Past Data Requests

Funding for the evaluation of Washington State’s Medicaid Transformation Project (MTP) is from the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, Center for Medicare and Medicaid Innovation. The Center for Health Systems Effectiveness (CHSE) at Oregon Health & Science University (OHSU) was selected by the Washington State Health Care Authority (HCA) as the independent external evaluator for the MTP evaluation. CHSE will use a list of provider organizations generated from the WA-APCD to conduct surveys that are part of the evaluation.

The main purpose of this project is to aid the Office of the Insurance Commissioner in its mission to promote a healthy insurance industry in Washington state and to protect consumers. The goal of the project is to improve our understanding of market dynamics in order to assist our efforts to promote a stable insurance market that includes healthy competition based on quality and cost. Our project will include exploring the available data and its best application in market analytics, understanding trends in service utilization and network access, assessing the impacts of pricing on consumer utilization and plan choice, and preparing analytical reports and analysis for stakeholders; Results will be used by and distributed to appropriately identified stakeholders to improve efficiency of the insurance market, promote competition based on quality and cost, inform regulatory development, and deliver value to consumers.

For the Long-term Prescription Opioid Use After Injury study: The Centers for Disease Control and Prevention identify opioid overdose as an epidemic in the United States. While many overdoses occur using non-prescription opioids like heroin and fentanyl, approximately 80% of current heroin users report their opioid use beginning with nonmedical use of prescribed opioids, highlighting the important role clinicians play in this epidemic. Almost half of injury patients who present to the Emergency Department are discharged with opioids. While there is concern that overprescribing opioids may be contributing to the opioid epidemic, many clinical guidelines for opioid prescription remain at least partially consensus-based and opioid prescriptions have continued to rise in the ED setting. Studying the intersection between injury and long-term opioid use is important both to develop evidence-based interventions to reduce injury and long-term opioid use, inform clinical guidelines for opioid prescription and improve outcomes among injured patients. The proposed project focuses on trauma-related long-term opioid use following injury. Specifically, this project aims to 1) identify patient, injury and treatment characteristics associated with long-term opioid use, and 2) assess if long-term opioid use following initial injury increases risk for subsequent injury. For the Helping Individuals with Firearm Injuries study: About 200-250 individuals present to an emergency department in King County, primarily Harborview Medical Center (HMC), for firearm-related injuries each year. Almost two-third of these patients require admission for their injuries. While the number of patients with firearm injuries who present to HMC is relatively small, these individuals are at substantially high risk of subsequent rehospitalization for another firearm or assault-related injury, arrest for firearm-related or violent crime, non-firearm-related nonviolent crime, or firearm-related death in the five years after discharge from the hospital.1 Thus, interventions among this group of individuals to promote their health and well-being and reduce the high risk of recidivism, morbidity, and mortality are critically needed. Such interventions may also lead to lower rates of firearm violence and its consequences in the community. We propose to conduct a randomized trial of an intervention program that combines a hospital-based intervention, structured community outreach program, and multi-agency attention. We will provide a brief intervention delivered at HMC to bolster the interaction that all these patients will have with the hospital Social Work staff. To our knowledge, this is the first randomized trial of a multicomponent dual hospital and community-based intervention exclusively focused on GSW victims. Findings of this study can directly impact practice and policy through informing the development of evidence-based programs pertaining to firearm violence in the future.

APCD data will be used to support project planning and implementation, regional funds flow, monitoring and quality improvement for Accountable Communities of Health (ACH) throughout Medicaid Transformation Efforts, and as ACHs spread transformation efforts beyond the Medicaid population. The five ACHs that will receive data through this application represent 21 counties, cover 45% of the statewide Medicaid population, and work with all five Medicaid Managed Care Organizations. The data will allow ACHs to examine patterns of access, cost, quality, and utilization of care throughout their regions and monitor the progress of transformation projects and strategies. Throughout the shift to Value-Based Payments and Integrated Managed Care, ACHs will identify strategies that bring value to the community and incentivize quality improvement.