Washington State Office of Financial Management
The Health Care Research Center
Last update - July 31, 2015
Washington State MONAHRQ (WaMONAHRQ) is a health care information system that includes tabular, graph, and map reports on hospital inpatient care utilization, quality, potentially avoidable stays as well as nursing home quality and a directory of physicians practicing in Washington.
The compilation of this system is based on the tools of MONAHRQ (6.0) and Quality Indicators (WinQI 5.0) provided by the Agency for Healthcare Research and Quality (AHRQ). Currently, WaMONAHRQ is available for the following four years:
Washington State MONAHRQ – 2010
Washington State MONAHRQ – 2011
Washington State MONAHRQ – 2012
Washington State MONAHRQ – 2013
Hospital inpatient care reports are included in each year’s WaMONAHRQ. The inpatient care reports consist of four broad areas of measures: hospital quality, utilization, avoidable hospital stays, and area (county and region) rates of hospital use. Measures for hospital quality are mostly based on those used by the Centers for Medicare and Medicaid Services (CMS) in its Hospital Compare tool. Utilization measures look at the volume, average length of stay, and charges and costs of various types of hospitalization at individual hospitals. Avoidable hospital stays are measures for hospitalizations that could have been avoided with better medical care outside the hospital. These measures are not indicative of a hospital’s care quality. Finally, county rates of hospital use are measures of utilization of inpatient hospital care by Washington’s residents in each county. New in the current WaMONAHRQ is the trend reports on hospital utilization.
Nursing home reports and physician directory, newest addition of WaMONAHRQ, are available only in the latest year's WaMONAHRQ (currently, 2013). Nursing home reports are based on CMS' Nursing Home Compare which includes quality ratings of the nursing homes. The physician directory is based on the Health Care Research Center's work with physician lists from multiple sources, the chief of which is the provider network reports filed by health insurance carriers to the Washington State Office of the Insurance Commissioner.