AHRQ--Agency for Healthcare Research and Quality: Advancing Excellence in Health Care

2005 AHRQ Quality Indicators User Meeting

September 26-27, 2005

AHRQ Conference Center – Rockville Maryland

 

Conference Synopsis           

The two-day User Meeting was intended both for active users of the AHRQ Quality Indicators (AHRQ QI) and for those interested in how the AHRQ QI might be used in their organizations.  The sessions focused on lessons learned from actual applications on these topics:

  • New Pediatric Indicator Module

  • Applying the AHRQ QI to improve population health

  • Using the AHRQ QI as a catalyst for quality improvement

  • Implications of ICD-9-CM coding practices

  • Use of the AHRQ QI in the National Healthcare Quality Reports

  • Methods for creating aggregate performance indices

  • Considerations in using the AHRQ QI for comparative reporting and pay-for-performance

In addition to presentations by content experts, the AHRQ QI development team and AHRQ QI users, the User Meeting provided an opportunity for open discussion on frequently asked questions, recommendations for future AHRQ QI development, and other considerations related to the use and interpretation of the AHRQ QI.  Panel discussions were held on quality improvement, comparative reporting and pay-for-performance with representatives from multiple perspectives.

  

 Monday, September 26 – Using the AHRQ Quality Indicators for Quality Improvement

Welcome/Introduction to Day 1

  • Mamatha Pancholi, AHRQ

Opening Remarks

  • Carolyn Clancy Director - AHRQ

Overview of the AHRQ Quality Indicators

What are the AHRQ Quality Indicators and how do they fit into AHRQ's organization and mission

Overview of the Pediatric Indicators Module

The content of the new Pediatric Indicator Module, how the indicators were selected and refined from the current AHRQ QI modules, and future directions for pediatric indicator development.

Session I – Using the AHRQ Area Level Indicators to Improve Population Health

Applications of the area level indicators (e.g., Prevention Quality Indicators) to identify potential problems in the quality of ambulatory care and access to health care providers, especially among patients with chronic conditions;  approaches for managing health plans, achieving cost savings by reducing avoidable hospitalizations, and promoting interactions with environmental and public health agencies.

Session II – Using the AHRQ Provider Level Indicators as a Catalyst for Quality Improvement

Applications of the provider level indicators to promote quality improvement efforts in hospitals and health care systems and to identify opportunities for changes in processes of care and systems of care; approaches to communicating performance to physicians and the public; validation efforts with data from medical chart abstraction.

 

Session III – Implications of ICD-9-CM Coding Rules for Measuring AHRQ QIs

Identifying common sources of variation in ICD-9-CM coding practices that might impact AHRQ QI rates; Approaches to improving organizational coding practices; Understanding the relationship between coding design and indicator development.

 

Session IV – Roundtable Discussion on Using the AHRQ QIs for Quality Improvement and Future Directions for AHRQ QI Development

Facilitated discussion to review the framing questions of the day with representatives from multiple perspectives including hospitals, health systems, hospital associations, state data agencies, and Medicaid agencies.  Open discussion on the issues identified during presentations, and suggestions to the Agency for further development and directions for the AHRQ QI.

 

Tuesday, September 27 - Using the AHRQ Quality Indicators for Comparative Reporting

Welcome/Introduction to Day 2

  • Mamatha Pancholi

Session I – Use of the AHRQ QIs in National and State Healthcare Quality Reporting

An overview of the National Healthcare Quality Report and recent State initiatives in the public reporting of health care quality information.

Session II – Methods for Creating Aggregate Performance Indices

Aggregate performance indices may be useful for measuring overall performance from indicators for specific conditions and procedures, and for identifying underlying determinants of performance.  This session will present various methods for creating aggregate indices and development efforts to incorporate summary measures into the AHRQ QI.

Session III – Considerations in Comparative and Public Reporting

The technical and other considerations important for selecting and using the AHRQ QI for comparative and public reporting, including scientific evidence, data availability, intended consequences and the interests of multiple stakeholders; Identify areas for future research to improve the evidence base and for continuous data development. 

Session IV – Case Study:  Using AHRQ QIs in Comparative Reporting

Recent efforts in several states to develop public reports using the AHRQ QI; considerations in selecting and reporting; communicating with providers and the public

Session V – Case Study:  Using AHRQ QIs in Pay-for-Performance

Recent efforts among public and private payers to incorporate the AHRQ QI into pay-for-performance initiatives; considerations in selecting and reporting; communicating with providers and the public. 

Session VI – Roundtable Discussion on Using the AHRQ QIs for Comparative Reporting and Pay for Performance

Facilitated discussion to review the framing questions of the day with representatives from multiple perspectives including hospitals, health systems, hospital associations, state data agencies, and payer/purchasers.  Open discussion on the issues identified during presentations, and suggestions to the Agency for further development and directions for the AHRQ QI.

 

Wrap-up/Closing Remarks

  • Mamatha Pancholi, AHRQ 
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