1. Oregon Hospital Quality Indicators 2004 Presentation to the AHRQ QI User Meeting September, 2005 Presentation to the AHRQ QI User Meeting September, 2005

2. Office for Oregon Health Policy and Research2 Goals of the Project  Provide public reporting of evidence- based health care quality indicators  Quality reporting to inform: Consumers – decisions regarding hospital care Business Groups – purchasing decisions Insurers – purchasing, pay-for-performance Providers – quality improvement activities  Maximize existing resources by using readily available data  Provide public reporting of evidence- based health care quality indicators  Quality reporting to inform: Consumers – decisions regarding hospital care Business Groups – purchasing decisions Insurers – purchasing, pay-for-performance Providers – quality improvement activities  Maximize existing resources by using readily available data

3. September, 2005Office for Oregon Health Policy and Research3 Oregon Process  Joint project of the Oregon Health Policy Commission and the Office for Oregon Health Policy and Research.  OHPR staff worked with the Quality and Transparency Workgroup of the Oregon Health Policy Commission, to work out clinical, communications and statistics issues.  Q&T Work Group included representatives of the Oregon Association of Hospitals and Health Systems (OAHHS), Oregon Health Care Quality Corp., Oregon Health Policy Commission, OHPR staff and interested stakeholders.  Joint project of the Oregon Health Policy Commission and the Office for Oregon Health Policy and Research.  OHPR staff worked with the Quality and Transparency Workgroup of the Oregon Health Policy Commission, to work out clinical, communications and statistics issues.  Q&T Work Group included representatives of the Oregon Association of Hospitals and Health Systems (OAHHS), Oregon Health Care Quality Corp., Oregon Health Policy Commission, OHPR staff and interested stakeholders.

4. September, 2005Office for Oregon Health Policy and Research4 Key Issues  Stakeholder involvement  Audience  Indicator selection  Risk adjustment  Reference population  Confidence intervals  Definitional issues  Hospital review and comment  Stakeholder involvement  Audience  Indicator selection  Risk adjustment  Reference population  Confidence intervals  Definitional issues  Hospital review and comment

5. September, 2005Office for Oregon Health Policy and Research5 Clinical Indicators Working Group Subset of 12 AHRQ Indicators Selected Volume:  Abdominal aortic aneurysm  Balloon angioplasty  Carotid artery plaque removal  Heart bypass surgery  Pediatric heart surgery Volume:  Abdominal aortic aneurysm  Balloon angioplasty  Carotid artery plaque removal  Heart bypass surgery  Pediatric heart surgery Death Rate:  Abdominal aortic aneurysm  Balloon angioplasty  Carotid artery plaque removal  Heart attack  Heart bypass surgery  Stroke  Pneumonia Death Rate:  Abdominal aortic aneurysm  Balloon angioplasty  Carotid artery plaque removal  Heart attack  Heart bypass surgery  Stroke  Pneumonia

6. September, 2005Office for Oregon Health Policy and Research6 The Website Office for Oregon Health Policy and Research Oregon Hospital Quality Website Office for Oregon Health Policy and Research Oregon Hospital Quality Website http://oregon.gov/das/ohpr/hq

7. September, 2005Office for Oregon Health Policy and Research7

8. September, 2005Office for Oregon Health Policy and Research8 User Guide  The data you’ll see  How to read & interpret the indicator  How you can use these reports  Important cautions about these data  A map of the Oregon regions and their hospitals  Glossary of frequently used terms  The data you’ll see  How to read & interpret the indicator  How you can use these reports  Important cautions about these data  A map of the Oregon regions and their hospitals  Glossary of frequently used terms

9. September, 2005Office for Oregon Health Policy and Research9 How Does Oregon Compare? 2002 National and Regional Death Rate Comparisons

10. September, 2005Office for Oregon Health Policy and Research10

11. September, 2005Office for Oregon Health Policy and Research11

12. September, 2005Office for Oregon Health Policy and Research12

13. September, 2005Office for Oregon Health Policy and Research13 Contact Information Office for Oregon Health Policy and Research Tina Edlund Research and Data Manager (503) 378-2422 x400 Tina.D.Edlund@state.or.us Office for Oregon Health Policy and Research Tina Edlund Research and Data Manager (503) 378-2422 x400 Tina.D.Edlund@state.or.us