Nevada takes flight with MONAHRQ

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Nevada takes flight withMONAHRQ

• Center for Health Information Analysis (CHIA)
• Joseph A. Greenway

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Overview

• Introduction
• Nevadas political and budgetary status
• Averted failure MONAHRQ saves the day
• Where does Nevada stand today
• Our wish list
• Summary and conclusion

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Introduction

• The million dollar space pen
• Innovation comes at a cost
• Shared efforts stretch limited resources

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Introduction

• The million dollar space pen
• Innovation comes at a cost
• Shared efforts stretch limited resources

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Nevadas status

• Assemblywoman Sheila Leslie is a visionary
• The battle for transparency
• The endoscopy scandal (the leverage)
• The passage of Assembly Bill 146 (AB146)
• Data collection begins
• The need to post to the public is looming
• A big project with a little budget

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Nevadas status

• Assemblywoman Sheila Leslie is a visionary
• The battle for transparency
• The endoscopy scandal (the leverage)
• The passage of Assembly Bill 146 (AB146)
• Data collection begins
• The need to post to the public is looming
• A big project with a little budget

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Nevadas status

• Assemblywoman Sheila Leslie is a visionary
• The battle for transparency
• The endoscopy event (the leverage)
• The passage of Assembly Bill 146 (AB146)
• Data collection begins
• The need to post to the public is looming
• A big project with a little budget

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MONAHRQ Saves the Day

• Beta testers of MONAHRQ
• A ton of bricks lifted from our shoulders
• DRGs, Diagnoses, Procedures, Quality Indicators
• The difficulties and delays, and the budgetary
  pressures

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MONAHRQ Saves the Day

• Beta testers of MONAHRQ
• A ton of bricks lifted from our shoulders
• DRGs, Diagnoses, Procedures, Quality Indicators
• The difficulties and delays, and the budgetary
  pressures

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Where does NV Stand Today?
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Where does NV Stand Today?
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Where does NV Stand Today?
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Our Wish List

• I would like MONAHRQ to be able to post hospital
  outpatient (OP) data
• HCPCS
• Rate Codes
• Outpatient DRGS (EAPGs ???)
• Id like it to treat the OP types uniquely
• Emergency Department
• Outpatient Surgery
• Other OP

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Our Wish List

• Id like (where appropriate) MONAHRQ to compare
  Inpatient with Outpatient data (inter and intra
  hospital)
• I wish that a future version of MONAHRQ would
  incorporate Ambulatory Surgical Center data
• Treat each ASC type uniquely
• Compare to hospital OP data (where appropriate)

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Summary and Conclusion

• MONAHRQ has been a godsend in Nevada. When
  budgetary constraints and political pressures put
  the need for public results into the forefront,
  MONAHRQ saved the day.
• I strongly recommend that MONAHRQ be used by all
  those that need to post health billing data.

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• Questions???