Skip Navigation Archive: U.S. Department of Health and Human Services U.S. Department of Health and Human Services
Archive: Agency for Healthcare Research Quality www.ahrq.gov
Archival print banner

This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://info.ahrq.gov. Let us know the nature of the problem, the Web address of what you want, and your contact information.

Please go to www.ahrq.gov for current information.

Report Changes in Response to IOM Recommendations (Text Version)

Slide presentation from the AHRQ 2010 conference.

On September 28, 2010, Ernest Moy made this presentation at the 2010 Annual Conference. Select to access the PowerPoint® presentation (1.4 MB).


Slide 1

Slide 1. Report Changes in Response to IOM Recommendations

Report Changes in Response to IOM Recommendations

Ernest Moy
Ernest.moy@ahrq.hhs.gov
301-427-1329
http://www.ahrq.gov/research/findings/nhqrdr/index.html
http://snapshots.ahrq.gov

Slide 2

Slide 2. 2010 NHQR / NHDR Chapters

Overview

  • Changes for 2010
    • Align with IOM priority areas / updated frameworks
    • Add benchmarks
  • Beyond 2010
    • Expand fact sheets / mini-reports
    • Redesign webtools

Slide 3

Slide 3. 2010 Reports: Align with IOM Priorities and Framework

2010 Reports: Align with IOM Priorities & Framework

National Priority Area NHQR/NHDR Chapter&
Population Health Highlights only
Palliative and End-of-Life Care Palliative and Supportive Care section of the Effectiveness Chapter
Safety Patient Safety Chapter
Patient and Family Engagement Patient Centeredness Chapter
Care Coordination New Care Coordination Chapter
Overuse  Efficiency Chapter
Access  Access to Health Care Chapter
Health System Infrastructure New Health System Infrastructure Chapter


Slide 4

Slide 4. 2010 NHQR / NHDR Chapters

2010 NHQR / NHDR Chapters

Single Highlights with new sections on Priority Areas and State Summaries

Single Intro/Methods

NHQR

  • With benchmarks, DR highlights, and priority population highlights
  • Effectiveness
  • Safety
  • Timeliness
  • Patient Centeredness
  • Care Coordination
  • Efficiency
  • Health System Infrastructure
  • Access

NHDR

  • With benchmarks, QR highlights, and priority population highlights
  • Effectiveness
  • Safety
  • Timeliness
  • Patient Centeredness
  • Care Coordination
  • Efficiency
  • Health System Infrastructure
  • Access
  • Priority Populations Summaries

Slide 5

Slide 5. IOM Benchmark Recommendation

IOM Benchmark Recommendation

  • To the extent that the data are available, the reporting of each measure in the NHQR and NHDR measure set should include routinely updated benchmarks that represent the best known level of performance that has been attained.

Image: Chart shows the following benchmarks: Health People 2010 target, 90%; National benchmark, 74.3%; National average, 57.3%. High and low points are noted by location, race/ethnicity, and income: Oregon, 74.3%, DC, 52%; White, 59.9%; Black, 36.8; Non-Hispanic White, 61.9%; Hispanic, 33.2%; High income, 60.9%; Poor, 45.1%.

Slide 6

Slide 6. Benchmark Methods

Benchmark Methods

  • Setting Achievable Benchmarks:
    • Same in QR and DR
    • Top 10% States
    • Year specific
    • 30+ States with reliable estimates
    • Exclude Territories
  • Calculating Time to Benchmark:
    • Linear regression of data points
    • 4+ data points make a trend (or change in trend)

Slide 7

Slide 7. Pneumococcal Vaccine among Elderly by Race/Ethnicity

Pneumococcal Vaccine among Elderly by Race/Ethnicity

2008 Achievable Benchmark = 63.9%

Image: Line graph shows the following data:

Race/ Ethnicity 1999 2000 2001 2002 2003 2004 2005 2006 2007
Total 49.9 53.4 54.2 56.2 55.7 57 56.3 57.3 57.8
Hispanic 28.6 30.5 33 27.6 31.5 34.1 29 33.2 32.4
Black 32.8 30.9 33.8 37.4 37.2 39.2 40.7 36.9 44.7
White 53.2 56.9 57.9 60.4 59.6 60.9 60.5 61.9 62.1

Slide 8

Slide 8. Pneumococcal Vaccine among Elderly by Insurance

Pneumococcal Vaccine among Elderly by Insurance

2008 Achievable Benchmark = 63.9%

Image: Line graph shows the following data:

Insurance 1999 2000 2001 2002 2003 2004 2005 2006 2007
Total 49.9 53.4 54.2 56.2 55.7 57 56.3 57.3 57.8
Medicare & private 53.9 58.1 59.3 60.8 60 61.9 62.2 61.8 61.6
Medicare & public 37.3 44.6 40.9 49.6 49.5 53.3 53.3 57.1 56.9
Medicare only 44.7 45.3 47.1 49.9 48.4 48.9 45.7 49 51.3

Slide 9

Slide 9. Benchmark Example of Improvement

Benchmark Example of Improvement

Images: Two sample benchmarks for adult home health care patients are shown; the percentage of patients approaching the achievable benchmark rises each year.

Slide 10

Slide 10. Benchmark Example of No Improvement

Benchmark Example of No Improvement

Images: Two sample benchmarks for long-stay nursing home residents who need help with daily activities are shown; the percentage of patients remains approximately the same each year.

Slide 11

Slide 11. Children ages 19-35 months who received all recommended vaccines by household income

Children ages 19-35 months who received all recommended vaccines by household income

Slide 12

Slide 12. Ongoing Benchmark Challenges

Ongoing Benchmark Challenges

Image: Line graph shows the following data:

Income 2000 2001 2002 2003 2004 2005 2006 2007 2008
Poor 67.2 68.0 69.3 75.0 76.8 76.5 76.5 76.5 73.6
Low 70.2 71.0 69.9 77.5 79.1 78.2 79.5 77.8 78.7
Middle 76.1 75.4 77.1 80.9 82.5 82.3 80.6 81.8 79.2
High 78.8 79.3 81.6 86.7 87.6 86.5 86.3 84.1 82.6

Slide 13

Slide 13. Beyond 2010: Fact Sheets / Mini-Reports

Beyond 2010: Fact Sheets / Mini-Reports

  • Focus on Priority Populations:
    • Well-defined audiences
    • Reduced NHDR Priority Populations chapter
    • Opportunity to meet user needs better
  • Every quarter after Report release (3/year):
    • Sustain interest
    • Every priority pop covered every other year
  • Collaboration with:
    • AHRQ Office of Priority Populations
    • Interagency Work Group

Slide 14

Slide 14. Integrated Web Design

Integrated Web Design

  • New integrated site will:
    • Guide users through a cohesive national quality improvement storyline:
      • National priorities? Sub-national targets
      • Reporting information? Taking action
    • Include enhanced features, such as:
      • Guiding questions
      • "Step-by-step" quality improvement tools
      • Achievable benchmarks
      • Similar-state-, sub-population-, and payer- comparisons
      • Easy-to-identify navigational icons
      • Consistency of detail on NHQR/DR methods
      • Glossary of terms

Slide 15

Slide 15. Integrated Components

Integrated Components

Images: Detailed tables from Report appendices; Meters and dials from State Snapshots; Dynamic tables from NHQRDRnet.

Page last reviewed December 2010
Internet Citation: Report Changes in Response to IOM Recommendations (Text Version). December 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/news/events/conference/2010/moy2/index.html

 

The information on this page is archived and provided for reference purposes only.

 

AHRQ Advancing Excellence in Health Care