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2005 AHRQ Quality Indicators User Meeting
AHRQ
Conference Center – Rockville Maryland
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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:
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New
Pediatric Indicator Module
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Applying
the AHRQ QI to improve population health
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Using the
AHRQ QI as a catalyst for quality improvement
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Implications of ICD-9-CM coding practices
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Use of
the AHRQ QI in the National Healthcare Quality Reports
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Methods
for creating aggregate performance indices
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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.
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Monday, September 26 – Using the AHRQ Quality
Indicators for Quality Improvement |
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Welcome/Introduction to Day 1
Opening Remarks
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Overview of the
AHRQ Quality Indicators
What are the AHRQ
Quality Indicators and how do they fit into AHRQ's organization
and mission
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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.
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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.
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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.
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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.
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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.
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Tuesday, September 27 - Using the AHRQ Quality Indicators for
Comparative Reporting |
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Welcome/Introduction to Day 2
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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.
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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.
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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.
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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
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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.
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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.
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Wrap-up/Closing
Remarks
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Internet Citation:
User Meeting Presentations. AHRQ Quality Indicators.
October 2005. Agency for Healthcare Research and Quality,
Rockville, MD. http://www.qualityindicators.ahrq.gov/usermeeting_presentations_2005.htm
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