1 / 45

“Knowledge is Power”

“Knowledge is Power”. -- Sir Francis Bacon, 1597. AQI Reporting: Participant Webinar. Learning Objectives. Update participants on AQI status Demonstrate new features of the AQI reports Discuss future directions and solicit opinions. The Challenge.

Download Presentation

“Knowledge is Power”

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. “Knowledge is Power” -- Sir Francis Bacon, 1597

  2. AQI Reporting:Participant Webinar

  3. Learning Objectives Update participants on AQI status Demonstrate new features of the AQI reports Discuss future directions and solicit opinions

  4. The Challenge The government wants to know that Ma and Pa are getting the healthcare they deserve … and that our taxes pay for.

  5. We live in the Information Age… * -- Keith Ruskin, MD * Goofy picture of Keith obtained in 5.4 seconds of internet search. “Your data is going to be collected. Do you want it to be gathered by your friends or by your enemies?”

  6. The AQI A non-profit 501(c)3 corporation Vision: To become the primary source for quality improvement in the clinical practice of anesthesiology Goal: To establish and maintain the National Anesthesia Clinical Outcomes Registry

  7. AQI Registries NACOR AIRS PPAI

  8. NACOR: the National Anesthesia Clinical Outcomes Registry Electronic capture All cases (no bias) All available data De-identified, but with context Automated reporting Automated validation Analysis and reporting

  9. NACOR to date • > 800 interested groups • 160 participating practices • Case data from: • 100 groups • 1100 facilities • 8,500 providers • 4,500,000 cases

  10. Demographics 40,000 ORs in 5,000 hospitals in the US + Surgicenters, clinics, doctors offices, etc. 75 million procedures? 30-40m major anesthetics? 60% of surgery on an outpatient basis 60% of hospital $$ are surgery-related 3% annual growth in volume since 1990

  11. Providers • 45,000 anesthesiologists • Median age 50 • Working 50 hours/wk • 25% female, but rising fast • 45,000 nurse anesthetists • 2,000 anesthesiologist assistants

  12. The “Average” Practice 36 anesthesiologists 20 nurse anesthetists Working in 9 facilities 92% are ASA members

  13. Top 20 Cases in NACOR • Cataract • Lap. cholecystectomy • ECT • Total knee arthroplasty • PE Tubes • Knee arthroscopy • Upper endoscopy • Lower endoscopy • Tonsillectomy • Cesarean section • Lap. appendectomy • Total hip arthropasty • Adult inguinal hernia • Hysteroscopy • Carpal tunnel repair • Oral surgery • Shoulder arthroscopy • Lumbar laminectomy • Lithotripsy • Hardware removal

  14. Top 5 “Non-Cases” in NACOR Labor analgesia Placement of arterial catheter Central line placement Brachial plexus injection Femoral nerve injection

  15. Top 5 “Non-Cases” in NACOR Labor analgesia Placement of arterial catheter Central line placement Brachial plexus injection Femoral nerve injection

  16. Patient Age

  17. Age and ASA Physical Status

  18. Patient Age

  19. Gender Distribution

  20. Surgical Procedures: Age and Gender

  21. Anesthesia Type

  22. Outcomes

  23. AQI REPORTSHow To 22 May 2012

  24. Login @ http://aqihq.org/

  25. After Login

  26. AQI Practice Reports

  27. Reporting Categories • Practice • Providers, Age, Gender, FTE, LOS, ASA Membership • Patients • Age, Gender, ASA PS, Location • Cases • Duration, Facilities, Provider, CPT • Outcomes • National, Practice, Provider, Facility, PONV

  28. Practice Reports

  29. Provider Distribution

  30. Patients – Age, Gender, ASA PS, Location

  31. Patient Gender by AgePatient - Gender

  32. Cases

  33. Cases - Providers

  34. Age and ASA PS

  35. Procedure Duration

  36. Filters • Select Criteria for Filter • CPT • Month • ASA Class • Facility Type • Age Category • Anesthesia Type • Click View Report

  37. Outcomes

  38. Outcomes - National

  39. Minor Events

  40. Summary • AQI has 4.5 M cases • 1M+ with quality measures • AQI is looking to help with your reporting needs: • Hospital Administration • MOCA • OPPE / FPPE • Joint Commission

  41. Have I forgotten anything?

More Related