MedMining Newsletter

January 2012

Family Medical History Data
MedMining now offers detailed family medical history data. Family medical history data includes type of disease or condition (ex: heart failure, high cholesterol, genetic disorder, cancer), relationship to patient (ex: mother, father, maternal uncle), and day the family medical history was added to the patient’s chart.

Estimated Blood Loss Data
MedMining now offers estimated blood loss data, typically documented as part of the operating room record note in the patient’s chart. These data are usually available for departments including, but not limited to, Neurosurgery, Cardiothoracic Surgery, Orthopedics, and Plastic Surgery. Estimated blood loss values (ex: 10 cc, 50 cc, less than 100 cc) can aid in answering questions pertaining to blood thinning medications and/or surgical complications. Additionally, estimated blood loss data can be linked directly to the associated surgical encounter.

Mini-Mental State Exam (MMSE) Data
MedMining can offer MMSE data, typically documented as a part of a progress note in the patient’s chart. These data reflect the nationally recognized exam distributed by the Psychological Assessment Resources, consisting of a 30 point questionnaire that assesses cognitive impairment for various conditions. Data includes orientation to time, orientation to place, registration, attention and calculation, recall, language, repetition, and complex commands.

February 2011

Inpatient Departmental Length of Stay (LOS) Data
MedMining now can offer departmental Length of Stay (LOS) data for inpatient encounters since 2006. One example: a particular inpatient encounter’s LOS was 5 days, with the patient being admitted to the emergency department and transferred to the ICU, where he remained for 3 days before being transferred to a Medical/Surgical floor for 2 days prior to discharge. The total LOS represented in the Encounter file was 5 days, ICU LOS was 3 days, and Medical/Surgical LOS was 2 days.

Pulmonary Function Test (PFT) Data Expanded
MedMining now offers detailed PFT data collected at all 30+ sites throughout Geisinger Health System. PFT data includes both actual and percent predicted values for FEV1, FVC, FEV1/FVC, FEF 25-75, FEV1/FEV6, FEF 25, and many more. The counts below provide a snapshot of possible cohort sizes.

Timeperiod: January 2004 - January 2011

	At least 1 PFT	At least 2 PFTs	At least 3 PFTs
Any Diagnosis	16,982	5,114	2,451
Asthma (493.*)	9,538	4,063	2,197
COPD (496.*)	5,660	2,143	1,020

Menstrual Period Data
MedMining offers detailed, encounter-level menstrual period data that is routinely collected at every OB/GYN office visit. In addition to last menstrual period date, the counts below provide a snapshot of possible cohort sizes relative to menstrual period status.

Timeperiod: January 2004 - January 2011

Last Menstrual Period Status	# of Distinct Patients
Ablation	2,193
Breastfeeding	578
Hysterectomy	35,162
Implant	2,335
Injection	6,975
Postmenarcheal	756
Postmenopausal	336,478
Post Pregnancy	2,045
Pregnant	26,919

December 2010

Parkinson's Disease Data
MedMining offers detailed Parkinson’s disease data. Our Parkinson’s disease data includes degree of tremor, bradykinesia, and rigidity per limb (based on UPDRS scoring), presence or absence of sleep disorders, bladder dysfunction, orthostatic hypotension, cognitive dysfunction, motor fluctuations, hallucinations, freezing of gait, and levodopa responsiveness.

SIGECAPS Data
MedMining offers detailed psychiatry data, including SIGECAPS. Geisinger’s Psychiatry Department conducts a depression screening, including SIGECAPS documentation, at every initial psychiatric visit. Over 15,000 patients have at least 1 psychiatric encounter where CPT procedure code 90801 (Psychiatric Diagnostic Interview) exists, indicating SIGECAPS data, as seen below, should be available for these patients in Geisinger’s Electronic Health Record (EHR):

Sleep (Ex: fluctuating insomnia/hypersomnia)

Interests (Ex: has interests [flower garden, walking dogs])

Guilt (Ex: Yes)

Energy (Ex: Non-Existent)

Concentration (Ex: Very Bad)

Appetite (Ex: Fluctuating Hypo/Hyperphagia)

Psychomotor Changes (Ex: Agitation)

Suicide/Homicide (Ex: Pt has SI, denies HI)

Kidney Transplant Data
MedMining offers detailed kidney transplant data. Our kidney transplant data includes duration of cold ischemia, repeat transplantation, delayed graft function, rejection, donor information (without heartbeat, age, sex, race), leukocyte antibody panel, and more. This data, along with standard EHR data such as vital status (dead, alive) and day of death (reconciled monthly with the Social Security Death Index), is available on all patients receiving a kidney transplant at Geisinger (~60 patients annually).

February 2010

	Operating Room Data MedMining offers detailed Operating Room data. Geisinger's menu of procedures performed includes, but is not limited to, everything from routine hip replacement to CABG surgery to complicated kidney, liver, and pancreas transplants, and the list continues. Our Operating Room data includes linked device and manufacturer records, anesthesia score, laterality, times (arrival to Operating Room, first incision, final closing, etc.), and much more. Contact Us to learn more about our Operating Room data.
	Comprehensive Tobacco Use Data MedMining offers detailed Tobacco Use data including status (current, passive, quit, never, etc.), tobacco type (cigarettes, cigars, chew, pipe), years used, and packs per day. The counts below provide a snapshot of comprehensive data for patients indicated as Current Tobacco Users. Of Current Tobacco Users: 1. 74% have a valid tobacco type available.* a. 90% indicate cigarette use. b. 6% indicate chew use. c. 3% indicate cigar use. d. 3% indicate snuff use. e. 1% indicate pipe use. *A patient may indicate multiple tobacco type uses. 2. 66% have the number of years using tobacco available. a. Tobacco users have been using tobacco, on average, for 20 years. 3. 79% have the number of packs per day available. a. On average, tobacco users have been using 86% of a pack of tobacco per day. Contact Us to speak about the routine capture of other lifestyle data elements.
	Comprehensive Diabetes Data MedMining can provide Diabetes data which is routinely ordered, in part, due to reminder alerts built into the Diabetic Bundled Order Set within Geisinger's Electronic Health Record (EHR). Alerts are built into the Diabetic Bundled Order Set to remind patients and providers when it is time to evaluate many of the core quality measures necessary for monitoring Diabetes, such as laboratory values (HbA1C, Lipids, Basic Metabolic Panel, etc.) and annual Eye and Foot Exams. Contact us to speak about the routine capture of other disease-specific data elements.

November 2009

Women’s Health Data
MedMining offers comprehensive Women’s Health data. Geisinger’s menu of Women’s Health services offers care ranging from delivering a healthy baby to treating complicated pregnancies, infertility, menopause, cancer, and more. With over 2,700 deliveries performed annually, our Women’s Health data includes birth outcomes such as delivery type (C-section, Vaginal, etc.), gestational age, labor length, birth weight, infant sex, Apgar Score (1 vs. 5 minutes after birth), anesthesia type (local, general, spinal, etc.), final outcome (preterm, abortion, etc.), and more. We also have the ability to link mother and child records for deliveries performed at Geisinger.

In addition to collecting detailed pregnancy episode data, a woman’s Last Menstrual Period (LMP) status (premenarche, menarche, hysterectomy, postmenopausal, etc.) is routinely collected at each OB/GYN office visit. Contact Us to learn more about our Women’s Health data.

Comprehensive Blood Pressure Data
MedMining offers comprehensive blood pressure data. Clinicians routinely capture blood pressure data at office visits for patients over the age of 3. The table below provides a snapshot of comprehensive office visit blood pressure data capture for our Diabetes, Hyperlipidemia, and Hypertension populations. Contact Us to speak about the routine capture of other data elements.


	Distinct Office Visits			% Office Visits
	Diabetes	Hypertension	Hyperlipidemia	Diabetes	Hypertension	Hyperlipidemia
	ICD-9	ICD-9	ICD-9	ICD-9	ICD-9	ICD-9
	250.**	401. - 405.	272.0 - 272.4	250.**	401. - 405.	272.0 - 272.4
1. # Distinct Office Visit Encounters	1,440,027	3,108,987	3,274,447
2. Of 1., and	1,084,326	2,367,815	2,541,640	75.30%	76.16%	77.62%
Blood Pressure Systolic and Diastolic not null	1,084,326	2,367,815	2,541,640	75.30%	76.16%	77.62%

MedMining participates on PwC panel
MedMining CEO, Jim Peters, was recently invited to participate on a PricewaterhouseCoopers (PwC) panel to discuss MedMining’s secondary use of health data. MedMining was one of only five healthcare organizations selected to serve on the panel at an Executive Roundtable held in Washington, D.C. Click Here to read the complete report which consolidates the conversations that took place. To read the case study highlighting MedMining, Click Here.

September 2009

	HER2 Data MedMining now offers HER2 data for your next Breast Cancer study. Following the NCCN, CAP, and ASCO guidelines for HER2 testing, we have HER2 data on over 1,400 distinct patients. Historically the test was only performed on patients with invasive ductal or lobular cancers being surgically treated here at Geisinger. However, we recently started performing the test on insitu cases as well due to clinical interest. Contact Us to learn more about our HER2 data.
	FRAX® Data MedMining now offers FRAX® data. As part of our manual electronic chart review process, we have the ability to extract FRAX® scores dating back to when the World Health Organization’s tool first became available in 2008. Coupled with our longitudinal DXA data, FRAX® scores can be a powerful compliment to your next osteoporosis study. Contact us to learn more about our FRAX® data.
	EEG Study Published Clinical Neurophysiology recently published a study, The EEG as an independent indicator of mortality and healthcare utilization, which used MedMining data. EEG results from Geisinger’s neurology database were merged with core EHR data, such as medications, diagnoses, and numerous neurology-specific laboratory values. Click Here to read the complete publication.

Summer 2009

	Geisinger Health Plan (GHP) Claim Data MedMining now offers core clinical data linked to pharmacy, medical, and hospital claims data for Geisinger patients who also carry GHP. Approximately 30% of active Geisinger patients carry GHP and 270,000+ of those same patients currently have at least 12 months of continuous GHP enrollment. This is yet another way MedMining can say without a doubt that “Our Data is Different.™” Click Here for a comprehensive list of claims data elements available.
	Geisinger’s EHR featured on CNN Get a sneak peak into a Geisinger physician’s use of the Electronic Health Record. Visit our News page or Click Here to watch the video clip. CNN also features Geisinger’s innovative Proven Care model. Visit our News page or Click Here to watch the video clip.
	ISPE-Providence: August 17-19, 2009 Stop by Booth #17 and meet our CEO, Jim Peters, who will be launching the availability of our newest data…8,000+ flowsheet measures!!!!

Spring 2009

Comprehensive Medical Diagnostic Lab Test Data
MedMining offers over 1,110 distinct medical diagnostic lab tests and processes 22.5 million lab results annually. The top 50 labs tests ordered (and associated data) for 2007 – 2008 are seen in the table below. This is just a small sample of over 1,110 labs MedMining offers. Please Contact Us if you do not see the lab test you are interested in for your next study.

Order Name	# Times Ordered	# Tests	# Total Tests Results
CBC w/Differential	1,142,485	15	17,137,275
Basic Metabolic Panel	581,511	10	5,815,110
Comprehensive Metabolic Panel	293,781	16	4,700,496
Lipid Panel	286,197	6	1,717,182
PT/INR	272,875	2	545,750
CBC	249,636	13	3,245,268
Thyroid Stimulating Hormone	241,137	1	241,137
Culture, Quantitative Urine	167,161	4	668,644
Active Partial Thromboplastin Time	140,872	1	140,872
Routine Urinalysis	127,843	13	1,661,959
Hepatic Function Panel	123,379	7	863,653
ALT	104,310	1	104,310
Magnesium	97,010	1	97,010
Culture, Blood	91,713	4	366,852
Phosphorus	90,295	1	90,295
Troponin T	80,499	1	80,499
CK with MB	71,741	4	286,964
GPA Strep Probe, Throat	60,513	3	181,539
Sedimentation Rate	60,264	1	60,264
LDL (Direct Measure)	58,739	1	58,739
Free T4	58,240	1	58,240
Microalb Creat Ratio	53,832	3	161,496
Hemoglobin	50,498	1	50,498
AST	49,957	1	49,957
Lipase	46,996	1	46,996
Creatinine, Serum	44,076	2	88,152
Prostate Specific Antigen	42,591	1	42,591
Type and Screen	41,102	5	205,510
Ferritin	37,871	1	37,871
Hematocrit	35,171	1	35,171
Vitamin D 25 OH	34,281	3	102,843
Chlamydia Trachomatis Amplified	33,880	5	169,400
Vitamin B12	33,863	1	33,863
Amylase	33,709	1	33,709
Culture, Routine	33,129	4	132,516
Hemoglobin A1C	33,077	2	66,154
Calcium, Ionized	32,306	1	32,306
Smear, Direct Gram Stain	31,365	4	125,460
PSA Screen	30,149	1	30,149
Blood Group and Type	29,364	1	29,364
Acute Hepatitis Panel	29,064	4	116,256
Blood Gas, Arterial	29,006	13	377,078
Whole Blood Profile, Arterial	28,496	22	626,912
Transferrin Saturation	28,161	4	112,644
MRSA Screen, Admission	26,957	4	107,828
Neisseria Gonorrhoeae Amplified	26,300	5	131,500
Glucose	25,023	1	25,023
CK-Total	24,784	1	24,784
Renal Function Panel	24,456	12	293,472

Mortality Data
MedMining offers mortality data which is reconciled monthly against the Social Security Death Index. Possible values for mortality status include Alive, Deceased, Coroner’s Case, or Null. Day of Death may also be available via the Social Security Death Index or when manually entered by Geisinger staff. Contact Us to learn more about this feature in our Electronic Health Record.

Geisinger featured on PBS News Hour with Jim Lehrer
Geisinger physicians and staff share the story of our innovative use of the Electronic Health Record. Visit our News page or Click Here to watch the video clip.

ISPOR-Orlando: May 18-20, 2009
Stop by Booth #28 for the launch of our new data elements. We’ve listened to your feedback and will be announcing the availability of data that digs even deeper than we have dug before. More to come in May!

Winter 2009

Additional Actual Cost Data Fields
MedMining now offers actual cost data at the encounter, hospital, medication, physician, and procedure level. For example, a patient is seen in the Emergency Department after falling down a flight of steps in her home. The actual total encounter cost to Geisinger for services rendered was $1,025.37. The encounter level data available is as seen below:

Hospital Cost (Nursing services, supplies, facilities, etc.)	$650.37
Physician Cost (Salary, medical malpractice insurance, etc.)	$375.00

Total Encounter Cost	$1,025.37

Procedure and Medication actual cost data is also provided as costs are incurred. Contact us at 570-214-9678 to learn more about this exciting new offering in pharmacoeconomic research.

Oncology Registry
MedMining is pleased to announce the much anticipated Oncology data offering. We are now able to provide detailed clinical and pathological data captured through Geisinger’s American College of Surgeons Commission on Cancer (CoC) approved registry. Data elements available include clinical and pathological stage, primary tumor size, grade, histology, laterality, regional lymph node examination, treatment, follow-up data, and much more. For a comprehensive list of data elements available, visit the Oncology section of Our Data page to learn more.

Pulmonary Function Test Data
MedMining is excited to unveil the unique offering of pulmonary function test values, such as FVC, FEV1, FEV1/FVC, FEF 25-75%, and many more. With 500+ pulmonary function tests performed monthly, it is not hard to imagine the vast number of opportunities this data set can provide to pharmacoeconomic and health outcomes groups. To learn how you can start utilizing our pulmonary function test data, Contact Us at request@medmining.com.

Job Opportunities
MedMining is seeking qualified candidates for the Director of Sales and Senior Data Analyst roles. Please visit our Careers page to learn more about how you can become a member of the MedMining team.

Fall 2008

	MedMining puts list of commonly licensed core data elements at customer's fingertips Welcome to the Inaugural Edition of The MedMining Minute. This is our way of taking a Minute of your day to provide timely, relevant updates to what peaks your interest the most, our data.The MedMining Minute is intended to be point and direct, not overly sales-like or pretentious. It is a service designed without gimmicks or false intentions that aims to keep you, our valued customer, on the pulse of what is going on at MedMining. We have also been hard at work giving our website, www.medmining.com, a facelift. You can access a comprehensive list of the most commonly licensed data elements as well as the “Our Process” section which provides new customers insight into what should be expected as we proceed through a project together. We hope you find *The MedMining Minute* and our updated website to be user-friendly and helpful. Through providing these valuable services we trust that you will agree that we're not just your data vendor, we're your partner. Kind regards,
	Data provides groundbreaking research opportunities On a daily basis, your competition is discovering why MedMining truly has the deepest Electronic Medical Record (EMR) data. Over the past few months, your competition has learned about data elements that we here at MedMining take for granted. Each of these data elements can provide monumental, groundbreaking outcomes based research opportunities. Here is just a few of the data requests we have successfully provided insight on over the past few months: BMD and T-Score findings for Post Menopausal Osteoporosis EEG findings for Epilepsy L.A. Classification Grade scores for Erosive Esophagitis MRI findings for Multiple Sclerosis and Colorectal Cancer Spirometry values for Asthma and Chronic Obstructive Pulmonary Disease (COPD) To see a comprehensive list of the most commonly licensed data elements, Click Here.
	Upcoming Events October 21, 2008 - Mid-Atlantic Biotech Conference More Information>> November 8, 2008 - ISPOR 11th Annual European Conference More Information>> For a complete list of Upcoming Events, Click Here.
	New Job Opportunities Announced In order to better service your needs, MedMining is now seeking qualified candidates for the Director of Sales and additional Senior Data Analyst roles. Please visit our Careers page to learn more about these exciting roles and how you can now become a member of the MedMining team.

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