July 31 Call
The Agenda:
AHRQ Efficiency Framework Overview
Hospital Resource Utilization Measures
Presentations:
Identifying, Categorizing, and Evaluating Health Care Efficiency Measures
The Speakers:
- Barbara Rudolph, Ph.D., NAHDO and Leapfrog Group
- Michael Lundberg, Executive Director, Virginia Health Information
- CMS Research Team (TBD) from Yale University
Dial in:
866-921-9660
passcode: 7798811#
May 22, 2008 Call
Call Minutes & Summary
Don't miss our next Quality Workgroup Webinar! We will discuss the issues and challenges related to Patient safety/adverse event reporting. We are pleased to feature Dr. Barbara Rudolph, (NAHDO and Leapfrog Group), Dr. Kay Jewell, a Health Care Consultant and Dr. Sam Ho from United Health Care.
This webinar is funded by the Robert Wood Johnson Foundation
Call Documents
08 QWG Adverse Event slides BR.ppt
SER_Amendment_Man_Jan08.pdf
SER_Guide_Rev_Jan08.pdf
SER_Section_One_Man_Jan08.pdf
SER_Section_Two_Man_Jan08.pdf
Call Agenda
1. Introduction: Barb Rudolph, Ph.D., Consultant to NAHDO
a.) Early reporters on SRE, Never Events, HACs
b.) Challenges faced include: lack of standardized coding; lack of codes; complexity of coding
c.) Analytic challenges related to relatively rare events
d.) Reporting challenges
2. DVT/VTE, Blood Stream Infections, and Sepsis Kay Jewell, MD Consultant
3. Sam Ho, MD., UnitedHealthcare --Payment oriented efforts
CMS--
Partners Health Plan
The Leapfrog Group
4. HCUP Measures used by States
5. Coding issues: should we push for standardization?
6. Analysis issues: what methods work best?
7. Reporting issues: how to best report rare events? States vary in how they are reporting and defining measures and interventions and how they address small numbers.
Please find linked documents for the call:
1) National/State Efforts Related to Serious Adverse (Reportable) Events--Powerpoint slides for the call
2) Nevada Sentinel Event Reporting Guide, including our definitions developed jointly by the Nevada State Health Division and Nevada Hospital Association
3) Nevada Sentinel Event Registry report forms, also developed jointly by the Nevada State Health Division and Nevada Hospital Association
The Nevada policies were s
Lynn O'Mara, MBA
Health Planning Program Manager
Bureau of Health Planning and Statistics
Nevada State Health Division
4150 Technology Way, Suite 104
Carson City, NV 89706
Phone: 775-684-4169
Fax: 775-684-4156
Email: lomara@health.nv.gov
ent by:
March 20, 2008 Call
Voting deadline, March 25
Ballot 1: Voting package for Additional National Voluntary Consensus Standards for Hospital Care: Additional Priorities - Part 2
http://qualityforum.org/projects/ongoing/hosp-priorities2007/voting-materials2.asp
Older QWG 2008 Calls:
Presenters:
David S. P. Hopkins, Ph.D., Director of Quality Measurement, Pacific Business Group on Health
Marybeth Fahrquar, AHRQ, will join us to update us on the pending NQF vote for the hospital care measures.
Voting deadline, March 31
Ballot 2: Voting Package for National Voluntary Consensus Standards for Healthcare-associated Infections Data (clinically abstracted measures)
(Do not cite, distribute, copy voting materials. For NAHDO member discussion only).
The following groups of measures have important implications for NAHDO members. It is significant that the NQF is deliberating measures derived from administrative data (see below), but, if past history is any predictor, there will be quite a bit of resistance to the use of these measures for public reporting. It is important that NAHDO weigh in on these measures and these issues.
Hospital Care Measures----list of administrative data measures below:
Length of Stay/Readmission Measures
Patient Safety Adult
Patient Safety Pediatrics
Pediatrics
Surgery and Anesthesia
AHRQ QI MEASURES:
Death in low mortality DRGs
Iatrogenic pneumothorax
Acute strok mortality rate
Bilaterial cardia cath rate
CHF mortality
Trasnfusion reaction, 18 yo and older
Accidental puncture or laceration
Decubitus ulcer
Iatrogenci pneumothorax in non-neonates
Transfusion reaction, under 18 yo
Pediatric health surgery mortality
Pediatric heart surgery volume
AAA volume
AAA repair mortality rate
Esopahgeal resection mortality rate
Esophageal resection volume
Indicental appy in elderly, rate
Pancreatic resection mortality rate
Pancreatic resection volume
Post-op wound dehiscence, under 18 yrs
Post-op wound dehiscence, 18 yrs and older
Foreign body left after procedure, under 18 yo
Foreign body left in during procedure, 18 yrs and older