The Vision is Still Alive

25 Years and Counting

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

1985

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

•

Jim Bracher and Walter SuarezCirca 1987

• 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

Board Meeting

Mark and Barbara

James Mason, MD, Ph.D., Assistant Secretary for Health, 1989

Dorothy Rice and Karen Ignani

John Noak, Illinois, former Board Member

1989

The 90’s

NAHDO Award of Excellence: Dorothy Rice, Sc.D., 1994

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

NAHDO Award of Excellence: Kerr White, 1993

Willis Goldbeck, Founder of WBGH and NAHDO, Award of Excellence 1995

10th Anniversary: Capitol Steps Celebrating DATA NERDS

Las Vegas

1998

Albuquerque

1996

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

Peggy O’Kane and Denise LoveCirca 1998

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

Senators Kennedy and Kassenbaum: NAHDO Award of Excellence 2000

Bill Braithewaite, Sen. Kassenbaum, Elliot Stone

NAHDO Award of Excellence: Louis Sullivan, MD 2001

BOARD 2002

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

2003

In Memory of Elliot M. Stone, NAHDO’s Award

of Excellence became the Elliot M. Stone Award

of Excellence, 2005

First Elliot M. Stone Award: accepted by Elliot’s Family, 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

NAHDO BOARD 2009

Michael Pine, MD, MBA: Elliot M. Stone Award of Excellence, 2008

NAHDO BOARD 2008

Arnie Milstein, MD: Elliot M. Stone Award of Excellence 2009

Florida AHCA: First Dissemination Award, 2009

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

Consultants @ Work

NAHDO Staff—Making It Happen

NAHDO Staff—Making It Happen

NAHDO Staff—Making It Happen

Thanks to our members and supporters throughout the health care data community

Here’s to 25 More!!!