1. What Types of Websites and Reports Can MONAHRQ Generate? March 2015 Note: This is one of eight slide sets outlining MONAHRQ and its value, available at www.ahrq.gov/professionals/systems/monahrq/resources/

2. What Is MONAHRQ? Windows-based software from the Agency for Healthcare Research and Quality (AHRQ) that can help you and your organization create your own website-based, comparative health care performance reports. Evidence-based – uses measures, data sources, and reporting techniques that are based on the latest research Quick – generates websites and reports in hours or days, not months Easy – designed to be intuitive so no training is needed to use it Flexible – allows customization to ensure that the websites and reports are relevant Free – provided by AHRQ at no cost to anyone who wants to produce health care performance websites and reports The purpose of MONAHRQ is to help increase transparency by disseminating evidence-based information that is understandable and useful for improving health care safety, quality, and affordability. For more information, see the “What Is MONAHRQ?” presentation 2

3. Health Care Professionals Reports may show statistical information useful for: Health care leaders Policymakers Researchers or analysts People who are more familiar with medical or statistical concepts Consumers/General Public Reports are designed to be understandable for: Consumers The general public Patients and family members People who are less familiar with medical or statistical concepts MONAHRQ Offers Website and Report Options Based on Your Audience(s) Evidence-based research shows that consumers understand and use reports differently than other audiences. Customize your MONAHRQ- generated website to your target audience. The website will include different default reports based on user type research, depending on your choice Each option has several types of reports on hospitals (quality, utilization, profiles, and avoidable stays), nursing homes (quality, health inspection results, staffing ratios), and physicians and other practitioners (profiles) Websites can be public or private Consumers/General Public Health Care Professionals 3

4. Topics That Can Be Included in MONAHRQ Reports — Hospitals Timely and effective care Heart care Pneumonia care Surgical care effectiveness Emergency department efficiency Flu prevention care Stroke care Children’s asthma care Blood clot prevention and treatment Pregnancy and delivery care Patient experience (CAHPS) Readmissions, complications, and deaths Death rates within 30 days Readmission rates within 30 days Surgical complications Health care associated infections Cont.. 4

5. Medicare spending Use of medical imaging AHRQ Prevention Quality Indicators Hospital admission rates for the conditions that could be prevented through good outpatient care, such as: asthma high blood pressure low birth weight 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 Cont… 5 Topics That Can Be Included in MONAHRQ Reports — Hospitals (continued)

6. Patient safety Potential complications and errors resulting from a hospital admission, such as: Pressure ulcers Foreign object left in after surgery Pediatric care quality Potential complications and errors resulting from a hospital admission for children and adolescents, such as: Neonatal mortality Postoperative sepsis 6 Topics That Can Be Included in MONAHRQ Reports — Hospitals (continued 2)

7. 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 7 Topics That Can Be Included in MONAHRQ Reports — Nursing Homes

8. 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 8 Topics That Can Be Included in MONAHRQ Reports — Physicians

9. Examples of MONAHRQ Reports — Hospitals (1) Hospital Profile — Provides a hospital overview (e.g., location, beds, website address), quality ratings, and utilization data for each hospital 9

10. Examples of MONAHRQ Reports — Hospitals (2) Quality of Hospital Care — Includes comparison ratings by hospital and health topic, plus quality statistics for a wide range of measures 10

11. Examples of MONAHRQ Reports — Hospitals (3) Inpatient Hospital and Emergency Department (ED) Utilization — Includes detailed information about discharges, estimated costs by hospital, rates for conditions and procedures, and comparison ratings 11

12. Examples of MONAHRQ Reports — Hospitals (4) Potentially Avoidable Hospital Stays and Cost Savings — Includes comparison ratings, the rates of potentially avoidable hospital stays by health topic and by county, plus estimated cost savings if the rates are reduced 12

13. Examples of MONAHRQ Reports — Hospitals (5) Discharge and Cost Rates — Includes comparison ratings, hospital discharges, discharge rates, and estimated costs by county 13

14. Examples of MONAHRQ Reports — Nursing Homes (1) Nursing Home Quality of Care — Includes quality of care indicators for long- stay and short-stay residents 14

15. Examples of MONAHRQ Reports — Nursing Homes (2) Nursing Home Health Inspections — Includes inspection dates and results 15

16. Examples of MONAHRQ Reports — Nursing Homes (3) Nursing Home Staffing — Includes number of nursing home staff available to care for residents during their stay 16

17. Examples of MONAHRQ Reports — Nursing Homes (4) Nursing Home Profile Report — Contains useful information for nursing home including the address, a description (if provided by you), and a map of its location 17

18. Examples of MONAHRQ Reports — Physicians & Others Profiles of Physicians and Other Health Professionals — Includes name, gender, specialty, hospital affiliation, group practice, location, and more 18

19. Examples of MONAHRQ Reports — Trending Trending — Includes utilization over time for hospitals and Emergency Departments, with rates by county and region 19

20. Nursing Homes CMS Nursing Home Compare data (public source) Physicians & Other Health Care Professionals CMS Physician Compare information (public source) Hospitals Hospital-Level AHRQ Quality Indicators Area-Level AHRQ Quality Indicators CMS Hospital Compare data (public source) Inpatient Hospital Discharge Data Emergency Department (ED) Treat-and-Release Data Provider of Services (POS) file Medicare Payment Data for Top 100 DRGs (public source) Data Sources Used to Generate Reports Using MONAHRQ 20

21. Customize Websites and Reports MONAHRQ enables you to customize reports then save them to use again Use your customized reports later with updated data or in different combinations to create as many MONAHRQ-generated websites as you need Customization options with MONAHRQ include: Website theme, colors, logo, image, and fonts Reports: audience type, title, description, footer, filters, and results columns Geographic area, as an alternative to the default “county” “About Us” description Feedback topics that allow End Users to email comments to you Keywords for use in search engine optimization Analytics tracking Your own Google Maps API instead of the default map that is included Reports you design using data sources formatted for use with MONAHRQ’s Open Source Framework (see MONAHRQ’s Open Source Framework)MONAHRQ’s Open Source Framework 21

22. Technical Support For questions or comments about using MONAHRQ, contact MONAHRQ Technical Assistance at MONAHRQ@ahrq.govMONAHRQ@ahrq.gov For more detailed instructions and further information about using MONAHRQ to generate reports and websites and reports, please visit http://monahrq.ahrq.gov and download:visit http://monahrq.ahrq.gov MONAHRQ 6.0 Host User Guide: A comprehensive guide to using MONAHRQ, creating your website and reports, and troubleshooting (http://monahrq.ahrq.gov/MONAHRQ_v60_HostUserGuide.pdf) MONAHRQ 6.0 Host User Guide: (http://monahrq.ahrq.gov/MONAHRQ_v60_HostUserGuide.pdf) MONAHRQ 6.0 Quick Start Guide: An overview of the steps to create websites and reports using MONAHRQ (http://monahrq.ahrq.gov/MONAHRQ_v60_Quick_Start_Guide.pdf): MONAHRQ 6.0 Quick Start Guide: (http://monahrq.ahrq.gov/MONAHRQ_v60_Quick_Start_Guide.pdf): 22

23. For Further Information Visit http://monahrq.ahrq.govVisit http://monahrq.ahrq.gov to access these additional slide sets: What is the Value of Health Care Measurement and Reporting? What Is MONAHRQ? Why Use MONAHRQ for Health Care Reporting? How To Get Started With MONAHRQ Who Can Use MONAHRQ? Using MONAHRQ’s Open Source Framework Future Plans for MONAHRQ and How To Get Involved To receive updates about MONAHRQ, ask to join our listserv by emailing monahrq@ahrq.govmonahrq@ahrq.gov 23