Quality Indicators™: Moving Ahead

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Slide 1

Quality Indicators™ (QIs): Moving Ahead

AHRQ Annual Conference 2012
Mamatha Pancholi, MS, Project Officer, Quality Indicators
September 11, 2012

Slide 2

Overview

• Origins of the AHRQ QI.
• Current Modules.
• Efforts in 2012.
• AHRQ QI: Moving Ahead.
• Additional Resources.

Slide 3

Origins

• Developed initially at the request of Healthcare Cost and Utilization Project (HCUP) partners in 1999.
• Using evaluation methodologies developed in the AHRQ Evidence-based Practice Centers (EPC).
• Based on readily available administrative data.
• Incorporating risk-adjustment, reference population to improve reliability and validity.

Image: A series of geometric shapes connected by arrows depict steps in the following process:

• Literature Review / User Data →
• Initial Empirical Analyses and Definition →
• Panel Evaluation →
• Further Empirical Analyses, Refined Definition →
• Further Review? Final Definition.

Slide 4

Current Modules

• Prevention Quality Indicators (PQI) developed in 2000:
  • Area Level.
  • Avoidable hospitalization/other avoidable conditions.
• Inpatient Quality Indicators (IQI) developed in 2002:
  • Mortality, Utilization, Volume.
  • Reflect quality of care in hospitals and across geographic areas.
• Patient Safety Indicators (PSI) developed in 2003:
  • Provider and Area Levels.
  • Complications, unexpected death.
• Pediatric Quality Indicators (PDI) developed in 2006:
  • Provider and Area Levels.
  • Use indicators from other modules adapted for children and neonates.
• Readmission Quality Indicators (RQI) beta release in 2011:
  • Provider and Area Levels.
  • Six conditions relevant to elderly and non-elderly.

Slide 5

Current Modules (cont.)

• Legacy Software and Documentation:
  • Modules most recently updated in March 2012 with the V4.4:
    • Includes the FY2012 ICD-9-CM and MS-DRG coding update.
  • V4.5 scheduled for First Quarter 2013:
    • NQF updates, FY2013 coding update, 2010 reference population from State Inpatient Databases (SID).
  • SAS® and WinQI software releases:
    • Public-use software allows users with inpatient hospital data to calculate and compare their own QI rates.
  • Go to the QI Web site for all the development resources: http://www.qualityindicators.ahrq.gov

Slide 6

Efforts in 2012

• 2012 has focused on building the foundation for the future of the QI:
  • Conversion of the QI to ICD-10-CM/PCS:
    • Go to the report at http://www.qualityindicators.ahrq.gov/modules.
    • Release planned in 2014.
  • A full redesign of the QI software to offer enhanced features and usability:
    • Feedback is welcomed via support@qualityindicators.ahrq.gov.
    • Release(s) planned in 2013-14.
  • Efforts to enhance the QI Web site with search features and other tools to improve access to QI resources.

Slide 7

AHRQ QI: Moving Ahead

• Evaluation of enhanced administrative data:
  • Present on admission, laboratory values, key clinical values.
• Ongoing validation research, methods development and evaluation of user impact.
• Dissemination, outreach and training:
  • User oriented webinars, instructor-lead videos.
  • Topic requests?
• Continued support of MONAHRQ and the QI Toolkit:
  • http://www.monahrq.ahrq.gov.
  • http://www.qualityindicators.ahrq.gov/Resources/Toolkits.aspx.
• Join the QI Listserv for notices on all upcoming efforts: http://www.qualityindicators.ahrq.gov/FAQs_support.

Slide 8

Additional Resources

• Additional Resources.
• Web site: http://qualityindicators.ahrq.gov.
  • QI documentation and software available.
  • Sign up for AHRQ QI listserv.
• Support Email: support@qualityindicators.ahrq.gov.
• Support Phone: (888) 512-6090 (voicEmail).
• Staff: Mamatha.Pancholi@ahrq.hhs.gov.