A Web-Based Tool for Quality and Utilization Reporting

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MONAHRQ
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

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

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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?

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From Data to Information to Action

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

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Key features of MONAHRQ...
 

Results:

• 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

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The End User Website - Demo

Select the information you want:

• Quality Indicators
• Avoidable Hospitalizations
• Rates
• Utilization

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Two quality paths to choose from

Slide explanation box: One path for the lay public and one path for analysts and the health care profession.

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Select a health topic

Slide explanation box: AHRQ Quality Indicators grouped into health topics that have been consumer-tested for salience and understandability.

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Select specific Quality Indicators

Slide explanation box: Specific AHRQ Quality Indicators under a health topic — select all or choose indicators of interest.

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Select hospitals

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

• Choose a region or select from all hospitals (with range of regions to choose)
• Select up to four individual hospitals (with range of hospitals to choose)

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Consumer path on Quality Indicators*

Slide explanation box: Arrays information on up to four hospitals for the indicators selected. Click on any indicator and get detailed information in graphic form.

*Synthetic data

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Details in graphic form*

Slide explanation box: Get details for each hospital in rank order, compared to the state average.

* Synthetic data

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Detailed path on Quality Indicators

Slide explanation box: The detailed path provides more information for each indicator.

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Overall results for the state*

Slide explanation box: 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

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Results by individual hospital*

Slide explanation box: Information by hospital on:

• numerators
• denominators
• observed, expected and risk-adjusted rates
• confidence intervals

Institution names can be masked or unmasked.

* Synthetic data

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Click to see data graphically*

Slide explanation box: Risk-adjusted rate by hospital compared to state average

* Synthetic data

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Utilization path

Slide explanation box: Utilization statistics (similar to information from HCUPnet)

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Utilization across all conditions, entire state*

Slide explanation box: All conditions for the entire database, listed by number of discharges

Click on any column header to re-sort by:

• charges/costs
• LOS
• percent died or
• condition/procedure

* Synthetic data

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Utilization on individual conditions...

Slide explanation box: Can also search for utilization information on individual conditions

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... for individual hospitals

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Detailed utilization for all hospitals*

Slide explanation box: Information on:

• numbers of discharges,
• charges,
• costs,
• length of stay,
• percent died

for all hospitals individually.

National, regional, and state benchmarks included.

* Synthetic data

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More details for individual hospitals*

Slide explanation box: The same information is available for individual hospitals, by

• age
• group
• gender
• payer
• race

* Synthetic data

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Potentially Avoidable Hospitalizations

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Ambulatory care sensitive conditions

Slide explanation box: Potentially Avoidable Hospitalizations— AHRQ's Prevention Quality Indicators (PQIs — ambulatory care sensitive conditions) and

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Other area-level indicators

Slide explanation box: Area-level patient safety and procedure rates

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Map of rates by county*

Slide explanation box: 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

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Potential cost savings -- reducing preventable admissions*

Slide explanation box: Details on avoidable admissions by county, including cost savings.

Can download to Excel.

* Synthetic data

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Rates of Conditions and Procedures Path

Slide explanation box: Rates of health conditions and procedures — Use county populations as the denominator in prevalence rates

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Groupings of diagnoses and procedures

Slide explanation box: Can get information on prevalence of conditions or procedures by DRG, MDC, or CCS

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Search function

Slide explanation box: Search by keyword

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Tabular results by county*

Slide explanation box: 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

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Map of rates by county*

Slide explanation box: Rates for specific conditions and procedures by county — Highest rates in dark blue, lowest rates in light blue

* Synthetic data

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How do you get there?
 

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Import Data Wizard

Slide explanation box: 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.

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Select your data file
 

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Map data elements

Slide explanation box: You map your data to the format required by MONAHRQ by clicking and dragging data elements.

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Map input values

Slide explanation box: You then define your data elements to values understood by MONAHRQ (based on UB04 standard).

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Load your data

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Run analysis

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Hospital load*

Slide explanation box: You can mask hospital names and assign Cost to Charge Ratios if you have CMS provider ID.

* Synthetic data

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Build your website

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MONAHRQ Website Wizard

Slide explanation box: The Website Wizard takes you through a step by step process of processing your data and building your website.

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Cell suppression and other parameters

Slide explanation box: Set thresholds for cell suppression (to protect confidentiality) and other parameters.

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Select which measures to include in website

Slide explanation box: Can specify which QIs to include.

Measures endorsed by the National Quality Forum are identified.

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Customize your website

Slide explanation box: 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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Questions?