Collaborative Evaluation for the Utah All Payer Claims Database Capacity Enhancement
- 1 Salt Lake City VA Healthcare System, Salt Lake City, Utah, USA
- 2 School of Medicine, University of Colorado, Denver, Colorado, USA
- 3 Westminster College, Salt Lake City, Utah, USA
- 4 University of Utah, Salt Lake City, Utah, USA
- 5 University of Utah, Salt Lake City, Utah, USA
- 6 Utah Department of Health, Salt Lake City, Utah, USA
- 7 University of Utah, Salt Lake City, Utah, USA
Abstract
We present a process to evaluate the continuing development of All Payer Claims Databases (APCDs) using a collaborative evaluation process. Project teams enhanced the Utah APCD with improved analytic capacity to provide online pricing and cost-transparency reports to support health care reform in Utah. Our program evaluation efforts added key methods and tools, building on recommendations in the APCD Development Manual to provide evaluation data facilitating improvements [1] . These additions included a Collaborative Evaluation Model, logic models, and development and use of best practices as measures. Stakeholders found that the added use of best practices, logic models, and frequent feedback to practitioners facilitated the project’s success. Since the Collaborative Evaluation Model served a structural purpose, it was transparent to the project teams.
- Porter, J., Love, D., Costello, A., Peters, A. and Rudolph, B. (2015) All-Payer Claims Database Development Manual: Establishing a Foundation for Health Care Transparency and Informed Decision Making. https://www.apcdcouncil.org/manual
- APCD Council (2018) Interactive State Report Map. UNH, the APCD Council, and NAHDO. https://www.apcdcouncil.org/state/map.
- Gross, K., Brenner, J.C., Truchil, A., Post, E.M. and Riley, A.H. (2013) Building a Citywide, All-Payer, Hospital Claims Database to Improve Health Care Delivery in a Low-Income, Urban Community. Population Health Management, 16, S20-S25. https://doi.org/10.1089/pop.2013.0037
- Green, L., Lischko, A. and Bernstein, T. (2016) Realizing the Potential of All-Payer Claims Databases. http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2014/rwjf409989
- Love, D., Custer, W. and Miller, P. (2010) All-Payer Claims Databases: State Initiatives to Improve Health Care Transparency. http://www.commonwealthfund.org/publications/issue-briefs/2010/sep/all-payer-claims-databases
- Miller, P.B., Love, D., Sullivan, E., Porter, J. and Costello, A. (2010) All-Payer Claims Databases: An Overview for Policymakers. http://www.statecoverage.org/files/SCI_All_Payer_Claims_ReportREV.pdf
- Peters, A., Sachs, J., Porter, J., Love, D. and Costello, A. (2014) The Value of All-Payer Claims Databases to States. North Carolina Medical Journal, 75, 211-213. https://doi.org/10.18043/ncm.75.3.211
- Fisher, E.S., Shortell, S.M., Kreindler, S.A., Van Citters, A.D. and Larson, B.K. (2012) A Framework for Evaluating the Formation, Implementation, and Performance of Accountable Care Organizations. Health Affairs, 31, 2368-2378. https://doi.org/10.1377/hlthaff.2012.0544
- Kaplan, B. and Harris-Salamone, K.D. (2009) Health IT Success and Failure: Recommendations from Literature and an AMIA Workshop. Journal of the American Medical Informatics Association, 16, 291-299. https://doi.org/10.1197/jamia.M2997
- McManus, J. and Wood-Harper, T. (2007) Understanding the Sources of Information Systems Project Failure. Journal of the Management Services Institute, 51, 38-43.
- Utah Office of Health Care Statistics (2018) Utah All Payer Claims Database: Description and Background. http://stats.health.utah.gov/manuals/user-submit-manuals/apcd-user-submit-manuals/technical-specifications-data-submission-procedures-state-utah-payer-claims-database-apcd-3/