Below is the HillCo client report from the October 2 Texas Health Care Information Collection Data Collection Workgroup meeting.
Data System Updates
- System13, Inc. upgrade
- Nothing major to report, have done a few patches to fix glitches
Rules
- Hospital Emergency Department Data and Rural Provider Exemption Repeal
- Published as Adopted in the 39th volume of the Texas Register on 9/19/2014
- Effective date 12/18/14 but will not be implemented until 1/1/15
THCIC Technical Manuals Update
- Working to update manual to include the new effective date of ICD 10 (10/1/2015)
- Updates to revenue codes and patient status codes
- Aiming to release the updated manuals by the end of October
Potentially Preventable Complications and Potentially Preventable Readmissions
- Required reporting of PPCs and PPRs in Chapter 98 of the Health and Safety Code using Chapter 108 data
- Will send the reports to workgroup stakeholders before they go public
- Having a discussion with the Commissioner to decide if he wants to give advanced notice to facilities before the reports go public
- PPC report will be released mid to late October
- PPR report will be released in November
- Working concurrently on an outpatient report on colonoscopy readmissions and mortality
- Chose colonoscopies because it is a very common outpatient procedure and CMS just released a report on colonoscopy outpatient quality measures
Statistical Briefs
- HQR changed their methodology for their report on Hospital Facts and Figures
- Separated the report into individual topics
- Working to replicate the same methodology and put on their website
- An overview of the report will be done in late October, the rest of the sections within three months
Sunset Advisory Commission
- Recommended requiring DSHS to create a waiver process for small facilities required to submit data
- Facilities with no capability to produce electronic claims
- Facilities that do less than 600 procedures annually
- Recommended shortening the timeline to 30 days for the certification process
- DSHS will have to restructure rules if this becomes law – looking to condense the current rule to have only one submission timeframe
- Recommended that the THCIC put out more consumer friendly reports
- Working on a data query tool
- Will include:
- Inpatient and outpatient data from the THCIC
- Quality indicators
- Looking at including the PPC and PPR reports
- Birth, death, population, birth defects, trauma and nursing workforce data
- Timeline is to be finished in the next 4-5 months though the THCIC data must be up by January
Outpatient Reports
- THCIC is working on:
- Hospital utilization data reports
- Patient demographic data
- Report on the top 100 procedures ASCs and Hospital perform
- Report on the top 25 sources of payment, top 25 different health regions, top 25 different age groups
- The reports will include a list of definitions and terms, as well as an explanation of what you can and cannot glean from these data reports
- Reports should be posted to the website by the end of October
MONAHRQ
- Tool that analyzes, summarizes, and presents healthcare information in a ready-to-use format for consumers and other decision makers on:
- Quality of care at the hospital level
- Health care utilization at the hospital level
- Preventable hospitalizations at the area level
- Rates of conditions and procedures at the area level
- Estimated costs and cost-savings related to the quality of care
- 2011 data has been posted to the DSHS website