AHA Data Initiatives with Implications for Research on Organizational Characteristics and Quality Improvement

Slide Presentation from the AHRQ 2008 Annual Conference

On September 8, 2008, Beth Feldpush, M.P.H., made this presentation at the 2008 Annual Conference. Select to access the PowerPoint® presentation (200 KB; Plugin Software Help).

Slide 1

American Hospital Association (AHA)

AHA Data Initiatives with Implications for Research on Organizational Characteristics and Quality Improvement

Beth Feldpush, MPH
Senior Associate Director, Quality and Patient Safety Policy
American Hospital Association
bfeldpush@aha.org

Slide 2

Overview

• Research to practice—what matters to hospitals?
• Performance measurement.
• AHA data and resources.

Slide 3

From Research to Practice

Priorities

• Where is the evidence?
• Where can I make effective change?
• What can I implement within existing regulatory/market barriers?

Slide 4

Increasing Demands Leads to Prioritizing Challenges

National Initiatives Related to Quality and Patient Safety.

CMS = Centers for Medicare & Medicaid Services; CDC = Centers for Disease Control and Prevention; AHRQ = Agency for Healthcare Research and Quality; NQF = National Quality Forum; IHI = Institute for Healthcare Improvement; RWJF = Robert Wood Johnson Foundation.

Slide 5

From Research to Practice

Tools

• What are the practices?
• What are the resources?
• Who needs to be engaged?

Slide 6

Every Initiative Needs a How-to Guide

• Give the conceptual and research overview.
• Present what success looks like.
• Give a step-by-step sequence of activities to implement the change.
• Provide supplementary resources, practical tips, examples from hospitals, and case studies.

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Performance Measurement

Hospital Compare Web site (www.hospitalcompare.hhs.gov)

• Quality and performance information on ~4,000 hospitals.
• Updated every quarter.
• Performance data on:
  • Heart attack, heart failure, pneumonia, and surgical care.
  • Mortality information.
  • Patient experiences with care.

Slide 8

Performance Measurement—Potential Research Areas

• Understanding performance over time.
• Examining performance by:
  • Care function.
  • "Clinical microsystems".

Slide 9

AHA Annual Survey

• More than 800 data fields on 6,000+ hospitals, including:
  • Demographics.
  • Organizational structure.
  • Facilities and services.
  • Utilization data.
  • Community orientation indicators.
  • Physician arrangements.
  • Managed care relationships.
  • Expenses.
  • Staffing.
• Historical data to 1980.

Slide 10

AHA Annual Survey (continued)

• 2007 survey available in October 2008.
• New for 2007:
  • Expanded list of facilities and services.
  • Staffing—intensivists, foreign-educated nurses.
  • Expanded questions on community benefits.

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Other AHA Resources

• Overview/Demographics:
  • AHA Healthcare Quickdisc
• Leadership Perspectives:
  • Taking the Pulse—interviews with hospital leaders.
• Information Technology:
  • Continued Progress
  • Most Wired Hospitals

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Health Research and Educational Trust (HRET)—Center for Health Management Research

• Network of hospital and health care system leaders and academic researchers.
• Enhance the efficiency and effectiveness of health services delivery and management by translating research into actionable practices and tools.
• "Evidence-informed management"—science + professional expertise.

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Health Research and Educational Trust (HRET)—Center for Health Management Research (continued)

• Rapid results for dissemination.
• Current research topics:
  • Quality.
  • Evidence-based management.
  • Leadership and governance.
  • Health information technology.
  • Patient safety.

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AHA Resources

http://www.aha.org/aha/resource-center/Statistics-and-Studies/studies.html
http://www.hret.org
http://www.ahadata.com