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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!
▶ We’ll monitor and respond to your Tweets
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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)
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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
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▶ 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
Changes in Health Care are Driving Greater Performance Measurement & Collaboration
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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?
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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
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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 custom-defined region)
▶ Volume of procedures
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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
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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 ▶ 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
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▶ 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
MONAHRQ’s Open Source Framework
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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 email 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
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Who Uses 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
Many use MONAHRQ to create internal (private) or external (public) websites and reports
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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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▶ 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
The Maryland Health Care Commission
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Center for Quality Measurement & Reporting Initiatives
▶ Long Term Care Guide
▶ Hospital Performance Evaluation Guide
▶ Ambulatory Surgery Center Guide
▶ Health Benefit Plan Reports
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Consumer Guide to Long Term Care
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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
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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
▶ 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
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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
▶ Quality Reporting – Ambulatory and Hospital
▶ CMS esMD
▶ Open EMR, HIE, Direct Encrypted Messaging
▶ Consulting
▶ Population Health
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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
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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
▶ Adjust Acuity
▶ Adjust Service Offerings
▶ Capture Market
▶ See Threats
▶ Document
▶ Understand and Adjust Quality Delivered
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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
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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 ▶ Join the listserve for emails 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
▶ Email [email protected] 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 [email protected]
Lou Galterio Suncoast RHIO [email protected]
Theressa Lee Maryland Health Care Commission [email protected]