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Nevada Takes Flight with MONAHRQ (Text Version)

Slide presentation from the AHRQ 2010 conference.

On September 27, 2010, Joseph Greenway made this presentation at the 2010 Annual Conference. Select to access the PowerPoint® presentation (1.7 MB).  


Slide 1

Nevada Takes Flight with MONAHRQ

Nevada takes flight with MONAHRQ

Center for Health Information Analysis (CHIA)

Joseph A. Greenway

Slide 2

Overview

Overview

  • Introduction
  • Nevada's political and budgetary status
  • Averted failure—MONAHRQ saves the day
  • Where does Nevada stand today
  • Our wish list
  • Summary and conclusion

Slide 3

Introduction

Introduction

  • The million dollar space pen.
  • Innovation comes at a cost.
  • Shared efforts stretch limited resources.

Slide 4

Introduction

Introduction

  • The million dollar space pen.
  • Innovation comes at a cost.
  • Shared efforts stretch limited resources.

Slide 5

Nevada's status

Nevada's status

  • Assemblywoman Sheila Leslie is a visionary:
    • The battle for transparency.
    • The endoscopy scandal (the leverage).
  • The passage of Assembly Bill 146 (AB146):
    • Data collection begins.
    • The need to post to the public is looming.
    • A big project with a little budget.

Slide 6

Nevada's status

Nevada's status

  • Assemblywoman Sheila Leslie is a visionary:
    • The battle for transparency.
    • The endoscopy scandal (the leverage).
  • The passage of Assembly Bill 146 (AB146):
    • Data collection begins.
    • The need to post to the public is looming.
    • A big project with a little budget.

Slide 7

Nevada's status

Nevada's status

  • Assemblywoman Sheila Leslie is a visionary:
    • The battle for transparency.
    • The endoscopy scandal (the leverage).
  • The passage of Assembly Bill 146 (AB146):
    • Data collection begins.
    • The need to post to the public is looming.
    • A big project with a little budget.

Slide 8

MONAHRQ Saves the Day

MONAHRQ Saves the Day

  • Beta testers of MONAHRQ:
    • A ton of bricks lifted from our shoulders.
    • DRGs, Diagnoses, Procedures, Quality Indicators.
    • The difficulties and delays, and the budgetary pressures.

Slide 9

MONAHRQ Saves the Day

MONAHRQ Saves the Day

  • Beta testers of MONAHRQ:
    • A ton of bricks lifted from our shoulders.
    • DRGs, Diagnoses, Procedures, Quality Indicators.
    • The difficulties and delays, and the budgetary pressures.

Slide 10

Where does NV Stand Today?

Where does NV Stand Today?

A screen shot of the Nevada Compare Care Website is shown.

Slide 11

Where does NV Stand Today?

Where does NV Stand Today?

An image of the summary page from the Nevada Compare Care website on the Death rate for heart attack patients is shown.

Slide 12

The table displays Septicemia discharges by Hospital

Where does NV Stand Today?

Image of the top of a table entitled "Statistics for Clark Hospitals for 2 Septicemia (Except in Labor) (DXCCS2)"

Slide 13

Statistics for University Medical Center of Southern Nevada for Septicemia Except in Labor) (DXCCS2)

An image of a table entitled "Statistics for University Medical Center of Southern Nevada for Septicemia Except in Labor) (DXCCS2)" is shown.

Slide 14

Map of Nevada that shows adult asthma admission rates by county

An image of a map of Nevada that shows adult asthma admission rates by county is shown.

Slide 15

Adult asthma admission rate (2009, PQI15)

Adult asthma admission rate (2009, PQI15)

County FIPS
Code
Name Numerator Denominator Rates per 100,000
Observed Rate Risk Adjusted
Rate
S.E. of Risk
Adjusted Rate
32001 NV- Churchill 40 19276 207.51 193.58 21.30
32003 NV- Clark 1658 1402539 118.21 120.39 2.61
32005 NV- Douglas 16 39879 40.12 35.37 14.40
32007 NV- Elko 18 35719 50.39 53.22 16.65
32009 NV- Esmeralda 3 683 439.24 367.78 107.20
32011 NV- Eureka 0 1210 .00 .00 84.80
32013 NV- Humboldt 2 13332 15.00 15.03 26.54
32015 NV- Lander 0 4011 .00 .00 47.81
32017 NV- Lincoln 1 3883 25.75 22.13 45.55
32019 NV- Lyon 45 41850 107.53 105.56 14.83
32021 NV- Mineral 2 4080 49.02 41.76 44.24
32023 NV- Nye 18 36391 49.46 43.87 15.12
32027 NV- Pershing 0 5264 .00 .00 45.34
32029 NV- Storey 2 3600 55.56 55.07 50.81
32031 NV- Washoe 228 319926 71.27 70.37 5.38
32033 NV- White Pine 5 7770 64.35 64.51 34.78
32510 NV- Carson City 32 45458 70.39 65.18 13.82
Total Nevada 2070 1984871 104.29 104.62 2.18

Slide 16

Statistics for Discharges for Patients in County, NV

Statistics for Discharges for Patients in County, NV— Washoe for 5 Diseases & Disorders of the Circulatory System (MDC5) in Nevada, 2009

  Number of
discharges
Rate**
of discharges
Total U.S. in 2007 (standard error)* 5,887,619
(152,849)
19.5
West U.S. in 2007 (standard error)* 946,462
(46,989)
13.5
All Hospitals in Nevada 41,292 15.6
Total 4,358 10.3
Age group
<18 36 0.4
18-44 374 2.4
45-65 1,486 12.9
65+ 2,462 49.3
Gender
Male 2,397 11.2
Female 1,961 9.4
Race
White 3,487 11.9
Black 167 18.8
Hispanic 239 2.8
Asian or Pacific Island 86 3.9
Native American 52 8.0
Other 327 40.4

Slide 17

Our Wish List

Our Wish List

  • I would like MONAHRQ to be able to post hospital outpatient (OP) data:
    • HCPCS
    • Rate Codes
    • Outpatient DRGS (EAPGs ???)
  • I'd like it to treat the OP types uniquely>
    • Emergency Department
    • Outpatient Surgery
    • Other OP

Slide 18

Our Wish List

Our Wish List

  • I'd like (where appropriate) MONAHRQ to compare Inpatient with Outpatient data (inter and intra hospital).
  • I wish that a future version of MONAHRQ would incorporate Ambulatory Surgical Center data:
    • Treat each ASC type uniquely.
    • Compare to hospital OP data (where appropriate).

Slide 19

Summary and Conclusion

Summary and Conclusion

  • MONAHRQ has been a godsend in Nevada. When budgetary constraints and political pressures put the need for public results into the forefront, MONAHRQ saved the day.
  • I strongly recommend that MONAHRQ be used by all those that need to post health billing data.

Slide 20

Questions???

Questions???

Current as of December 2010
Internet Citation: Nevada Takes Flight with MONAHRQ (Text Version). December 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/news/events/conference/2010/greenway/index.html

 

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