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OFFICE OF ANALYTICS - GENERAL INFORMATION ON AVAILABLE DATA


ASPEN

ASPEN (Automated Survey Processing Environment) is a healthcare company federal licensure database. This database can contain details regarding federal licenses, and details regarding inspections, Statements of Deficiency (SOD) and Plans of Correction (POC).

    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.

      ADOPTION AND FOSTER CARE ANALYSIS AND REPORTING SYSTEM (AFCARS)

      AFCARS is the Adoption and Foster Care Analysis and Reporting System. It collects case level information on children in foster care and children adopted through state and tribal title IV-E agencies. Types of data reported in AFCARS include demographic information about the foster child and foster/adoptive parents, details of the reason why a child enters and/or exits foster care, and the number of placement and removal episodes experienced by the child. The information is collected and reported semi-annually to the federal Children’s Bureau. AFCARS data is used to analyze statistics about foster care/adopted children and families to assess outcomes and respond to data requests by local, state, and federal agencies. Additional analyses of the data are also conducted for planning, budgeting, and regulatory considerations.

        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.

            EARLY HEARING DETECTION AND INTERVENTION (EHDI)

            Early Hearing Detection and Intervention (EHDI) refers to the practice of screening every newborn for hearing loss prior to hospital discharge. Infants not passing the screening receive diagnostic evaluation before three months of age and, when necessary, are enrolled in early intervention programs by six months of age.

              HEALTH CARE QUALITY AND COMPLIANCE ONLINE LICENSING SYSTEM ALiS (CLICS)

              HCQC CLiCS Aithnet is a database of healthcare, childcare and emergency medical services licensed and unlicensed entities. This database can contain contact information, service endorsements, bed types, state inspections and other related information. Public access is found here. https://nvdpbh.aithent.com/login.aspx

                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. 

                        NATIONAL CHILD ABUSE AND NEGLECT DATA SYSTEM (NCANDS)

                        NCANDS is the National Child Abuse and Neglect Data System. It is a national database and analysis system that was created to fulfill the requirements of the Child Abuse Prevention and Treatment Act. The NCANDS contains child-specific, case-level data that records reports of child abuse and neglect that received an investigation or assessment response from Child Protective services. The types of data include the children involved, the perpetrators, the characteristics of the reported abuse and neglect, and types of maltreatment. The information in NCANDS is voluntarily reported by all 50 states, the District of Columbia, and Puerto Rico on an annual basis. The data are used for the annual Child Maltreatment report that summarizes national and state-by-state results. Additionally, the data are used to measure the performance of many programs regarding child abuse/neglect and child welfare outcomes.

                          NEVADA HOME VISITING

                          Nevada Home Visiting (NHV) develops and promotes a state-wide coordinated system of evidence-based home visiting programs which support healthy development and safety of pregnant women, young children, and families. Each evidence-based home visiting program has a different approach, based on family needs. The following models are supported by NHV through MIECHV funding:
                          - Nurse Family Partnership (NFP)
                          - Home Instruction for Parents of Preschool Youngsters (HIPPY)
                          - Parents as Teachers (PAT)
                          - Early Head Start (EHS)
                          NHV provides home visiting services in Carson City, Storey, Lyon, Washoe, Elko, Clark, Mineral, and Nye Counties.

                          Reporting NHV is funded through the Health Resources & Services Administration (HRSA) Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program. A condition of funding is to submit program and performance measure data reports to the Discretionary Grant Information System (DGIS). Reports are submitted quarterly and annually. Continuous Quality Improvement (CQI) Data-driven CQI is another condition of MIECHV funding. Various measures may be created for CQI processes using the data collected.

                            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 BIRTH OUTCOMES MONITORING SYSTEM (NBOMS)

                                    Nevada Birth Outcomes Monitoring System (NBOMS) is a statewide population based surveillance system, collecting data on major birth defects and genetic diseases following ICD-9-CM codes 740-759/ICD-10-CM codes Q00-Q99 on the list of birth defects and diagnostic codes provided by National Birth Defects Prevention Network (NBDPN). The earliest year of available data is 2005. 2014 and subsequent data are passive data collection from Hospital Inpatient Billing (HIB) data. Hospital Inpatient Billing data were linked with Nevada birth certificate data to collect maternal characteristics of mothers. Birth defects case data include State abbreviation, year of birth, birth defect code, pregnancy outcome, maternal race/ethnicity, maternal age group, infant sex and count of birth defects. Denominator of all live births data include State abbreviation, year of birth, maternal race/ethnicity, maternal age group and infant sex and number of live births. Comment data includes State abbreviation, birth defect code and all general comments.

                                      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.

                                        NEVADA WIC INFORMATION SYSTEM FOR HEALTH (NV WISH)

                                        NV WISH is a statewide system developed by CDP to collect data on for the Women, Infants, and Children (WIC) program. WIC is a Special Supplemental Food Program that provides nutritious foods to supplement the diets of limited income pregnant, postpartum and breastfeeding women, infants, and children under age 5 who have been determined to be at nutritional risk. Data collected at the clinics through the NV WISH helps the State of Nevada to plan and learn more about ways to improve the program. NV WISH data includes participating clinics, vendors that supply special food supplements to the program, food supplement products used in the program and participants information (date of birth of participants, address, contact etc.)

                                          NEVADA PREGNANCY RISK ASSESSMENT MONITORING SYSTEM (PRAMS)

                                          Nevada Pregnancy Risk Assessment Monitoring System (PRAMS) is a joint research project between the Nevada Division of Public and Behavioral Health and the Centers for Disease Control and Prevention (CDC). The purpose is to find out why some babies are born healthy and others are not. To do this, the PRAMS questionnaire asks new mothers about their behaviors and experiences before, during, and after their pregnancy. Each year in Nevada there are hundreds of babies born with serious health problems. Answers to the PRAMS survey will help us to learn more about ways to improve the health of mothers and babies in Nevada. Each month, 157 new mothers are randomly selected from the state’s electronic birth records to participate in the Nevada PRAMS Survey. The survey has core questions, which are standard across the nation, and Nevada-specific questions. The topics covered by the core questions include: maternal and infant characteristics, emotional and physical abuse, breastfeeding, contraception use, tobacco, drug and alcohol use, maternal morbidity, health insurance, income, infant mortality, length of stay in hospital, mental health, nutrition, prenatal care, oral health, pregnancy intention and infant sleeping environment. Nevada specific questions include physical activity, services received (Women, Infants and Children, counseling, etc.), adverse childhood experience, health insurance, prenatal care, oral health, tobacco and substance use and breastfeeding.

                                            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.

                                              SENTINEL EVENT REGISTRY (SER)

                                              The Sentinel Event Registry (SER) Program tracks reportable sentinel events in medical facilities which includes hospitals, surgical center for ambulatory patients, independent center for emergency medical care, and obstetric centers (NRS 439.805).

                                                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]

                                                  WebIZ

                                                  WebIZ is a confidential, population-based, computerized SQL Server database that records all immunization doses administered by participating providers to persons residing within a given geopolitical area. WebIZ allows for the collection of data from hospital systems and independent medical providers administering immunizations in ‘real time’. Patient and vaccination data flows from the Electronic Health Record using HL7 format to WebIZ. WebIZ enables DHHS to make available aggregate data on immunizations for use in surveillance, program operations, and in guiding public health policy and, once populated with sufficient vaccination data, provide consolidated immunization histories to determine appropriate client vaccinations by a provider.

                                                    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]