Easily Track the Health Care Quality of Peers and Partners

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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


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


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)


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


▶  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


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?


Limited Budget and Time: What is Possible?


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


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


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


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


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


▶  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


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


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


MONAHRQ Case Study #1: Maryland


MONAHRQ Case Study #1: Florida


Easily Track Health Care Quality of Your Peers and Partners

Theressa Lee, Director Center for Quality Measurement and Reporting 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

The Maryland Health Care Commission


Center for Quality Measurement & Reporting Initiatives

▶  Long Term Care Guide

▶  Hospital Performance Evaluation Guide

▶  Ambulatory Surgery Center Guide

▶  Health Benefit Plan Reports


Consumer Guide to Long Term Care


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


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


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


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


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


Marylandqmdc.org


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


Who Is SunCoast RHIO? ▶  Background

▶  Quality Reporting – Ambulatory and Hospital

▶  CMS esMD

▶  Open EMR, HIE, Direct Encrypted Messaging

▶  Consulting

▶  Population Health


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


SunCoast RHIO MONAHRQ Website


SunCoast RHIO MONAHRQ Website


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


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


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



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



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]

Documents

Easily Track the Health Care Quality of Peers and Partners