-
qualityindicators.ahrq.gov/Downloads/Modules/QI_Reporting/Model_Report_Composite.pdf
January 01, 2000 - Better
than average
Worse
than average
Better
than average
Better
than average
Death rate … Better
than average
Worse
than average
Better
than average
Better
than average
Death rate … Better
than average
Worse
than average
Better
than average
Better
than average
14 … Better
than average
Worse
than average
Better
than average
Better
than average
Rate of hip … Better
than average
Better
than average Average
Better
than average
Rate of breathing failure
-
qualityindicators.ahrq.gov/Downloads/Modules/QI_Reporting/Model_Report_Health_Topics.pdf
January 01, 2000 - Better than average is better than the average of hospitals across the state. … Average Better than average
Better
than average
Better
than average
Rate of obstetric tearing … Better
than average
Better
than average Average
Better
than average
Rate of breathing failure … Better
than average
Better
than average
Worse than
average
Better
than average
Rate of patients … Better
than average
Better
than average
Worse than
average
Better
than average
71
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Varga_Implementing_All_the_consensus_standards_the_journey_so_far.ppt
January 01, 2005 - STS)
Evaluating the numbers
If numeric and have U.S. comparison,
compute 99% confidence interval:
“Better … Why is Hospital A “average,” and Hospital B “better than average,” when Hospital B has a worse percentage … Better data; less time arguing about the measure and more time improving performance. … Turned up the heat on improving our performance
Increased alignment about what to tackle
IT agenda better … aligned
Strategic capital better aligned
Physician workforce better aligned
Created new feedback
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qualityindicators.ahrq.gov/Downloads/Resources/Case_Studies/AHRQ_QI_MOHA_Case_Study.pdf
October 16, 2017 - In support of the Missouri Hospital Association’s (MHA’s) statewide Triple Aim quality
agenda—better … health, better care, and lower costs—MHA and its members have reported on
AHRQ Quality Indicators ( … to use the publicly reported data to identify opportunities for improved
access to care, and for better … hospitalizations for diabetes-related
conditions—suggests improved access to primary care services and better … public
reporting—alongside MHA’s many strategies to improve quality outcomes—are contributing to better
-
qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Sofaer_Considerations_in_Public_Reporting_of_AHRQ_QIs.ppt
January 01, 2005 - data
For purchasers (employers, health plans)
To select hospitals for networks
To pay hospitals for better … quality
To otherwise pressure hospitals to perform better
To create incentives for their constituents … For relative scores – symbols like stars work well – people “get it” that folks with three stars are better … What’s better – a higher score or a lower score?
Where does the data come from?
-
qualityindicators.ahrq.gov/Downloads/Resources/Publications/2004/Narrative%20Agenda%20of%20the%20Conferences%20for%20Health%20Care%20Purchasers%20and%20Providers.doc
January 01, 2004 - Following this Web conference, participants should be better able to:
· Describe the evidence base for … Following this Web conference, participants should be better able to:
· Explain the type of AHRQ QIs … choice; and
· Provide feedback and recommendations to AHRQ regarding ways to enhance the indicators to better
-
qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2015/Introduction_to_AHRQ_Quality_Indicators.pdf
January 01, 2015 - • How will we know when we’ve gotten better?
How do we quantify something like safety? … ”
– Anthony Warmuth, Administrator for Enterprise Quality
13
Better Care, Lower Costs at
Yale … leaders received monthly reports showing
cost of cases that had a QVI versus those that do not
14
Better … Better Care, Lower Costs at �Yale New Haven Health System
Better Care, Lower Costs at �Yale New Haven
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2015/AHRQ_QI_Impact_Webinar.pdf
January 01, 2015 - a PSI/Complication/Quality Variation Indicator (QVI)
14
Enhancing the Lives of Those We Serve:
Better … Quality Generating Better Margins
15
AHRQ Adverse Event/Complication Example
16
Problem:
Higher … 1.2
events per 1000 eligible procedures in 2013 to 0.07 in the first half
of 2015—a rate that is better … System
The YNHHS Revenue Challenge
Cases with a PSI/Complication/Quality Variation Indicator (QVI)
Better … Quality Generating Better Margins
AHRQ Adverse Event/Complication Example
Problem:
Analysis:
Intervention
-
qualityindicators.ahrq.gov/Modules/PQI_TechSpec_ICD10_v2020.aspx
March 01, 2021 - Language was updated
to better align with the logic implemented in the AHRQ
-
qualityindicators.ahrq.gov/News/AHRQ_QI_v2020_PSI03_User_Note_02_2021.pdf
January 01, 2021 - resolve this issue and expects to release the updated PSI 03 measure logic in QI
software v2021 to better
-
qualityindicators.ahrq.gov/Modules/PDI_TechSpec_ICD10_v2020.aspx
March 01, 2021 - Language was updated
to better align with the logic implemented in the AHRQ
-
qualityindicators.ahrq.gov/Modules/PSI_TechSpec_ICD10_v2020.aspx
March 01, 2021 - Language was updated
to better align with the logic implemented in the AHRQ
-
qualityindicators.ahrq.gov/Modules/IQI_TechSpec_ICD10_v2020.aspx
March 01, 2021 - Language was updated
to better align with the logic implemented in the AHRQ
-
qualityindicators.ahrq.gov/Downloads/Modules/QI_Reporting/Model_Report1.pdf
May 01, 2007 - Hospitals are not identified as doing “better” or “worse” on these
indicators. … not clear evidence of what the “correct” volume is for many procedures, so we cannot say
what is a “better … The chart identifies hospitals as “Better than average” (bright
green), “Worse than average” (bright … This information was included so that people can have a better
understanding of just how “good” “average … ” was, and thus what it means when a hospital
is “better” or “worse” than average.
-
qualityindicators.ahrq.gov/Downloads/News/User_Survey_Available.pdf
January 04, 2013 - Dear AHRQ QI User:
The Agency for Healthcare Research and Quality (AHRQ; www.ahrq.gov) aims to better
-
qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Fraser_AHRQ_Quality_Indicators.ppt
January 01, 2005 - Measure All Dimensions
Effectiveness
Safety
Timeliness
Patient
Centeredness
Staying
Healthy
Getting
Better … Challenges (3):
Data, Data, Data
Measures and data can improve with use – “good” measures and data can get better
-
qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2015/AHRQ_Quality_Indicators_Software_Changes_v50.pdf
January 01, 2015 - most of the data going through the QI software
should have present on admission indicators, and it's better … A lot more data has the POA coded, and it is better to use the
actual data, when available, than estimates
-
qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2019/v2019_QI_Software_Release_Slides_080119.pdf
January 01, 2019 - • What NOT to do with risk-adjusted rates
► Conclude Hospital A’s performance is better/worse than … ahrq.hhs.gov
v2019 SAS Software Changes /
Improvements
• Renamed programs and control file variables to better
-
qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Munsch_Covenant_Healthcare.ppt
January 01, 2005 - System Level Use – Covenant Example
Prevention Indicators - Diabetes Complications
Internal data-need better
-
qualityindicators.ahrq.gov/Archive/News2009.aspx
January 27, 2010 - Due to the extensive modifications and enhancements made this year, particularly with regards to better … The risk adjustment methodology implemented in Version 4.0a was adopted to take better advantage of POA