Latest updates on the Hospital Quality Improvement Platform

Quality Quarterly Article

Use of HQI’s Hospital Quality Improvement Platform — a quality analytics system that consolidates disparate data sources into a single, statewide platform — continues to increase as more hospitals complete their contract reviews. The platform is free to all California Hospital Association members.   

The secure, web-based platform provides risk-adjusted quality measures for conditions most affected by hospital quality initiatives. Through the platform, hospitals gain access to clinically rich, timely reports to help easily identify opportunities for improvement and areas for focus. The free platform is web-based, does not connect to your electronic health records system, and uses data hospitals already report to the Office of Statewide Health Planning and Development (OSHPD) and the National Healthcare Safety Network (NHSN).  We work for you! Let us know what reports you would like to see in this platform. The HQI team may be able to create and customize reporting to meet your hospital’s needs. 

Since launching in October 2019:

  • 293 of 472 hospitals have seen a demo of the platform
  • 112 hospitals have executed agreements
  • 172 hospitals have participation agreements under legal review

LATEST UPDATES ON THE HOSPITAL QUALITY IMPROVEMENT PLATFORM

New reports in the queue

  • A new report on Severe Maternal Morbidity based on the CDC indicators is under development.
  • Two chronic conditions reports based on the CCW categories are under development.

New functionality

  • HQI successfully loaded the 2019 historical statewide discharge data into the platform for more recent historical data.
  • Two-factor authentication for extra security when logging in is now active.

Reporting updates

  • A new series of reports on Social Determinants of Health that explore hospital Z-code usage are now available on the platform. 
  • The age filters have been updated to reflect reporting by 10’s (OSHPD Reporting) and CMS reporting (by age groups <18, 18-64, 65+).
  • NHSN healthcare-associated infection (HAI) reports have been refreshed with the latest data.

ABOUT THE PLATFORM

Features include:

  • Access to hospital performance data from various sources, integrated into a centralized platform.  
  • Tools to understand your hospital’s quality performance and compare standardized measures to statewide benchmarks and peers.  
  • The ability to explore same-year quality performance for your hospital, rather than waiting eight to 20 months for statewide files to be released.  
  • An intuitive interface that provides a window into inpatient and emergency quality indicators.    
  • Secure data within HIPAA-qualified encrypted data systems.  

Quality measures include:

  • Inpatient episode quality and efficiency 
  • Readmissions (3, 7, 14, 30 day) 
  • Healthcare-associated infections (HAIs)
  • Case mix demographics, comorbidities, index 
  • Centers for Medicare & Medicaid Services hospital-acquired conditions (DRA HAC and HACRP) 
  • Cancer surgery volumes 
  • Emergency department (ED) discharge analytics (comorbidities, volume, demographics, revisits) 
  • Adverse drug events (anticoagulants, glycemic control, and opioids) 
  • Hospital-acquired conditions (HACs) 
  • Agency for Health Research and Quality (AHRQ) patient safety indicators 
  • AHRQ inpatient quality indicators  
  • Sepsis incidence and mortality 
  • Maternity measures 
  • Mortality/serious complications/reoperations/length of stay/discharge disposition 
  • Nursing-sensitive measures 

There are 15 options for benchmarking your hospital’s performance: 

  • All California hospitals 
  • Other critical access hospitals 
  • Other children’s hospitals 
  • Your hospital’s past performance 
  • Other California hospitals: 
    • In the same health system 
    • In the same region
    • In the same metropolitan statistical area
    • With similar bed size
    • With similar rurality/urbanity
    • With the same type of control (e.g., non-profit)
    • With the same license type
    • With similar Medicare payer mix
    • With similar Medi-Cal payer mix
    • With the same trauma level designation
    • With similar inpatient discharge volume
    • With same ED type
    • With similar ED volume 

For hospitals interested in participating, it can be done in three easy steps:  

  1. Execute the cost-free Business Associated Agreement & Master Service Agreement.  
  2. Securely submit copies of MIRCal/OSHPD emergency department, ambulatory surgery, and inpatient patient-level administrative discharge data files.  
  3. Join HQI’s NHSN group.  

For more information about the Hospital Quality Improvement Platform or to schedule a 30-minute demo, visit the HQI website or email HQIAnalytics@HQInstitute.org.