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All-payer health care claims

Washington All-Payer Health Care Claims Database Program

In 2014, the Washington State Legislature passed landmark legislation that directed the Office of Financial Management (OFM) to establish the Washington State All-Payer Claims Database (WA-APCD). The database will serve as a vital resource for health care claims in Washington state. Read more about the background of the WA-APCD program.

Lead Organization and Data Vendor

The Center for Health Systems Effectiveness (CHSE) at Oregon Health & Science University (OHSU) is the WA-APCD Lead Organization responsible for the implementation and operation of the WA-APCD. CHSE is a leader in researching healthcare delivery serviced aimed at improving value and “bending the cost curve” of spending growth. Ted von Glahn is serving as the program director for OHSU.

Onpoint Health Data is the contracted data vendor for the WA-APCD. Onpoint has over 40 years’ experience in health data, developed Maine’s APCD in 2003, and launched over half of the nation’s statewide APCD solutions.

WA-APCD Lead Organization Request for Information (RFI)

The Office of Financial Management is conducting an RFI to assess the availability of entities that are qualified and interested in providing Lead Organization services to the state of Washington in support of the WA-APCD. RFI documents and information:

Current Lead Organization Contract
Lead Organization Requirements from Previous Procurement
WA-APCD Data Access Chart
Washington HealthCareCompare website
OHSU WA-APCD website
WA-APCD Data Requests

Rule-making for the WA-APCD

Introduction to the APCD rules
Rule-making timeline - revised February 2018
Phase I Rule-Making - completed effective February 29, 2016
Phase 2 Rule-Making - completed effective December 2, 2016
Phase 3 Rule-Making - in progress

Note: If you are interested in receiving email notification regarding WA-APCD, please subscribe to GovDelivery.

Resources for WA-APCD

Chapter 43.371 RCW
Washington State All-Payer Health Care Claims Database overview
Data supplier registration link for the WA-APCD
Data Access Under Chapter 43.371 RCW: Statewide Health Care Claim Data
Report to Legislature - December 1, 2016
Report to Legislature - December 1, 2017
Fee Schedule for Data Products
Steps to request WA-APCD data

Healthcare Price Transparency Resources

Washington HealthCareCompare - an online tool based on the WA-APCD data that is part of the state's larger effort to make health care costs more transparent. Search over 100 procedures and treatment for cost information and examine quality ratings of providers and hsopitals. The site also includes results for the Statewide Common Measure Set.

Washington State MONAHRQ – an information system of hospital inpatient care utilization, quality and potentially avoidable stays in Washington state’s community hospitals and by Washington residents.

CMS Hospital Compare - find and compare the quality of care at over 4,000 Medicare-certified hospitals.

Clinic visit costs by county and procedures

 

Other Resources

APCD Council resources
National Association of Health Data Organizations (NAHDO)

Contact Information

OFM Program contact: Thea Mounts
OHSU CHSE contact: Ted von Glahn
Onpoint Health Data contact: James Harrison

 

Last updated: August 9, 2018
E-mail: apcd@ofm.wa.gov