1. Unleashing Government Data and Information To Enable Transformation: Next Generation of CMS Compare Data Patrick Conway, M.D., MSc CMS Chief Medical Officer and Director, Office of Clinical Standards and Quality June 5, 2012

2. 2 Open Government Data  Access to high quality data is critical to innovation, quality improvement, and increased efficiency in health care 1  3 Keys to success -Expansion of data access -Leverage nongovernmental partners and applications -Improve data iteratively and focus on data and information as a line of business  Data has the power to transform care by providers, inform consumers, and drive disruptive innovations 1 Conway PH and Vanlare JM. Improving Access to Health Care Data. The Open Government Strategy. JAMA. 2010 Sep 1;304(9):1007-8.

3. 3 Overview  Examples of Compare Sites with related data and future directions  Moving to easier data access and use

4. 4 Physician Compare  Launched as physician compare in 2010  Physician Compare currently has information on approximately 800,000 Medicare enrolled providers  Provides information on physicians and other healthcare professionals such as:  Name  Address and phone number  Specialties  Clinical training  Gender  Written and spoken language  Hospital affiliation  Physician Quality Reporting System and e-rx participation

5. 5 Physician Compare Future  Scheduled for a full site redesign in early 2013  Future measures and information to be added to the site include:  PQRS, EHR, and MOC Participation  PQRS Group Practice Reporting Option (GPRO) Participation and performance  Patient experience measures  Performance measures  Downloadable data, while not currently available, is strongly under consideration

6. 6 Hospital Compare  Initially launched March 31, 2005  Redesign released July 2010  Features  Hospital Demographic Data  Hospital Process of Care Measures  Hospital Outcome of Care Measures  Patients’ Hospital Experience Measures  Patient Safety Measures  Recently efficiency measure added  Volume Data  Data is same data used for hospital value based purchasing  Plan for future enhancements in terms of data timeliness and ease of data access

7. 7 Dialysis Facility Compare  Posting of data for dialysis facilities across the U.S.  Measures relevant to end stage renal disease patients  Measures drive payment for dialysis facilities  There will be a major redesign to bring DFC into alignment with the look, feel, and functionality of the other Compare Tools.  Additional measures will be added at the time of the transition in platforms.

8. 8 Home Health Compare  Initial launch October 2003  Redesign released October 2010  Features  Find and compare Home Health Agencies that serve your area  Agency demographics  Patient Care Quality Measures

9. 9 Nursing Home Compare  Initial Launch October 1998  Features  Find and compare nursing homes in ones area  Nursing home demographics  Quality measures  Nurse staffing  “Star” ratings  Downloadable data

10. Nursing Home Compare Redesign – July 2012 Current homepage New homepage New look, new quality measures, new information

11. Survey Report on Nursing Home Compare – Transparency in Action

12. 12 The Potential for Government Data to Enable Transformation and CMS Compare Tools  Google analytics – our new platform for Compare Tools  Data now more reliable  Develop and use metrics that ensure we’re having the intended effect  Funnel Conversions: Ways to see how users are moving through the workflow, and where they get stuck.

13. First Quarter Page Views Physician Compare494,262 Nursing Home Compare475,067 Hospital Compare284, 009 Home Health Compare221,429 Dialysis Facility Compare79,011

14. 14 Web Services Architecture  All compare data on data.medicare.gov is machine readable.  Starting with July 2012 release, data for all tools will be updated on data.medicare.gov at the same time as the data on the sites.

15. 15 Web Services Architecture  Benefits of web services architecture -- Data.medicare.gov - Enables other audiences to embed/reuse CMS data via an application programming interface (API). Data.medicare.gov  Datasets can be customized and saved by users at low cost.  We can embed datasets on the Compare tools from data.medicare.gov and other users can embed our datasets onto their sites.data.medicare.gov

16. 16 Web Services Architecture  We/others can combine our data with other sets (i.e., maps).  We/others can customize and tell stories with our data.  Ultimately, we will transition the downloadable databases for all tools to the data.medicare.gov platform.

17. 17 Strategies for the future  Mobile versions of the tools  Mobile applications  Make our data available whenever possible so external stakeholders can put the data to use to improve the health system  Give us your best ideas and suggestions