Integrated Client Databases A Resource for Analyzing Service Needs, Service Use and Outcomes Getty Images/iStock Tribal and State Leaders Health Summit 2016 State and Tribal Data: Mapping Gaps and Understanding Tribal Sovereignty Session David Mancuso, PhD Director, and Enterprise Support Administration, Research and Data Analysis Division November 2, 2016 and Enterprise Support Administration Research and Data Analysis Division NOVEMBER 2016 1
About the Research and Data Analysis Division (RDA) RDA is a centralized research and data analytic resource in RDA s data infrastructure links information from many state agency data sources RDA works collaboratively with other agencies and external partners RDA is primarily project funded For more information and to see what we produce, please visit: https://www.dshs.wa.gov/sesa/research-and-data-analysis and Enterprise Support Administration Research and Data Analysis Division NOVEMBER 2016 2
Integrated Client Databases Established and Maintained by the Research and Data Analysis Division School Outcomes Preschool College Arrests Charges Convictions Incarcerations Supervision Dental Medical Eligibility Medicaid, State Only Hospital Inpatient/ Outpatient Managed Care Physician Hours Prescription Drugs Wages Births Deaths Housing Assistance Emergency Shelter Transitional Housing Homeless Prevention and Rapid Re-housing Permanent Supportive Housing Public Housing Housing Choice Vouchers Multi-Family Project-Based Vouchers Education Research Data Center Washington State Patrol Administrative Office of the Courts of Corrections Health Care Authority Employment Security of Health of Commerce Housing and Urban Development Public Housing Authority De-identified External Internal WASHINGTON STATE of Social and Health Integrated Client Databases Aging and Long- Term Support Children s Developmental Disabilities Behavioral Health and Service Integration Mental Health and Substance Abuse Economic Juvenile Rehabilitation Vocational Rehabilitation Nursing Facilities In-home Functional Assessments Child Protective Child Welfare Adoption Adoption Support Child Care Out of Home Placement Voluntary Case Management Personal Care Support Habilitation Centers and Nursing Facilities Assessments Detoxification Opiate Substitution Outpatient Child Study Center Children s Longterm Inpatient Program Inpatient Evaluation/ Food Stamps TANF and State Family Assistance General Assistance Child Support Working Connections Child Care Institutions Dispositional Alternative Placement Parole Medical and Psychological Training, Education, Supplies Case Management Vocational Assessments Job Skills Family Reconciliation State Hospitals State Institutions and Enterprise Support Administration Research and Data Analysis Division NOVEMBER 2016 3
Race/Ethnicity and Tribal Affiliation Data in the ICDB Race/ethnicity and some tribal affiliation information is derived from eligibility, case management and payment data systems (approx. 25) Automated Client Eligibility System (ACES) is the data system that contributes the largest volume of information Race/ethnicity information is most often self reported We bring together information from all available data sources for an individual, treating each source equally Source data systems use different race values and categories. We crosswalk definitions to U.S. Census categories By bringing together race/ethnicity data from many different data systems, we often identify a larger AI/AN population than would be identified using any singe source and Enterprise Support Administration Research and Data Analysis Division NOVEMBER 2016 4
Examples of Analyses Using the ICDB Prevalence of need for behavioral health services by race/ethnicity and region Relative utilization of Medicaid-paid behavioral health services by race/ethnicity and region RSN/BHO mental health (MH) and substance use disorder (SUD) services HCA MCO (and full integrated MCO) medical, MH and SUD services Tribal clinic payments processed through the ProviderOne payment system Example: 2SSB 5732 Tribal Centric Behavioral Health Report to the Legislature Outcomes by race/ethnicity and region Medicaid-paid health service utilization (hospitalization, ED utilization) Social services utilization Other outcomes including employment, housing stability, and criminal justice involvement and Enterprise Support Administration Research and Data Analysis Division NOVEMBER 2016 5
uestions? CONTACT: David Mancuso, PhD 360.902.7557 Director, Research and Data Analysis Division & Enterprise Support Administration david.mancuso@dshs.wa.gov and Enterprise Support Administration Research and Data Analysis Division NOVEMBER 2016 6