Easily Track the Health Care Quality of Peers and Partners

Transcription

1 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

2 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! We ll monitor and respond to your Tweets

3 What We ll Cover in This Session Introductions Changes in the Health Care Market and the Role of Performance Measurement and Reporting Meeting a Shared Need: Overview of MONAHRQ Lessons and Insights from Maryland Lessons and Insights from Florida Discussion (including Tweets #MONAHRQ)

4 Today s Objectives Understand value of performance reporting to inform planning, and operational and partnership decisions Learn about MONAHRQ, free software to help track quality, safety, cost and patient / resident experience Hear from health care leaders that use MONAHRQ to generate reporting websites to meet their needs Stimulate your thinking about how performance assessment and reporting can help meet your needs

5 Changes in Health Care are Driving Greater Performance Measurement & Collaboration National Quality Strategy & Triple Aim (Quality, Cost, Health) 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. 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 This also leads to more public reporting and scrutiny from consumers, payers, current or potential partners, plus regulators

6 Using Performance Measurement to Inform Strategic Planning and Partnering Do you know which organizations have the best performance? 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? 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? How do you identify where to work together to improve results?

7 Limited Budget and Time: What is Possible? Tweet comments #MONAHRQ

8 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

9 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

10 Hospital Reports in MONAHRQ: Examples Medicare Spending AHRQ Prevention Quality Indicators Preventable hospital admissions, for example Patient safety Complications and errors (e.g., pressure ulcers, object left in after surgery) Use of Medical Imaging Pediatric Care Quality AHRQ Inpatient Quality Indicators 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

11 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 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

12 How Does MONAHRQ Software Work? After downloading the free software from the AHRQ website ( there are seven basic steps: 12

13 Data Sources for MONAHRQ Reports Hospitals Medicare Payment Data for Top 100 DRGs (public source) CMS Hospital Compare data (public source) Hospital-Level and Area-Level AHRQ Quality Indicators Inpatient Discharge Data Emergency Department (ED) Treat-and-Release Data Provider of Services (POS) file Nursing Homes CMS Nursing Home Compare data (public source) Physicians & Other Health Care Professionals CMS Physician Compare information (public source) Other Data Sources Your unique data, using MONAHRQ s Open Source Framework

14 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 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 14

15 Customize Throughout to Make It Your Own Website theme, colors, logo, image, and fonts Reports: audience types, titles, descriptions, footers, filters, and results columns (and new reports for use with your unique data) About Us description Unique geographic units, instead of the default county Your own Google Maps API, instead of the default map Feedback topics for your report users to comments to you Keywords for search engine optimization Analytics tracking to understand traffic to your public or private website and how people are using the reports

16 Who Uses MONAHRQ? Many use MONAHRQ to create internal (private) or external (public) websites and reports Tweet comments #MONAHRQ Hospitals and other facilities Health systems including medical groups Health care associations State agencies and public health departments Health care quality improvement organizations Business groups, community coalitions

17 MONAHRQ Case Study #1: Maryland

18 MONAHRQ Case Study #1: Florida

19 Easily Track Health Care Quality of Your Peers and Partners Theressa Lee, Director Center for Quality Measurement and Reporting Maryland Health Care Commission

20 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. Located within the Department of Health

21 Center for Quality Measurement & Reporting Initiatives Long Term Care Guide Hospital Performance Evaluation Guide Ambulatory Surgery Center Guide Health Benefit Plan Reports

22 Consumer Guide to Long Term Care

23 The Maryland Health Care Quality Reports Lays the foundation for a more integrated and interactive public reporting system focusing on information for the consumer audience Establishes a platform and infrastructure for expansion to other provider settings and Health Plan information Includes new updated hospital performance and pricing data Supports flexible content management -- the system can evolve over time

24 Maryland Health Care Quality Reports A Single Point of Access to Information About Health Care Quality ( new system)

25 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 Agency for Healthcare Research and Quality (AHRQ) integration of MONAHRQ quality reporting Consumer Engagement Consumer involvement throughout the development process Ongoing review of content, new design, format and functionality

26 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

27 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

28 Marylandqmdc.org

29 SunCoast RHIO MONAHRQ Usage Louis Galterio President, SunCoast RHIO Sarasota, Florida

30 Who Is SunCoast RHIO? Background Quality Reporting Ambulatory and Hospital CMS esmd Open EMR, HIE, Direct Encrypted Messaging Consulting Population Health

31 SunCoast RHIO MONAHRQ Usage Quality Data State, Federal, Internal Public and Private Facing Websites Who Has Right Data? Cohorts Hospital and Physician Compare Relationship to MIPS Quality Measure Reporting

32 SunCoast RHIO MONAHRQ Website

33 SunCoast RHIO MONAHRQ Website

34 Private Facing Website Pre-Publication Review and Optimization Capabilities Adjust Revenue Target Demographics Capture Market See Threats Adjust Acuity Document Adjust Service Offerings Understand and Adjust Quality Delivered

35 Other Ways Clients Use the Information Data not Viewed as Self Serving Decide When (and if) it goes Public Screen Scrape Data into Reports and Perform Analytics Refocus to Optimize Business, Clinical Mission See which Vendors Products Deliver Value

36 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 Directory

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38 Find Out More About MONAHRQ Download the free software Join the listserve for s about new versions and content 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 monahrq@ahrq.gov with questions or comments, or to be invited to upcoming webinars about MONARHQ

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40 Thank You! Diane Stollenwerk, MPP MONAHRQ Team, on behalf of AHRQ Lou Galterio Suncoast RHIO Theressa Lee Maryland Health Care Commission