1. QDM and vMR Harmonization

2. Background  Initial discussion at HL7 Working Group Meeting in January  Goal is to have one model for quality that can support measures and CDS  Requires input from quality measures and CDS community to successfully create one model ▫ QDM User Group ▫ HL7 CDS and CQI Work Groups ▫ S&I Framework Health eDecisions initiative 2

3. QDM Overview  Is a model for representing data criteria used for clinical guidelines, quality measures, and clinical decision support  What QDM does fairly well ▫ Express criteria for data elements »Ex. Diagnosis, active some valueset ▫ Is mapped to HL7 v3 standards such as HQMF and QRDA NQF Document - DO NOT CITE OR DISTRIBUTE3

4. QDM Overview  What QDM does not do so well ▫ Express criteria for relating data element criteria to each other »Ex. AND NOT: "Occurrence A of Diagnosis, Active: Mental Health Diagnoses" ends before start of "Occurrence A of Encounter, Performed: Inpatient Encounter" NQF Document - DO NOT CITE OR DISTRIBUTE4

5. Harmonization options discussed so far  Use vMR as a base and add components of the QDM and other models  Use the QDM as a base and add components of the vMR and other models  Create a new model that incorporates QDM, vMR and other relevant models Group decided further evaluation of the models against real use cases is needed before deciding on an approach NQF Document - DO NOT CITE OR DISTRIBUTE5

6. Impact to harmonizing the QDM with vMR  QDM is used in over 90 measures in Meaningful Use and other eMeasures not in Meaningful Use  QDM is already incorporated into the MAT which enables development of eMeasures using HQMF and QDM  Meaningful Use Stage 3 measures are currently being developed using the QDM NQF Document - DO NOT CITE OR DISTRIBUTE6

7. Next steps  Continue to evolve QDM and vMR separately to meet short term needs of MU eMeasure development and HeD pilots ▫ QDM Feb 2013 ▫ vMR Release 2  Scope a broader effort to combine QDM, vMR, and any other model that may be relevant for quality measures and CDS and eventually ballot the new model as HL7 DAM NQF Document - DO NOT CITE OR DISTRIBUTE7

8. Discussion NQF Document - DO NOT CITE OR DISTRIBUTE8 Discussion