Easily Track the Health Care Quality of Peers and Partners Diane Stollenwerk, MPP MONAHRQ Team, on behalf of the Agency for Healthcare Research and Quality (AHRQ)
#MONAHRQ
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Welcome! ▶
We want to hear from you during this session – Pull out your cell phone, tablet or laptop – Use Twitter to post reactions, ideas and questions – Include #MONAHRQ in your Tweets – Follow this discussion on Twitter too!
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We’ll monitor and respond to your Tweets
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What We’ll Cover in This Session ▶
Introductions
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Changes in the Health Care Market and the Role of Performance Measurement and Reporting
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Meeting a Shared Need: Overview of MONAHRQ
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Lessons and Insights from Maryland
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Lessons and Insights from Florida
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Discussion (including Tweets … #MONAHRQ)
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Today’s Objectives ▶
Understand value of performance reporting to inform planning, and operational and partnership decisions
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Learn about MONAHRQ, free software to help track quality, safety, cost and patient / resident experience
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Hear from health care leaders that use MONAHRQ to generate reporting websites to meet their needs
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Stimulate your thinking about how performance assessment and reporting can help meet your needs
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Changes in Health Care are Driving Greater Performance Measurement & Collaboration ▶
National Quality Strategy & Triple Aim (Quality, Cost, Health)
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Public and private contracting and payment incentives in Medicare, Medicaid, health plans, self-insured employers – Reduced hospital readmissions – Reduced avoidable admissions – Lower total cost of care – Collaboration through ‘accountable care’ arrangements, etc.
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Federal Department of Health and Human Services (CMS, HRSA, etc.) funding to support greater coordination – Inclusion and reimbursement for home and community based services – Accountable Communities for Health funded via State Innovation Model (SIM) grants
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This also leads to more public reporting and scrutiny from consumers, payers, current or potential partners, plus regulators
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Using Performance Measurement to Inform Strategic Planning and Partnering ▶
Do you know which organizations have the best performance?
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Is your organization well positioned for the changing market? – In terms of quality, cost and health outcomes, where does your organization excel? – Where do you need to improve? – How does your organization compare to your peers?
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How does your organization choose partners and collaborators? – Where do those organizations excel? Where must they improve? – How do you make the case that you are an excellent partner?
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How do you identify where to work together to improve results?
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Limited Budget and Time: What is Possible?
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Enter MONAHRQ, Created by AHRQ Free software for organizations to create and share health care reports – via public or private websites ▶ ▶ ▶ ▶ ▶
Evidence-based – uses measures, data sources, and report layouts based on the latest research Quick – generates websites, with searchable and sortable reports, in hours or days, not months Easy – designed to be intuitive so no training is needed to use it Flexible – allows customization so the websites and reports are relevant to your organization’s interests and goals Free – provided by AHRQ at no cost to anyone who wants to produce health care performance websites and reports
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Nursing Home Reports in MONAHRQ Facility profiles and comparisons on… Quality of Care ▶ For long-stay residents ▶ For short-stay residents Health Inspections ▶ Overall results ▶ Date of inspection ▶ Number of deficiencies ▶ Fire safety results Staffing ▶ Staffing hours ▶ Staffing ratios Tweet comments… #MONAHRQ
Hospital Reports in MONAHRQ: Examples Medicare Spending AHRQ Prevention Quality Indicators ▶
Preventable hospital admissions, for example
Patient safety ▶
AHRQ Inpatient Quality Indicators ▶
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Complications and errors (e.g., pressure ulcers, object left in ▶ after surgery)
Use of Medical Imaging Pediatric Care Quality Tweet comments… #MONAHRQ
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Mortality rates for certain conditions Mortality rates for certain procedures Hospital-level procedure utilization rates Area-level utilization rates (e.g., by county or customdefined region) Volume of procedures
Physician Reports in MONAHRQ Individual Profiles ▶ Name ▶ Gender ▶ Specialty ▶ Medical practice name and address ▶ Hospital affiliation ▶ Medical school name ▶ Group practice or individual’s current location
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Profiles can be created for any type of health care professional enrolled in Medicare, such as ▶ Physicians ▶ General practitioners ▶ Nurse practitioners ▶ Social workers ▶ Other medical professionals
How Does MONAHRQ Software Work? After downloading the free software from the AHRQ website (www.MONAHRQ.ahrq.gov), there are seven basic steps:
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Data Sources for MONAHRQ Reports Hospitals
Nursing Homes
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Medicare Payment Data for Top ▶ CMS Nursing Home Compare 100 DRGs (public source) data (public source)
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CMS Hospital Compare data (public source)
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Physicians & Other Health Care Hospital-Level and Area-Level Professionals AHRQ Quality Indicators ▶ CMS Physician Compare information (public source) Inpatient Discharge Data
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Emergency Department (ED) Treat-and-Release Data
Other Data Sources
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Provider of Services (POS) file
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Your unique data, using MONAHRQ’s Open Source Framework
MONAHRQ’s Open Source Framework ▶
With a bit more technical skill, you can add new data sources and reports to your MONAHRQ-generated website – Format your unique data source(s) to work with MONAHRQ – Design new reports that draw from these new data sources
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Add measure results and utilization data assess and create reports on other types of organizations, such as: – – – –
Assisted living facilities Skilled nursing facilities Medical groups Home health
– Hospice ▶
Free technical support is available for MONAHRQ users
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Customize Throughout to Make It Your Own ▶
Website theme, colors, logo, image, and fonts
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Reports: audience types, titles, descriptions, footers, filters, and results columns (and new reports for use with your unique data)
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“About Us” description
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Unique geographic units, instead of the default “county”
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Your own Google Maps API, instead of the default map
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Feedback topics for your report users to email comments to you
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Keywords for search engine optimization
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Analytics tracking to understand traffic to your public or private website and how people are using the reports
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Who Uses MONAHRQ? Many use MONAHRQ to create internal (private) or external (public) websites and reports
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Hospitals and other facilities
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Health systems including medical groups
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Health care associations
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State agencies and public health departments
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Health care quality improvement organizations
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Business groups, community coalitions
MONAHRQ Case Study #1: Maryland
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MONAHRQ Case Study #1: Florida
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Easily Track Health Care Quality of Your Peers and Partners Theressa Lee, Director Center for Quality Measurement and Reporting Maryland Health Care Commission
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The Maryland Health Care Commission ▶ ▶
Independent state regulatory agency with 4 Centers The Mission – Plan for health system needs – Increase accountability and improve access – Provide timely and accurate information on availability, cost, and quality of services to policy makers, purchasers, providers and the public.
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Located within the Department of Health
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Center for Quality Measurement & Reporting Initiatives ▶
Long Term Care Guide
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Hospital Performance Evaluation Guide
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Ambulatory Surgery Center Guide
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Health Benefit Plan Reports
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Consumer Guide to Long Term Care
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The Maryland Health Care Quality Reports
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Lays the foundation for a more integrated and interactive public reporting system focusing on information for the consumer audience
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Establishes a platform and infrastructure for expansion to other provider settings and Health Plan information
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Includes new updated hospital performance and pricing data
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Supports flexible content management -- the system can evolve over time
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Maryland Health Care Quality Reports
A Single Point of Access to Information About Health Care Quality (“new” system)
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Collaboration and Consumer Engagement ▶
Health Services Cost Review Commission – Support for streamlined quality measures data processing – Sharing of Price transparency methodology – Quality measures align with new hospital payment model
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Agency for Healthcare Research and Quality (AHRQ) – integration of MONAHRQ quality reporting
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Consumer Engagement – Consumer involvement throughout the development process – Ongoing review of content, new design, format and functionality
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MONAHRQ: The Benefits Consumer focused communication and display ▶ Use of Evidence-based measures ▶ Reduction in time/resources needed for web development activities ▶ Introduction of new measures ▶ Uniform/standardized presentation of information across provider categories ▶
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MONAHRQ: The Challenges Identifying the appropriate team – technical and subject matter experts ▶ Understanding the data sources and limitations ▶ Creating workarounds to meet immediate needs ▶ Integrating technical approaches ▶ Managing Expectations ▶ Anticipating MONAHRQ 6.0 ▶
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Marylandqmdc.org
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SunCoast RHIO MONAHRQ Usage Louis Galterio President, SunCoast RHIO Sarasota, Florida
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Who Is SunCoast RHIO? ▶
Background
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Quality Reporting – Ambulatory and Hospital
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CMS esMD
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Open EMR, HIE, Direct Encrypted Messaging
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Consulting
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Population Health
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SunCoast RHIO MONAHRQ Usage ▶
Quality Data – State, Federal, Internal
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Public and Private Facing Websites
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Who Has Right Data? Cohorts
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Hospital and Physician Compare
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Relationship to MIPS Quality Measure Reporting
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SunCoast RHIO MONAHRQ Website
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SunCoast RHIO MONAHRQ Website
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Private Facing Website Pre-Publication Review and Optimization Capabilities ▶ ▶
Adjust Revenue Target Demographics
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Capture Market
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See Threats
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Adjust Acuity
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Document
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Adjust Service Offerings
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Understand and Adjust Quality Delivered
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Other Ways Clients Use the Information ▶
Data not Viewed as Self Serving
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Decide When (and if) it goes Public
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Screen Scrape Data into Reports and Perform Analytics
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Refocus to Optimize Business, Clinical Mission
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See which Vendors Products Deliver Value
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Benefits to SunCoast RHIO ▶ ▶ ▶ ▶ ▶ ▶ ▶ ▶
Websites Visited More Often New Cross-selling Opportunities Client and RHIO Attracts New Consumers and Providers View/Compare Databases Central Patient Portal Directory Blue Button New Referral Patterns Mapped to Superior Technology and Clinical Quality Partners Direct Email Directory
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Find Out More About MONAHRQ www.MONAHRQ.AHRQ.gov ▶
Download the free software
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Join the listserve for emails about new versions and content
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Access a range of resources, such as – Links to live websites around the USA created using MONAHRQ – Host User Guide and a Quick Start Guide – Fact Sheets and several short presentations
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Email monahrq@ahrq.gov with questions or comments, or to be invited to upcoming webinars about MONARHQ
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Thank You! Diane Stollenwerk, MPP MONAHRQ Team, on behalf of AHRQ monahrq@ahrq.gov Lou Galterio Suncoast RHIO Lgalterio@gmail.com Theressa Lee Maryland Health Care Commission Theressa.Lee@maryland.gov Tweet comments… #MONAHRQ