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1 Quality Health Indicators Brought to you by… Left Click mouse or use down arrow to proceed through this presentation.

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Presentation on theme: "1 Quality Health Indicators Brought to you by… Left Click mouse or use down arrow to proceed through this presentation."— Presentation transcript:

1 1 Quality Health Indicators Brought to you by… Left Click mouse or use down arrow to proceed through this presentation.

2 2 Menu About QHi Defining your facility Selecting Measures Entering Data Dashboards Reports How we use the data Click on any menu item above to go directly to a topic or left mouse click (down arrow) to continue through the presentation.

3 3 Quality Health Indicators The Quality Health Indicator (QHi) web site was developed through KHA and KRHOP to facilitate a benchmarking project for rural Kansas hospitals. The goal of QHi is to provide hospitals an economical instrument to evaluate internal processes of care and to seek ways to improve those practices by comparing specific measures of quality with like hospitals. Using QHi as a tool, regional networks of hospitals and individual facilities can select from a library of quality indicators to determine which measures meet their unique needs.

4 4 Quality Health Indicators Critical Access Hospitals in Kansas, Michigan, Nebraska, Oklahoma, South Dakota, Alaska, Wyoming and Missouri use QHi as a data collection tool. Through this multi-state project, QHi is well positioned to serve as a significant repository of information on quality of care and performance in Critical Access Hospitals nationwide.

5 5 Four Pillars Of Measurement Quality Health Indicators Clinical Quality Employee Contribution Patient Satisfaction Financial Operational

6 6 QHi Core Measure Set Clinical Quality Healthcare Acquired Infections per Patient Day Pneumonia Patients Given Antibiotics within 6 hours of admission (CMS PN-5c) Pneumonia Patients Receiving Pneumonia Immunization (CMS PN-2 ) Unassisted Patient Falls Employee Contribution Benefits as a Percentage of Salary Staff Turnover All participating hospitals are asked to collect and report the 8 QHi Core Measures Financial Operational Gross Days in AR Days Cash on Hand

7 7 Clinical Quality Measures Healthcare Acquired Infections per Patient Day Unassisted Patient Falls Inpatients Screened for Pneumonia Medication Omissions Resulting in Medication Error Medication Errors Resulting from Transcription Errors ER Provider Response Times Return ER Visits within 72 hours with same diagnosis Readmits Within 30 Days with Same or Similar Diagnosis CMS Pneumonia Measures Inpatients Receiving O2 Assessment within 24 hours of admission - CMS Pn-1 Inpatients Receiving Pneumonia Immunization - CMS Pn-2 Pneumonia Given Antibiotics within 4 hours of admission - CMS Pn-5b Pneumonia Given Antibiotics within 6 hours of admission - CMS Pn-5c CMS OP Transfer Measures Percentage of eligible patients who received thrombolytic therapy - CMS OP-1 and OP-2 Median Time from Emergency Dept Arrival to Time of Transfer to another Facility for Acute Coronary Intervention -compare to CMS OP-3 Number of AMI patients without aspirin contraindications who received aspirin within 24 hrs -CMS OP-4 Percentage of AMI or Chest Pain pts receiving ECG within 10 min. of arrival (prior to transfer) CMS OP-5 Additionally, facilities select from over 50 measures in the QHi library of indicators

8 8 Bad Debt Expense Charity Care Cost per Patient Day Current Ratio Days Cash on Hand * Gross Days in AR * Labor Hours per Patient Day Net Patient Revenue per Patient Days The following measures exist for each pillar: Operating Profit Margin (percent) Payer Mix - Commercial Payer Mix - Medicaid Payer Mix - Medicare Payer Mix - Other Payer Mix - Other Government Payer Mix - Self/Private Pay Financial/Operational * QHi Core Measure Set Newest Financial/Operational Measures Physical Therapy Labor Hours per Unit of Service Laboratory Labor Hours per Unit of Service X-Ray Labor Hours per Unit of Service Mammogram Labor Hours per Unit of Service Ultrasound Labor Hours per Unit of Service CT Labor Hours per Unit of Service MRI Labor Hours per Unit of Service Pharmacy Labor Hours per Unit of Service Nursing Hours per Patient Day Rural Health Clinic Encounters per FTE Long Term Care Hours per LTC Patient Day Laboratory Hours per Billed Service

9 9 Employees Average Time to Hire (All Staff) Average Time to Hire (Non-Nursing) Average Time to Hire (Nursing) Benefits as a Percentage of Salary * Non-Nursing Staff Turnover Nursing Staff Turnover Salary to Operating Expenses Comparison Staff Turnover * Patient Satisfaction How well staff worked together to care for the patient How well the patients pain was controlled Likelihood of recommending this hospital to others Overall rating of care given to hospital The extent to which the patient felt ready for discharge The following measures exist for each pillar: * QHi Core Measure Set

10 10 QHi users log directly in to the site at

11 11 A user name ( address) and password is required to enter this secure web site. The password must be 8 characters that include upper and lower case letters and at least one number. For example: myQhi789 The level of access is determined by the user type. System Administrator – maintains the site (KHA) State Administrator –provides support to Hospital Contacts in their State Network Administrator – maintains Network profiles & provides support Hospital Contact – maintains Hospital profiles, adds users & enters data Hospital User – enters data and runs reports View Only – views data and runs reports Quality Health Indicators

12 12 The HQRA (Healthcare Quality in Rural America) portal, introduced in 2008, provides access to multiple resources with just one log in. Users navigate from resource to resource by selecting the appropriate tab. Select Announcements & Calendar to view the portal home page.

13 13 The Event Calendar provides a monthly view of upcoming QHi training sessions and advisory committee meetings … as well as Webinars related to the overall Quality Project. Click QHi tab to return to QHi

14 14 Defining Your Hospital Return to Main Menu

15 15 Click Administration to view Hospital Profile Page

16 16 Hospital Characteristics define each facility for the creation of peer groups when running reports. Question marks provide pop-up definitions throughout the QHI site.

17 17 Entire Enterprise or CAH only. Select Entire Enterprise, if other entities are included in your financial reporting, i.e. Long Term Care Unit or Rural Health Clinics. Select Hospital only for CAH or 25 beds or less or Hospital only for non-CAH, greater than 25 beds, if you will report financial information for your Hospital only. Note: This applies only to Financial/Operational measures. Clinical Quality measures should be reported only for your acute care hospital. 17

18 18 Selecting Measures Return to Main Menu

19 19 In Part E of the Hospital Profile, users can select the default measures predetermined by their State or Network. 19

20 20 Part G lists the measures within the measure sets currently collected by the hospital.

21 21 Question marks provide further definition of the elements. The show elements link displays the elements required to calculate the measure. 21

22 22 Individual hospitals can select any/all measures that meet their needs. The number of hospitals collecting the measure. Additional measures can be selected in Part H. 22

23 23 Entering Data Return to Main Menu

24 24 Data elements populate the data entry screen based on measures selected in the Hospital Profile. The prior months entry displays for guidance. Calculate Measures provides instant feedback by automatically calculating measures and immediately displaying results.

25 25 In addition, new enhancements provide instant validation for most elements, displaying error messages if potential outliers are entered. Users Save data by clicking Save All and Stay Entered information is not pulled into the database for display on the dashboard or in reports until the Activate Data for Reporting box is checked.

26 26 The Dashboard Return to Main Menu

27 27 The Core Measures Dashboard provides comparison data for the 8 QHi Core measures. All data is calculated using a consecutive three month summing average. State Avg values pertain to data from hospitals that reside in the same state as hospital being viewed and are reporting in the same time interval. QHi Avg values pertain to all hospitals in QHi that are reporting same measure and are reporting in the same time interval.

28 28 Hospitals must have activated data for at least one of the three months displayed to view the dashboard measure. Financial measures on the dashboard default to peer groups based on the hospitals level of reporting, either CAH Only or Entire Enterprise. Hospital specific data for pneumonia measures will not display for hospitals with no occurrences during the reporting period.

29 29 The Dashboard can be viewed as a table

30 30 Table View

31 31 Change the 3 months viewed by selecting a different start month.

32 32 The Dashboard can be printed in graph or table view. Excellent for board and committee meetings. Click to view as a PDF

33 33 The PDF format allows the user to save, print or the document.

34 34 Or users can simply the report in PDF to themselves by clicking To Myself …or choose another recipient

35 35 Users select from existing registered users …or add a new recipient

36 36 …Enter the Name and address of the new recipient …and click Add New

37 37 Create Schedule

38 38 1.Select a run date 2.Select the frequency 3.Select Recipients 4.Save Schedule 5.Report is sent through as a PDF attachment.

39 39 Create a customized dashboard by clicking View My Dashboard

40 40 Click the drop down to select measures to display. Only those measures collected by the hospital are visible. Selected measures are retained and user specific.

41 41 Reports Return to Main Menu

42 42 Reports are available for all measures in QHi. Hospitals view reports only for those measures and data elements they collect. There are 6 categories of reports 1.Clinical Quality 2.Employees 3.Financial Operational 4.Hospital Characteristics 5.Patient Satisfaction 6.System 42

43 43 Step 2: Select a date range and grouping interval Step 1: Select from these 4 default peer groups. State All QHi My Network My Medicare Region 43

44 44 In Step 3, hospitals define a customized peer group based on a list of hospital characteristics. Multiple values can be selected to better define the peer group. 44

45 45 Step 4 lists available values for the criteria in Step 3. 45

46 46 The results can be displayed in 4 formats by clicking: View Line Graph View Bar Graph View Table or View Text Detail Measure Step 5 holds the selected criteria. 46

47 47 The Graph View 47

48 48 The Bar Graph View 48

49 49 The Table View 49

50 50 The Text Detail View Please note: Hospitals are not identified by name. The users facility is identified by Hospital 50 Click Export to export report data to Excel.

51 51 From Excel users can create customized graphical displays to meet their needs.

52 52 The Text Detail View Hospitals can be contacted for benchmarking by clicking the envelope icon. 52

53 53 Hello, Hospital 2 is interested in discussing some benchmarking opportunities with your facility. You may contact me at Thank you, Sally The hospital contact at the selected facility receives an message. 53

54 54 Educational materials and worksheets to facilitate data collection are available for download on the Help page. 54

55 55 How we use the data Return to Main Menu

56 56 I print a copy of the graphs and take it to the board for discussion. They appreciate seeing in color how we compare to other CAHs in KS as well as others in the USA. On a quarterly basis I am giving a copy of the bar graphs to our Board Members at their meeting. I give the Quality Committee a copy of the quality reports on a quarterly basis. We track and present our indicators monthly and are usually above the norm. On the occasions when we fall below, it prompts us to review processes to seek improvements. If we fall below expectations, we look for ways to improve and then report back to the board in the next quarter. We like the Days in AR report. This is our only source for comparative information on this measure. Quality Health Indicators What do we do with the data? A few comments from our hospitals…

57 57 Thank you for viewing this demonstration. If you have any questions or would like additional information on the QHi project, please contact Sally Perkins, QHi System Administrator Director of Data Services at the Kansas Hospital Association


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