Report Changes in Response to IOM Recommendations

Slide presentation from the AHRQ 2010 conference.

On September 28, 2010, Ernest Moy made this presentation at the 2010 Annual Conference. Select to access the PowerPoint® presentation (1.4 MB). Free PowerPoint® Viewer (Plugin Software Help).


Slide 1

Slide 1. Report Changes in Response to IOM Recommendations

Report Changes in Response to IOM Recommendations

Ernest Moy
Ernest.moy@ahrq.hhs.gov
301-427-1329
http://www.ahrq.gov/research/findings/nhqrdr/index.html
http://snapshots.ahrq.gov

Slide 2

Slide 2. 2010 NHQR / NHDR Chapters

Overview

  • Changes for 2010
    • Align with IOM priority areas / updated frameworks
    • Add benchmarks
  • Beyond 2010
    • Expand fact sheets / mini-reports
    • Redesign webtools

Slide 3

Slide 3. 2010 Reports: Align with IOM Priorities and Framework

2010 Reports: Align with IOM Priorities & Framework

National Priority AreaNHQR/NHDR Chapter&
Population HealthHighlights only
Palliative and End-of-Life CarePalliative and Supportive Care section of the Effectiveness Chapter
SafetyPatient Safety Chapter
Patient and Family EngagementPatient Centeredness Chapter
Care CoordinationNew Care Coordination Chapter
Overuse Efficiency Chapter
Access Access to Health Care Chapter
Health System InfrastructureNew Health System Infrastructure Chapter


Slide 4

Slide 4. 2010 NHQR / NHDR Chapters

2010 NHQR / NHDR Chapters

Single Highlights with new sections on Priority Areas and State Summaries

Single Intro/Methods

NHQR

  • With benchmarks, DR highlights, and priority population highlights
  • Effectiveness
  • Safety
  • Timeliness
  • Patient Centeredness
  • Care Coordination
  • Efficiency
  • Health System Infrastructure
  • Access

NHDR

  • With benchmarks, QR highlights, and priority population highlights
  • Effectiveness
  • Safety
  • Timeliness
  • Patient Centeredness
  • Care Coordination
  • Efficiency
  • Health System Infrastructure
  • Access
  • Priority Populations Summaries

Slide 5

Slide 5. IOM Benchmark Recommendation

IOM Benchmark Recommendation

  • To the extent that the data are available, the reporting of each measure in the NHQR and NHDR measure set should include routinely updated benchmarks that represent the best known level of performance that has been attained.

Image: Chart shows the following benchmarks: Health People 2010 target, 90%; National benchmark, 74.3%; National average, 57.3%. High and low points are noted by location, race/ethnicity, and income: Oregon, 74.3%, DC, 52%; White, 59.9%; Black, 36.8; Non-Hispanic White, 61.9%; Hispanic, 33.2%; High income, 60.9%; Poor, 45.1%.

Slide 6

Slide 6. Benchmark Methods

Benchmark Methods

  • Setting Achievable Benchmarks:
    • Same in QR and DR
    • Top 10% States
    • Year specific
    • 30+ States with reliable estimates
    • Exclude Territories
  • Calculating Time to Benchmark:
    • Linear regression of data points
    • 4+ data points make a trend (or change in trend)

Slide 7

Slide 7. Pneumococcal Vaccine among Elderly by Race/Ethnicity

Pneumococcal Vaccine among Elderly by Race/Ethnicity

2008 Achievable Benchmark = 63.9%

Image: Line graph shows the following data:

Race/ Ethnicity199920002001200220032004200520062007
Total49.953.454.256.255.75756.357.357.8
Hispanic28.630.53327.631.534.12933.232.4
Black32.830.933.837.437.239.240.736.944.7
White53.256.957.960.459.660.960.561.962.1

Slide 8

Slide 8. Pneumococcal Vaccine among Elderly by Insurance

Pneumococcal Vaccine among Elderly by Insurance

2008 Achievable Benchmark = 63.9%

Image: Line graph shows the following data:

Insurance199920002001200220032004200520062007
Total49.953.454.256.255.75756.357.357.8
Medicare & private53.958.159.360.86061.962.261.861.6
Medicare & public37.344.640.949.649.553.353.357.156.9
Medicare only44.745.347.149.948.448.945.74951.3

Slide 9

Slide 9. Benchmark Example of Improvement

Benchmark Example of Improvement

Images: Two sample benchmarks for adult home health care patients are shown; the percentage of patients approaching the achievable benchmark rises each year.

Slide 10

Slide 10. Benchmark Example of No Improvement

Benchmark Example of No Improvement

Images: Two sample benchmarks for long-stay nursing home residents who need help with daily activities are shown; the percentage of patients remains approximately the same each year.

Slide 11

Slide 11. Children ages 19-35 months who received all recommended vaccines by household income

Children ages 19-35 months who received all recommended vaccines by household income

Slide 12

Slide 12. Ongoing Benchmark Challenges

Ongoing Benchmark Challenges

Image: Line graph shows the following data:

Income200020012002200320042005200620072008
Poor67.268.069.375.076.876.576.576.573.6
Low70.271.069.977.579.178.279.577.878.7
Middle76.175.477.180.982.582.380.681.879.2
High78.879.381.686.787.686.586.384.182.6

Slide 13

Slide 13. Beyond 2010: Fact Sheets / Mini-Reports

Beyond 2010: Fact Sheets / Mini-Reports

  • Focus on Priority Populations:
    • Well-defined audiences
    • Reduced NHDR Priority Populations chapter
    • Opportunity to meet user needs better
  • Every quarter after Report release (3/year):
    • Sustain interest
    • Every priority pop covered every other year
  • Collaboration with:
    • AHRQ Office of Priority Populations
    • Interagency Work Group

Slide 14

Slide 14. Integrated Web Design

Integrated Web Design

  • New integrated site will:
    • Guide users through a cohesive national quality improvement storyline:
      • National priorities? Sub-national targets
      • Reporting information? Taking action
    • Include enhanced features, such as:
      • Guiding questions
      • "Step-by-step" quality improvement tools
      • Achievable benchmarks
      • Similar-state-, sub-population-, and payer- comparisons
      • Easy-to-identify navigational icons
      • Consistency of detail on NHQR/DR methods
      • Glossary of terms

Slide 15

Slide 15. Integrated Components

Integrated Components

Images: Detailed tables from Report appendices; Meters and dials from State Snapshots; Dynamic tables from NHQRDRnet.

Current as of December 2010
Internet Citation: Report Changes in Response to IOM Recommendations. December 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/events/conference/2010/moy2/index.html