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How the Florida Department of Health Uses Data from the Agency for Health Care Administration

Learn how the Florida Department of Health utilizes data from the Agency for Health Care Administration to enhance maternal and infant health care quality. This includes a study on quality improvement and the importance of patient identifiers.

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How the Florida Department of Health Uses Data from the Agency for Health Care Administration

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  1. How the Florida Department of Health Uses Data from the Agency for Health Care Administration Division of Public Health Statistics and Performance Management Florida Department of Health State Consumer Health Information and Policy Advisory Council Meeting September 26, 2019

  2. Memorandum of Understanding (MOU) • MOU between the Agency for Health Care Administration(AHCA) and Department of Health (DOH) • Since 2009 and renewed every three years • Inter-agency data use agreements required • Linkage of data sets, release and presentation of data consistent with Florida Administrative Code rules 59E-7.029 and 59B-9.039.

  3. Data Exchanged Between AHCA and DOH • Quarterly, AHCA sends data to DOH: • Hospital Discharge • Emergency Department • Ambulatory Surgery • Annually, DOH sends data to AHCA: • Births • Deaths • Fetal Deaths

  4. DOH Uses of AHCA Data for Public Health Projects

  5. Maternal and Infant Health Care Quality Improvement Project • Study title: Maternal and Infant Health Care Quality Improvement • Purpose: To improve the maternal and infant health care quality in Florida • Also known as the Florida Perinatal Quality Collaborative (FPQC) • Partnership between DOH and University of South Florida (USF) • Participating hospitals receive timely reports that measure specific health care quality and data quality indicators. • Data required: Previously linked hospital and Vital Statistics birth data

  6. Standardized Data Linking Methodology • In 2010, DOH and USF collaborated on data linking methodology • Deterministic: Exact or partial agreement on specific patient identifiers. Minimizes false positives. • Stepwise: Series of steps where specific patient identifiers are matched. • Hierarchical: Linking steps ordered; higher confidence steps precede steps of lesser confidence. • Unique feature: Mothers and infants first linked within hospital data, then linked to Vital Statistics birth data.

  7. Importance of Patient Identifiers • Identifiers such as social security numbers (SSN) help reduce risk of false positives (linking records that should not be linked) • From 2018 hospital discharge data: • Infants • Total: 241,190 • Valid INFANTLINK: 195,000 (80.1%) • Female patients over 8 years old • Total: 2,575,720 • Valid SSN: 2,388,756 (92.7%) • While patients might be reticent to provide SSN, most still do.

  8. FLHealth CHARTS • Deidentified, aggregated AHCA data are provided publicly through FLHealth CHARTS • Data from a variety of sources are also provided, including data from sister agencies such as the Departments of Children and Families, Corrections, and Education. • Karen Freeman, CHARTS Manager, will provide a live demonstration: • http://www.flhealthcharts.com/charts/Default.aspx

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