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Patrick Conway, M.D., MSc CMS Chief Medical Officer and

Unleashing Government Data and Information To Enable Transformation: Next Generation of CMS Compare Data. Patrick Conway, M.D., MSc CMS Chief Medical Officer and Director, Office of Clinical Standards and Quality June 5, 2012. Open Government Data.

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Patrick Conway, M.D., MSc CMS Chief Medical Officer and

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  1. Unleashing Government Data and Information To Enable Transformation: Next Generation of CMS Compare Data Patrick Conway, M.D., MSc CMS Chief Medical Officer and Director, Office of Clinical Standards and Quality June 5, 2012

  2. Open Government Data • Access to high quality data is critical to innovation, quality improvement, and increased efficiency in health care1 • 3 Keys to success • Expansion of data access • Leverage nongovernmental partners and applications • Improve data iteratively and focus on data and information as a line of business • Data has the power to transform care by providers, inform consumers, and drive disruptive innovations 1 Conway PH and Vanlare JM. Improving Access to Health Care Data. The Open Government Strategy. JAMA. 2010 Sep 1;304(9):1007-8.

  3. Overview • Examples of Compare Sites with related data and future directions • Moving to easier data access and use

  4. Physician Compare • Launched as physician compare in 2010 • Physician Compare currently has information on approximately 800,000 Medicare enrolled providers • Provides information on physicians and other healthcare professionals such as: • Name • Address and phone number • Specialties • Clinical training • Gender • Written and spoken language • Hospital affiliation • Physician Quality Reporting System and e-rx participation

  5. Physician Compare Future • Scheduled for a full site redesign in early 2013 • Future measures and information to be added to the site include: • PQRS, EHR, and MOC Participation • PQRS Group Practice Reporting Option (GPRO) Participation and performance • Patient experience measures • Performance measures • Downloadable data, while not currently available, is strongly under consideration

  6. Hospital Compare • Initially launched March 31, 2005 • Redesign released July 2010 • Features • Hospital Demographic Data • Hospital Process of Care Measures • Hospital Outcome of Care Measures • Patients’ Hospital Experience Measures • Patient Safety Measures • Recently efficiency measure added • Volume Data • Data is same data used for hospital value based purchasing • Plan for future enhancements in terms of data timeliness and ease of data access

  7. Dialysis Facility Compare • Posting of data for dialysis facilities across the U.S. • Measures relevant to end stage renal disease patients • Measures drive payment for dialysis facilities • There will be a major redesign to bring DFC into alignment with the look, feel, and functionality of the other Compare Tools. • Additional measures will be added at the time of the transition in platforms.

  8. Home Health Compare • Initial launch October 2003 • Redesign released October 2010 • Features • Find and compare Home Health Agencies that serve your area • Agency demographics • Patient Care Quality Measures

  9. Nursing Home Compare • Initial Launch October 1998 • Features • Find and compare nursing homes in ones area • Nursing home demographics • Quality measures • Nurse staffing • “Star” ratings • Downloadable data

  10. Nursing Home Compare Redesign – July 2012Current homepage New homepage New look, new quality measures, new information

  11. Survey Report on Nursing Home Compare – Transparency in Action

  12. The Potential for Government Data to Enable Transformation and CMS Compare Tools • Google analytics – our new platform for Compare Tools • Data now more reliable • Develop and use metrics that ensure we’re having the intended effect • Funnel Conversions: Ways to see how users are moving through the workflow, and where they get stuck.

  13. First Quarter Page Views

  14. Web Services Architecture • All compare data on data.medicare.gov is machine readable. • Starting with July 2012 release, data for all tools will be updated on data.medicare.gov at the same time as the data on the sites.

  15. Web Services Architecture • Benefits of web services architecture --Data.medicare.gov - Enables other audiences to embed/reuse CMS data via an application programming interface (API). • Datasets can be customized and saved by users at low cost. • We can embed datasets on the Compare tools from data.medicare.gov and other users can embed our datasets onto their sites.

  16. Web Services Architecture • We/others can combine our data with other sets (i.e., maps). • We/others can customize and tell stories with our data. • Ultimately, we will transition the downloadable databases for all tools to the data.medicare.gov platform.

  17. Strategies for the future • Mobile versions of the tools • Mobile applications • Make our data available whenever possible so external stakeholders can put the data to use to improve the health system • Give us your best ideas and suggestions

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