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Transcript of Internship Presentation
Internship at DSHS
Experience at DSHS
Build A Healthy Texas By Minimizing Potentially Preventable Hospitalizations
Adult Potentially Preventable Hospitalizations Data Project Intern
New Orleans, LA
University of Technology, Sydney
Bachelor of Science
Tulane University School of Public Health and Tropical Medicine
Master of Public Health
Center for Program Coordination and Health Policy
Mike Gilliam Jr., M.S.W., M.P.H.
Assessment & Benchmarking Specialist
Texas Department of State Health Services
In 2008, DSHS has educated communities and policymakers on the impact of ten adult potentially preventable hospitalizations conditions.
What have we done?
1. Bacterial Pneumonia;
3. Urinary Tract Infections
4. Angina (without procedures)
5. Congestive Heart Failure
8. Chronic Obstructive Pulmonary Disease (COPD)
9. Diabetes Short-term (ST) Complications
10. Diabetes Long-term (LT) Complications
Why are they potentially preventable?
Because if the individual had access to and cooperated with appropriate
outpatient healthcare, the hospitalization would likely not have occurred.
Bacterial Pneumonia is a serious inflammation of the lungs caused by an infection. It primarily impacts older adults. Communities
can potentially prevent hospitalizations by encouraging older adults and other high risk individuals to get vaccinated for Bacterial Pneumonia.
Why do we do this?
From 2006 to 2011, adult residents of Texas received approximately
in charges for
that were potentially preventable.
How do we analyze it?
Table 1: Raw data from PUDF CDs
Texas Health Care Information Collection
Texas Hospital Inpatient Discharge Public Use Data File (PUDF)
Texas Hospital Inpatient Discharge
Public Use Data File (PUDF)
AHRQ Quality Indicators
Just play around
Director, Olga Rodriguez
Grant Funding Innovation
Health Information Technology
Preventable Hospitalization Analysis & Assessment
Studied notes and textbooks to find solutions
Searched online for explanations
Discussed with peers and SAS statistician
“Insanity: doing the same thing over and over again and expecting different results.”
Center for Health Statistics (CHS)
Example of In-Depth Profile
Ability to work independently
Gained experience from Daily Log
Importance of communication- interpersonal skills
State Agency Level
Analyzed all Texas inpatient data
Provided an overview of state health status
What did I learn?
Great Summer at DSHS in Austin
Bacterial Pneumonia Charge Percentage Changes for sixteen Counties from 2011 to 2012
Texas potentially preventable hospitalizations decreased 3%, however, interestingly, total charges increased 2% from 2011 to 2012.
The most important thing I have learned
It is insane...