Preview: MONAHRQ 2.0 (Text Version) Slide presentation from the AHRQ 2010 conference. On September 27, 2010, Carol Sniegoski made this presentation at the 2010 Annual Conference. Select to access the PowerPoint® presentation (2.5 MB). Free PowerPoint® Viewer (Plugin Software Help).Slide 1Preview: MONAHRQ 2.0ETA: December 2010Carol SniegoskiAHRQ Annual ConferenceSeptember 27, 2010Slide 2Future MONAHRQs (Estimated)June 2010: MONAHRQ 1.047 AHRQ QIsHospital rates and costsArea rates and costsOctober 2010: MONAHRQ 1.1FY10 coding updatesAdditional AHRQ QIsDecember 2010: MONAHRQ 2.0More AHRQ QIsMore measuresUpdated user interfaceApril 2011: MONAHRQ 2.1FY11 coding updatesEven more AHRQ QIsSeptember 2011: MONAHRQ 3.0TBDSlide 3MONAHRQ 1.0Hospital Quality PathMany AHRQ Inpatient QIs (provider level)Many AHRQ Patient Safety QIs (provider level)Hospital Utilization PathProcedure and condition rates and costs by areaArea Preventable Hospitalizations PathAHRQ Inpatient QIs (area level)AHRQ Patient Safety QIs (area level)AHRQ Prevention QIsArea Rates PathProcedure and condition rates and costs by hospitalSlide 4MONAHRQ 2.0Hospital Quality PathAll AHRQ Inpatient QIs (provider level)All AHRQ Patient Safety QIs (provider level)Hospital Compare inpatient measuresHospital Utilization PathProcedure and condition rates and costs by hospitalArea Preventable Hospitalizations PathAHRQ Inpatient QIs (area level)AHRQ Patient Safety QIs (area level)AHRQ Prevention QIsArea Rates PathProcedure and condition rates and costs by areaSlide 5Quick Guide: AHRQ Quality Indicators in MONAHRQ 1.0(2010)2.0(2010)3.0(2011)AHRQ Inpatient QIsSXXAHRQ Patient Safety QIsSXXAHRQ Neonatal QIsNSXAHRQ Pediatric QIsNNXAHRQ Prevention QIsXXXX—IncludedS—Some IncludedN—Not IncludedSlide 6Quick Guide: Hospital Compare Measures in MONAHRQ 1.0(2010)2.0(2010)CMS Process Measures, InpatientSurgical care improvementNXHeart attackNXHeart failureNXPneumoniaNXChildren's asthma careNXCMS Outcome Measures 30-Day Mortality and Readmissions)Heart attackNXHeart failureNXPneumoniaNXCMS Structural MeasuresNXHCAHPS MeasuresNXCMS Outpatient Imaging Efficiency MeasuresNNCMS Process Measures, OutpatientNNCMS Hospital Acquired Conditions (Sep 2010)NNMedicare Payment and Volume InformationNNX—IncludedS—Some IncludedN—Not IncludedSlide 7Hospital Compare Measure Results and MONAHRQMOHAHRQ 1.0 model: Calculate your own measure resultsStep 1: You download MONAHRQStep 2: You load your dataStep 3: You calculate measure resultsStep 4: You generate a WebsiteSlide 8Hospital Compare Measure Results and MONAHRQMOHAHRQ 2.0 model:Calculate your own measure results and/or Load precalculated measure resultsStep 1You download MONAHRQYou download CMS measure resultsStep 2You load your dataYou link hospitalsYou load CMS measure resultsStep 3You calculate measure resultsStep 4You generate a WebsiteSlide 9Handling Hospital Compare Measure ResultsWe download the publicly available Hospital Compare measure results file from CMS.We clean, format, and test the file to make sure it works with MONAHRQ.We post the cleaned file to the MONAHRQ site.You go to the MONAHRQ site and download the cleaned CMS measure results file.You load the CMS measure results file and/or your own administrative data into MONAHRQ and generate a Web site.Slide 10Update Cycles Annual refresh dates MarJunSepDecCMS inpatient process measure results*XXXXCMS inpatient outcome measure results*NXNNHCAHPS results*XXXXMONAHRQ software updates FY coding updatesUpdates to internal supplemental filesNXNNX—IncludedS—Some IncludedN—Not Included* According to information in document "Hospital.pdf," version dated 03/09/10, in the Hospital Compare downloadable databaseSlide 11New Look and Feel: Home PageA screen shot of the revamped Health Care Information Portal is shown.A new feature: New hospital quality path is highlighted.Slide 12New Search PageA screen shot of the Health Care Information Portal is shown.New features include: Select health topic, Tab between consumer and professional paths, and Select hospitals. Slide 13New Hospital SearchA screen shot of the Health Care Information Portal is shown.New features include: Select radius in miles, Enter ZIP code, Search by ZIP code or by region, and Find hospitals. Slide 14New Hospital SearchA screen shot of the Health Care Information Portal Select Hospitals for Comparison page is shown.New features include: Hospital list appears and Select one or more hospitals. Slide 15New Health Topic SearchA screen shot of the Health Care Information Portal is shown.New features include: Select health topic and Topic description appears. Slide 16New Search PageA screen shot of the Health Care Information Portal is shown.New features include: Submit to go to classification table page. Slide 17New Classification TableA screen shot of the Health Care Information Portal is shown.New features include: Consumer path: red / yellow / green icons; Professional path: numbers with confidence intervals; and Two-way scrolling. Slide 18New Classification TableA screen shot of the Health Care Information Portal is shown.New features include: Tab for outcome measures, Tab for process measures, and Tab between subgroups. Slide 19New Classification TableA screen shot of the Health Care Information Portal is shown.New features include:Sortable column for each indicator.New classification icons: Above averageAverageBelow averageTop 10%Above medianBelow medianSwitch between benchmarks: input file and national.Slide 20New Classification TableA screen shot of the Health Care Information Portal is shown.New features include: Professional path: drill down to either bar charts or detailed statistics; and Consumer path: drill down to bar charts view.Slide 21MONAHRQ Learning NetworkGoalsFacilitate MONAHRQ adoptionGather feedbackTimeframeThrough June 2011ParticipantsMONAHRQ adopters and serious potential adoptersProgressRecruitment complete: 32 committed participantsKickoff meeting after NAHDO conference, October 14Slide 22MONAHRQ Learning NetworkType of OrganizationNumber of ParticipantsHCUP Partner16Other6Other State Organization3Other University2Individual Hospital1CVE8Slide 23MONAHRQ Learning Network Participant LocationsImage of a map showing the states that are network participants. They include:WAORCANVUTNMTXOKARMSTNKYMIWVVAMDNJCTNYVTNHMESlide 24MONAHRQ Websitewww.monahrq.ahrq.govA screen shot of the home page of www.monahrq.ahrq.gov is shown.Slide 25MONAHRQ Websitewww.monahrq.ahrq.govA screen shot of the frequently asked questions page of www.monahrq.ahrq.gov is shown.Slide 26Websites Generated Using MONAHRQA screen shot of the Websites Generated Using MONARQ page of www.monahrq.ahrq.gov is shown.Slide 27Websites Generated Using MONAHRQA screen shot of the Hawaii Health Information Corporation web page is shown.Slide 28Websites Generated Using MONAHRQA screen shot of the Nevada Compare Care web page is shown.Slide 29Questions?monahrq.ahrq.govA screen shot of the Nevada Compare Care and Hawaii Health Information Corporation web pages are shown.Slide 30Questions?Slide 31Websites Generated Using MONAHRQA screen shot of the Nevada Compare Care and Hawaii Health Information Corporation web pages are shown.Slide 32Data Refresh Cycles Refresh rateData periodData lagCMS process measures*Quarterly(Sep, Dec, Mar, Jun)12 months9 monthsCMS mortality and readmissions measures*Annually(Jun)36 months12 monthsHCAHPS patient experience measures*Quarterly(Sep, Dec, Mar, Jun)12 months9 monthsCensus data for population denominators in area rates and area-level AHRQ QIsAnnually(?)12 months? months* According to information in document "Hospital.pdf," version dated 03/09/10, in the Hospital Compare downloadable database.Slide 33MONAHRQ Learning NetworkType ofOrganizationNumber ofParticipantsHCUP Partner16Other6Other State Organization3Other University2Individual Hospital1CVE8Slide 34MONAHRQ Learning NetworkType ofOrganizationNumber ofParticipantsHCUP Partner16Other6Other State Organization3Other University2Individual Hospital1CVE8Slide 35MONAHRQ Learning NetworkType ofOrganizationNumber ofParticipantsHCUP Partner16Other6Other State Organization3Other University2Individual Hospital1CVE8Slide 36Quick Guide: AHRQ Quality Indicators in MONAHRQ 1.0(Jun 2010)1.1(Oct/Nov2010)2.0(Dec2010)2.1April/May 2011AHRQ Inpatient QIs* IQI2NXXXIQI5NXXXIQI9NXXXIQI12NXXXIQI13NXXXIQI18NXXXIQI19NXXXIQI20NXXXIQI21NNXXIQI33NNXXIQI34NNXXAHRQ Patient Safety QIs* PSI 3NXXXPSI 5NNXXPSI 7NXXXPSI 9NXXXPSI 16NNXXAHRQ Neonatal QIs - AllNNSXAHRQ Pediatric QIs - AllNNNXAHRQ Prevention QIs - AllXXXXX—IncludedS—Some IncludedN—Not Included* Any individual AHRQ QIs not listed are already included in MONARQ 1.0Slide 37Quick Guide: Hospital Compare Measures in MONAHRQ 1.x 2.0(Dec 2010)3.0(Sep 2011)CMS Process Measures, InpatientSurgical care improvementNXXHeart attackNXXHeart failureNXXPneumoniaNXXChildren's asthma careNXXCMS Outcome Measures 30-Day Mortality and Readmissions)Heart attackNXXHeart failureNXXPneumoniaNXXCMS Structural MeasuresCardiac Surgery Registry ParticipationNXXHCAHPS MeasuresNXXCMS Outpatient Imaging Efficiency MeasuresNNNCMS Process Measures, Outpatient (Jun 2010)NNNCMS Hospital Acquired Conditions (Sep 2010)NNNX—IncludedS—Some IncludedN—Not IncludedSlide 38Data Update Cycles Annual refresh datesData periodData lag MarJunSepDecCMS inpatient process measure results*XXXX12 months9 monthsCMS inpatient outcome measure results*NXNN36 months12 monthsHCAHPS results*XXXX12 months9 monthsMONAHRQ software updates FY coding updatesCensus data: Area ratesArea-level AHRQ QIsRisk Adjustment Data: Provider-level AHRQ QIsFIPS data: Areas and mapsNXNN12 months, including yearly historical data since 1996? monthsX—IncludedS—Some IncludedN—Not Included* According to information in document "Hospital.pdf," version dated 03/09/10, in the Hospital Compare downloadable databaseSlide 39Update Cycles Annual refresh datesData periodData lag MarJunSepDecCMS inpatient process measure results*XXXX12 months9 monthsCMS inpatient outcome measure results*NXNN36 months12 monthsHCAHPS results*XXXX12 months9 monthsMONAHRQ software updates FY coding updatesUpdates to internal supplemental filesNXNN12 months, including yearly historical data since 1996? monthsX—IncludedS—Some IncludedN—Not Included* According to information in document "Hospital.pdf," version dated 03/09/10, in the Hospital Compare downloadable database Current as of December 2010 Internet Citation: Preview: MONAHRQ 2.0 (Text Version). December 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/events/conference/2010/sniegoski/index.html
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