Improving Health Care Delivery Data Project
Proposed Data Infrastructure
- Three consecutive years of data will be included in the data infrastructure for a purposeful sample of approximately 400,000 American Indians and Alaska Natives.
- Representation from each of the 12 IHS Areas: Aberdeen, Alaska, Albuquerque, Bemidji, Billings, California, Nashville, Navajo, Oklahoma City, Phoenix, Portland, and Tucson.
- The CER data infrastructure will bring together four types of existing electronic information, currently stored in different computer systems:
- IHS National Data Warehouse and Tribal Health Program Databases: Information on IHS and Tribal medical and pharmacy service utilization.
- Contract Health Service: Utilization and cost data for services obtained at non-IHS providers yet paid for by IHS.
- Facility-specific Cost Reports: Information on costs of operating IHS/Tribal hospitals and clinics.
- Procurement System Data: Costs of prescribed medications.
- The data will be used to examine relationships among health status, use of medical and pharmacy services, and treatment costs for American Indian and Alaska Natives with diabetes and/or cardiovascular disease. The findings will improve understanding of existing utilization patterns and resource allocation, and inform efforts to enhance service delivery and improve health outcomes.