Evaluation of the Use of AHRQ and Other Quality Indicators
Table 3.4. Users of the AHRQ Qis
|Organization Name||Type of Report||Description||QIs used||Citation|
|AFSCME Council 31||One-time report||The union published a report on quality at Resurrection Health Care hospitals after complaints about quality from workers.||IQIs 15-20||AFSCME Council 31. The High Price of Growth at Resurrection Health Care: Corporatization and the Decline of Quality of Care. November 2005. Available at: http://www.afscme31.org/cmaextras/qualityofcare.pdf, last accessed January 2006.|
|California Office of Statewide Health Planning & Development||Interactive tool and periodic written reports||A Web site includes an interactive tool for hospital comparison on selected IQIs and other risk-adjusted mortality indicators.||IQIs 1, 2, 4-7, 21-23, 33, 34; PDI 7||California Office of Statewide Health Planning and Development. "Consumer Information on Quality of Care." Available at: http://www.oshpd.ca.gov/oshpdKEY/qualityofcare.htm, last accessed September 2006.|
|Chicago Department of Public Health||Periodic report||Chicago runs a Web site providing a health profile of city community areas, including PQIs.||PQIs (all except 2,9)||City of Chicago. "Community Health Profiles." Available at: http://www.cchsd.org/cahealthprof.html, last accessed September 2006.|
|Colorado Health and Hospital Association||Periodic report||Hospital reports are shared among hospitals and published on a Web site.||IQIs 15-20, 12-14, 30, 31, 4-7||http://www.hospitalquality.org/index.php , last accessed November 2005.|
|Connecticut Office of Health Care Access||One-time report||Databook on preventable hospitalizations.||PQIs (all)||Office of Health Care Access Databook. Preventable Hospitalizations in Connecticut: Assessing Access to Community Health Services. FY2000-2004. Available at: http://www.ct.gov/ohca/lib/ohca/publications/acsc_databook00-04.pdf, last accessed November 2005.|
|Excellus Blue Cross/Blue Shield||Interactive tool||Online hospital comparison tool for health plan members only.||Unspecified (members only)||https://www.excellusbcbs.com/guests/ find_a_doctor_or_hospital/click_and_compare.shtml#, last accessed September 2006.|
|Exempla Healthcare||Periodic report||Exempla publishes quality information on its hospitals on its Web site. (The same results are also reported by the Colorado Health and Hospital Association).||IQIs 12-20, 30, 31||http://www.exempla.org/about/quality/ MortalityReportExemplaELMCandESJH51105.htm, last accessed September 2006.|
|Florida State Center for Health Statistics||Interactive tool||Online hospital comparison tool.||PSIs 3, 6-8, 12, 13; IQIs 8-20, 32||http://www.floridacomparecare.gov/, last accessed September 2006.|
|Georgia Partnership for Health and Accountability||Periodic report||A periodic report on health in Georgia includes a chapter on avoidable hospitalizations.||PQIs 3, 5, 8, 10, 11, 15||Georgia Partnership for Health & Accountability. The State of the Health of Georgia, 2004: Ambulatory Care Sensitive Conditions. Available at: http://www.gha.org/pha/publications/stateofthehealth/2004/ACS112704.pdf, last accessed November 2005|
|Massachusetts Dept. of Health and Human Services||Interactive tool||Online hospital comparison tool.||IQIs 14, 16-20, 32, 21, 33, 34||www.mass.gov/healthcareqc/, last accessed September 2006.|
|Missouri Department of Health and Senior Services||Periodic report||Comparison of hospital surgery volume to help consumers choose a hospital.||IQIs 1, 2, 4-7; PDI 7||http://www.dhss.mo.gov/HospitalSurgeryVolume/index.html|
|Niagara Health Quality Coalition and Alliance for Quality Health Care||Interactive tool||Online hospital comparison tool.||IQIs 1-25||http://www.myhealthfinder.com/, last accessed September 2006.|
|Norton Healthcare||Interactive tool||Health system publishes quality data for its hospitals on its Web site.||PSIs 1-6, 8-16, 18-20; IQIs 1, 2, 4-9, 11-20, 22-24, 30, 31, 34; PDIs 2, 3, 4-9, 11, 13||http://www.nortonhealthcare.com/about/qualityreport/index.aspx, last accessed September 2006.|
|Ohio Department of Health||Periodic report||Online comparison of avoidable hospitalizations by county.||PQIs 1, 4, 5, 7, 8, 11, 14, 15||http://www2.odh.ohio.gov/Data/CntyPfls/primcare1.htm, last accessed September 2006.|
|Oregon||Interactive tool||Online hospital comparison tool and a report on Oregon' safety net by the Safety Net Advisory Council.||IQIs 11, 12, 15-17, 19, 20, 30; PQIs 3, 5, 8, 10, 11, 12, 15||http://egov.oregon.gov/DAS/OHPPR/HQ/HospReports.shtml (IQIs)
http://www.oregon.gov/DAS/OHPPR/SNAC/SNACWelcomePage.shtml #Power_Point_Presentations (PQIs)
|Rhode Island||One-time report||Report on hospital procedure volumes. Future reports on IQIs and PSIs in preparation.||IQIs 1-7||Williams KA, Buechner JS. Health by Numbers Vol. 6, No. 2. February 2004. Available at: http://www.health.ri.gov/chic/statistics/hbn_feb2004.pdf, last accessed December 2005.|
|Texas Health Care Information Collection||Interactive tool||Online hospital comparison tool.||IQIs 1-14, 16-20, 22-25, 30-33; PQIs (all)||http://www.dshs.state.tx.us/THCIC, last accessed September 2006.|
|The Alliance (Wisconsin)||Periodic report||QualityCounts report on hospital safety performance. The report is based on AHRQ PSIs but modifies them for reporting.||PSIs 3, 6, 7, 8, 12, 17; IQI 33||http://www.qualitycounts.org/, last accessed September 2006|
|Utah Department of Public Health||Periodic report||Web site providing health information for geographic areas. Three PQIs are included with numerous health status and other measures. State-level IQI results are presented on a one-page poster, available online.||PQIs 11, 4, 1+3+14 combined; IQIs (all)||PQIs: http://ibis.health.utah.gov/indicator/index/alphabetical.html
|Vermont Department of Banking, Insurance, Securities & Health Care Administration||Periodic report||Online hospital comparison report.||IQIs 1, 2, 4-9, 11, 12, 30, 31; PDIs 6, 7||http://www.bishca.state.vt.us/HcaDiv/HRAP_Act53/HRC_BISHCAcomparison_2006/ BISHCA_HRC_compar_menu_2006.htm, last accessed September 2006.|
Source: RAND analysis of environmental scan results.
Note: "Public reporting" was defined as a publicly available report that compares AHRQ QI results between hospitals or geographic areas such as counties. Not all of the public reports identified in this table are intended to influence consumers' choice of provider.
"One-time reports" are published comparisons that are not labeled as an ongoing activity.
"Periodic reports" are published comparisons, updated periodically, that are in static format (e.g., documents available as .pdf files online).
"Interactive tools" are online comparisons that allow users to create customized reports (e.g., selection of providers or indicators of interest).