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

Creating the Maine Snapshots

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 It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work.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.


On December 6, 2007, Chris McCarthy made a presentation entitled Creating the Maine Snapshots. This is the text version of the event's slide presentation. Please select the following link to access the slides: (PowerPoint® File, 39 KB).

Slides: 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12


Slide 1: Creating the Maine Snapshots

Agency for Healthcare Research and Quality
State Healthcare Quality Improvement Workshop:
Tools You Can Use to Make a Difference
December 6-7, 2007

Chris McCarthy, Bath Iron Works
(previously with Maine Quality Forum)

Return to Top


Slide 2: The Maine Quality Forum

  • Created as part of the Dirigo Health Agency
  • Tasked with assessing the quality of healthcare in Maine and reporting information to the people of Maine
  • Tasked with promoting best practice in Maine
  • Maintained mission of providing actionable information about health care quality in easily accessible format

Return to Top


Slide 3: Addressing the Mandates

  • Used Institute of Medicine definition (STEEEP) as guiding framework
     — Right thing, the right way, at the right time
  • Guiding Principles of Change
     — Power of public reporting (move from Maine Medical Assessment Foundation model to public model)
     — Value of within state comparisons
     — The people of Maine as constituency rather than specific stakeholders
     — Communication target not necessarily the change target
     — Multi-stakeholder, public processes

Return to Top


Slide 4: Data Process

  • Started with SAVA (using discharge data) during development of quality metrics
  • Drawing upon National Quality Forum metrics worked with Advisory Council to select metrics to be submitted by hospitals
  • Worked with Maine Health Data Organization (MHDO) re: rulemaking and micro-specification
  • Participated in the Tri-partite group of Pathways to Excellence
  • Developed initial website with a key data component

Return to Top


Slide 5: Initial Website

  • Used small area variation analysis on procedures of interest
  • Presented data via bar charts developed in Excel
     — Graphs presented hospitals significantly different from the expected
  • Provided data tables for drill down
  • Good start but difficult to understand
  • Very difficult to update new data runs
  • Maine Quality Forum (MQF) site for example: www.mainequalityforum.govExit Disclaimer

Return to Top


Slide 6: Revision Process

  • Advisory Council advised:
     — Simpler representation
     — Broader audience
     — More than one view of the data
     — Drill down from simplest to most complex (visual to raw data)
  • Needed to include new data (Chapter 270)
  • Dennis Shubert attended presentation re: new AHRQ State Snapshots

Return to Top


Slide 7: Next Steps

  • Intrigued by dial graphics representation method
  • Shared with Advisory Council
  • Reached out to AHRQ (Dwight) who brokered relationship with Thomson Healthcare (formerly Medstat) and AcademyHealth
  • Connected with Thomson Healthcare
  • Provided us with code

Return to Top


Slide 8: Medstat

  • MQF Determined a need for support
     — Methods
     — Web design
     — Training
  • Contracted with Medstat (Thomson Healthcare)
  • Contracted with RADCorp
  • Began process of applying methodology to Maine's data
  • Training MHDO Epidemiologist

Return to Top


Slide 9: Methodological Challenges Encountered

  • Small "N"
     — Limited by number of hospitals
  • Small "n"
     — Limited by number of measures
     — Limited by number of cases within measure
  • Regression Model
  • Nursing Data
  • Phase II SAVA-GIS design

Return to Top


Slide 10: Political Challenges

  • Maine Hospital Association
     — PTE process
  • Northern New England Quality Improvement Organization
  • Nursing Data
  • Public Process
     — Advisory Council
     — Multi-stakeholder involvement
     — Multiple views
  • Other political considerations

Return to Top


Slide 11: Resolutions

  • Change to speedometer
  • Change methodology
     — Regression model
     — Data inclusion/exclusion
  • Nursing Data Representation
  • Descriptive Language
  • New MQF data site: 207.103.203.51

Return to Top


Slide 12: Phase II

  • GIS maps for variation analyses
  • New Chapter 270 data

Return to Top

Return to Contents

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

 

AHRQ Advancing Excellence in Health Care