nahdo remember when slide show
Post on 14-Jul-2015
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The 80’s• The average expense for a day of hospital care
increased from $217 in 1979 to $411 in 1984 (AHA)
• Hospital costs rose 7.2% in 1988 (NEJM)
• In 1988, the private sector bears an increasing share of health costs as non-Medicare expenditures rose 9.0%
• How long this burden will be accepted by private payers remains uncertain (NEJM)
• Thirty-eight states form state health data commissions
Washington Business Group on Health, August 12, 1986• “From across the nation, state health data agencies have joined together to form a national association dedicated to the enhancement of health care data collection, analysis, and dissemination.
• In a striking display of multistate cooperation, agencies from New Jersey, Iowa, Colorado, New Hampshire, Tennessee, Maryland, Arizona, and Illinois formed the nucleus of the new National Association of Health Data Organizations”
Mark Epstein with Jim Bracher (FL) and Sal Bognanni (IA)
The first planning meeting of the National Association of Health Data Organizations (NAHDO) was held in Washington, D.C. June 1986
NAHDO’s mission is to bring together the existing state data commissions and other state legislatively-created organizations which have the authority to collect, analyze, and disseminate health care data
JUNE 30, 1986
1986• Interest Rates 7.50%• Inflation Rate USA 1.91• Dow Jones 1895• 1 gallon of gas 89 cents
• 25 states with a statewide inpatient data reporting program
•
• IBM unveils the PC Convertible, the first laptop computer.
• Internet Mail Access Protocol defined for e-mail transfer
• The 386 series of microprocessor introduced by Intel.
• Push for value purchasing in health care
The 80’s
1996
• Yearly Inflation Rate 2.93%
• Dow Jones 6448
• Interest Rates 8.25%
• Cost of a gallon of Gas $1.22
• Windows NT 4.0 released by Microsoft
• Managed care expands to control costs and increase accountability
1996
• Number of Internet host computers goes from 1 million to 10 million
• Internet Explorer 3 web browser released
• DE, GA, MN, NH, MN, UT, VT, WA, WI establish inpatient reporting programs
• 20 states add ambulatory surgery reporting
• States add HEDIS and CAHPS systems
2000’s• Y2K passes without dire consequences
• Microsoft releases Windows 2000.
• The Dot Com Bubble Bursts
• Cost of a gallon of Gas $1.26
• 48 inpatient hospital reporting programs have been established
2003
• U.S. healthcare spending grew 9.3% in 2002 and 8% in 2001.
• Spending rose 7.7% to $1.68 trillion, ending a seven-year stretch of accelerating growth
• DE, GA, MN, NH, MN, UT, VT, WA, WI have established inpatient systems
• PA, NY, VA release mortality reports on hospitals and physicians
• More states adding Ambulatory Surgery and Emergency Dept Reporting Systems
In Memory of Elliot M. Stone, NAHDO’s Award
of Excellence became the Elliot M. Stone Award
of Excellence, 2005
• Healthcare Acquired Infections are among the leading causes of preventable death in the United States– accounting for an estimated 1.7 million infections
and 99,000 associated deaths in 2002.
– It is estimated that healthcare-associated infections cause $28 to $33 billion in excess healthcare costs each year.
– Pennsylvania and Minnesota lead states in public reporting of HAIs
– Almost 20 states producing hospital quality reports
Filling Data Gaps
• In response to lack of transparency in health care spending, states are seeking sources of robust information about the costs and performance of their state’s health care delivery system.
• In 2008, there were 7 APCD systems
• In 2009, 2 APCDs were implemented
• In 2010, 4 additional APCDs are being developed
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