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Quality Indicators™: Moving Ahead. AHRQ Annual Conference 2012 Mamatha Pancholi, MS, Project Officer, Quality Indicators September 11, 2012. Overview. Origins of the AHRQ QI Current Modules Efforts in 2012 AHRQ QI: Moving Ahead Additional Resources. INITIAL EMPRICAL ANALYSES
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Quality Indicators™: Moving Ahead AHRQ Annual Conference 2012 Mamatha Pancholi, MS, Project Officer, Quality Indicators September 11, 2012
Overview • Origins of the AHRQ QI • Current Modules • Efforts in 2012 • AHRQ QI: Moving Ahead • Additional Resources
INITIAL EMPRICAL ANALYSES AND DEFINITION LITERATURE REVIEW USER DATA PANEL EVALUATION FURTHER EMPIRICAL ANALYSES REFINED DEF. FURTHER REVIEW? FINAL DEFINITION Origins • Developed initially at the request of HCUP partners in 1999 • Using evaluation methodologies developed in the AHRQ Evidence-based Practice Centers (EPC) • Based on readily available administrative data • Incorporating risk-adjustment, reference population to improve reliability and validity 3
Current Modules • Prevention Quality Indicators (PQI) developed in 2000 • Area Level • Avoidable hospitalization/other avoidable conditions • 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 • Provider and Area Levels • Complications, unexpected death • 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 • Provider and Area Levels • Six conditions relevant to elderly and non-elderly 4
Current Modules (cont.) • 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 • V4.5 scheduled for First Quarter 2013 • 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 • See the QI website for all the development resources: www.qualityindicators.ahrq.gov
Efforts in 2012 • 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 • 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 • Release(s) planned in 2013-14 • Efforts to enhance the QI website with search features and other tools to improve access to QI resources
AHRQ QI: Moving Ahead • Evaluation of enhanced administrative data • Present on admission, laboratory values, key clinical values • Ongoing validation research, methods development and evaluation of user impact • Dissemination, outreach and training • User oriented webinars, instructor-lead videos • Topic requests? • Continued support of MONAHRQ and the QI Toolkit • www.monahrq.ahrq.gov • www.qualityindicators.ahrq.gov/Resources/Toolkits.aspx • Join the QI Listserv for notices on all upcoming efforts: www.qualityindicators.ahrq.gov/FAQs_support
Additional Resources • Additional Resources • Web site: http://qualityindicators.ahrq.gov • QI documentation and software available • Sign up for AHRQ QI listserv • Support E-mail: support@qualityindicators.ahrq.gov • Support Phone: (888) 512-6090 (voicemail) • Staff: Mamatha.Pancholi@ahrq.hhs.gov 8
