Implementing OSHPD-like Surveillance In Developing Countries

Review

"Public health surveillance is the

continuous, systematic collection, analysis,

and interpretation of health-related data

needed for the planning, implementation,

and evaluation of public health practice."

-World Health Organization

Importance of Healthcare

Data for Public Health

Implementation of California's

Office of Statewide Health

Planning and Development (OSHPD) Healthcare

Surveillance in Ghana

Overcoming Differences

The largest difference to overcome would be the difference in monetary resources, thereby allowing for an internet-based infrastructure

Informs management

Ghana

POLITICAL

ECONOMIC

Initiatives

Ghana's biggest health issue is waterborne disease. Its most common disease are cholera, typhoid, and pulmonary tuberculosis.

Current healthcare debate in Ghana is focused on the nature of premiums in its National Health Insurance Scheme, not on quality and cost of service delivery

It may be most feasible to start by providing small economic incentives for hospitals that voluntarily comply with standards for reporting data on patient discharges and data on hospital utilization.

Ghana unemployment rate at about 11% as of 2012

Per capita GDP $1,871

Informs policymakers

QUESTIONS?

Developing countries may be able to incorporate similar methodologies through short-term investments by PPPs

OSHPD uses online venues to collect data

Short-term subsidizes are one strategy used by PPPs to promote developments in healthcare infrastructure. This strategy has been used for policy development in Sub-Saharan Africa by the Alliance for Health Policy and Systems Research (AHPSR).

OSHPD provides useful data on healthcare service cost and utilization

Conclusion

Importance of Healthcare

Data for Public Health

Each hospital is required by law to submit a copy of its discount payment and charity care policies, eligibility procedures, review process, and application forms

A Role for

Public-Private Partnerships?

System for Fair Price Hospital Reporting (SyFPHR)

Cardiac On-Line Reporting for California (CORC)

Establishes a baseline for intervention studies

Coronary Artery Bypass Graft (CABG) data collection system

Medical Information Reporting for California (MIRCal)

California

Research findings guide investment strategies

California's biggest health issues: obesity, environmental health, and disaster preparedness

source: universityofcalifornia.edu

Inpatient discharges, emergency department encounters, and ambulatory surgery encounters

9.4% unemployment rate as of April 2013

Per capita GDP $52,210

System for Integrated Electronic Reporting and Auditing (SIERA)

Used to submit annual financial reports

How are OSHPD

data collected?

California has developed several online reporting systems

These systems collect patient-level and facility utilization data

by Raphael Cuomo

Automated Licensing Information and Report Tracking System (ALIRTS)

Annual utilization data reporting

OSHPD

Facility ownership info, patient demographics, services offered, etc.

Hospital financial/utilization data collected by OSHPD include the following variables:

• Total Discharges
• LTC Discharges
• Outpatient Visits
• Inpatient Visits
• Net/Gross Revenue
• Expenses

• Type of Control
• Type of Hospital
• Licensed Beds
• Available Beds
• Staffed Beds
• Patient Days

OSHPD

Patient discharge data collected by OSHPD include the following variables:

• ICD-10 Code
• MDC Code
• DRG Code
• Condition Present at Admission

• Length of Stay
• Type of Admission
• Payer Category
• Payer Type
• Charge