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Table 6.4. Suggested Improvements to Service Supporting the AHRQ QIs

Evaluation of the Use of AHRQ and Other Quality Indicators

Number (percent) of interviewees making the recommendationRecommendation
10(19%)Provide a template and guidance for using the QIs for public reporting
10(19%)Provide guidance on next steps for improving quality once a potential opportunity for improvement is flagged by the QIs
8(15%)Collaborate with other organizations to create a national standard set of measures
8(15%)Make QIs more user-friendly (such as simpler indicator names)
7(13%)Increase responsiveness and speed of user support
6(11%)Expand outreach and marketing to more people and more audiences
6(11%)Provide guidance for how consumers should interpret values of QIs
5(9%)Provide benchmark QI values for various populations
4(7%)Add a greater educational component to outreach and user support
4(7%)Develop a comprehensive list of who is using the QIs, how they are using them, and impact they are having
4(7%)Provide funding for research studies using the QIs
3(6%)Improve the process of incorporating feedback from users on the QIs
3(6%)Provide guidance on how coding of discharge data can be improved
2(4%)Choose 1 statistical software package (SAS or SPSS) and drop the other; also drop/cut back on the PC application
2(4%)Contract with other organizations to provide outreach, education, user support, and to disseminate information
2(4%)Make the Fact book series more accessible
1(2%)AHRQ staff should do communication and relationship-building directly with state agencies rather than using a contractor
1(2%)Develop basic educational materials appropriate for local/hospital level (QI director) rather than a researcher, who is already familiar with material, and disseminate them widely
1(2%)Develop something like the Dartmouth Atlas charts showing geographic variations in QIs – would help choose which QIs to report
1(2%)Make formulas easier to access – some formulas are buried in documents and SAS code and some are missing from documentation
1(2%)Provide code for STATA
1(2%)Provide FAQs, list of questions already answered, for quick reference
1(2%)Provide outreach to promote use of PQIs
1(2%)Provide print outreach materials, not just email
1(2%)Provide software for Macintosh computers
1(2%)Standardize the layout/organization of documentation across measure sets

Source: RAND analysis of interview responses.

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Current as of December 2007
Internet Citation: Table 6.4. Suggested Improvements to Service Supporting the AHRQ QIs: Evaluation of the Use of AHRQ and Other Quality Indicators. December 2007. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/final-reports/qualityindicators/tab6-4.html