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OFFICE OF ANALYTICS - GENERAL INFORMATION ON AVAILABLE DATA


AVATAR

My Avatar, a Netsmart product, is a database containing demographic, treatment, billing, and financial information for state run mental health facilities throughout the state of Nevada. This data is representative of Nevada state funded mental health facilities and is not generalizable to the rest of the population.

    BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS)

    BRFSS is a state-based system of health surveys that collects information on health risk behaviors, preventive health practices, and healthcare access primarily related to chronic disease and injury. More than 350,000 adults are interviewed each year, making the BRFSS the largest telephone health survey in the world. For many states, the BRFSS is the only available source of timely and, accurate data on health-related behaviors. The survey consists of a set of federally grant funded core questions and the states may include and pay for their own questions in the survey. While the surveys focus is chronic disease and injury, topics covered by the survey include car safety, obesity, and exercise among many others. Since state added questions are not asked nationwide, these questions are not comparable.

      CRIMINAL HISTORY REPOSITORY (CHR)

      The CHR is collected by the Department of Public Safety and provides personal criminal history information for the State of Nevada.  It is designed to collect, maintain, and arrange information regarding records of criminal history.

        HOSPITAL EMERGENCY DEPARTMENT BILLING (HEDB)

        The Hospital Emergency Department Billing data provides health billing data for emergency room patients for Nevada’s non-federal hospitals. NRS 449.485 mandates all hospitals in Nevada to report information as prescribed by the director of the Department of Health and Human Services. The data are collected using a standard universal billing form. The data is for patients who used the emergency room service. The data includes demographics such as age, gender, race/ethnicity and uses International Classification of Diseases-9-Clinical Modification (ICD-9-CM) diagnoses codes and International Classification of Diseases-10-Clinical Modification (ICD-10-CM) diagnoses (up to 33 diagnoses respectively). ICD-10-CM diagnoses codes replaced ICD-9-CM diagnoses codes in the last quarter of 2015. Therefore, data prior to last quarter in 2015 may not be directly comparable to data thereafter. In addition, the data includes billed hospital charges, procedure codes, length of hospital stay, discharge status, and external cause of injury codes. The billing data information is for billed charges and not the actual payment received by the hospital.

          HOSPITAL INPATIENT BILLING (HIB)

          The Hospital Inpatient Billing data provides health billing data for patients discharged from Nevada’s non-federal hospitals. NRS 449.485 mandates all hospitals in Nevada to report information as prescribed by the director of the Department of Health and Human Services. The data are collected using a standard universal billing form. The data is for patients who spent at least 24 hours as an inpatient, but do not include patients who were discharged from the emergency room. The data includes demographics such as age, gender, race/ethnicity and uses International Classification of Diseases-9-Clinical Modification (ICD-9-CM) diagnoses codes and International Classification of Diseases-10-Clinical Modification (ICD-10-CM) diagnoses (up to 33 diagnoses respectively). ICD-10-CM diagnoses codes replaced ICD-9-CM diagnoses codes in the last quarter of 2015. Therefore, data prior to last quarter of 2015 may not be directly comparable to data thereafter. In addition, the data includes billed hospital charges, procedure codes, length of hospital stay, discharge status, and external cause of injury codes. The billing data information is for billed charges and not the actual payment received by the hospital.

            MEDICAID DECISION SUPPORT SYSTEM (DSS)

            The Medicaid DSS is an application which stores medical and pharmacy claims data for the Medicaid Fee for Service population, at a claim line level.  The data includes demographics such as age, gender, race/ethnicity, eligibility/enrollment information, and information of the diagnoses given to members and treatment received.  It uses International Classification of Diseases-9-Clinical Modification (ICD-9-CM) diagnoses codes and International Classification of Diseases-10-Clinical Modification (ICD-10-CM) diagnoses, as well as standard billing and coding schemes such as CPT/HCPCS, NDC, etc. 

              MEDICAID DATA WAREHOUSE

              The Medicaid Data Warehouse is a database which stores medical and pharmacy claims data for the Medicaid Managed Care and Fee for Service populations, at a claim line level.  The data includes provider information, member demographics such as age, gender, race/ethnicity, eligibility/enrollment information, and information of the diagnoses given to members and treatment received.  It uses International Classification of Diseases-9-Clinical Modification (ICD-9-CM) diagnoses codes and International Classification of Diseases-10-Clinical Modification (ICD-10-CM) diagnoses, as well as standard billing and coding schemes such as CPT/HCPCS, NDC, etc. 

                MONITORING THE FUTURE SURVEY

                Monitoring the future survey since 1975 has measured drug and alcohol use, and related attitudes among adolescent students nationwide. Survey participants report their drug use behaviors across three-time periods: lifetime, past year, and past month. Students from both public and private schools participate in the survey. The survey is funded by the National Institute on Drug Abuse (NIDA), a component of the National Institutes of Health (NIH), and conducted by the University of Michigan.

                  NEVADA REPORT CARD

                  The Nevada Report Card is the accountability reporting website of the Nevada Department of Education. In compliance with federal and state law, it assists community members (parents, educators, researchers, lawmakers etc.) in locating a wealth of detailed information pertaining to K-12 public education in Nevada. Through the interactive Nevada Report Card website, you may access state, district and school level reports in three categories: “school and district information,” “assessment and accountability” and “fiscal and technology.”

                    NEVADA POPULATION DATA (State Demographer Office)

                    The Nevada State Demographers office is funded by the Nevada Department of Taxation and is part of the Nevada Small Business Development Center. It is responsible for conducting annual population estimates for Nevada’s counties, cities, and towns.

                      NEVADA CENTRAL CANCER REGISTRY (NCCR)

                      A population based, dynamic database containing information about incidence, mortality, staging, treatment, and recurrence of cancer cases. As a population based registry, it provides statewide standardized data that is utilized in nationally and locally for research and epidemiological analyses of cancer occurrence in the state. [7]

                        NATIONAL ELECTRONIC DISEASE SURVEILLANCE SYSTEM (NEDSS)

                        Facilitates the electronic transfer of public health surveillance data, including communicable diseases, STIs, and HIV/AIDS, from the healthcare system to public health departments. It is a conduit for exchanging information that supports the National Notifiable Diseases Surveillance System (NNDSS). NEDSS helps connect the healthcare system to public health departments and those health departments to CDC. Mortality rates for 2016 are preliminary and are subject to change. [8]

                          NATIONAL ELECTRONIC DISEASE SURVEILLANCE SYSTEM BASE SYSTEM (NBS)

                          Provides reporting jurisdictions with a NEDSS-compatible information system to facilitate transferring health, laboratory, and clinical data, including communicable diseases, STIs, and HIV/AIDS, efficiently and securely over the Internet. NBS provides reporting jurisdictions with a Web-based patient-focused system that can integrate data on multiple health conditions and multiple patients to help state and local public health officials identify and track multiple diseases, even if they are in the same patient. The NBS also provides reporting jurisdictions support for managing disease outbreaks and identifying when patients might be counted more than once. [9]

                            NEVADA SYNDROMIC SURVEILLANCE

                            The Syndromic Surveillance Program oversees the collection and analysis of health-related data that precede diagnosis and may warrant a public health response because it signals a sufficient probability of a case, an outbreak of disease or other public health emergency. Current syndromic surveillance systems include the National Syndromic Surveillance Platform, ESSENCE, and the National Retail Data Monitor for Public Health Surveillance. This data does not account frequent user visits or updates for the same patient, each record in this data is for one patient, for one visit.

                              PRESCRIPTION DRUG MONITORING PROGRAM

                              The prescription drug monitoring program data are prescription level data collected by the Board of Pharmacy.  These are identifiable data which allow us to monitor prescribing habits related to Schedule II, III, and IV drugs dispensed in Nevada pharmacies.  These data include information on drug type and class, dosage, days’ supply, refills, etc.

                                TREATMENT EPISODE DATA SET (TEDS)

                                The Treatment Episode Data Set (TEDS) compiles client-level data for substance abuse treatment admissions from State Agency data systems. State data systems collect data from facilities about their admissions to treatment and discharges from treatment. TEDS is an admission-based system, but it does not include all admissions. Many of these facilities that report TEDS data receive State funds or Federal block grant funds to provide alcohol and/or drug treatment services. State laws require substance abuse treatment programs to report publicly funded admissions. Some States only collect publicly funded admissions. Other States are able to collect privately funded admissions from facilities that receive public funding. States then report these data from their State administrative systems to SAMHSA.

                                Web-Enabled Vital Records Registry Systems (WEVRRS) Software utilized by physicians, registered nurses, midwives, informants or funeral directors, and other individuals to collect and consolidate birth and death related information. 2016 data from WEVRRS are preliminary. [12]

                                  YOUTH RISK BEHAVIOR SURVEY (YRBS)

                                  The purpose of the YRBS is to provide Nevada data to assess trends in priority health-risk behaviors among high school students; measure progress toward achieving national health objectives for Healthy People 2020 and other program and policy indicators; and evaluate the impact of broad school and community interventions at the national, state, and local level. The YRBS is a biennial, anonymous, and voluntary survey of students in 9th through 12th grade in traditional, public high schools that monitors the prevalence of health risk behaviors among youth. The survey asks students to self-report their behaviors in six major areas of health that directly lead to morbidity and mortality, these include: (1) Behaviors that contribute to unintentional injuries and violence; (2) Sexual behaviors that contribute to human immunodeficiency virus (HIV) infection, other sexually transmitted diseases, and unintended pregnancy; (3) Tobacco use; (4) Alcohol and other drug use; (5) Unhealthy dietary behaviors; and (6) Physical inactivity.  [13] [14]

                                    OTHER DATASETS INCLUDE:

                                    1. DCFS AVATAR:  Children's Mental Health
                                    2. DCFS UNITY:  Juvenile Justice and Child Welfare
                                    3. Birth Outcomes Monitoring System
                                    4. PRAMS
                                    5. NVWISH:  Women Infants and Children (WIC) Data
                                    6. Health Care Quality and Compliance Licensure Database
                                    7. Sentinel Events Registry
                                    8. WebIZ:  Statewide immunization data
                                    9. Early Hearing and Detection 
                                    10. Nevada Early Home Visiting