discharge Status and Post Discharge Events.
• Resource Use.
• Complications of Care.

Slide 7

Length of Stay Comparisons

After the provider has chosen to view Length of Stay comparison, the following options are available for further comparison:

• Average Length of Stay.
• Length of Stay Outliers.
• Pre-Surgical Days.
• Post-Surgical Days.
• ICU/CCU Use and Days.
• Progressive Care Use and Days.

Slide 8

Discharge Status and Post Discharge Events Comparison

This page allows the provider to search comparisons related to Discharge Status and Post Discharge Events.

Slide 9

Resource Use Comparisons

This page allows the provider to search resource use comparisons in the following categories:

• Total Hospital Charge.
• Room & Board Charge.
• ICU/CCU Charge.
• Progressive Care Charge.
• Lab Charge.
• Pharmacy Charge.
• Supplies Charge.
• Imaging Charge.
• OR/Recovery Charge.
• Respiratory Therapy Charge.
• Physical Therapy Charge.

Slide 10

Complication of Care Comparisons

This page allows a provider to view complications of care comparisons related to moderate severity Low Cervical C-Sections.

Slide 11

Discharge Status Visit to ER Within 7 Days of Discharge

This page displays a table and bar graph representing the percentage of Discharge Status Visit to ER Within 7 Days of Discharge, comparing the individual provider to providers statewide, regionwide, and in one's peer group.

Slide 12

Information Sources for Master Client Record

This slide features a flow chart of all the different information sources that provide data to the Master Client Record, which requires a unique tracking number. The information sources are, clockwise from the upper left corner:

• Children's Foster Care Review Board.
• Alcohol and Other Drug Abuse Services.
• Commission for the Blind.
• Department of Corrections.
• Department of Education.
• Health and Human Services.
• Mental Health.
• Social Services.
• Uniform Billing:
  • Inpatient Hospitalization.
  • Outpatient Hospitalization.
  • Emergency Room Visits.
  • Home Health Visits.
• Vocational Rehabilitation.
• State Law Enforcement Division.
• Probation, Pardon, & Parole Board.
• Juvenile Justice.
• Health and Environmental Control.
• Disabilities and Special Needs.
• Continuum of Care.

Slide 13

Breakdown of Programs

This slide features another flow chart with a breakdown of all the programs within a State agency, and a further breakdown of the programs and services within those programs.

Slide 14

Breakdown of Programs, cont'd

This slide is a continuation of the flow chart on the previous slide, illustrating the breakdown of categories within the area of "Healthcare Utilization."

Current as of August 2001

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Internet Citation:

Bailey, P. A Look at the S.C. Provider Comparison Network. Slide Presentation (Text Version) presented at The Next Revolution: The Role of Informatics in Improving Health Care, Web-Assisted teleconference, August 1, 2001. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/news/ulp/informat/baileytxt.htm

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