Instructions for Updating the Model Quality Dashboard Using the QTD Report in HQIP
There is no requirement or expectation for hospitals to use the Model Quality Dashboard. Although the measures on the Model Quality Dashboard are recommended for reporting by HQI, the goal of the QTD effort is to encourage hospitals to be more transparent with the public about their quality of care using whatever quality measures they choose to publicly report.
Nonetheless, for hospitals interested in updating the measures presented on the Model Quality Dashboard, the following steps are provided to help accomplish this task using the information presented in HQIP:
Download the QTD Template from the HQI website.
Fill in the Hospital Name.
- Select Report List on the left pane.
- Select Quality Transparency Dashboard from the All Reports list.
- Under the Measure Group filter, select Complications & Deaths – Infections and click the Apply Filter button.
- Select the Data Table tab.
- Find the rows with Measure Name “HAI-1: CLABSI: Central Line-Associated Bloodstream Infections (ICUs and Select Wards)”.
- Find the HAI-1 row with the latest File Date.
- Copy the Measure Start & End Dates, Facility Score, California Score, and National Score into the appropriate spaces on the QTD Template.
- Select Report List on the left pane.
- Select Quality Transparency Dashboard from the All Reports list.
- Under the Measure Group filter, select Complications & Deaths – Infections and click the Apply Filter button.
- Select the Data Table tab.
- Find the rows with Measure Name “HAI-3: SSI COLO: Surgical Site Infections from Colon Surgeries”.
- Find the HAI-3 row with the latest File Date.
- Copy the Measure Start & End Dates, Facility Score, California Score, and National Score into the appropriate spaces on the QTD Template.
- Select Report List on the left pane.
- Select CMQCC Maternal Quality Measure Rates, Trends, & Benchmarks from the All Reports list
- Select the Data Table tab.
- Find the rows with Measure Name “NTSV: Nulliparous, Term, Singleton, Vertex (NTSV) Cesarean Birth Rate (%)”.
- Find the NTSV row with the latest Measure Start Date.
- Copy the Measure Start & End Dates, Facility Score, and California Score into the appropriate spaces on the QTD Template.
- The National Level is available from Centers for Disease Control and Prevention, National Center for Health Statistics, Vital Statistics Rapid Release, Births: Provisional Data Year report as the measure called “low-risk cesarean delivery rate” (e.g., Births: Provisional Data for 2022 was 26.3%).
- Select Report List on the left pane.
- Select Sepsis Incidence, Case Mortality, Length of Stay (LOS), & Admit/Discharge Dispositions for Inpatient Encounters from the All Reports list.
- Under Filters, change Date Range (Monthly) to reflect the latest 12-month period of inpatient discharges available for your hospitals (e.g., “Jan 2021 – Dec 2021” for CY2021) and click the Apply Filter button.
- Find the Group row called “All Sepsis (in-hospital mortality rate)”.
- Copy the Date Range (Monthly), Value, and Value (Comparison Group) into the appropriate spaces on the QTD Template.
- Note: You can search for a national score (e.g., 15%) or type ‘N/A’ for National Level. Make sure to click Reset To Default Filters before moving to the next measure.
- Select Report List on the left pane.
- Select Quality Transparency Dashboard from the All Reports list.
- Under the Measure Group filter, select Unplanned Hospital Visits and click the Apply Filter button.
- Select the Data Table tab
- Find the rows with Measure Name “READM-30-HOSP-WIDE: 30-Day Hospital-Wide All-Cause Unplanned Readmission (HWR)”.
- Find the READM-30-HOSP-WIDE row with the latest File Date.
- Copy the Measure Start & End Dates, Facility Score, California Score, and National Score into the appropriate spaces on the QTD Template.
For more information about the Quality Transparency Dashboard initiative, visit the HQI website or email HQIAnalytics@HQInstitute.org.