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A Web-Based Tool for Quality and Utilization Reporting

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. MONAHRQ – My Own Network, powered by AHRQ Transforming your health care data into information

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A Web-Based Tool for Quality and Utilization Reporting

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  1. 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

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

  3. 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? Rationale

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

  5. Key features of MONAHRQ... Currently based on hospital discharge data Host user downloads MONAHRQ software from AHRQ website Software Host user applies software to own data locally • Internally to better understand own data and to answer questions • To member organizations, e.g., through a password protected site • Publiclyto provide information to the community Host user creates local website on their own server Host user makes website available

  6. The End User Website - Demo • Select the information you want: • QUALITY INDICATORS • AVOIDABLE HOSPITALIZATIONS • RATES • UTILIZATION

  7. Two quality paths to choose from One path for the lay public and one path for analysts and the health care profession.

  8. Select a health topic AHRQ Quality Indicators grouped into health topics that have been consumer-tested for salience and understandability.

  9. Select specific Quality Indicators Specific AHRQ Quality Indicators under a health topic– select all or choose indicators of interest.

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

  11. Consumer path on Quality Indicators* Arrays information on up to four hospitals for the indicators selected. Click on any indicator and get detailed information in graphic form. * Synthetic data

  12. Details in graphic form* Get details for each hospital in rank order, compared to the state average. * Synthetic data

  13. Detailed path on Quality Indicators The detailed path provides more information for each indicator.

  14. Overall results for the state* • 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

  15. Results by individual hospital* • Information by hospital on: • numerators • denominators • observed, expected and risk-adjusted rates • confidence intervals • Institution names can be masked or unmasked. * Synthetic data

  16. Click to see data graphically* Risk-adjusted rate by hospital compared to state average * Synthetic data

  17. Utilization path Utilization statistics (similar to information from HCUPnet)

  18. Utilization across all conditions, entire state* • All conditions for the entire database, listed by number of discharges • Click on any column header to re-sort by: • charges/costs • LOS or • condition/procedure * Synthetic data

  19. Utilization on individual conditions… Can also search for utilization information on individual conditions

  20. … for individual hospitals

  21. Detailed utilization for all hospitals* • Information on: • numbers of discharges, • charges, • costs, • length of stay • for all hospitals individually. • National, regional, and state benchmarks included. * Synthetic data

  22. More details for individual hospitals* • The same information is available for individual hospitals, by • age group • gender • payer • race * Synthetic data

  23. Potentially Avoidable Hospitalizations

  24. Ambulatory care sensitive conditions Potentially Avoidable Hospitalizations – AHRQ’s Prevention Quality Indicators (PQIs – ambulatory care sensitive conditions) and …

  25. Other area-level indicators … Area-level patient safety and procedure rates

  26. Map of rates by county* 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

  27. Potential cost savings – reducing preventable admissions* Details on avoidable admissions by county, including cost savings. Can download to Excel. * Synthetic data

  28. Rates of Conditions and Procedures Path Rates of health conditions and procedures – Use county populations as the denominator in prevalence rates

  29. Groupings of diagnoses and procedures Can get information on prevalence of conditions or procedures by DRG, MDC, or CCS

  30. Search function Search by keyword

  31. Tabular results by county* 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

  32. Map of rates by county* Rates for specific conditions and procedures by county – Highest rates in dark blue, lowest rates in light blue * Synthetic data

  33. How do you get there?

  34. Import Data Wizard • 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.

  35. Select your data file

  36. Map data elements You map your data to the format required by MONAHRQ by clicking and dragging data elements.

  37. Map input values You then define your data elements to values understood by MONAHRQ (based on UB04 standard).

  38. Load your data

  39. Run analysis

  40. Hospital load* You can mask hospital names and assign Cost to Charge Ratios if you have CMS provider ID. * Synthetic data

  41. Build your website

  42. MONAHRQ Website Wizard The Website Wizard takes you through a step-by-step process of processing your data and building your website.

  43. Cell suppression and other parameters Set thresholds for cell suppression (to protect confidentiality) and other parameters.

  44. Select which measures to include in website Can specify which QIs to include. Measures endorsed by the National Quality Forum are identified.

  45. Customize your website • 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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