Transparency for Quality Improvement Efforts at the Kentucky Cabinet for Health and Family Services (CHFS) Trudi Matthews, MA Senior Policy Advisor Office.

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Presentation transcript:

Transparency for Quality Improvement Efforts at the Kentucky Cabinet for Health and Family Services (CHFS) Trudi Matthews, MA Senior Policy Advisor Office of the Secretary

Cabinet for Health and Family Services Slide #2 Trudi Matthews et al.

Cabinet for Health and Family Services Slide #3 Kentucky Legislation & Policy 2005 law (HB 278) Secretary’s Advisory Committee on Transparency Transparency 2006 law (HB 380) on public release of cost and quality data Health Care Information Center Website: –Launched March 2007 –Data on avoidable hospitalizations & inpatient quality –Consumers can compare KY hospitals on quality –

Cabinet for Health and Family Services Slide #4

Cabinet for Health and Family Services Slide #5 How did KY staff use the AHRQ Tools? AHRQ Diabetes Guide and Workbook helped direct staff to: –Look at chronic diseases & focus on diabetes –Assemble most recent data in formats of the Diabetes Guide –Be productive in the analysis phase –Interpret data with better understanding –Achieve credibility by using national measures and AHRQ methods

Cabinet for Health and Family Services Slide #6 Data Sources The Kentucky CHFS collects: UB-92 inpatient records: –600,000 per year –All Kentucky hospitals Outpatient surgery records: –Hospital-based –Some ambulatory surgery centers Public Health Data – BRFSS, Vital Statistics, etc. Medicaid & State employee claims Procedures & Diagnoses Volume Length of stay Charges HCUP Partner

Cabinet for Health and Family Services Slide #7 Quality Measures Non-proprietary consensus-based sources: AHRQ: Agency for Healthcare Research and Quality CMS: Centers for Medicare and Medicaid Services Others (JCAHO, NQF, etc.) Measures being used now: Prevention Quality Indicators Inpatient Quality Indicators Patient Safety Indicators CMS Hospital Compare AHRQ Quality Indicators

Cabinet for Health and Family Services Slide #8 Kentucky and Health Status Kentucky: among worst health outcomes in US: –2 nd highest death and disability rates –6 th highest obesity prevalence Diabetes: –7th highest adult diabetes prevalence –Some Eastern counties nearly double national diabetes rates

Cabinet for Health and Family Services Slide #9 Obtained from Diabetes Guide: KY Compared to Worst/Best-in-Class States

Cabinet for Health and Family Services Slide #10 Obtained from the Diabetes Guide

Cabinet for Health and Family Services Slide #11 Estimated Using Ideas from the Diabetes Guide + HCUP Data

Cabinet for Health and Family Services Slide #12 New Display Using Diabetes Guide Data

Cabinet for Health and Family Services Slide #13 Estimated Using Ideas from the Diabetes Guide + HCUP Data

Cabinet for Health and Family Services Slide #14 Estimated Using Ideas from the Diabetes Guide + HCUP Data

Cabinet for Health and Family Services Slide #15 New Display Using Diabetes Guide Data

Cabinet for Health and Family Services Slide #16 New Display Using Diabetes Guide Data

Cabinet for Health and Family Services Slide #17 GIS Mapping: Using HCUP Data & AHRQ Mapping Software County-Level Quality Improvement Data

Cabinet for Health and Family Services Slide #18 Louisville FrankfortLexington

Cabinet for Health and Family Services Slide #19

Cabinet for Health and Family Services Slide #20

Cabinet for Health and Family Services Slide #21

Cabinet for Health and Family Services Slide #22 Target areas New Display Using Diabetes Guide Data Source: BRFSS & Diabetes Guide

Cabinet for Health and Family Services Slide #23 Conclusion Governor committed to transparency efforts Transparency (Data & Measurement) is first step to quality improvement Diabetes Guide critical tool for how best to present our data KY must take more steps to facilitate quality improvement The Guides give us credibility in our QI efforts

Cabinet for Health and Family Services Slide #24 Contact Information “I’m sorry I couldn’t be with you.” -Trudi Matthews (cell)

Cabinet for Health and Family Services Slide #25 For Policy Discussion Roundtable: States Involved in AHRQ Activities on Asthma Learning Partnership – Disparities in Pediatric Asthma –Pilot testing state-led model: AZ, MD, MI, NJ, OR, RI –Activities with States: Learning institutes Planning support Technical assistance (e.g., Cultural competency training) Specific Examples: –Michigan Asthma Coalition: Trained on asthma disparities ; collecting data on children’s disparities Stimulated asthma ROI calculator -- decision on county program –Oregon: Used GIS mapping to target high prevalence counties to reduce asthma disparities among low-income children (for telemedicine?) –Rhode Island Rhode Island Healthy Homes: Developed assessment tool to identify children with asthma in low-income housing (w/ housing authority) & refer to community health centers and DOH)