1. Quality Indicators™: Moving Ahead AHRQ Annual Conference 2012 Mamatha Pancholi, MS, Project Officer, Quality Indicators September 11, 2012

2. Overview Origins of the AHRQ QI Origins of the AHRQ QI Current Modules Current Modules Efforts in 2012 Efforts in 2012 AHRQ QI: Moving Ahead AHRQ QI: Moving Ahead Additional Resources Additional Resources

3. Origins Developed initially at the request of HCUP partners in 1999 Developed initially at the request of HCUP partners in 1999 Using evaluation methodologies developed in the AHRQ Evidence-based Practice Centers (EPC) Using evaluation methodologies developed in the AHRQ Evidence-based Practice Centers (EPC) PANEL EVALUATION FURTHER EMPIRICAL ANALYSES REFINED DEF. FURTHER REVIEW? FINAL DEFINITION INITIAL EMPRICAL ANALYSES AND DEFINITION LITERATURE REVIEW USER DATA 3 Based on readily available administrative data Based on readily available administrative data Incorporating risk- adjustment, reference population to improve reliability and validity Incorporating risk- adjustment, reference population to improve reliability and validity

4. Current Modules Prevention Quality Indicators (PQI) developed in 2000 Prevention Quality Indicators (PQI) developed in 2000 – Area Level – Avoidable hospitalization/other avoidable conditions Inpatient Quality Indicators (IQI) developed in 2002 Inpatient Quality Indicators (IQI) developed in 2002 – Mortality, Utilization, Volume – Reflect quality of care in hospitals and across geographic areas Patient Safety Indicators (PSI) developed in 2003 Patient Safety Indicators (PSI) developed in 2003 – Provider and Area Levels – Complications, unexpected death Pediatric Quality Indicators (PDI) developed in 2006 Pediatric Quality Indicators (PDI) developed in 2006 – Provider and Area Levels – Use indicators from other modules adapted for children and neonates Readmission Quality Indicators (RQI) beta release in 2011 Readmission Quality Indicators (RQI) beta release in 2011 – Provider and Area Levels – Six conditions relevant to elderly and non-elderly 4

5. Current Modules (cont.) Legacy Software and Documentation Legacy Software and Documentation – Modules most recently updated in March 2012 with the V4.4 Includes the FY2012 ICD-9-CM and MS-DRG coding update Includes the FY2012 ICD-9-CM and MS-DRG coding update – V4.5 scheduled for First Quarter 2013 NQF updates, FY2013 coding update, 2010 reference population from State Inpatient Databases (SID) NQF updates, FY2013 coding update, 2010 reference population from State Inpatient Databases (SID) – SAS ® and WinQI software releases Public-use software allows users with inpatient hospital data to calculate and compare their own QI rates Public-use software allows users with inpatient hospital data to calculate and compare their own QI rates – See the QI website for all the development resources: www.qualityindicators.ahrq.gov www.qualityindicators.ahrq.gov

6. Efforts in 2012 2012 has focused on building the foundation for the future of the QI 2012 has focused on building the foundation for the future of the QI – Conversion of the QI to ICD-10-CM/PCS See report at www.qualityindicators.ahrq.gov/modules See report at www.qualityindicators.ahrq.gov/moduleswww.qualityindicators.ahrq.gov/modules Release planned in 2014 Release planned in 2014 – A full redesign of the QI software to offer enhanced features and usability Feedback is welcomed via support@qualityindicators.ahrq.gov Feedback is welcomed via support@qualityindicators.ahrq.govsupport@qualityindicators.ahrq.gov Release(s) planned in 2013-14 Release(s) planned in 2013-14 – Efforts to enhance the QI website with search features and other tools to improve access to QI resources

7. AHRQ QI: Moving Ahead Evaluation of enhanced administrative data Evaluation of enhanced administrative data – Present on admission, laboratory values, key clinical values Ongoing validation research, methods development and evaluation of user impact Ongoing validation research, methods development and evaluation of user impact Dissemination, outreach and training Dissemination, outreach and training – User oriented webinars, instructor-lead videos – Topic requests? Continued support of MONAHRQ and the QI Toolkit Continued support of MONAHRQ and the QI Toolkit – www.monahrq.ahrq.gov www.monahrq.ahrq.gov – www.qualityindicators.ahrq.gov/Resources/Toolkits.aspx www.qualityindicators.ahrq.gov/Resources/Toolkits.aspx Join the QI Listserv for notices on all upcoming efforts: www.qualityindicators.ahrq.gov/FAQs_support Join the QI Listserv for notices on all upcoming efforts: www.qualityindicators.ahrq.gov/FAQs_support www.qualityindicators.ahrq.gov/FAQs_support

8. Additional Resources Additional Resources Additional Resources Web site: http://qualityindicators.ahrq.gov Web site: http://qualityindicators.ahrq.govhttp://qualityindicators.ahrq.gov – QI documentation and software available – Sign up for AHRQ QI listserv Support E-mail: support@qualityindicators.ahrq.gov Support E-mail: support@qualityindicators.ahrq.govsupport@qualityindicators.ahrq.gov Support Phone: (888) 512-6090 (voicemail) Support Phone: (888) 512-6090 (voicemail) Staff: Mamatha.Pancholi@ahrq.hhs.gov Staff: Mamatha.Pancholi@ahrq.hhs.govMamatha.Pancholi@ahrq.hhs.gov 8