Past Data Requests

Name of requestor Washington State Hospital Association
Data requested

Analytic Enclave subscription - DMP not required

Includes Protected Health Information (PHI) or proprietary financial information

No

Date of request
Purpose of request

The data will be used for multiple purposes, including the following: (1) Enable hospitals to improve patient safety by focusing on best practices. The data will be used to support the direct work WSHA is doing on patient safety improvements. For example, data will be used to identify the patterns of severe maternal morbidity and identify interventions to reduce the incidence of severe maternal morbidity and mortality. The data will be used to identify the type of transition care that can help reduce preventable readmissions and improve outcomes. (2) Assist critical access hospitals and the residents in their communities to make informed choices about restructuring the local health care delivery system. The data will be used to identify how critical access hospitals can better meet the needs of the community with a concentration on providing value-based care for essential services. (3) Analyze disease incidents and determine ways to improve the value of the healthcare system.

Request status Approved
Reason for approval/denial

Data request met WA-APCD data use criteria.

Fees

$52,500

Name of requestor Washington State Office of the Insurance Commissioner
Data requested

Yes

Includes Protected Health Information (PHI) or proprietary financial information

Data type: Proprietary Financial Information

Public comment period ended.

Date of request
Purpose of request

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.

Request status Pending
Reason for approval/denial
Fees
Name of requestor Vivian Lyons, Doctoral Student, University of Washington
Data requested

Yes

Includes Protected Health Information (PHI) or proprietary financial information

Data type: Protected Health Information

Public comment period ended.

Date of request
Purpose of request

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.

Request status Pending
Reason for approval/denial
Fees
Name of requestor Washington State Health Care Authority
Data requested

Analytic Enclave subscription - DMP not required

Includes Protected Health Information (PHI) or proprietary financial information

No

Date of request
Purpose of request
The Health Care Authority is required by Washington law (RCW 41.05.013)  to “coordinate state agency efforts to develop and implement uniform policies across state purchased health care programs that will ensure prudent, cost-effective health services purchasing, maximize efficiencies in administration of state purchased health care programs, improve the quality of care provided through state purchased health care programs, and reduce administrative burdens on health care providers participating in state purchased health care programs.”  The use-cases submitted by the HCA are examples of projects that support HCA meeting its legislative mandate, and are also consistent with the WA-APCD goals as outlined in RCW 43.371.020(1).  The results will not be used for commercial purposes.
Request status Approved
Reason for approval/denial

Data request met WA-APCD data use criteria.

Fees

$52,500

Name of requestor WA State Office of Financial Management
Data requested

Analytic Enclave subscription - DMP not required

Includes Protected Health Information (PHI) or proprietary financial information

No

Date of request
Purpose of request
The main purpose of our project is to improve transparency of health care services by describing access, price, utilization, and value of services captured in the WA-APCD. Our aims for this project include: 1) Describing primary care provider and specialist access (including facilities) across the state to assess differences and gaps in utilization based on health and disease status, demographic and geographic factors, and type of heath care coverage. This work may include hypothesis generation for future projects on health outcomes and patterns in health care utilization and cost associated with access to providers and specialists.  2) Assessing drug and medical service pricing (including out-of-pocket costs) across the state to identify value and highlight differences in costs. Highlights will include identifying the most expensive and most commonly prescribed drugs and the most expensive and most common medical procedures by health and disease status, demographics, geography, and payer type.  3) Reporting pharmacy quality metrics around medication adherence, appropriate medication use, and medication safety using nationally vetted pharmacy quality metrics. Emphasis will be on examining results by health and disease status, demographics, geography, and provider taxonomy to identify areas of need.  4) Describing statewide trends and variations in health and health care before and after implementation of the Affordable Care Act and statewide initiatives and guidelines.  Results will be used by a variety of stakeholders to make informed choices about health care purchasing, value, and cost to consumers.
Request status Approved
Reason for approval/denial

Data request met WA-APCD data use criteria.

Fees

$47,500

Name of requestor Washington Health Benefit Exchange
Data requested

Analytic Enclave subscription - DMP not required

Includes Protected Health Information (PHI) or proprietary financial information

No

Date of request
Purpose of request
WAHBE will use the APCD to further our understanding of the individual market and its claims experience and how the Exchange market fits into the larger market. The individual market has seen a great number of changes and uncertainty in recent years. As the platform for individual market coverage in Washington, WAHBE looks to further policies that increase stability, affordability, and options within the market. The APCD will allow WAHBE to use data to model policies and how these policies affect our population. The purpose of WAHBE’s project fits within the WA APCD goals outlined in state law as this will enable the Exchange to benchmark its performance against the market and allow the Exchange to utilize best practices that best fit our population. Furthermore, it will enable the Exchange to promote competition based on quality and cost among carriers.  
Request status Approved
Reason for approval/denial

Data request met WA-APCD data use criteria.

Fees

$40,000

Name of requestor Providence Health & Services - Oregon, dba Providence Portland Medical Center, department of Center for Outcomes Research and Education
Data requested

Analytic Enclave subscription - DMP not required

Includes Protected Health Information (PHI) or proprietary financial information

No

Date of request
Purpose of request

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.

Request status Approved
Reason for approval/denial

Data request met WA-APCD data use criteria.

Fees

$40,000

Name of requestor Washington State Department of Health
Data requested

Analytic Enclave subscription - DMP not required

Includes Protected Health Information (PHI) or proprietary financial information

No

Date of request
Purpose of request
The Washington State Department of Health requests access to the APCD Enclave in order to conduct several projects to 1) assess disease prevalence, disease progression, comorbidity and related costs of high burden and high cost diseases; 2) assess the degree to which health conditions are screened in alignment with recommended best practices, and to identify barriers, drivers and costs related to screening; and 3) assess the degree to which prevention and treatment practices are in alignment with recommended best practices, and the barriers, drivers and costs related to treatment. These projects will characterize disease burden, screening and treatment services by demographic information and county to facilitate the identification of underserved populations. Together, this information will assist the public and providers to make informed care choices by providing information on the status of statewide best practices related to screening and disease prevention, and gaps related to patient demographics and geography. Purchasers will also be able to use this information to understand cost-effectiveness of early intervention, and to establish expectations and promote best practices for early intervention. Finally, this information will support targeting program and policy interventions aimed at reducing disparities and the overall burden of high cost health conditions impacting the overall cost of health care in Washington.
Request status Approved
Reason for approval/denial

Data request met WA-APCD data use criteria.

Fees

$47,500

Name of requestor Washington State Department of Labor & Industries
Data requested

Analytic Enclave subscription - DMP not required

Includes Protected Health Information (PHI) or proprietary financial information

No

Date of request
Purpose of request
Access to the WA-APCD will improve the Department of Labor and Industries ability to help injured workers heal and return to work by enhancing our ability to reduce harmful care and increase access to high quality, evidence based care and care providers.  It will also enhance L&I’s ability to further the Healthier Washington statewide goal of increasing value based purchasing and aligning best practices with other state agency purchasers and commercial carriers.   As a public purchaser and participant in multi-agency purchasing initiatives. L&I analysis are publicly available and will be used to work with partner providers as well as business and labor stakeholders to incentivize high value, best practice care. 
Request status Approved
Reason for approval/denial

Data request met WA-APCD data use criteria.

Fees

$40,000

Name of requestor Kaiser Foundation Health Plan of Washington
Data requested

Custom Data File

Includes Protected Health Information (PHI) or proprietary financial information

No

Date of request
Purpose of request
The objective of this research proposal is to characterize the direction and magnitude of changes in medical and pharmacy benefits and provider networks that occur as a result of Medicare eligibility.  Specifically, we aim to:  1) Count the number of patients age 60-70 years old entering Medicare for different sociodemographic, clinical, and insured populations. 2) Describe the direction and magnitude of changes in benefits and provider networks, defined using standard and innovative methods for different sociodemographic, clinical, and insured populations. Using the APCD, we will infer medical and pharmacy benefit generosity in different plans using observed out-of-pocket cost values and we will track changes in providers using anonymized provider IDs.
Request status Approved
Reason for approval/denial

Data request met WA-APCD data use criteria.

Fees

$16,700