2018 Q4 Update Quality Transparency Dashboard

November 2018

Today’s Speakers and Subject Matter Experts

Scott Masten, PhD Director, Performance Analytics

Steve Pon, MBAProject Manager

Lynn Forsey, PhD, RN, CPHQ, CPPSDirector, Technical Assistance and Support

Advancing Transparency in Hospital Quality Data

A Partnership of:• California Hospital Association• Patient Safety Movement Foundation• Hospital Quality Institute

To Provide Consumers with:• Easily accessible, meaningful information about hospital

quality

Why: Transparency is our Future

• Transparency is linked to improvement• Increased quality transparency for hospitals is our future• HQI was established by hospitals to support and facilitate

patient safety and quality performance • HQI is NOT: governmental, regulatory, accrediting• Now is the time for hospitals to lead this movement

Progress: Over halfway to the goal!

http://www.hqinstitute.org/post/hospital-quality-transparency-dashboard-scorecard

Statewide Transparency engagement rate: 72.5%

Progress by Region

We have made significant progress, but it is now crunch time, and we must convert “in progress” to “posted” with about 6 weeks remaining in 2018.

How: Quality Transparency Dashboard

HQI will:Create dashboards of publicly-available quality data for each acute care CHA-member hospital:• 5 outcome measures• 3 program status measuresQuarterly email Excel file with 3 sheets to each hospital:• Model Dashboard tab• Raw data tab• Explanations/notes tab

Model Quality Transparency Dashboard

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Model QT Dashboard: Outcome Measures

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1. CLABSI - Central line-Associated Blood Stream InfectionStandardized Infection Ratio (SIR)

2. Colon SSI - Colon Surgical Site Infection SIR 3. NTSV - Nulliparous, Term, Singleton, Vertex Cesarean Birth Rate 4. Sepsis Mortality Rate 5. VTE - Potentially Preventable Venous thromboembolism Incidence

(VTE-6)

• California Level • National Level • Measure Period

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Model QT Dashboard: Program Status

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Evidence-Based Quality of Care Practices in Place:

1. Maternal Safety Program – Yes/No or Not a maternity hospital

2. Sepsis Protocol - Yes/No

3. Respiratory Monitoring Program - Yes/No

• Responses completed by each hospital10

Model QT Dashboard: Measure Definitions

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Definition of each outcome measure• Easy to understand, public-friendly explanation• Simple guidelines to interpret value

Limitations of each outcome measure• Context & caveats

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Model QT Dashboard: Hospital Comments

Optional comments from the hospital• Responses about outcome measure performance• Details about program status responses• Explanation of progress• Steps and initiatives implemented• Future plans

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• Response completed by each hospital12

How: Your Hospital Can Help Advance Quality Transparency in California

Upon receipt of Excel file from HQI, hospitals are asked to:• Review data for accuracy• Provide yes/no/not applicable response regarding

evidence-based quality of care practices• Provide optional comments about performance and

initiatives• Post your dashboard (or equivalent) and let us know!

Send your link to HQIAnalytics@hqinstitute.org

When: Update of QT Dashboards

Excel files this week to:

• Individual Hospitals: Hospital CEO, CMO, CNO, Quality/Patient Safety team, and Government Relations team

• Hospital Systems: Corporate CEO, CMO, CNO, Quality/Patient Safety team, and Government Relations team

Discuss with your team and review data

Follow up Q&A Webinar, 11/15/18 @ 10 am

What’s New this Release?

Updated data:

• CLABSI: …………… 2017Q1-2017Q4• ColonSSI: ………....... 2017Q1-2017Q4• VTE: ………………….. 2017Q1-2017Q4• Sepsis Mortality: …... 2017Q1-2017Q4• NTSV: …………….. 2017Q1-2017Q4

Quality Transparency Dashboard

Resources:• QTD landing pagehttp://www.hqinstitute.org/hospital-quality-transparency• QTD frequently asked questionshttp://www.hqinstitute.org/post/quality-transparency-dashboard-faq• Other questions? HQIAnalytics@hqinstitute.org

Upcoming Webinar

Follow up Q&A webinar forQuality Transparency Dashboard

Nov 2018 release

• Nov 15, 2018 - 10-11 am• Audience: Dashboard Recipients• Registration listed on HQI events site or:

http://www.hqinstitute.org/webinar/quality-transparency-dashboard-quarterly-qa-november-2018

Our Goal

A Quality Transparency Dashboard or

equivalent posted on every California

hospital’s website by the end of 2018

Questions?

Send your questions to: HQIanalytics@hqinstitute.org

Customized webinars specific to your hospital or region are available upon request

Thank You!

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