HHSC required RHPs to complete Community Health Needs Assessments ahead of the DY1-6 and DY7-8 Waivers. The CHNAs are linked below:
2017 Community Health Needs Assessment2012 Community Health Needs Assessment
This section of the web site is to help inform providers about various health outcomes and DSRIP program performance outcomes in RHP3. It includes analysis the RHP 3 data Advisory Group has completed, as well as documents and date received from the state.
The Data Advisory Group has three aims:
Aim 1: Track the potentially preventable events, as data becomes available.
Aim 2: Analyze RHP 3's Category 3 and Quantifiable Patient impact (QPI) outcomes and provide the results to the region.
Aim 3: Support the DY6 Learning Collaborative work groups with data, as requested, for their learning initiatives.
Potentially preventable events include: Potentially preventable admissions (PPA), potentially preventable complications (PPC) and potentially preventable readmissions (PPR). Reports for the PPEs are provided from the External Quality Review Organization (EQRO) and Agency for Healthcare Research and Quality (AHRQ)External Quality Review Organization (EQRO)The potentially preventable events data is for Medicaid and CHIP for by Calendar Year (CY) by RHP regions.Data Source: The institute for Child Health Policy, University of Florida the External Quality Review Organization (EQRO) for Medicaid Managed Care and CHIP. Documents below provide information on: the number of admissions at risk for the event, the actual number of events, rate (weighted), expected numbers and rates, actual expenditures and expected expenditures, and information on specific conditions.
Potentially preventable Hospitalizations
Definition from the AHRQ website: “The Prevention Quality Indicators (PQIs) are a set of measures that can be used with hospital inpatient discharge data to identify quality of care for ‘ambulatory care sensitive conditions.’ These are conditions for which good outpatient care can potentially prevent the need for hospitalization or for which early intervention can prevent complications or more severe disease. The PQIs are population based and adjusted for covariates.”“Even though these indicators are based on hospital inpatient data, they provide insight into the community health care system or services outside the hospital setting. For example, patients with diabetes may be hospitalized for diabetic complications if their conditions are not adequately monitored or if they do not receive the patient education needed for appropriate self-management.” Source: https://www.qualityindicators.ahrq.gov/modules/pqi_overview.aspxThe document provided is a summary of potentially preventable hospitalizations for each county in RHP3. The data is combined data for the years 2008-2013 and it includes all payor information. Information for each county includes: diagnosis, age, race/ethnicity, source of first payment, hospital charges, hospitalizations by zip code, hospitalization by provider name, discharged to, rates per 100,000 population.Summary RHP 3 PPH 2008-2013Data Source; Department of State Health Services Center for Health Statistics Texas Department of State health services website for PPH data by state and county http://healthdata.dshs.texas.gov/Hospital/PotentiallyPreventableHospitalizations
TCHCIC data contains all hospital admissions in Texas. This analysis it specific to RHP 3 and gives a description of overall admission and more in-depth analysis of behavioral health admissions and readmissions. THCIC Rehospitalization Presentation
Data is provided for each county in RHP3
Data is from the American Community 3 years Survey for 2011-2013. Data is provided for each county and rolled up for RHP3. Includes information on insurance type: private insurance, public coverage, both private and public, no health insurance by age groups, under 18, 18-34, 35-64, 65 and over.
Regional Healthcare Partnership (RHP) 3, of the Texas 1115 Waiver Program, hosts a Behavioral Health Cohort consisting of 1115 Waiver behavioral health providers and stakeholders across the RHP. Region 3 consists of nine counties: Austin, Calhoun, Chambers, Colorado, Fort Bend, Harris, Matagorda, Waller, and Wharton. One of the aims of the Behavioral Health Cohort was to develop a region-wide survey with the purpose of identifying the gaps in behavioral health services within the southeast region of Texas. Behavioral Health and Medicaid Managed Care experts in the Cohort developed the survey questions based on research of national standards, definitions, knowledge of RHP 3 1115 Waiver projects, and a culmination of their expertise in their respective fields. The survey was administered between July 20, 2016 and October 10, 2016. There were 42 respondents out of 604 (DSRIP and non-DSRIP providers) who answered the survey. They were mostly clinicians and administrators in Harris County (88%), with a few respondents (12%) from Fort Bend (2), Chambers (2) and Calhoun (1) counties. Most of the respondents were from outpatient clinics (13), solo practice offices (9), substance use clinics (4) and FQHCs (3). The rest were from other organizations including the Harris Healthcare System (inpatient and outpatient), hospitals, group practice offices, managed care organizations, the public health department, social services agency, advocacy groups, religious organizations, and homeless shelters. These organizations serve Medicaid, private insured, self-pay, low income uninsured, Medicare, and dual eligible (Medicaid/Medicare) populations. All 42 respondents answered all the survey questions or indicated the question did not apply (N/A).
RHP 3 Behavioral Health Gap Analysis Survey Results Behavioral Health Gap Analysis Survey Report
The "All Projects Summary" was created by Dr. Begley and his team and summarizes all projects and includes RHP3 Category 1, 2, and 3 data, MLIU data, QPI data, payment information, and a summary of all projects in the region. Additionally, the document categorizes projects into larger groups (i.e. behavioral health, chronic care…) and analyzes how each category is doing in the region. This document provides data for DY3 and DY4.