THREE-YEAR EDIE ANALYTICS DASHBOARDS...Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 100K 105K...
Transcript of THREE-YEAR EDIE ANALYTICS DASHBOARDS...Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 100K 105K...
THREE-YEAR EDIE ANALYTICS DASHBOARDS
The reports contained within are a companion to the annual EDIE Report produced by Apprise Health Insights for the Oregon Health Leadership Council. Please refer to that report for more detail on some of the metrics used in these dashboards (e.g. High Utilizers, Joiners, Leavers, Stayers, etc.).
These reports combine two sources of data: real-time emergency department data from Collective Medical Technologies (EDIE) with more detailed emergency department dis-charge data from Apprise Health Insights (INFOH).
A “High Utilizer” is defined as a patient who seeks medical attention specifically at an emergency department five or more times a year.
Quick Facts
• The total number of ED visits fell by 0.3% compared to 2017.• The number of High Utilizer visits fell by 2.8% compared to 2017.• Co-morbid Mental Health related visits increased by 17.9% from 2017 to 2019.• Co-morbid Substance Use Disorder related visits decreased by 0.4% from 2017 to 2019.• Potentially Avoidable visits from High Utilizers decreased by 10.9% compared to 2017.• Population-adjusted Potentially Avoidable visits decreased in all regions except Eastern Oregon and Southern Coast (2017-
2019).
Presented: June 19, 2020For the Period: Q1 2017 - Q4 2019
© 2020 Apprise Health Insights. All rights reserved.
4000 Kruse Way Place • Suite 100 • Lake Oswego, OR 97035 • Tel: (503) 479-6021 • http://www.oahhs.orgAPPRISE HEALTH INSIGHTS IS A SUBSIDIARY OF THE OREGON ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS
2017-2019 EDIE DASHBOARDUTILIZATION AND MOVEMENT
High Utilization Group Visits(Three-Year Comparison)
Jan
Feb
Mar
Apr
May Jun
Jul
Aug Sep
Oct
Nov Dec
16K
17K
18K
19K
Number of Emergency Department Visits in Oregon(Three-Year Comparison)
Noteworthy Trends:
The number of total ED visits in 2019 fell by 0.3% compared to2017.
1,284,783 - Total ED visits in 2017
1,266,469 - Total ED visits in 2018
1,280,986 - Total ED visits in 2019
The number of high utilizer visits in 2019 fell by 2.8% compared to2017.
222,579 - Total high utilizer ED visits in 2017
211,134 - Total high utilizer ED visits in 2018
216,436 - Total high utilizer ED visits in 2019
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
100K
105K
110K
115K
2019 2018 2017
2019 2018 2017
2017-2019 EDIE DASHBOARDHIGH UTILIZER COMORBIDITY, MENTAL HEALTH, AND SUBSTANCE USE DISORDER
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
3400
3600
3800
4000
4200
Comorbidity* & Substance Use Disorder(High Utilizer Visits)
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
1200
1400
1600
Comorbidity* & Mental Health(High Utilizer Visits)
Insights:
-Mental Health related visits have increased over the past three years, while Substance Use Disorder related visits saw a slight decrease compared to 2017.-Mental Health visits with Comorbidity increased by 17.9% from 2017-2019.
-Substance Use Disorder visits with Comorbidity decreased by 0.4% from 2017-2019.
47,8922019
45,9692018
48,0772017
Total High Utilizer Visits
19,1402019
16,4792018
16,2382017
Total High Utilizer Visits
*HCUP Clinical Calassifications Software Refined (CCSR), and update to Clinical Classifications Software (CCS), may affect Comorbidity Q4 2019 onward.
2017-2019 EDIE DASHBOARDHIGH UTILIZER COMORBIDITY, MENTAL HEALTH, AND SUBSTANCE USE DISORDER REGIONS
Insights:
-Population-adjusted Mental Health visits with Comorbidity were highest in Central Oregon and Southern Oregon in 2019. Increases were seen from 2017-2019 in all regions except Valley and Northwest Oregon.
-Population-adjusted Substansce Use Disorder visits with Comorbidity were highest in Southern Oregon and Valley in 2019. Decreases were seen from 2017-2019 in all regions except Central Oregon.
Central Oregon Southern Oregon Eastern Oregon Portland Metropolitan Area Valley Northwest Oregon Southern Coast
10.7
4.5
6.57.5 6.9
7.8
4.9 4.8 5.34.1 4.1 4.6
3.32.5 2.7
1.4 1.3 1.2 0.8 1.4 1.0
Comorbidity* & Mental Health by Region(High Utilizer Visits /1000 Residents )
Central Oregon Southern Oregon Eastern Oregon Portland Metropolitan Area Valley Northwest Oregon Southern Coast
12.1 11.713.8
17.816.2
17.6
8.2 8.4 7.79.0 8.6 9.0
14.913.6 14.6 14.7
13.010.9
6.43.9
2.6
Comorbidity* & Substance Use Disorder by Region(High Utilizer Visits /1000 Residents )
2017 2018 2019
2017 2018 2019
*HCUP Clinical Calassifications Software Refined (CCSR), and update to Clinical Classifications Software (CCS), may affect Comorbidity Q4 2019 onward.
2017-2019 EDIE DASHBOARDHIGH UTILIZER POTENTIALLY AVOIDABLE VISITS
Jan
Feb
Mar
Apr
May Jun
Jul
Aug Sep
Oct
Nov Dec
1600
1800
2000
Potentially Avoidable Visits(High Utilizers)
2019 2018 2017
Potentially Avoidable Visits Insights:
Potentially Avoidable visits from High Utilizers has decreased from2018-2019 by 10.9%
22,916 - Potentially Avoidable visits from High Utilizers in 2017
20,407 - Potentially Avoidable visits from High Utilizers in 2018
20,418 - Potentially Avoidable visits from High Utilizers in 2019
Population-adjusted Potentially Avoidable visits were highest inSouthern Oregon and Northwest Oregon in 2019. Decreases were seenfrom 2017-2019 in all regions except Eastern Oregon and SouthernCoast.
Potentially Avoidable Visits:
When a patient uses an emergency department for any non-urgenthealth related issue that can be safely and effectively treated in a settingoutside of an emergency room.
Southern Oregon Northwest Oregon Eastern Oregon Valley Central Oregon Southern Coast Portland Metropolitan Area
7.66.9 7.2
6.6 6.35.8 5.5 5.3 5.6
6.3
5.3 5.4 5.1
4.04.7
4.24.7
4.3 4.63.9 3.8
Potentially Avoidable Visits by Region(High Utilizer Visits/1000 Residents)
Appendix - Region Designations
© 2020 Apprise Health Insights. All rights reserved.
4000 Kruse Way Place • Suite 100 • Lake Oswego, OR 97035 • Tel: (503) 479-6021 • http://www.oahhs.orgAPPRISE HEALTH INSIGHTS IS A SUBSIDIARY OF THE OREGON ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS
Adventist Health Portland Good Samaritan Regional Medical Center
Kaiser Sunnyside Medical Center McKenzie-Willamette Medical Center
Kaiser Westside Medical Center PeaceHealth Cottage Grove Community Medical Center
Legacy Emanuel Medical Center PeaceHealth Peace Harbor Medical Center
Legacy Good Samaritan Medical Center PeaceHealth Sacred Heart Medical Center at RiverBend
Legacy Meridian Park Medical Center PeaceHealth Sacred Heart Medical Center University District
Legacy Mount Hood Medical Center Salem Hospital
OHSU Hospital Samaritan Albany General Hospital
Providence Milwaukie Hospital Samaritan Lebanon Community Hospital
Providence Portland Medical Center Santiam Memorial Hospital
Providence St Vincent Medical Ctr Legacy Silverton Medical Center
Providence Willamette Falls Medical Ctr Salem Health West Valley
Shriners Hospital for Children Columbia Memorial Hospital
Tuality Healthcare Providence Newberg Medical Center
Legacy Unity Behavioral Health Providence Seaside Hospital
Mid-Columbia Medical Center Samaritan North Lincoln Hospital
Providence Hood River Memorial Hospital Samaritan Pacific Communities Hospital
St Charles Bend Adventist Health Tillamook
St Charles Madras Willamette Valley Medical Ctr
St Charles Prineville Bay Area Hospital
St. Charles Redmond Coquille Valley Hospital
Blue Mountain Hospital District Curry General Hospital
Good Shepherd Health Care System Lower Umpqua Hospital
Grande Ronde Hospital Southern Coos Hospital & Health Center
Harney District Hospital Asante Ashland Community Hospital
Lake District Hospital Asante Rogue Regional Medical center
Pioneer Memorial Hospital (H) Asante Three Rivers Medical Center
Saint Alphonsus Medical Center - Baker City Mercy Medical Center
Saint Alphonsus Medical Center - Ontario Providence Medford Medical Center
CHI St Anthony Hospital Sky Lakes Medical Center
Wallowa Memorial Hospital
Portland Metropolitan Area
Central Oregon
Eastern Oregon
Valley
Northwest Oregon
Southern Coast
Southern Oregon