Agency for Healthcare Research and Quality
Advancing Excellence in Health Care • www.ahrq.gov
A Web-Based Tool for Quality and Utilization Reporting
Anne [email protected]
December 14, 2009
Advancing Excellence in Health Care
MONAHRQ – My Own Network, powered by AHRQTransforming your health care data into information
about health, costs, and quality of care.
Advancing Excellence in Health Care Rationale
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?
Advancing Excellence in Health Care
From Data to Information to Action
Hospital discharge data
can generate valuable
healthcare information
Information can be
used to make decisions
Hospital discharge data
are already being
collected
Utilization and
costs of care
in hospitals
Quality of care
in hospitalsRates of diseases
in particular areas
Rates of procedures
in particular areas
Preventable hospital
stays that indicate
breakdowns in care
Advancing Excellence in Health Care
Key features of MONAHRQ...
Currently based
on hospital
discharge data
Host user downloads
MONAHRQ software from
AHRQ website
Host
user
applies
software to
own data
locally
Software
Host user creates
local website on
their own serverHost user makes
website available
• Internally to better
understand own data and to
answer questions
• To member organizations,
e.g., through a password
protected site
• Publicly to provide
information to the community
State Healthcare Information Portal
Advancing Excellence in Health Care
Select the information
you want:
• QUALITY INDICATORS
• AVOIDABLE
HOSPITALIZATIONS
• RATES
• UTILIZATION
The End User Website - Demo
State Healthcare Information Portal
Advancing Excellence in Health Care Two quality paths to choose from
State Healthcare Information Portal
Advancing Excellence in Health Care
Consumer path on Quality Indicators
State Healthcare Information Portal
Arrays information on up to
four hospitals for the
indicators selected.
Click on any indicator and
get detailed information in
graphic form.
Advancing Excellence in Health Care Details in graphic form
Get details for each hospital
in rank order, compared to
the state average.
Advancing Excellence in Health Care Detailed path on Quality Indicators
State Healthcare Information Portal
The detailed path provides
more information for each
indicator.
Advancing Excellence in Health Care Overall results for the state
State Healthcare Information Portal
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
Advancing Excellence in Health Care Results by individual hospital
State Healthcare Information Portal
Information on:
• numerators
• denominators
• observed, expected and risk-adjusted rates
• confidence intervals
Advancing Excellence in Health Care
Potentially Avoidable Hospitalizations
State Healthcare Information Portal
Potentially Avoidable
Hospitalizations –
based on AHRQ’s
Prevention Quality
Indicators
(PQIs – ambulatory care
sensitive conditions)
Advancing Excellence in Health Care
Potentially Avoidable Hospitalization Path
Rates for avoidable
admissions by county –
Highest rates in dark blue,
lowest rates in light blue
Click on Summary Table
for more details
Advancing Excellence in Health Care
Potential cost savings associated with reducing preventable admissions
Details on avoidable
admissions by county,
including cost savings.
Can download to Excel.
Advancing Excellence in Health Care
Rates of Conditions and Procedures Path
State Healthcare Information Portal
Rates of health conditions
and procedures –
Use county populations
as the denominator in
prevalence rates
Advancing Excellence in Health Care
Groupings of diagnoses and procedures
State Healthcare Information Portal
Can get information on
prevalence of conditions
or procedures by DRG,
MDC, or CCS
Advancing Excellence in Health Care Search function
State Healthcare Information Portal
Advancing Excellence in Health Care Tabular results by county
For all counties in the
state: numbers of
discharges and rate per
1,000 population.
Click on Map to view
graphic display.
Advancing Excellence in Health Care Map of rates by county
Rates for specific
conditions and
procedures by county –
Highest rates in dark blue,
lowest rates in light blue
Advancing Excellence in Health Care Utilization path
State Healthcare Information Portal
Utilization statistics
(similar to information
from HCUPnet)
Advancing Excellence in Health Care
Utilization across all conditions, entire state
All conditions for entire database, listed by
number of discharges
Click on any column header to re-sort by:
• charges/costs
• LOS
• percent died or
• condition/procedure
Advancing Excellence in Health Care
Utilization on individual conditions…
State Healthcare Information Portal
Can also search for
utilization information on
individual conditions
Advancing Excellence in Health Care … for individual hospitals
Advancing Excellence in Health Care Detailed utilization for all hospitals
Information on:
• numbers of discharges,
• charges,
• costs,
• length of stay,
• percent died
for all hospitals individually.
National, regional, and state
benchmarks included.
Advancing Excellence in Health Care
More details for individual hospitals
The same information is available
for individual hospitals, by
• age group
• gender
• payer
• race
Advancing Excellence in Health Care How do you get there?
Advancing Excellence in Health Care 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.
Advancing Excellence in Health Care Select your data file
Advancing Excellence in Health Care Map data elements
You map your data to the
format required by MONAHRQ
by clicking and dragging data
elements.
Advancing Excellence in Health Care Map input values
You then define your data
elements to values understood
by MONAHRQ (based on UB04
standard).
Advancing Excellence in Health Care Load your data
Advancing Excellence in Health Care Run analysis
Advancing Excellence in Health Care Build your website
Advancing Excellence in Health Care
The Website Wizard takes you through a step-
by-step process of processing your data and
building your website.
MONAHRQ Website Wizard
Advancing Excellence in Health Care
Cell suppression and other parameters
Set thresholds for cell suppression
(to protect confidentiality) and other
parameters.
Advancing Excellence in Health Care
Select which measures to include in website
Can specify which QIs to include.
Measures endorsed by the National
Quality Forum are identified.
Advancing Excellence in Health Care 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
Advancing Excellence in Health Care The final product
State Healthcare Information Portal
Advancing Excellence in Health Care What’s next?
Release version 1.0 in winter 2009/2010
Feasibility studies to explore other data and measures
Continued development of user interface – usability testing of end user website
Continued development of data and website wizard
MONAHRQ
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