Transcript Data Summit Data Mgr Funding FINAL 07 31 08(2) post

ATHN Data Quality Counts
How to Apply for Data Management Funding
Ann Forsberg
2008© COPYRIGHT
ATHN’s Strategic Opportunities
• Gain and engage ATHN Affiliates
Network
Infrastructure
3
Develop
electronic
database
capacity
re: database
• Build community trust
• Expand local capacity by funding
and training data managers
• Establish regional data
management structure
• Define and establish the core
dataset: bleeding and clotting
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HTC Needs Assessment
Completed!
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• eSurvey on ATHN website
– Initiated mid-October
• Respondents
– 79 of 134 (59%) HTCs responded
_ 39 of 72 (54%) ATHN Affiliates
• Objectives of survey
– Assess state of current data
collection and use
– Facilitate improved data collection
– Develop fact base to provide data
manager funding/support to HTC’s
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Currently Using Lab Tracker
Users
Non Users
5
(Based on 79
Respondents)
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Data Routinely Computerized in Lab Tracker
Infusion records
Labs
Meds- Other
Med - Coag
% of HTCs
Surgeries
(Based on 79
Respondents)
6
Diagnoses
Contacts
0
20
40
60
80
100
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Map of the Regions in the National Network
Region I
Region V West
Region VIII
Region V
East
Region X
Region II
Region VII
Region IX
7
Hawaii & Guam
Region IX
Region III
Region IV North
Region IV South
Region VI
Puerto Rico & Virgin Is
Region II
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Coagulation Medications (Based on 79 Respondents)
% Reporting HTCs Routinely Computerizing in Lab Tracker
X
IX
VIII
VII
VI
V-W
V-E
IV-S
IV-N
8
III
II
I
All HTCs
0
20
40
% of Region HTCs
60
% of All HTCs
80
100
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Surgeries (Based on 79 Respondents)
% Reporting HTCs Routinely Computerizing in Lab Tracker
X
IX
VIII
VII
VI
V-W
V-E
IV-S
IV-N
9
III
II
I
All HTCs
0
20
40
% of Region HTCs
60
% of All HTCs
80
100
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Infusion Records (Based on 79 Respondents)
% Reporting HTCs Routinely Computerizing in Lab Tracker
X
IX
VIII
VII
VI
V-W
V-E
IV-S
IV-N
III
10
II
I
All HTCs
0
20
40
% of Region HTCs
60
% of All HTCs
80
100
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Core User
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• Collects Core Data
– Demographics
– Diagnoses
– Coagulation medications
– Surgeries
– Laboratory tests
– Contact info
– Insurance
•
AND
Uses for either medical record or more than
annual visits
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Lab Tracker User Level
35
30
25
Superuser
Core User
Early User
Non-User
20
15
10
(Based on 79
Respondents)
5
12
0
HTC respondents
Super User: Use as medical record AND for more than annual visits
AND capture core data plus infusions or non-coag meds
Core User: Captures core data (i.e., demographics, diagnoses,
coagulation meds, surgeries, labs, contact info, insurance) AND
uses for either medical record or more than annual visits
Early User: Captures at least demographics and diagnoses
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Average Hours per Position per Month
.91 FTE
.26 FTE
.12 FTE
Super User
Core User
Early User
100%
80%
60%
40%
20%
14
0%
RN
Admin
Dedicated Data Mgr
(Based on 79 Respondents)
LSW
PT
MD
Other
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Perceived Current Data Manager Staffing
100%
90%
80%
70%
60%
No time
Significantly inadequate
50%
Somewhat inadequate
Adequate
40%
30%
15
20%
10%
0%
Adequacy of Staffing
Additional staff required: Aver. 42 hrs/mo; range: 3-160 hrs/mo
(Based on the initial 79 respondents).
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Variation on Perceived Adequacy of Staffing
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
X
IX
VI
II
VI
I
VI
VW
VE
IV
-S
IV
-N
II
I
III
ll
HT
C
s
0%
A
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Adequate
Somewhat inadequate
Significantly inadequate
No time
Additional staff required: Aver. 42 hrs/mo; range: 3-160 hrs/mo
(Based on the initial 79 respondents).
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Desired Support of ATHN Affiliates
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• Manpower
– Local data managers
– Central help desk (Telephone support)
– Regional super users (For most experienced)
• Lab Tracker (Web) Training
– Regional
– Web based
• Technical Support
– Virtual help desk (On line support)
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ATHN Data Quality Counts: $400,000 NOW
• Capacity Building at
•
•
•
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•
HTCs
Application process
Deadline September
15, 2008
Email applications to
[email protected]
15 awards in first round
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Awards Based on Merit and Need
• To secure complete and accurate core data for use
•
•
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in disaster preparedness, electronic UDC
submission and patient management beyond
annual visits;
To support current Lab Tracker users to increase
the amount and/or quality of their data;
To jumpstart data collection using Lab Tracker®
(web) by centers who are not currently users of Lab
Tracker due to lack of funds for data management
staffing.
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Simple Application Process
• Need:
•
•
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•
Why you should
be funded?
Objectives: What you
commit to do?
Performance
Indicators: What
measurements and
milestones will
document progress?
Budget: How much
money? How will you
use it?
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HTC Commitment Required
• To use best efforts to
•
achieve objectives
Provide a six month
progress report
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ATHN Data Quality Counts
• A major step forward
• Flexible so HTCs can ask for what they needed
• Additional funding cycles to follow
• Provides ATHN experience in funding process
• Helps ATHN Affiliates expand capacity
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Technology Committee – Thank You
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• Geoffrey Allen
• Pam Bryant
• John Drake
• Karmin Enge
• Rebecca Hauke
• Michael O’Conner
• Tom Ortel
• Lew Parker
• Steven Pipe
• Angie Riedel
• Brenda Riske
• Linda Smith (CDC)
• Ray Stanhope
• Julie Thomas
• Leonard Valentino
• Diane Aschman
• Ann Forsberg, Chair
2008© COPYRIGHT