Current Data Requests

The Maine Health Data Organization has, in accordance with Rule Chapter 120: Release of Data to the Public, instituted a process for the purpose of notifying users and providers of health care data when the MHDO receives a request for health data and accepts that request. In addition to sending electronic notification to interested parties and to providers that are responsible for the submission of the data, we provide the summary page of data requests below.

For all data requests, the data providers or other interested parties may submit comments related to the data request to the Executive Director. To be considered, comments must be received by the Executive Director in writing or by electronic notification no later than thirty business days after the initial posting of the data request on the MHDO web site. If the Executive Director determines that (a.) the comments received are of significant enough importance to delay the release of data and/or (b.) additional information is required from the requesting party to address the comments; then the data shall not be released until the additional information has been received from the requesting party and an additional review is conducted by the Executive Director or the MHDO Data Release Subcommittee, as applicable, to ensure that the requesting party conforms to all applicable requirements of this chapter.

The Executive Director will bring all comments received from the data providers and or other interested parties for the release of Level III Data to the MHDO Data Release Subcommittee for consideration.

Individuals who want to opt out of a specific Level III data request may do so by completing this MHDO Choice Disclosure Form no later than 30 business days after the initial posting of the data request. If you opt out of Level III data requests, you will remain opted out unless you choose to opt back in via completion of the MHDO Choice Disclosure Form.

NOTE: If you would like to be notified when new data requests are posted, please email your request.

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Request NumberRequesting PartyAffiliationDate Posted Comment Close DateSpecific Data RequestPurpose Of Request
2017103001Price, Nicole, Relationship ManagerMaine Vaccine Board11-8-201712-21-20172014 – 2016 MHDO Produced Ad Hoc Data AnalysisMHDO Produced Ad Hoc Data Analysis: Both Maine and New Hampshire have universal vaccine programs that facilitate the immunizations of all children between the ages of 0 and 18 in one single cost efficient program. This project is intended to gain a better understanding of cross boarder vaccination activity between the two states and the impact on the two programs. Benefit to Citizens of Maine: Maine residents will benefit through the enhanced equity of the state run programs that significantly improve vaccination rates and public health.
2017102701Harrington, Karynlee, DirectorMaine Quality Forum11-6-201712-19-2017Level II - CY 2014 thru CY 2016 Medical Claims, Eligibility, Pharmacy with Practitioner Identifiers and Level II Hospital Inpatient and Outpatient data with Practitioner Identifiers.Level II Data Request: The Maine Quality Forum is required by law to work collaboratively with the Maine Health Data Organization in promoting the transparency of healthcare costs and quality information on a publicly accessible website; CompareMaine is the website that has been created. Specifically, in the law the Maine Quality Forum is responsible for reporting health care quality information on its publicly accessible website. The Maine Quality Forum plans to use MHDO claims and hospital data to produce quality measures for public reporting on the CompareMaine website. Benefits to Citizens of Maine: Adding additional healthcare quality measures to CompareMaine will improve the utility of the website and responds to the request from consumers and the Maine Legislature that we add more healthcare quality information to CompareMaine.
2017080401Prager, Elena, Asst. Prof.Northwestern University, Carnegie Mellon University, University of Texas at Austin10-25-201712-7-2017Level II – CY 2005, CY 2007, CY 2009, & CY 2011 Medical Claims with Practitioner Identifiers at City/Zip, DOB levelLevel II Data Request: The data will be used in a study to provide direct evidence on the impact of introduction of price transparency efforts to answer the following research questions: 1. Examine differences between elective, urgent, and emergency admissions to measure price sensitivity of consumers. 2. The effect of price transparency on the hospital choice of patients allowing these effects to differ by generosity of hospital insurance, and the urgency of the visit. 3. The effect of increased price transparency when quality measures are provided. 4. The impact of increased price transparency on the pricing behavior of hospitals. (These study goals are unchanged from our previous approved proposal in 2015.) Policy-makers have passed price transparency legislation in the hope that it will lead to lower health care prices for patients. However, the evidence on whether the price transparency initiatives like Compare Maine are effective at reaching patients and actually driving down prices paid is sparse. Benefit to Citizens of Maine: The results of this study will inform policy-makers, health care providers, and insurers about whether existing price transparency tools are effective, and about how to best design such tools to deliver high-quality, affordable health care to patients in Maine. Many of the results are also expected to yield generalizable insights for other states.
2017081601Dupee, BrookNew Hampshire Dept. of Health and Human Services10-23-201712-5-2017Level III – CY 2012 thru CY 2027 Hospital Inpatient and Outpatient with City/Zip, DOB, Race, and EthnicityLevel III data request: On-going surveillance of hospital encounters plays an important role in understanding and reacting to disease and injury. NH Division of Public Health Services (NH DPHS) has several programs that address: acute disease, chronic disease, and injury. NH DPHS is the lead agency responsible for detecting and responding to health emergencies such as infectious disease out breaks and exposure to health hazards. Discharge and outpatient visits data on NH residents from hospitals in Maine are important especially for the border towns. Without out of state hospital data, public health analysis will not be reliable. This request is to obtain hospital encounters for both inpatient and outpatient on NH residents treated in hospitals in Maine. The purpose for the collection of such data is to assess the health of the citizens of New Hampshire, to identify specific health threats in New Hampshire, to support research into the cause of disease or injury and to generally improve the public health of the State. New Hampshire state laws also provide for the protection of the confidentiality of information and data relative to specific individuals, while assuring appropriate accessibility of this data for legitimate public health activities. In order to accomplish its statutory mission, DPHS must analyze selected data from MHDO. Several NH DPHS programs have collaboration projects with state/local agencies or programs in Maine. For example the NH Environmental Public Health Tracking (NH EPHT) Program has been working with ME Environmental Public Health Tracking (ME EPHT) Program for years on climate change, heat stress, Lyme disease and social vulnerability index projects using hospital discharge and outpatient visits data. Benefits to Citizens of Maine: Because of the data sharing and collaboration, people of ME are benefited from the project results in terms of determining vulnerable areas and impacts on public health.
2017091901Berkowitz, ClaireMaine Children's Alliance10-17-201711-29-20172015 – 2016 Hospital Outpatient Encounter Data.The purpose of the request: Outpatient attempted suicide/self-inflicted injuries for ages 10-19 and hospital visits for mental/substance abuse diagnoses for ages 0-19. The data will be used in the annual publishing of Maine Children's Alliance KIDS COUNT book. The data published in the annual Maine KIDS COUNT Data Book is used by MCA and our partners to advocate for sound public policies that improve the lives of children, youth and families. In addition, grant writers and direct service providers use the KIDS COUNT data to make the case for program funding/expansion. Benefit to citizens of Maine: The MHDO information provides interested parties with information regarding the number of Maine youth in need of treatment for mental health/substance abuse issues. In addition, while MCA reports Maine's teen suicide rate in the Data Book (actual deaths from suicide), that figure only tells a small part of the story regarding the number of Maine youth who attempt suicide. The data regarding the number of attempted suicides provided by MHDO helps advocates, service providers, educators and parents better understand the number of Maine youth who are struggling and in need of mental/behavioral health services.
508176Goodwin, Kathleen, Dir. Decision Support ServicesHCA Capital Division8-11-20179-22-2017Level II - CY 2014 and CY 2015 Hospital Inpatient and Outpatient Encounter data, including Practitioner IdentifiersHCA Capital Division is the owner of two hospitals in New Hampshire (Portsmouth and Derry) that are close to the border with Maine and serve many Maine residents. HCA wants to determine how best to serve needs of residents and communities that border the New Hampshire service area. For instance: identify areas where quality should be addressed including issues such as high lengths of stay and readmits for like health issues within a short time period; identify pockets of unique needs of the Maine population that HCA might meet, for instance where patients are driving too far to find specialty care at additional cost and inconvenience (e.g. Chemo, Wound care treatment, Behavioral PHP/IOP programs, etc.); identify gluts of service where adding another unnecessary technology (e.g. CT, MRI) or health specialty, will only increase community costs of care. Also identify how we can better serve the emergent or urgent needs of our full geographic area which includes Maine areas that border New Hampshire, including trauma and those in mental crisis. Benefit to Citizens of Maine: Our analysis will help us understand how we can better serve the emergent or urgent needs of our full geographic area which includes Maine areas that border New Hampshire, including trauma and those in mental crisis.
2017072701Feldvebel, AlexNew Hampshire Insurance Dept.8-7-20179-18-2017Level I - CY 2015 to CY 2016 Medical Claims, Eligibility, and Pharmacy dataThe New Hampshire Insurance Department is required by statute to complete an annual report and hold an annual hearing on medical cost drivers and their impact on premiums in the state. Previous reports can be found on our website but do not include the required comparison and analysis of NH claims data to insurance claim data collected by other states. We hope to use Maine and other states' data to accomplish that requirement. Benefit to Citizens of Maine: This project may help Maine residents understand how their medical costs compare with other states, this comparison may help identify ways to lower costs in your state.
2017072401Coopersmith, ErinKaufmann, Hall and Assoc, LLC7-31-20179-11-2017Level I - CY 2015 to CY 2019 Hospital Inpatient EncountersThe data will be used with other states' public health data to help health-care providers increase the quality of care they provide to their patients by effectively benchmarking their quality, safety, satisfaction, cost and utilization to their peers. The data is used to create benchmarks at the APR-DRG level and the MS-DRG Level using the “Rule of 11”. The data is aggregated at two different levels, pursuant to the rule. The benchmarks are communicated through benchmark files that are used in conjunction with hospital client decision support systems so that they can compare their performance to the benchmark file to hone in on where there is a care variation between their performance and the benchmark file. The second way the data is communicated is through our PEAK tool, which is a web-based tool that our clients subscribe to. In this tool, a limited benchmark file derived from the data provided is loaded. In this service, our Client hospitals provide us their most up-to-date data at the encounter/ detail data, pursuant to a Business Associate Agreement between Peak Software and the client. We then take that hospital data, tag the data with additional measures we calculate (for example HACs), and compare the data (at the APR-DRG level and the MS-DRG Level) to the benchmark file (created from the data supplied to us by you, subject to the “Rule of 11, and embedded in the application) to hone in on where there is a care variation between values in the hospital performance and values in the benchmark file. The data usage rules will be followed in order to achieve this end. Benefits to Citizens of Maine: The benchmarks calculated by Peak Software are used by consulting firms like Huron Consulting and Kaufman Hall, who, when they get a client with hospitals in Maine, will be able to provide feedback using benchmarks created from the data received from the state. This feedback will allow the hospitals to improve the quality of healthcare provided by their facilities. McKesson is another client who resells the benchmarks calculated by Peak Software to their 1000 clients, who will also use the benchmarks to help their clients improve healthcare in the state of Maine. Through the use of these benchmarks, hospitals will be able to improve the quality of the services provided to their patients.
807176Regan, David, Strategic Business LeadHarvard Pilgrim Healthcare6-22-20178-4-2017Level I - CY 2015 Medical Claims and Eligibility data with Practitioner Identifiable level detailThe data will be used to support corporate planning by analyzing hospital and professional utilization and reimbursement patterns with respect to identified diagnosis and/or procedure codes by geographic region. Benefit to Citizens of Maine: The examination of Statewide medical cost structure, distribution of services, and utilization patterns provides additional information that can be used to guide product and benefit design. The goal of this work is to directly benefit Maine consumers through either reduced premiums or plan designs better suited to their needs, both in-network and out-of-network.
504175Mellett, Jean, Sys Dir Strategy & PlanningEastern Maine Healthcare Systems5-16-20176-28-2017Level II - CY 2016, 2017, & 2018 Hospital Inpatient and Outpatient Encounters data with Practitioner Identifiable, City/Zip, & Date of Birth level detailData will be used to conduct ongoing market research in support of EMHS members' strategic initiatives and collaborative efforts, such as community needs assessments, as well as to provide guidance for program planning in the communities served. Benefit to Citizens of Maine: Analyses, including utilization, volume, provider supply, patient origin and service line studies, will help EMHS to provide the people of Maine with the right care, at the right time, in the right place.
503175Madden, PatrickMarket Decision Research4-10-20175-19-2017Level II - CY 2015 Hospital Inpatient and Outpatient Encounters data with City/Zip level detailPurpose of Request: The Maine Cancer Foundation (MCF) is interested in understanding the need for transportation services for cancer patients throughout the state of Maine. The Foundation contracted Market Decisions Research (MDR) to assist in an analysis of Maine Hospital Encounter Data. This analysis will provide information on the distance that cancer patients travel to receive services and complement additional information collected on provider availability, cancer incidence, and current transportation services offered in the state. MDR will analyze zip code information for providers and patients receiving cancer care to calculate the distance between patient’s home zip codes and the providers used. Average distance traveled will be aggregated to the county and public health district level to measure how far, on average, patients travel to receive care in different regions of the state. This analysis will help answer the following questions: How far do patients travel to receive cancer treatment services in the state? How does transportation burden differ by county? How do the available transportation services meet the current needs of those around the state and what gaps exist by county? MCF currently provides grant funding to support various transportation programs for cancer patients in Maine. Using this information, MCF can better understand the burden of travel and gaps in current transportations services. This will improve how MCF allocates their transportation grant funding in the state. Benefit to Citizens of Maine: Maine residents will benefit through improved access to cancer care, improved transportation options and better health equity for those receiving cancer services.
112165Cerda, Magdalena, DrPH MPHDept. of Emergency Medicine UC Davis3-20-20174-28-2017Level II - CY 2009 thru CY 2015 Hospital Inpatient Encounters data with City/Zip level detailThis study proposes to use data from a diverse sample of U.S. states to empirically identify prescription drug monitoring program “best practices” that are related to the greatest reduction in prescription opioid overdose and to the least increase in heroin overdose over 21 years of study. This information will be available to states and to the national PDMP Center of Excellence to inform PDMP practices and clinical practice. The Benefit to the Citizens of Maine: The benefits of the study will accrue to the general population. But also, the results from this may result in policy recommendations for PDMPs that can translate into benefits for the Maine population.
802175Hawkins, SummerBoston College3-13-20174-21-2017Level II - CY 2009, CY 2010, CY 2011, & CY 2015 Medical Claims data with City/Zip/DOB level detailThe ACA requires all new insurance policies, including the state and federal health insurance Marketplaces to 1) provide coverage for recommended preventive services & 2) provide that coverage with no cost sharing. The ACA preventive health services for adults & children, which came into effect on 9/23/10 & additional prevention-related health services for women, effective on 8/1/12. Despite the national reach of the ACA, its preventive health services with no cost sharing provision applies only to adults with private health insurance. While the ACA has the potential to improve preventive care there are gaps in the current coverage of preventive health services, which may ultimately increase disparities. Health insurance claims for preventive health services can be used to evaluate the success of the ACA as well as identify gaps. APCD’s are available in MA, NH & ME from 2009 - 2015, which cover time periods prior to the ACA, after the ACA preventive health services came into effect, additionally after Medicaid expansion. While MA & NH expanded their Medicaid programs, ME chose not to adopt the expansion. Differences in Medicaid expansion across states creates a natural experiment which we can evaluate using the APCD data. The overarching goal of this study is to examine the impact of the ACA preventive health services & Medicaid expansion on screening test, vaccine, health-related behavior & outcomes among adolescent and adult. The Specific Aims are: Aim 1: Evaluate the overall impact on the uptake of preventive care and screening Aim 2: Evaluate the impact across social determinants Aim 3: Evaluate the impact across states. Through this project we intend to identify gaps in the coverage of preventive health service provisions between the ACA & Medicaid as well as help close those gaps through policy recommendations. While we intend to publish our findings in peer-reviewed journals, we will also prepare a summary of the project and results, which can be posted online. We will check with the journals as to whether we can post the articles online as well. We also plan to send copies of the journal article & summary to the Office of MaineCare Services & other relevant government programs. Benefits to citizens of ME: Our results based on the APCD will be directly applicable to current policies and practices in ME, which we hope will contribute to the discussion about health insurance and Medicaid coverage of preventive items and services.
625166Ban, NancyCentral Maine Healthcare12-16-20162-1-2017Level II - CY 2013 thru CY 2020 Medical Claims, Practitioner Identifiable & Eligibility data with City/Zip level detail. Level II CY 2013 thru CY 2020 Hospital Inpatient and Outpatient data with City/Zip level detail. CY 2013 thru CY 2020 Reports on Hospital Financial data, Healthcare Associated Infections data, Hospital Healthcare Quality data (CMS Measures), Nursing Sensitive Indicator data, and Care Transition Measure data.The data will be used with other states' public health data to help health-care providers increase the quality of care they provide to their patients by effectively benchmarking their quality, safety, satisfaction, cost and utilization to their peers. In addition, the data will be used to create a demographically based inpatient healthcare demand model for the Central Maine Medical Center and for the Lewiston/Auburn region of Maine. Benefit to the Citizens of Maine: The citizens of Maine will benefit through CMMC being able to more accurately target and align its investments in programmatic, human, and facility resources to the projected needs of the Central Maine communities it serves.
827165Sosa, VictorUniversity of New Hampshire12-6-20161-19-2017Level II - 10/1/2012 thru 6/31/2018 Medical Claims, Practitioner Identifiable & Eligibility data with City/Zip and Member DOB level detailPurpose of Request: The Northern New England Practice Transformation Network (NNE-PTN) is a collaboration of quality improvement (QI) organizations in Maine, New Hampshire, and Vermont that will provide needed support to physician practices to achieve sustainable practice transformation, reach the Triple Aim, and help providers rediscover joy in practice. The NNE-PTN will provide expert faculty and practice facilitators, supplemented by practical tools, resources and supports, and will customize QI assistance to the needs of each practice, aligning our efforts with existing CMS measurement and improvement priorities. Leveraging our strength in delivering practice transformation support in the Northern New England region, we will bring together key partners to engage a minimum of 400 practices representing at least 1300 clinicians. Maine Quality Counts (QC) is the NNE-PTN Project Lead, providing overall leadership and central coordination of QI efforts across the three state consortium, working with State Leads providing project leadership in ME, NH, and VT. State Leads are Maine Quality Counts (QC); NH Citizens Health Initiative (CHI) at the University of NH's Institute for Health Policy and Practice (IHPP); and VT Program for Quality in Healthcare, Inc. (VPQHC). In addition to being a state lead, IHPP received funding to analyze NH CHIS (NH's All-Payer Claims Database) and Maine All-Payer Claims Database to support the data reporting needs of the NNE-PTN. IHPP will analyze Medicare, Medicaid, and Commercial Medical claims data for the 160 PTN NH-based, and Medicare and Medicaid claims data for the 130 PTN Maine-based practices. The analysis involves the development of four new claims based practice measures and the designing of a portal for all practices to access the entire existing IHPP report suite with additional claims based reports for quality improvement and monitoring and benchmarking. See www.nhaccountablecare.org for an example of reports and functionality. Benefit to Citizens of Maine: The cost and utilization reports for the Maine PTN will benefit the people of Maine in that the practices will be able to use the data to continually inform their Quality Improvement efforts, a pillar of the Practice Transformation Network project, ultimately improving the quality of care for Maine residents.
140161Stegeman, TravisTotal Benchmark Solutions, LLC9-19-201610-7-20162014 Unrestricted Inpatient Data.The data will be used with other states' public health data to help health-care providers increase the quality of care they provide to their patients by effectively benchmarking their quality, safety, satisfaction, cost and utilization to their peers. The data is used to create benchmarks at the APR-DRG level and the MS-DRG Level using the “Rule of 11”. The data is aggregated at two different levels, pursuant to the rule. The benchmarks are communicated through benchmark files that are used in conjunction with hospital client decision support systems so that they can compare their performance to the benchmark file to hone in on where there is a care variation between their performance and the benchmark file. The second way the data is communicated is through our PEAK tool, which is a web-based tool that our clients subscribe to. In this tool, a limited benchmark file derived from the data provided is loaded. In this service, our Client hospitals provide us their most up-to-date data at the encounter/ detail data, pursuant to a Business Associate Agreement between TBS and the client. We then take that hospital data, tag the data with additional measures we calculate (for example HACs), and compare the data (at the APR-DRG level and the MS-DRG Level) to the benchmark file (created from the data supplied to us by you, subject to the “Rule of 11, and embedded in the application) to hone in on where there is a care variation between values in the hospital performance and values in the benchmark file. The data usage rules will be followed in order to achieve this end. Benefit to Citizens of Maine: The benchmarks calculated by TBS are used by consulting firms like Huron Consulting and Kaufman Hall, who, when they get a client with hospitals in Maine, will be able to provide feedback using benchmarks created from the data received from the state. This feedback will allow the hospitals to improve the quality of healthcare provided by their facilities. McKesson is another client who resells the benchmarks calculated by TBS to their 1000 clients, who will also use the benchmarks to help their clients improve healthcare in the state of Maine. Through the use of these benchmarks, hospitals will be able to improve the quality of the services provided to their patients.
817164Berkowitz, ClaireMaine Children's Alliance8-22-201610-3-20162014 – 2015 Ad Hoc Report – Medical Claims Data The data will be used in the annual publishing of Maine Children’s Alliance KIDS COUNT book. The data published in the annual Maine KIDS COUNT Data Book is used by MCA and our partners to advocate for sound public policies that improve the lives of children, youth and families. In addition, grant writers and direct service providers use the KIDS COUNT data to make the case for program funding/expansion. Benefit to Citizens of Maine: The MHDO information provides interested parties with information regarding the number of Maine youth in need of treatment for mental health/substance abuse issues. In addition, while MCA reports Maine’s teen suicide rate in the Data Book (actual deaths from suicide), that figure only tells a small part of the story regarding the number of Maine youth who attempt suicide. The data regarding the number of attempted suicides provided by MHDO helps advocates, service providers, educators and parents better understand the number of Maine youth who are struggling and in need of mental/behavioral health services.
815166Hannan, TimMaine Health Management Coalition8-1-20169-12-20162015 - 2017 Restricted Medical Claims with Practitioner Identifiers, Eligibility, and Pharmacy DataMHDO data will be used to update Primary Care Practice Reports, delivered to provider practices bi-annually. Content includes testing rates for preventive and chronic care, HealthPartners NQF endorsed Total Cost of Care (TCOC) and Resource Use indices (RUI). The reports were designed and developed with guidance from Maine's Primary Care Medical Home Pilot Conveners, the Primary Care Medical Home Working Group and other stakeholders. Providers can use these reports to better understand their testing rates compared to peers, estimate overall cost and evaluate practice efficiency. Purchasers will benefit from additional reporting comparing their population's testing rates, healthcare cost and resource use to statewide benchmarks, trends and variations. TCOC ratings will be updated bi-annually on the GetBetterMaine website to help guide consumers with healthcare choices. Benefit to Citizens of Maine: Providers can use these reports to better understand their testing rates compared to peers, estimate overall cost and evaluate practice efficiency. Purchasers will benefit from additional reporting comparing their population's testing rates, healthcare cost and resource use to statewide benchmarks, trends and variations. TCOC ratings will be updated bi-annually on the GetBetterMaine website to help guide consumers with healthcare choices.
114165Winslow, David, Vice Pres. of Financial PolicyMaine Hospital Association6-28-20167-13-20162014 - 2017 Restricted Hospital Inpatient Data.Data Consultant: OnPoint Health Data, Portland ME. Purpose of Request: The inpatient discharge data will be used to conduct volume and service use analyses across Maine hospitals. Benefit to Citizens of Maine: Analytic results allow hospitals to assess and respond to trends in utilization, volume, and patient origin, helping to ensure appropriate and efficient provision of healthcare services for the people of Maine.
111165Harrison, James, President/CEOOnpoint Health Data6-6-20166-17-20152014 – 2015 Restricted Maine Hospital Inpatient Data.The data will be used to provide summary reporting and statistics on utilization patterns and market share to a variety of clients. Benefit to Citizens of Maine: Analytic services provided by Onpoint will allow clients to assess and respond to trends in utilization, volume, and patient origin, helping to ensure appropriate and efficient provision of healthcare services for the people of Maine.
510165Gildart, RobertaEastern Maine Healthcare Systems5-16-20165-31-2016CY 2014 and CY 2015 Restricted Inpatient and Outpatient Hospital Data.The data will be used to conduct ongoing market research in support of EMHS members' strategic initiatives and collaborative efforts, such as community needs assessments. Benefit to Citizens of Maine: Analyses, including utilization, volume, provider supply, patient origin and service line studies, will help EMHS to provide the people of Maine with the right care, at the right time, in the right place.
809165Richards, Holly, MPH, CHES Program CoordinatorDivision of Population Health, Maine CDC5-12-20165-26-2016FY 2015 Restricted Medical Claims, Eligibility and Pharmacy dataThe Maine CDC under a cooperative agreement with U.S. CDC (DP13-1305 end date June 29th 2018) for our required performance measure reporting have been asked to calculate the Proportion of Days Covered (PDC) to measure and report the current rate of hypertension and diabetes related medication adherence, respectively, utilizing the All Claims Data available in our state. The analysis plan will follow the DP13-1305 defined operationalized performance measure analysis and reporting recommendations as defined by the following: 1.) Proportion of patients with high blood pressure in adherence to medication regimens. 2.) Proportion of patients with diabetes in adherence to medication regimens. Unit of Analysis: Hypertension: 1.) Adult patients => 18 years of age with high blood pressure who have been prescribed antihypertensive medication. Numerator: The number of patients who met the PDC threshold for adequate adherence (>80%) for antihypertensive medications during the one (1) year measurement period. Denominator: Total number of adult patients who were dispensed antihypertensive medications on two (2) unique dates of service during the one (1)-year measurement period within health care systems in the state (or at the highest level possible). Diabetes: 2.) Adult patients => 18 years of age receiving pharmacy care for diabetes. Numerator: The number of patients who met the PDC threshold for adequate adherence (>80%) for diabetes medications during the 1-year measurement period. Denominator: Total number of adult patients who were dispensed diabetes medications (excluding insulin) on two (2) unique dates of service during the one (1)-year measurement period within health care systems in the state (or at the highest level possible). Please see attached U.S. CDC Performance Measures FMI. The two measures listed above will be further stratified (if possible/data allows) by: sex, age, race/ethnicity, health insurance coverage type (i.e. private, MaineCare/Medicaid, Medicare, Other), and geography (county and public health district). These findings from the data may be used and displayed in the Maine CDC DP13-1305 Instant Atlas Dashboard where we will show PDC rates by county/public health district. In addition findings may be used in data briefs, and standard tables and figures.
351585Smith, Mary, PhD, MSWCutler Institute for Health and Social Policy, USM, Muskie School of Public Service5-2-20165-16-2016CY 2014 Restricted Medical Claims data.The Raising Readers program is currently working with the Muskie School of Public Service at the University of Southern Maine to estimate the number of children who are eligible to participate in the program. Last year the Muskie School worked with the Raising Readers program to revise their existing method of target setting. The model we designed used data from the All-Payer Claims Database to help set 2015 targets based on the program design which is to distribute books through well-child visits ("one child, one well-child visit, one book"). The new methodology implemented last year utilize vital statistic data on live births as well as age and rates of well-child visits from the All-Payer Claims Database to calculate the estimated maximum potential annual reach of the program. We are proposing to use live births in ME, total aggregate number of well-child visits (by age), and updated census data to estimate the maximum number of children that can be reached by the Raising Readers program in 2016. In order to estimates programmatic reach, we are requesting access to the 2014 Maine All-Payer Claims Database to calculate the total aggregate number of well-child visits for kids at key points for children 2 months to 5 years. Benefits to Citizens of Maine: The Raising Readers program, funded by Maine's Libra Foundation, works to promoting early childhood literacy for all children in Maine. This statewide initiative distributes free books to all children in Maine between the ages of birth and five. The first books are shipped directly to hospitals so that every parent takes home a set of books for their newborn; subsequent books are distributed at each well-child doctor's visit up to the age of 5. Since the program began 15 years ago, the Raising Readers initiative has distributed over 2 million books to 120 individual children in Maine. The program works with over 300 medical practices, 44 hospitals and birth centers and 1,200 health care providers to distribute books to children.
804166Gildart, RobertaEastern Maine Healthcare Systems4-4-20165-13-2016CY 2014 Restricted Medical Claims and Practitioner Identifiers (Medicare and Commercial) data.The data will be used to conduct ongoing market research in support of EMHS members' strategic initiatives and collaborative efforts, such as community needs assessments. Benefit to Citizens of Maine: Analyses, including utilization, volume, provider supply, patient origin and service line studies, will help EMHS to provide the people of Maine with the right care, at the right time, in the right place.
505164Alcorn, TedEverytown for Gun Safety Support Fund3-22-20163-31-20162012 Unrestricted Hospital Inpatient and Outpatient dataThe purpose of the request is to calculate the total cost of firearm injuries in the state of Maine over the year 2012. This data will allow us to better understand the cost of gun violence, the many factors which influence gun violence, and the public and private costs of gun violence to hospitals and taxpayers. Benefit to Citizens of Maine: The citizens of Maine will benefit by gaining a better understanding of the costs of gun violence within the state.
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