1. Advancing Excellence in Health Care Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov Future of Carol Sniegoski, AHRQ Visit our Website at http://www.monahrq.ahrq.gov For technical assistance or to join the MONAHRQ mailing list, email monahrq@ahrq.gov http://www.monahrq.ahrq.gov monahrq@ahrq.govhttp://www.monahrq.ahrq.gov monahrq@ahrq.gov

2. Advancing Excellence in Health Care MONAHRQ Releases JUN 2010 MONAHRQ 1.0 release OCT 2011 MONAHRQ 3.0 release* * Projected NOV 2010 MONAHRQ 1.1 release JUL 2011 MONAHRQ 2.0 release SEP 2012 MONAHRQ 4.0 release* ??? 2012 MONAHRQ 3.1 release*

3. Advancing Excellence in Health Care MONAHRQ 3.0 Changes for version 3.0 Changes for version 3.0 – More data and measures – More flexibility and usability

4. Advancing Excellence in Health Care MONAHRQ 3.0 More data and measures More data and measures Hospital Compare outpatient measures Hospital Compare outpatient measures Outpatient imaging Outpatient imaging Outpatient surgical Outpatient surgical Composite measures from the AHRQ Qis Composite measures from the AHRQ Qis New “Nursing Sensitive” health topic New “Nursing Sensitive” health topic

5. Advancing Excellence in Health Care MONAHRQ 3.0 More flexibility and usability More flexibility and usability Save and reuse your website customization settings Save and reuse your website customization settings Save and reuse your hospital data Save and reuse your hospital data Choose to use our APR-DRG assignments or your own Choose to use our APR-DRG assignments or your own

6. Advancing Excellence in Health Care MONAHRQ 4.0 Changes for version 4.0 Changes for version 4.0 – Architecture changes – More data analysis and reporting features – More data and measures

7. Advancing Excellence in Health Care MONAHRQ 4.0 Architecture changes: Separate AHRQ QI software from MONAHRQ Architecture changes: Separate AHRQ QI software from MONAHRQ You calculate the AHRQ QIs separately, then MONAHRQ loads the results You calculate the AHRQ QIs separately, then MONAHRQ loads the results More flexibility More flexibility Use whatever QI software version you choose Use whatever QI software version you choose No waiting for a new MONAHRQ release to use the latest QI software No waiting for a new MONAHRQ release to use the latest QI software

8. Advancing Excellence in Health Care MONAHRQ 4.0 More data analysis and reporting features More data analysis and reporting features Hospital (or county) summaries Hospital (or county) summaries More benchmarking options More benchmarking options Better handling of time: trends, rolling years, etc. Better handling of time: trends, rolling years, etc. Reporting at geographic levels other than county Reporting at geographic levels other than county Domain-specific MONAHRQ: plans, pediatrics … Domain-specific MONAHRQ: plans, pediatrics … More customization options More customization options Etc. … Etc. …

9. Advancing Excellence in Health Care MONAHRQ 4.0 More data and measures More data and measures Clinical measures for Accountable Care Organizations (ACOs) Clinical measures for Accountable Care Organizations (ACOs) Clinical measures for Electronic Health Record (EHR) meaningful use Clinical measures for Electronic Health Record (EHR) meaningful use Your own custom measures, calculated by you and loaded into MONAHRQ Your own custom measures, calculated by you and loaded into MONAHRQ Measures for plans or Health Insurance Exchanges (HIEs) Measures for plans or Health Insurance Exchanges (HIEs) All-payer all-claims data All-payer all-claims data Other Compare measures (Physician Compare, Nursing Home Compare, Home Health Compare …) Other Compare measures (Physician Compare, Nursing Home Compare, Home Health Compare …) Etc. … Etc. …

10. Advancing Excellence in Health Care The Future … How to shape MONAHRQ’s future? How to shape MONAHRQ’s future? – AHRQ’s Building the Science of Public Reporting initiative – Alignment with NQF – New MONAHRQ users group

11. Advancing Excellence in Health Care The Future … AHRQ’s Building the Science of Public Reporting initiative AHRQ’s Building the Science of Public Reporting initiative Research program to expand the evidence base for effective reporting Research program to expand the evidence base for effective reporting Coordination with other HHS reporting efforts Coordination with other HHS reporting efforts Advisory group of public reporting stakeholders Advisory group of public reporting stakeholders

12. Advancing Excellence in Health Care The Future … Alignment with NQF Alignment with NQF Continue collaboration with Diane Stollenwerk Continue collaboration with Diane Stollenwerk (2010 stakeholder interviews and MONAHRQ Design Improvement report) (2010 stakeholder interviews and MONAHRQ Design Improvement report) Obtain strategic planning input for future MONAHRQ developments Obtain strategic planning input for future MONAHRQ developments

13. Advancing Excellence in Health Care The Future … New MONAHRQ users group New MONAHRQ users group Continue last year’s Learning Network activities Continue last year’s Learning Network activities Engage MONAHRQ power users Engage MONAHRQ power users Obtain user input about new MONAHRQ features and directions Obtain user input about new MONAHRQ features and directions

14. Advancing Excellence in Health Care Questions? Email Us anne.elixhauser@ahrq.hhs.govanne.elixhauser@ahrq.hhs.gov or carol.sniegoski@ahrq.hhs.gov carol.sniegoski@ahrq.hhs.gov anne.elixhauser@ahrq.hhs.govcarol.sniegoski@ahrq.hhs.gov For technical assistance or to join the MONAHRQ mailing list: Visit http://monahrq.ahrq.gov http://monahrq.ahrq.govhttp://monahrq.ahrq.gov For more information or to explore a live MONAHRQ demo site: Email monahrq@ahrq.gov monahrq@ahrq.gov Input Your Data. Output Your Website.