What Types of Websites and Reports Can MONAHRQ Generate?

March 2015

Note: This is one of eight slide sets outlining MONAHRQ and its value,

available at www.ahrq.gov/professionals/systems/monahrq/resources/

What Is MONAHRQ?

Windows-based software from the Agency for Healthcare Research and Quality (AHRQ) that can help you and your organization create your own website-based, comparative health care performance reports.

• Evidence-based – uses measures, data sources, and reporting techniques that are based on the latest research

• Quick – generates websites and reports in hours or days, not months

• Easy – designed to be intuitive so no training is needed to use it

• Flexible – allows customization to ensure that the websites and reports are relevant

• Free – provided by AHRQ at no cost to anyone who wants to produce health care performance websites and reports

The purpose of MONAHRQ is to help increase transparency by disseminating evidence-based information that is understandable and useful for improving health care safety, quality, and affordability.

For more information, see the “What Is MONAHRQ?” presentation2

Health Care Professionals

Reports may show statistical information useful for:

• Health care leaders• Policymakers• Researchers or analysts• People who are more familiar

with medical or statistical concepts

Consumers/General Public

Reports are designed to be understandable for:

• Consumers• The general public• Patients and family members• People who are less familiar with

medical or statistical concepts

MONAHRQ Offers Website and Report Options Based on Your Audience(s)

Evidence-based research shows that consumers understand and use reports differently than other audiences. Customize your MONAHRQ-generated website to your target audience.

• The website will include different default reports based on user type research, depending on your choice

• Each option has several types of reports on hospitals (quality, utilization, profiles, and avoidable stays), nursing homes (quality, health inspection results, staffing ratios), and physicians and other practitioners (profiles)

• Websites can be public or private

Consumers/General Public Health Care Professionals

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Topics That Can Be Included in MONAHRQ Reports — Hospitals

Timely and effective care• Heart care• Pneumonia care• Surgical care effectiveness• Emergency department

efficiency• Flu prevention care• Stroke care• Children’s asthma care• Blood clot prevention and

treatment• Pregnancy and delivery

care

Patient experience (CAHPS)

Readmissions, complications, and deaths

• Death rates within 30 days

• Readmission rates within 30 days

• Surgical complications

• Health care associated infections

Cont..

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Medicare spending

Use of medical imaging

AHRQ Prevention Quality Indicators• Hospital admission rates for

the conditions that could be prevented through good outpatient care, such as:• asthma• high blood pressure• low birth weight

AHRQ Inpatient Quality Indicators• Mortality rates for certain

conditions• Mortality rates for certain

procedures• Hospital-level procedure

utilization rates• Area-level utilization rates

(e.g., by county or custom-defined region)

• Volume of procedures

Cont…5

Topics That Can Be Included in MONAHRQ Reports — Hospitals (continued)

Patient safety

• Potential complications and errors resulting from a hospital admission, such as:

• Pressure ulcers

• Foreign object left in after surgery

Pediatric care quality

• Potential complications and errors resulting from a hospital admission for children and adolescents, such as:

• Neonatal mortality

• Postoperative sepsis

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Topics That Can Be Included in MONAHRQ Reports — Hospitals (continued 2)

Quality of care

• For long-stay residents

• For short-stay residents

Health inspections

• Overall results

• Date of inspection

• Number of deficiencies

• Fire safety results

Staffing

• Staffing hours

• Staffing ratios

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Topics That Can Be Included in MONAHRQ Reports — Nursing Homes

Profiles

• Name

• Gender

• Specialty

• Medical practice name and address

• Hospital affiliation

• Medical school name

• Group practice or individual’s current location

Profiles can be created for any type of health care professional enrolled in Medicare, such as

• Physicians

• General practitioners

• Nurse practitioners

• Social workers

• Other medical professionals

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Topics That Can Be Included in MONAHRQ Reports — Physicians

Examples of MONAHRQ Reports — Hospitals (1)

Hospital Profile — Provides a hospital overview (e.g., location, beds, website address), quality ratings, and utilization data for each hospital

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Examples of MONAHRQ Reports — Hospitals (2)

Quality of Hospital Care — Includes comparison ratings by hospital and health topic, plus quality statistics for a wide range of measures

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Examples of MONAHRQ Reports — Hospitals (3)

Inpatient Hospital and Emergency Department (ED) Utilization — Includes detailed information about discharges, estimated costs by hospital, rates for conditions and procedures, and comparison ratings

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Examples of MONAHRQ Reports — Hospitals (4)

Potentially Avoidable Hospital Stays and Cost Savings — Includes comparison ratings, the rates of potentially avoidable hospital stays by health topic and by county, plus estimated cost savings if the rates are reduced

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Examples of MONAHRQ Reports — Hospitals (5)

Discharge and Cost Rates — Includes comparison ratings, hospital discharges, discharge rates, and estimated costs by county

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Examples of MONAHRQ Reports — Nursing Homes (1)

Nursing Home Quality of Care — Includes quality of care indicators for long-stay and short-stay residents

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Examples of MONAHRQ Reports — Nursing Homes (2)

Nursing Home Health Inspections — Includes inspection dates and results

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Examples of MONAHRQ Reports — Nursing Homes (3)

Nursing Home Staffing — Includes number of nursing home staff available to care for residents during their stay

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Examples of MONAHRQ Reports — Nursing Homes (4)

Nursing Home Profile Report — Contains useful information for nursing home including the address, a description (if provided by you), and a map of its location

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Examples of MONAHRQ Reports — Physicians & Others

Profiles of Physicians and Other Health Professionals — Includes name, gender, specialty, hospital affiliation, group practice, location, and more

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Examples of MONAHRQ Reports — Trending

Trending — Includes utilization over time for hospitals and Emergency Departments, with rates by county and region

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Nursing Homes• CMS Nursing Home Compare

data (public source)

Physicians & Other Health Care Professionals• CMS Physician Compare

information (public source)

Hospitals• Hospital-Level AHRQ Quality

Indicators

• Area-Level AHRQ Quality Indicators

• CMS Hospital Compare data (public source)

• Inpatient Hospital Discharge Data

• Emergency Department (ED) Treat-and-Release Data

• Provider of Services (POS) file

• Medicare Payment Data for Top 100 DRGs (public source)

Data Sources Used to Generate Reports Using MONAHRQ

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Customize Websites and Reports

MONAHRQ enables you to customize reports then save them to use again

• Use your customized reports later with updated data or in different combinations to create as many MONAHRQ-generated websites as you need

Customization options with MONAHRQ include:

• Website theme, colors, logo, image, and fonts

• Reports: audience type, title, description, footer, filters, and results columns

• Geographic area, as an alternative to the default “county”

• “About Us” description

• Feedback topics that allow End Users to email comments to you

• Keywords for use in search engine optimization

• Analytics tracking

• Your own Google Maps API instead of the default map that is included

• Reports you design using data sources formatted for use with MONAHRQ’s Open Source Framework (see MONAHRQ’s Open Source Framework)

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Technical Support

For questions or comments about using MONAHRQ, contact MONAHRQ Technical Assistance at MONAHRQ@ahrq.gov

For more detailed instructions and further information about using MONAHRQ to generate reports and websites and reports, please visit http://monahrq.ahrq.gov and download:

• MONAHRQ 6.0 Host User Guide: A comprehensive guide to using MONAHRQ, creating your website and reports, and troubleshooting (http://monahrq.ahrq.gov/MONAHRQ_v60_HostUserGuide.pdf)

• MONAHRQ 6.0 Quick Start Guide: An overview of the steps to create websites and reports using MONAHRQ (http://monahrq.ahrq.gov/MONAHRQ_v60_Quick_Start_Guide.pdf):

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For Further Information

Visit http://monahrq.ahrq.gov to access these additional slide sets:

• What is the Value of Health Care Measurement and Reporting?

• What Is MONAHRQ?

• Why Use MONAHRQ for Health Care Reporting?

• How To Get Started With MONAHRQ

• Who Can Use MONAHRQ?

• Using MONAHRQ’s Open Source Framework

• Future Plans for MONAHRQ and How To Get Involved

To receive updates about MONAHRQ, ask to join our listserv by emailing monahrq@ahrq.gov

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