Nevada Takes Flight with MONAHRQ (Text Version)

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

Center for Health Information Analysis (CHIA)

Joseph A. Greenway

Slide 2

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

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

Slide 4

Introduction

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

Slide 5

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

• 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

• 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

• 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

• 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?

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

Slide 11

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

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

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

Slide 14

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)

Slide 16

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

Slide 17

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

• 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

• 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???