agency for health care administration florida center for health information and policy analysis
TRANSCRIPT
Agency for Health Care Administration
Florida Center for Health Information and
Policy Analysis
2
Percentage of Facilities Completing Data Submission by Certification Deadline
Office of Data Collection
Qtr 1
Qtr 2
Qtr 3
Qtr 4
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
99.16%
98.15%
99.14%
99.33%
0.84%
1.85%
0.86%
0.67%
Percent (%) ON TIME Percent (%) LATE
2010/2011 Ambulatory (Qtrs 3, 4 2010 and Qtrs 1, 2 2011)
Qtrs
Qtr 1
Qtr 2
Qtr 3
Qtr 4
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
100.00%
99.28%
100.00%
99.60%
0.00%
0.72%
0.00%
0.40%
Percent (%) ON TIME Percent (%) LATE
2010/2011 Inpatient (Qtrs 3, 4 2010 and Qtrs 1, 2 2011)
Qtrs
2010 (Last 2 Qtrs.), 2011 (First 2 Qtrs.)
3
Office of Data CollectionPercentage of Facilities Completing Data Submission by
Certification Deadline
Qtr 1
Qtr 2
Qtr 3
Qtr 4
0% 10% 20% 30% 40% 50% 60% 70% 80% 90%100%
49.21%
58.09%
98.62%
98.80%
50.79%
41.91%
1.38%
1.20%
Percent (%) ON TIME Percent (%) LATE
2008 Ambulatory
Qtr
Qtr 1
Qtr 2
Qtr 3
Qtr 4
99.80%
98.60%
99.60%
94.68%
0.20%
1.40%
0.40%
5.32%
Percent (%) ON TIME Percent (%) LATE
2009 Ambulatory Qtrs
Qtr 1
Qtr 2
Qtr 3
Qtr 4
0% 20% 40% 60% 80% 100%
96.90%
97.80%
99.14%
99.33%
3.10%
2.20%
0.86%
0.67%
Percent (%) ON TIME Percent (%) LATE
2010 Ambulatory
Qtrs
Qtr 1
Qtr 2
Qtr 3
Qtr 4
76.29%
77.70%
100.00%
99.66%
23.71%
22.30%
0.00%
0.34%
Percent (%) ON TIME Percent (%) LATE
2008 InpatientQtrs
Qtr 1
Qtr 2
Qtr 3
Qtr 4
0% 20% 40% 60% 80% 100%
100.00%
99.30%
100.00%
99.60%
0.00%
0.70%
0.00%
0.40%
Percent (%) ON TIME Percent (%) LATE
2010 Inpatient Qtr
s
Qtr 1
Qtr 2
Qtr 3
Qtr 4
0% 20% 40% 60% 80% 100%
100.00%
100.00%
100.00%
99.30%
0.00%
0.00%
0.00%
0.07%
Percent (%) ON TIME Percent (%) LATE
2009Inpatient
Qtr
4
Office of Data Collection
2008 – 2010 Hospitals
2009 2010
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
6.5 6.1 5.1 6.4 7.0 8.0 8.3 6.5
2008 – 2010 Ambulatory Surgical Centers/Emergency Dept.
2009 2010
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
2.9 8.0 8.7 7.8 6.7 6.6 8.2 8.6
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q40.00
1.00
2.00
3.00
4.00
5.00
6.00
7.00
8.00
9.00
6.56.1
5.1
6.47.0
8.08.3
6.5
Number of Days
Average Days Between Sending and Receipt of Signed Certification Letter
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q40.00
1.00
2.00
3.00
4.00
5.00
6.00
7.00
8.00
9.00
2.9
8.0
8.7
7.8
6.76.6
8.2
8.6Number of Days
5
Office of Data CollectionAverage Days Between Receipt of Signed Certification Letter to
Data Load, 2009 - 2010
Hospitals Average Days - Certification to Load
2009 2010
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
1.3 1.1 2.3 1.2 0.7 1.0 0.5 0.6
Ambulatory Surgical Centers/Emergency Department Average Days - Certification to Load
2009 2010
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
0.4 3.7 9.4 7.5 2.6 6.7 1.4 1.5
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q40.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
4.00
4.50
5.00
1.31.1
2.3
1.2
0.7 1.0
0.5
0.6
Number of Days
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q40.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
4.00
4.50
5.00
0.4
3.7
9.4 7.5
2.6
6.7
1.41.5
Number of Days
6
Office of Data CollectionNumber of Facilities Fined by Quarter
Facilities Fined Q3-08 Q4-08 Q1-09 Q2-09 Q3-09 Q4-09 Q1-10 Q2-10 Q3-10 Q4-10
AS 4 4 1 5 1 3 17 8 5 6
IP 0 1 0 0 0 0 0 0 0 1
Q3-08 Q4-08 Q1-09 Q2-09 Q3-09 Q4-09 Q1-10 Q2-10 Q3-10 Q4-100
1
2
3
4
5
6
7
8
9
10
AS
IP
Number of Facilites
7
Office of Data CollectionAverage Delinquent Days, 2008 – 2010
3rd Qtr, 20084th Qtr, 2008
1st Qtr, 20092nd Qtr, 2009
3rd Qtr, 20094th Qtr, 2009
1st Qtr, 20102nd Qtr, 2010
3rd Qtr, 20104th Qtr, 2010
0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
4.03.0
1.02.0
5.0
5.0
18.0
16.0
5.0
6.0
5.56.3
6.0
29.0
7.0
3.0
7.08.0
5.0
3.4
Patient Data Reporting: Performance to Schedule
Number of Ambulatory Surgical Cen-ters Delinquent
Average Num-ber of Ambula-tory Surgical Centers Delin-quent Days
8
0
200,000
400,000
600,000
800,000
1,000,000
1,200,000
1,400,000
1,600,000
1,800,000
2,000,000
825,764
1,351,713
1,664,872
1,820,047
2008
2009
2010
2011
Note: FloridaHealthFinder.gov went live in November 2007.
VisitsVisits
9
0
500,000
1,000,000
1,500,000
2,000,000
1,495,483
2,174,894
1,876,900
1,113,056
220,306 196,676153,570 188,250
91,164 85,523156,829
71,954
FloridaHealthFinder.gov
Most Popular Pages, 2010 - 2011
Page 2010 2011
Facility Information 1,495,483 2,174,894
Health Encyclopedia/Symptom Navigator 1,876,900 1,113,056
Health Plans 220,306 196,676
Compare Care 153,570 188,250
Researchers/Professionals 91,164 85,523
Consumer Brochures 156,829 71,954 Rese
arch
ers/
Prof
ess.
Hea
lth E
ncyc
lope
dia
Com
pare
Care
Faci
lity
Info
rmati
on
Cons
umer
Bro
chur
es
Hea
lth P
lans
Visits
Faci
lity
Info
rmati
on
Hea
lth E
ncyc
lope
dia
Hea
lth P
lans
Com
pare
Care
Rese
arch
ers/
Prof
ess.
Cons
umer
Bro
chur
es
2010 2011
10
Time Between Data Certification Due Date and Posting to FloridaHealthFinder.gov, 2004 - 2011
2004 2005 2006 2007 2008 July'08 - June'09
Oct'08 - Sept'09
2009 Jul'09 -Jun'10
Oct'09 - Sep'10
2010 Apr'10- Mar'11
Jul'10-Jun'11
0
5
10
15
20
25
30
35
18
30
18 18
10
14
10 910
8 8 810
Data Display Year
Num
ber
of W
eeks
11
Result Percent Respondents
No answer 21% 319
No 31% 475
Yes 49% 755
Total 1,549
Health Plan Questionnaire, 2011
Result Percent Respondents
No answer 23% 363
No 26% 410
Yes 50% 776
Total 1,549
1. Did you use this information to help choose a health plan?
2. Would you recommend this website to family and friends?
12
Survey Results, 20111. Did you find this information useful? 2. Would you recommend this website to
family and friends?
Result2010 2011
Percent Respondents Percent Respondents
No answer 13% 83 14% 95
No 40% 255 28% 189
Yes 47% 298 57% 380
Totals 100% 636 100% 664
Result2010 2011
Percent Respondents Percent Respondents
No answer 13% 83 17% 111
No 20% 125 22% 148
Yes 67% 428 61% 405
Totals 100% 636 100% 664
No answer No Yes0%
10%
20%
30%
40%
50%
60%
70%
13%
40%
47%
14%
28%
57%
2010
2011
No answer No Yes0%
10%
20%
30%
40%
50%
60%
70%
13%
20%
67%
17%22%
61%
2010
2011
13
Who took the survey in 2011?
Respondents’ Age No. of Visitors
Type of Respondents No. of Visitors
50 & above 111
Patient 37
49 - 25 64
General consumer 36
25 & under 5
Caregiver 24
Unknown 33
Health care provider 22
Professional/researcher 20
Other 12
14
• Inspection Reports• Facility rules and regulations• Background screening• Find complaints against a provider• How to file a complaint• Compare prices and quality of care• Number of people who died, number of infections, (not
‘As Expected’), how many do-overs, mistakes, lawsuits
Website Survey ResultsWhat the Consumer Was Looking For
Health Care Facilities:
15
• List of licensed providers• Information on medical conditions• Health care plans• Medicaid eligibility, services, providers, etc.• Health insurance and help for the uninsured• Doctors, dentists & specialists (Medicaid)• Information on AHCA• Employment
Website Survey ResultsWhat the Consumer Was Looking For
Other Areas of Interest:
16
• Information for new ALF administrators• Financial assistance for ALF residents• Quality ratings for all providers (like the Nursing Home
Guide)• Contact information for facility owners• Allow the public to list reviews of providers• Nurse/patient ratios• How to start/open a facility• More information for ALFs (ratings, listings)• Payment types accepted
Website Survey ResultsSuggested Additions for the Website
Facilities:
17
• More information on AHCA• More information on physicians• Physicians and dentists that accept Medicaid• Pricing for health plan comparison• Easy access to a list of health care professionals
Website Survey ResultsSuggested Additions for the Website
Data:
Other:
• MRSA rates• Option to choose a date range• Number of deaths and infections (not Higher than
Expected, As Expected, etc.)
18
TOTAL QUANTITY BY COMPANY / DATA TYPE
COMPANY TYPE INPATIENT OUTPATIENT FACILITY LISTING
AUDITED FINANCIAL STATEMENT
FINANCIAL WORKSHEET/
REPORTSFINANCIAL DATABASE COMP. REHAB EMERGENCY
DEPARTMENT TOTAL
ACCOUNTANT / ACCOUNTING FIRM 8 0 0 7 29 1 0 0 45
ASSOCIATION / LOBBYING GROUP 19 20 0 0 3 5 0 31 78
CITY/COUNTY GOVERNMENT 116 12 0 3 43 0 0 72 246
CONSULTANT 443 256 10 304 306 24 21 122 1,486
CONSUMER 28 4 0 0 22 0 0 0 54
FEDERAL GOVERNMENT 78 17 0 0 0 8 0 8 111
HEALTH CARE PROVIDER/FACILITY 196 211 1 67 146 14 0 66 701
HEALTH COUNCIL 172 85 0 0 4 6 86 126 479
INSURANCE/MORTGAGE 20 36 0 38 52 3 0 0 149
LAW FIRM 96 127 0 18 54 0 0 12 307
MARKETING FIRM 48 16 0 0 0 0 0 16 80
MEDIA 276 28 0 0 10 1 0 71 386
RESEARCH FIRM 36 25 0 0 0 7 0 25 93
STATE GOVERNMENT/AGENCY 201 60 0 0 26 2 44 86 419
STUDENT/ UNIVERSITY / COLLEGE 665 254 1 0 14 27 0 250 1,211
OTHER 109 79 0 236 52 6 0 30 512
GRAND TOTAL 2,511 1,230 12 673 761 104 151 915 6,357
Data Distribution Activity Report, 2011
Office of Data Dissemination
19
Number of Data Orders, 2009 - 2011
2009 2010 20115,400
5,500
5,600
5,700
5,800
5,900
6,000
6,100
6,200
6,300
6,400
5,860
5,738
6,357
Number of
Requests
Office of Data Dissemination
20
Data Distribution Activity Report, 2011
Office of Data Dissemination
Types of Data Use Inpatient Outpatient Facility Listing
Audited Financial
Statement
Financial Worksheets/
ReportsFinancial Database
Comp. Rehab. ED TOTAL
Utilization/ Outcome/ Measures 845 255 0 0 2 1 44 380 1,527
Hospital Financial Analysis 18 3 3 610 499 46 0 7 1,186
Plan/ Research/ Policy Making 484 310 7 15 23 7 86 212 1,144
Market Share Analysis 405 338 0 23 38 15 9 179 1,007
Litigation 96 119 0 24 78 0 0 12 329
Other 663 205 2 1 121 35 12 125 1,164
GRAND TOTAL 2,511 1,230 12 673 761 104 151 915 6,357
Total Data Use Units / Data Type
Utilizat./ Outcome/ Measure24%
Hospital Financial Analysis19%
Plan/Research/Policy Making18%
Market Share Analysis16%
Litigation5%
Other18%
What was the Data Used for?
21
XXXXX, 2011
Office of HIE and Policy Analysis
Jan-11 Feb-11 Mar-11 Apr-11 May-11 Jun-11 Jul-11 Aug-11 Sep-11
3,500
3,600
3,700
3,800
3,900
4,000
4,100
4,200
4,300
4,400
4,500
4,600
4,700
4,800
3,9493,997
4,0234,078
4,1114,154
4,1814,229
4,252
4,3394,383
4,411
4,539 4,5564,588
4,6134,648
4,679
Comparison of Pharmacies Activated to E-Prescribe and Retail Pharmacies, January to September 2011
Activated Pharmacies Retail Pharmacies
2011 Jan Feb Mar Apr May Jun Jul Aug Sep
Activated Pharmacies 3,949 3,997 4,023 4,078 4,111 4,154 4,181 4,229 4,252
Retail Pharmacies 4,339 4,383 4,411 4,539 4,556 4,588 4,613 4,648 4,679
22
Office of HIE and Policy Analysis
1st Qtr. 2nd Qtr. 3rd Qtr.0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
45,000
50,000
55,000
60,000
65,000
70,000
75,000
80,000
85,000
12,493
16,73919,113
76,498 77,212 78,610
Florida Active Electronic Prescribers and Licensed Prescribers by Quarterly Average, 2011
Avg. Active Electronic Prescribers Avg. Licensed Prescribers
2011 1st Qtr. 2nd Qtr. 3rd Qtr.
Avg. Active Electronic Prescribers 12,493 16,739 19,113
Avg. Licensed Prescribers 76,498 77,212 78,610
23
Office of HIE and Policy AnalysisNumber of Eligible Hospitals, Week 23
2011 2012Week: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
Date: 9/9 9/16 9/23 9/30 10/7 10/13 10/21 10/28 11/4 11/10 11/17 11/22 12/1 12/8 12/15 12/22 12/30 1/5 1/13 1/19 1/26 2/2 2/9
Not Ready 98 99 84 71 61 62 48 48 54 57 52 48 45 41 42 38 27 27 27 29 32 31 30
Under Review 2 3 10 17 19 15 20 15 13 8 11 9 11 12 6 4 8 4 5 4 1 2 6
Review Complete 0 1 15 22 10 13 13 19 3 3 7 11 8 9 15 12 14 13 10 11 11 11 11
Mismatch 10 10 9 11 11 11 11 12 7 7 7 7 7 6 5 5 5 5 5 5 5 5 3
Paid 0 0 1 6 28 28 38 43 61 63 63 65 73 75 75 85 91 96 99 99 99 99 99
Paid ($) $0 $0 $589,474 $3,634,671 $19,047,335 $19,047,335 $26,961,070 $29,966,965 $44,964,766 $44,964,766 $44,964,766 $48,407,822 $54,824,831 $61,146,689 $61,898,084 $64,018,905 $68,591,362 $77,303,706 $87,166,574 $87,166,574 $87,166,574 $87,166,574 $87,166,574
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 230
20
40
60
80
100
120
140
160
Eligible Hospitals
Paid
Review Complete
Under Review
Not Ready
Mismatch
Program Week
Num
ber o
f App
licati
ons
3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23$0
$10,000,000
$20,000,000
$30,000,000
$40,000,000
$50,000,000
$60,000,000
$70,000,000
$80,000,000
$90,000,000
$100,000,000
0
20
40
60
80
100
120
Hospital PaymentsAmount ($) Count (#)
Program Week
Paid
to D
ate
(in M
illio
ns)
Num
ber of EHs Paid to Date
24
Office of HIE and Policy AnalysisNumber of Eligible Providers, Week 23
2011 2012Week: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
Date: 9/9 9/16 9/23 9/30 10/7 10/13 10/21 10/28 11/4 11/10 11/17 11/22 12/1 12/8 12/15 12/22 12/30 1/5 1/13 1/19 1/26 2/2 2/9
Not Ready 268 494 584 670 671 727 771 800 1046 1036 1033 1021 999 1219 1137 1098 1025 1081 998 965 975 977 1017
Under Review 17 71 156 163 256 207 175 175 117 131 90 119 169 122 170 200 215 203 234 246 178 132 97
Review Complete 0 0 17 62 17 84 166 179 87 97 187 185 112 170 288 354 293 312 393 451 552 518 563
Mismatch 59 156 183 223 241 247 273 275 134 160 160 119 117 117 125 138 138 144 145 142 142 140 140
Paid 0 0 0 0 56 56 72 156 325 376 376 436 565 585 585 692 890 964 1018 1046 1136 1306 1406
Paid ($) $0 $0 $0 $0 $1,190,000 $1,190,000 $1,522,917 $3,307,917 $6,877,918 $6,877,918 $6,877,918 $9,229,585 $10,462,085 $11,970,835 $12,395,835 $13,522,085 $14,641,253 $18,834,587 $21,540,421 $21,540,421 $22,135,421 $24,047,921 $24,047,921
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 230
500
1000
1500
2000
2500
3000
3500
Provider Payments
Paid
Review Complete
Under Review
Not Ready
Mismatch
Program Week
Num
ber o
f App
licati
ons
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23$0
$5,000,000
$10,000,000
$15,000,000
$20,000,000
$25,000,000
$30,000,000
0
200
400
600
800
1000
1200
1400
1600
Provider PaymentsAmount ($) Count (#)
Program Week
Paid
to D
ate
(in M
illio
ns)
Num
ber of EPs Paid to Date
25
Jeff GreggBureau Chief, Health Facility Regulation
Division of Health Quality Assurance
Agency for Health Care AdministrationTallahassee, Florida
(850) 412-4340
Email: [email protected]
www.FloridaHealthFinder.govwww.fhin.net
AHCA Contact