COBI 2015 - Center for Health Data and Informatics

Overview
Issues
Performance
Background
Financials

Sources Uses

FY 2016 Appropriation

The Center for Health Data and Informatics manages, analyzes, and provides appropriate access to strategic information resources that support Utah's public health, health reform, and data security. The operating units of the Center are the Offices of Health Care Statistics, Public Health Assessment, Vital Records and Statistics, Health Data Security, as well as Health Informatics Program. The mission of the Center is to:

Provide accurate, timely health information to monitor health status.
Assess the performance of the health care system.
Identify health threats.
Document health events.
Guide health decisions.
Protect health information security and privacy.

Funding History

Funding Issues

Dedicated Credits Increase

(1) An increase of $802,200 in dedicated credits in FY 2016 in the Department of Health's Executive Director's Operations line item for $383,700 for potential sales from five new products from the All Payer Claims Database, $250,000 for contract for implementing the Master Person Index, and $168,500 for increased fees in vital records to offset declines in fee quantities. (2) An increase of $10,002,000 in dedicated credits in FY 2016 in the Department of Health's Medicaid Mandatory Services line item which is just a shift from the Medicaid Optional Services line item, but no overall increases for dedicated credits in Medicaid services. (3) $27,500 in ongoing dedicated credits beginning in FY 2016 for the Department of Health for a new federal surplus resale program where state agencies can receive dedicated credits from the sale of property/equipment. (4) For the Department of Health's Disease and Prevention Control line item as dedicated credits - Health: "Grant from the Association of Public Health Laboratories for $148,100. The purpose of this proposal is to establish molecular testing (Severe Combined Immunodeficiency) within the Utah Public Health Laboratory. Through this mechanism we explore and implement a cross-testing section process to advance Newborn Screening and the Infectious Disease group. The grant finances research and development work to implement a mandated test. All future cost will be covered completely through revenue generated through test fees."

Appropriation Overview

During the 2015 General Session, the Legislature appropriated for Fiscal Year 2016, $9,020,400 from all sources for Center for Health Data and Informatics. This is a 0 percent reduction from Fiscal Year 2015 revised estimated amounts from all sources. The total includes $1,966,600 from the General/Education Funds, an increase of 2.8 percent from revised Fiscal Year 2015 estimates.

Appropriation Adjustments

In addition to statewide compensation and internal service fund cost increases, the following appropriation adjustments were made during the 2015 General Session:

DescriptionOngoingOne-Time Dedicated Credits Increase$802,200$0

OngoingOne-TimeFinancing Source

$802,200$0Dedicated Credits Revenue

Staff Analysis

Vital Records Trends

The Center for Health Data processes vital records for the State. The table below shows vital record information for Utah from 2009 through 2013. Deaths during this time period have increased 15%.

Vital Records Activity

95% of Births in Hospitals Entered Accurately Electronically Within 10 Days

Conduct Risk Assessments For Each Information System in Operation

Deaths Registered Electronically

Number of Visits to MyHealthcare.com

The program implements this mission through the following functions:

Registering, preserving, and certifying the State's vital records
Collecting, tabulating, analyzing, and publishing vital statistics and other health status and health system statistical reports
Providing health indicators to businesses and the public over the internet as an e-government service
Coordinating e-health or informatics innovations among public health programs and between the public and private sector
Providing training and consultation on the intelligent use of data for planning and carrying out public health and healthcare measures
Providing health system transparency through analysis of data from the All Payer Claims Database and other health data
Collecting and reporting of statewide hospitalization, surgery, and emergency department encounter data
Collecting and reporting of managed care organizations' performance measures and health maintenance organization enrollee satisfaction
Develop and monitor implementation of data security and privacy policies and procedures
Provide training on data security and privacy management

Records of vital events preserved in the Office of Vital Records and Statistics are used for legal purposes, such as documentation of citizenship, age, and family relationships. The data derived from health records are for monitoring the health of the Utah population. The Department of Health routinely calculates and web-publishes health indicators through the Indicator Based Information System for Public Health (IBIS-PH). Key health indicators are leading causes of death, prevalence of chronic diseases (such as diabetes, cancer, asthma, and arthritis), and the incidence of serious injuries like poisonings and motor vehicle crash injuries.

Health care data collected under the Health Data Authority Act in UCA 26-33a permit similar monitoring of the functioning of the health care delivery system. Key indicators in this area include costs for hospitalization and medical care, access to and utilization of various health services, and comparative measures of the quality of health services provided throughout Utah. MyHealthCare website has the results of assessments of the health system in Utah.

The Office of Public Health Assessment surveys result in a number of reports, among them: Health Insurance Coverage, Injuries in Utah, Health Status in Utah, Chronic Conditions in Utah, Socioeconomic Status and Health, Limitations of Activities, Interpersonal Violence, Health Care Access and Utilization, Lifestyle Factors, and the Medical Outcomes Study.

Intent Language

HB0003: Item 75

Under Section 63J-1-603 of the Utah Code, the Legislature intends that appropriations provided for the Department of Health's Executive Director's Office in Item 20 of Chapter 13, Laws of Utah 2014 shall not lapse at the close of Fiscal Year 2015. The use of any nonlapsing funds is limited to $375,000 for: (1) federal indirect reimbursement of $150,000 due to an over-collection of Department of Technology Services encryption costs during FY 2015. The federal reimbursement will be reflected in lower indirect rates for Fiscal Year 2016; (2) Rewrite of the Utah Medical Examiners Database and the Electronic Death Entry Network which do not support mobile device and broad Internet interfaces; (3) Replacement of personal computers, software development, and information technology equipment in Executive Directors Office; and (4) Temporary Information Technology Manager to support server consolidation efforts and implementation of the Change Management initiative.

HB0003: Item 75

The Legislature intends that the Department of Health prepare proposed performance measures for all new state funding or TANF federal funds for building blocks and give this information to the Office of the Legislative Fiscal Analyst by June 30, 2015. At a minimum the proposed measures should include those presented to the Subcommittee during the requests for funding. If the same measures are not included, a detailed explanation as to why should be included. The Department of Health shall provide its first report on its performance measures to the Office of the Legislative Fiscal Analyst by October 31, 2015. The Office of the Legislative Fiscal Analyst shall give this information to the legislative staff of the Health and Human Services Interim Committee.

HB0003: Item 75

The Legislature intends the departments of Health, Human Services, and Workforce Services and the Utah State Office of Rehabilitation provide to the Office of the Legislative Fiscal Analyst by June 1, 2015 a report outlining how funds are distributed within the state when passed through to local government entities or allocated to various regions and how often these distributions are reviewed and altered to reflect the relevant factors associated with the programs. (1) Is the program considered a statewide program (this would include something that serves all rural areas)? a. Is the implementation of the program really statewide? If not, is there a compelling reason why? (2) Who gets the money (by county)? (3) What is the methodology for distributing the money? a. How does the distribution compare to actual need as expressed by population? i. [If distributions are not reflecting current need (as represented by population), please explain why not?] b. If not done by population, what is the reason? (4) Does statute say anything about distribution and equity for the program?

SB0002: Item 68

The Legislature intends the Departments of Workforce Services, Health, Human Services, and the Utah State Office of Rehabilitation provide a report regarding each agency's highest cost individuals and possible efficiencies through coordination, early intervention, and prevention. The Legislature further intends these agencies provide a report to the Office of the Legislative Fiscal Analyst by September 1, 2015. The report shall include the following regarding high cost individuals: 1) a summary, by program, of individuals receiving services in excess of $100,000 total fund annually in any given agency, what percentage of total costs is spent on these individuals, and what the agency is doing to manage these costs in an efficient manner, 2) an assessment of these high cost individuals receiving services from multiple agencies, 3) a description of agency coordination regarding high cost individuals accompanied by a list of areas where agencies specifically coordinate on these high cost individuals, 4) recommendations regarding how best to serve these high cost individuals in least restrictive settings where appropriate and consistent with choice, and 5) recommendation on how agency efforts might better be coordinated across programs.

SB0002: Item 68

SB0007S01: Item 10

The Legislature intends that the Department of Health report on the following performance measures for the Executive Director's Operations line item: (1) conduct risk assessments for each information system in operation (Target = 123 information systems), (2) 95% of births occurring in a hospital are entered accurately by hospital staff into the electronic birth registration system (Target = 10 calendar days or less), and (3) percentage of all deaths registered using the electronic death registration system (Target = 75% or more) by January 1, 2016 to the Social Services Appropriations Subcommittee.

Display By:

Funding Source

Expenditure Category

Appropriation Type:

Appropriation History by

Sources of Finance	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
General Fund	1,566,400	1,509,600	1,530,800	1,865,500	1,906,600	0	1,906,600	51,500	1,958,100
General Fund, One-time	0	0	(65,000)	3,100	6,200	0	6,200	2,300	8,500
Federal Funds	1,907,600	1,327,900	1,081,700	1,729,200	4,053,700	(157,600)	3,896,100	(343,600)	3,552,500
American Recovery and Reinvestment Act	2,283,900	1,988,800	1,192,700	677,600	0	0	0	0	0
Dedicated Credits Revenue	2,493,300	2,580,600	2,516,100	2,154,500	2,651,800	511,800	3,163,600	337,700	3,501,300
Beginning Nonlapsing	0	10,000	0	0	0	50,000	50,000	(50,000)	0
Closing Nonlapsing	(10,000)	0	0	(50,000)	0	0	0	0	0
Lapsing Balance	300	(15,800)	0	(114,200)	0	0	0	0	0
Total	$8,241,500	$7,401,100	$6,256,300	$6,265,700	$8,618,300	$404,200	$9,022,500	($2,100)	$9,020,400

Categories of Expenditure	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Personnel Services	3,686,500	3,753,600	3,499,700	3,894,700	3,889,500	150,300	4,039,800	132,900	4,172,700
In-state Travel	8,500	7,000	9,800	8,400	6,300	1,800	8,100	0	8,100
Out-of-state Travel	44,000	36,500	21,000	40,700	11,400	(1,400)	10,000	0	10,000
Current Expense	3,332,000	2,005,800	1,664,800	1,290,500	583,300	2,491,500	3,074,800	(445,000)	2,629,800
DP Current Expense	844,400	955,300	1,049,700	1,020,100	1,224,100	665,700	1,889,800	310,000	2,199,800
DP Capital Outlay	299,500	642,900	11,300	11,300	0	0	0	0	0
Other Charges/Pass Thru	26,600	0	0	0	2,903,700	(2,903,700)	0	0	0
Total	$8,241,500	$7,401,100	$6,256,300	$6,265,700	$8,618,300	$404,200	$9,022,500	($2,100)	$9,020,400

Show Table | Show Additional Information

Other Indicators	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Budgeted FTE	56.90	57	58.99	60.20	57.80	0.81	58.61	0	58.61
Actual FTE	60.50	62.20	56.20	58.50	0	0	0	0	0

COBI contains unaudited data as presented to the Legislature by state agencies at the time of publication. For audited financial data see the State of Utah's Comprehensive Annual Financial Reports.