1. Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov A Web-Based Tool for Quality and Utilization Reporting Visit our website at: www.monahrq.ahrq.gov www.monahrq.ahrq.gov For technical assistance and to get on the MONAHRQ mailing list, e-mail: monahrq@ahrq.gov monahrq@ahrq.gov

2. Advancing Excellence in Health Care MONAHRQ – My Own Network, powered by AHRQ Transforming your health care data into information about health, costs, and quality of care.

3. Advancing Excellence in Health Care Rationale Why should it be so expensive to generate and put out basic information? Why should it be so expensive to generate and put out basic information? Why should information be so hard to get? Why should information be so hard to get? Why does every organization have to reinvent the wheel? Why does every organization have to reinvent the wheel?

4. Advancing Excellence in Health Care From Data to Information to Action Hospital discharge data can generate valuable health care information Information can be used to make decisions Hospital discharge data are already being collected Utilization and costs of care in hospitals Quality of care in hospitals Rates of diseases in particular areas Rates of procedures in particular areas Preventable hospital stays that indicate breakdowns in care

5. Advancing Excellence in Health Care Key Features of MONAHRQ Currently based on hospital discharge data Host user downloads MONAHRQ software from AHRQ website Software Host user creates local website on their own server Host user makes website available Internally to better understand own data and to answer questionsInternally to better understand own data and to answer questions To member organizations, e.g., through a password- protected siteTo member organizations, e.g., through a password- protected site Publicly to provide information to the communityPublicly to provide information to the community Host user applies software to own data locally

6. Advancing Excellence in Health Care Select the information you want: QUALITY INDICATORS AVOIDABLE HOSPITALIZATIONS RATES UTILIZATION End User Web Site - Demo

7. Advancing Excellence in Health Care Two Quality Paths To Choose From One path for the lay public and one path for analysts and the health care profession.

8. Advancing Excellence in Health Care Select a Health Topic AHRQ Quality Indicators grouped into health topics that have been consumer tested for salience and understandability.

9. Advancing Excellence in Health Care Select Specific Quality Indicators Specific AHRQ Quality Indicators under a health topic– select all or choose indicators of interest.

10. Advancing Excellence in Health Care Select Hospitals Select hospitals from the entire dataset or from specific regions. Default in MONAHRQ is to list hospitals by name, but names can be masked.

11. Advancing Excellence in Health Care Consumer Path on Quality Indicators* * Synthetic data Arrays information on up to four hospitals for the indicators selected. Click on any indicator and get detailed information in graphic form.

12. Advancing Excellence in Health Care Details in Graphic Form* * Synthetic data Get details for each hospital in rank order, compared to the State average.

13. Advancing Excellence in Health Care Detailed Path on Quality Indicators The detailed path provides more information for each indicator.

14. Advancing Excellence in Health Care Overall Results for the State* * Synthetic data Information on specific indicators for the entire dataset: Numerators Denominators Observed, expected, and risk-adjusted rates Confidence intervals Click on indicator for hospital-specific information.

15. Advancing Excellence in Health Care Results by Individual Hospital* * Synthetic data Information by hospital on: Numerators Denominators Observed, expected, and risk-adjusted rates Confidence intervals Institution names can be masked or unmasked.

16. Advancing Excellence in Health Care Click To See Data Graphically* * Synthetic data Risk-adjusted rate by hospital compared to State average.

17. Advancing Excellence in Health Care Utilization Path Utilization statistics (similar to information from HCUPnet).

18. Advancing Excellence in Health Care Utilization Across All Conditions, Entire State* * Synthetic data All conditions for the entire database, listed by number of discharges. Click on any column header to re-sort by: Charges/costs Length of stay Percentage who died or Condition/procedure

19. Advancing Excellence in Health Care Utilization for Individual Conditions Can also search for utilization information on individual conditions.

20. Advancing Excellence in Health Care Utilization for Individual Hospitals

21. Advancing Excellence in Health Care Detailed Utilization for All Hospitals* * Synthetic data Information on: Numbers of discharges, Charges, Costs, Length of stay, and Percentage who died for all hospitals individually. National, regional, and State benchmarks included.

22. Advancing Excellence in Health Care More Details for Individual Hospitals* * Synthetic data The same information is available for individual hospitals, by Age group Gender Payer Race

23. Advancing Excellence in Health Care Rates of Conditions and Procedures Path Rates of health conditions and procedures – Use county populations as the denominator in prevalence rates.

24. Advancing Excellence in Health Care Groupings of Diagnoses and Procedures Can get information on prevalence of conditions or procedures by DRG, MDC, or CCS.

25. Advancing Excellence in Health Care Search Function Search by keyword.

26. Advancing Excellence in Health Care Tabular Results by County* * Synthetic data For all counties in the State: number of discharges and rate per 100,000 population. Sort by column headers. Click on Map to view graphic display.

27. Advancing Excellence in Health Care Map of Rates by County* * Synthetic data Rates for specific conditions and procedures by county – highest rates in dark blue, lowest rates in white.

28. Advancing Excellence in Health Care How Do You Get There?

29. Advancing Excellence in Health Care Import Data Wizard The Import Data Wizard takes you through a step-by- step process of: Importing your data, Mapping it to the format required by MONAHRQ, Analyzing the data, and Defining your hospitals and regions.

30. Advancing Excellence in Health Care Select Your Data File

31. Advancing Excellence in Health Care Map Data Elements You map your data to the format required by MONAHRQ by clicking and dragging data elements.

32. Advancing Excellence in Health Care Map Input Values You then define your data elements to values understood by MONAHRQ (based on UB04 standard).

33. Advancing Excellence in Health Care Load Your Data

34. Advancing Excellence in Health Care Run Analysis

35. Advancing Excellence in Health Care Hospital Load* You can mask hospital names and assign cost-to-charge ratios if you have CMS provider ID. * Synthetic data

36. Advancing Excellence in Health Care Build Your Web Site

37. Advancing Excellence in Health Care The Website Wizard takes you through a step-by-step process of processing your data and building your website. MONAHRQ Web Site Wizard

38. Advancing Excellence in Health Care Select Which Measures to Include in Web Site Can specify which QIs to include. Measures endorsed by the National Quality Forum are identified.

39. Advancing Excellence in Health Care Customize Your Web Site Specify your website: Folder where it should be stored Pages you want to include Specifics about the style Logo you want to insert What the website calls your data

40. Advancing Excellence in Health Care