Nevada Takes Flight with MONAHRQ (Text Version)

Slide presentation from the AHRQ 2010 conference.

On September 27, 2010, Joseph Greenway made this presentation at the 2010 Annual Conference. Select to access the PowerPoint® presentation (1.7 MB). Free PowerPoint® Viewer (Plugin Software Help).


Slide 1

Nevada Takes Flight with MONAHRQ

Nevada takes flight with MONAHRQ

Center for Health Information Analysis (CHIA)

Joseph A. Greenway

Slide 2

Overview

Overview

  • Introduction
  • Nevada's political and budgetary status
  • Averted failure—MONAHRQ saves the day
  • Where does Nevada stand today
  • Our wish list
  • Summary and conclusion

Slide 3

Introduction

Introduction

  • The million dollar space pen.
  • Innovation comes at a cost.
  • Shared efforts stretch limited resources.

Slide 4

Introduction

Introduction

  • The million dollar space pen.
  • Innovation comes at a cost.
  • Shared efforts stretch limited resources.

Slide 5

Nevada's status

Nevada's status

  • Assemblywoman Sheila Leslie is a visionary:
    • The battle for transparency.
    • The endoscopy scandal (the leverage).
  • The passage of Assembly Bill 146 (AB146):
    • Data collection begins.
    • The need to post to the public is looming.
    • A big project with a little budget.

Slide 6

Nevada's status

Nevada's status

  • Assemblywoman Sheila Leslie is a visionary:
    • The battle for transparency.
    • The endoscopy scandal (the leverage).
  • The passage of Assembly Bill 146 (AB146):
    • Data collection begins.
    • The need to post to the public is looming.
    • A big project with a little budget.

Slide 7

Nevada's status

Nevada's status

  • Assemblywoman Sheila Leslie is a visionary:
    • The battle for transparency.
    • The endoscopy scandal (the leverage).
  • The passage of Assembly Bill 146 (AB146):
    • Data collection begins.
    • The need to post to the public is looming.
    • A big project with a little budget.

Slide 8

MONAHRQ Saves the Day

MONAHRQ Saves the Day

  • Beta testers of MONAHRQ:
    • A ton of bricks lifted from our shoulders.
    • DRGs, Diagnoses, Procedures, Quality Indicators.
    • The difficulties and delays, and the budgetary pressures.

Slide 9

MONAHRQ Saves the Day

MONAHRQ Saves the Day

  • Beta testers of MONAHRQ:
    • A ton of bricks lifted from our shoulders.
    • DRGs, Diagnoses, Procedures, Quality Indicators.
    • The difficulties and delays, and the budgetary pressures.

Slide 10

Where does NV Stand Today?

Where does NV Stand Today?

A screen shot of the Nevada Compare Care Website is shown.

Slide 11

Where does NV Stand Today?

Where does NV Stand Today?

An image of the summary page from the Nevada Compare Care website on the Death rate for heart attack patients is shown.

Slide 12

The table displays Septicemia discharges by Hospital

Where does NV Stand Today?

Image of the top of a table entitled "Statistics for Clark Hospitals for 2 Septicemia (Except in Labor) (DXCCS2)"

Slide 13

Statistics for University Medical Center of Southern Nevada for Septicemia Except in Labor) (DXCCS2)

An image of a table entitled "Statistics for University Medical Center of Southern Nevada for Septicemia Except in Labor) (DXCCS2)" is shown.

Slide 14

Map of Nevada that shows adult asthma admission rates by county

An image of a map of Nevada that shows adult asthma admission rates by county is shown.

Slide 15

Adult asthma admission rate (2009, PQI15)

Adult asthma admission rate (2009, PQI15)

County FIPS
Code
NameNumeratorDenominatorRates per 100,000
Observed RateRisk Adjusted
Rate
S.E. of Risk
Adjusted Rate
32001NV- Churchill4019276207.51193.5821.30
32003NV- Clark16581402539118.21120.392.61
32005NV- Douglas163987940.1235.3714.40
32007NV- Elko183571950.3953.2216.65
32009NV- Esmeralda3683439.24367.78107.20
32011NV- Eureka01210.00.0084.80
32013NV- Humboldt21333215.0015.0326.54
32015NV- Lander04011.00.0047.81
32017NV- Lincoln1388325.7522.1345.55
32019NV- Lyon4541850107.53105.5614.83
32021NV- Mineral2408049.0241.7644.24
32023NV- Nye183639149.4643.8715.12
32027NV- Pershing05264.00.0045.34
32029NV- Storey2360055.5655.0750.81
32031NV- Washoe22831992671.2770.375.38
32033NV- White Pine5777064.3564.5134.78
32510NV- Carson City324545870.3965.1813.82
TotalNevada20701984871104.29104.622.18

Slide 16

Statistics for Discharges for Patients in County, NV

Statistics for Discharges for Patients in County, NV— Washoe for 5 Diseases & Disorders of the Circulatory System (MDC5) in Nevada, 2009

 Number of
discharges
Rate**
of discharges
Total U.S. in 2007 (standard error)*5,887,619
(152,849)
19.5
West U.S. in 2007 (standard error)*946,462
(46,989)
13.5
All Hospitals in Nevada41,29215.6
Total4,35810.3
Age group
<18360.4
18-443742.4
45-651,48612.9
65+2,46249.3
Gender
Male2,39711.2
Female1,9619.4
Race
White3,48711.9
Black16718.8
Hispanic2392.8
Asian or Pacific Island863.9
Native American528.0
Other32740.4

Slide 17

Our Wish List

Our Wish List

  • I would like MONAHRQ to be able to post hospital outpatient (OP) data:
    • HCPCS
    • Rate Codes
    • Outpatient DRGS (EAPGs ???)
  • I'd like it to treat the OP types uniquely>
    • Emergency Department
    • Outpatient Surgery
    • Other OP

Slide 18

Our Wish List

Our Wish List

  • I'd like (where appropriate) MONAHRQ to compare Inpatient with Outpatient data (inter and intra hospital).
  • I wish that a future version of MONAHRQ would incorporate Ambulatory Surgical Center data:
    • Treat each ASC type uniquely.
    • Compare to hospital OP data (where appropriate).

Slide 19

Summary and Conclusion

Summary and Conclusion

  • MONAHRQ has been a godsend in Nevada. When budgetary constraints and political pressures put the need for public results into the forefront, MONAHRQ saved the day.
  • I strongly recommend that MONAHRQ be used by all those that need to post health billing data.

Slide 20

Questions???

Questions???

Current as of December 2010
Internet Citation: Nevada Takes Flight with MONAHRQ (Text Version). December 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/events/conference/2010/greenway/index.html