Nevada takes flight with MONAHRQ

1. Nevada takes flight withMONAHRQ Center for Health Information Analysis (CHIA) Joseph A. Greenway

2. Overview • Introduction • Nevada’s political and budgetary status • Averted failure – MONAHRQ saves the day • Where does Nevada stand today • Our wish list • Summary and conclusion

3. Introduction • The million dollar space pen • Innovation comes at a cost • Shared efforts stretch limited resources

4. Introduction • The million dollar space pen • Innovation comes at a cost • Shared efforts stretch limited resources

5. Nevada’s status • Assemblywoman Sheila Leslie is a visionary • The battle for transparency • The endoscopy scandal (the leverage) • The passage of Assembly Bill 146 (AB146) • Data collection begins • The need to post to the public is looming • A big project with a little budget

6. Nevada’s status • Assemblywoman Sheila Leslie is a visionary • The battle for transparency • The endoscopy scandal (the leverage) • The passage of Assembly Bill 146 (AB146) • Data collection begins • The need to post to the public is looming • A big project with a little budget

7. Nevada’s status • Assemblywoman Sheila Leslie is a visionary • The battle for transparency • The endoscopy event (the leverage) • The passage of Assembly Bill 146 (AB146) • Data collection begins • The need to post to the public is looming • A big project with a little budget

8. MONAHRQ Saves the Day • Beta testers of MONAHRQ • A ton of bricks lifted from our shoulders • DRGs, Diagnoses, Procedures, Quality Indicators • The difficulties and delays, and the budgetary pressures

9. MONAHRQ Saves the Day • Beta testers of MONAHRQ • A ton of bricks lifted from our shoulders • DRGs, Diagnoses, Procedures, Quality Indicators • The difficulties and delays, and the budgetary pressures

10. Where does NV Stand Today?

11. Where does NV Stand Today?

12. Where does NV Stand Today?

17. Our Wish List • I would like MONAHRQ to be able to post hospital outpatient (OP) data • HCPCS • Rate Codes • Outpatient DRGS (EAPGs ???) • I’d like it to treat the OP types uniquely • Emergency Department • Outpatient Surgery • Other OP

18. Our Wish List • I’d like (where appropriate) MONAHRQ to compare Inpatient with Outpatient data (inter and intra hospital) • I wish that a future version of MONAHRQ would incorporate Ambulatory Surgical Center data • Treat each ASC type uniquely • Compare to hospital OP data (where appropriate)

19. Summary and Conclusion • MONAHRQ has been a godsend in Nevada. When budgetary constraints and political pressures put the need for public results into the forefront, MONAHRQ saved the day. • I strongly recommend that MONAHRQ be used by all those that need to post health billing data.

20. Questions???