A Web-Based Tool for Quality and Utilization Reporting

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MONAHRQ
A Web-Based Tool for Quality and Utilization Reporting

Visit our Web site at: www.monahrq.ahrq.gov

For technical assistance and to get on the MONAHRQ mailing list,email: monahrq@ahrq.gov

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MONAHRQ — My Own Network, powered by AHRQ
Transforming your health care data into information about health, costs, and quality of care.

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Rationale

  • Why should it be so expensive to generate and put out basic information?
  • Why should information be so hard to get?
  • Why does every organization have to reinvent the wheel?

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From Data to Information to Action

  • Hospital discharge data are already being collected
  • Hospital discharge data can generate valuable health care information
    • Utilization and costs of care in hospital
    • Rates of procedures in particular areas
    • Rates of diseases in particular areas
    • Preventable hospital stays that indicate breakdowns in care
    • Quality of care in hospitals
  • Information can be used to make decisions

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Key features of MONAHRQ...
 

  1. Currently based on hospital discharge data
  2. Host user downloads MONAHRQ software from AHRQ website
  3. Host user applies software to own data locally
  4. Host user creates local website on their own server
  5. Host user makes website available

Results:

  • Internally to better understand own data and to answer questions
  • To member organizations, e.g., through a password protected site
  • Publicly to provide information to the community

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The End User Website - Demo

Select the information you want:

  • Quality Indicators
  • Avoidable Hospitalizations
  • Rates
  • Utilization

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Two quality paths to choose from

Slide explanation box: One path for the lay public and one path for analysts and the health care profession.

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Select a health topic

Slide explanation box: AHRQ Quality Indicators grouped into health topics that have been consumer-tested for salience and understandability.

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Select specific Quality Indicators

Slide explanation box: Specific AHRQ Quality Indicators under a health topic — select all or choose indicators of interest.

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Select hospitals

Slide explanation box: Select hospitals from the entire dataset or from specific regions. Default in MONAHRQ is to list hospitals by name, but names can be masked.

  • Choose a region or select from all hospitals (with range of regions to choose)
  • Select up to four individual hospitals (with range of hospitals to choose)

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Consumer path on Quality Indicators*

Slide explanation box: Arrays information on up to four hospitals for the indicators selected. Click on any indicator and get detailed information in graphic form.

*Synthetic data

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Details in graphic form*

Slide explanation box: Get details for each hospital in rank order, compared to the state average.

* Synthetic data

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Detailed path on Quality Indicators

Slide explanation box: The detailed path provides more information for each indicator.

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Overall results for the state*

Slide explanation box: Information on specific indicators for the entire dataset:

  • numerators
  • denominators
  • observed, expected and risk-adjusted rates
  • confidence intervals

Click on indicator for hospital-specific information

* Synthetic data

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Results by individual hospital*

Slide explanation box: Information by hospital on:

  • numerators
  • denominators
  • observed, expected and risk-adjusted rates
  • confidence intervals

Institution names can be masked or unmasked.

* Synthetic data

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Click to see data graphically*

Slide explanation box: Risk-adjusted rate by hospital compared to state average

* Synthetic data

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Utilization path

Slide explanation box: Utilization statistics (similar to information from HCUPnet)

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Utilization across all conditions, entire state*

Slide explanation box: All conditions for the entire database, listed by number of discharges

Click on any column header to re-sort by:

  • charges/costs
  • LOS
  • percent died or
  • condition/procedure

* Synthetic data

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Utilization on individual conditions...

Slide explanation box: Can also search for utilization information on individual conditions

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... for individual hospitals

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Detailed utilization for all hospitals*

Slide explanation box: Information on:

  • numbers of discharges,
  • charges,
  • costs,
  • length of stay,
  • percent died

for all hospitals individually.

National, regional, and state benchmarks included.

* Synthetic data

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More details for individual hospitals*

Slide explanation box: The same information is available for individual hospitals, by

  • age
  • group
  • gender
  • payer
  • race

* Synthetic data

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Potentially Avoidable Hospitalizations

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Ambulatory care sensitive conditions

Slide explanation box: Potentially Avoidable Hospitalizations— AHRQ's Prevention Quality Indicators (PQIs — ambulatory care sensitive conditions) and

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Other area-level indicators

Slide explanation box: Area-level patient safety and procedure rates

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Map of rates by county*

Slide explanation box: Rates for avoidable admissions by county — Highest rates in dark blue, lowest rates in light blue

Click on Summary Table for more details

* Synthetic data

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Potential cost savings -- reducing preventable admissions*

Slide explanation box: Details on avoidable admissions by county, including cost savings.

Can download to Excel.

* Synthetic data

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Rates of Conditions and Procedures Path

Slide explanation box: Rates of health conditions and procedures — Use county populations as the denominator in prevalence rates

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Groupings of diagnoses and procedures

Slide explanation box: Can get information on prevalence of conditions or procedures by DRG, MDC, or CCS

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Search function

Slide explanation box: Search by keyword

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Tabular results by county*

Slide explanation box: For all counties in the state: numbers of discharges and rate per 100,000 population.

Sort by column headers.

Click on Map to view graphic display.

* Synthetic data

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Map of rates by county*

Slide explanation box: Rates for specific conditions and procedures by county — Highest rates in dark blue, lowest rates in light blue

* Synthetic data

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How do you get there?
 

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Import Data Wizard

Slide explanation box: The Import Data Wizard takes you through a step-by-step process of:

  • importing your data,
  • mapping it to the format required by MONAHRQ,
  • analyzing the data, and
  • defining your hospitals and regions.

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Select your data file
 

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Map data elements

Slide explanation box: You map your data to the format required by MONAHRQ by clicking and dragging data elements.

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Map input values

Slide explanation box: You then define your data elements to values understood by MONAHRQ (based on UB04 standard).

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Load your data

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Run analysis

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Hospital load*

Slide explanation box: You can mask hospital names and assign Cost to Charge Ratios if you have CMS provider ID.

* Synthetic data

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Build your website

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MONAHRQ Website Wizard

Slide explanation box: The Website Wizard takes you through a step by step process of processing your data and building your website.

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Cell suppression and other parameters

Slide explanation box: Set thresholds for cell suppression (to protect confidentiality) and other parameters.

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Select which measures to include in website

Slide explanation box: Can specify which QIs to include.

Measures endorsed by the National Quality Forum are identified.

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Customize your website

Slide explanation box: Specify your website:

  • where it should be stored
  • which pages you want to include
  • specifics about the style
  • insert your logo
  • what the website calls your data

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Current as of June 2011
Internet Citation: A Web-Based Tool for Quality and Utilization Reporting. June 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/monahrq/archives/presentation/index.html