Www.qualityforum.org Research to Reform: Are we making progress? Measuring the adoption, meaningful use, and impacts of health IT September 15, 2009 Floyd.

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Presentation transcript:

Research to Reform: Are we making progress? Measuring the adoption, meaningful use, and impacts of health IT September 15, 2009 Floyd Eisenberg, MD, MPH, FACP Senior Vice President, Health Information Technology National Quality Forum

2 Quality and Information Technology F7

Structure » Quality Measure A “well-defined quality measure” is composed of a set of common data elements, encoded using standard taxonomies, structured logically into a standardized expression that can be shared and applied to patient data and reported 3

concept diabetes HITEP (Health Information Technology Expert Panel Primary content experts study designers guideline developers

code list concept can be reused with multiple quality datatypes diabetes 250.xx Primary content experts Measure Developers

data type code list concept QDS element diabetes 250.xx active Primary content experts Measure Developers

stored in database for reuse across measures and decision support QDS database data type code list concept Primary content experts Measure Developers

measure EHR data flow prob list code list data type concept diabetes 250.xx active Primary content experts Measure Developers

measure data flow code list data type concept Primary content experts Measure Developers

measure data flow code list data type concept data flow code list data type concept data flow code list data type concept data flow code list data type concept includes measure- specific dataflow (e.g. EHR vs. PHR) measure database data flow code list data type concept QDS database Primary content experts Measure Developers

measure data flow code list data type concept data flow code list data type concept data flow code list data type concept data flow code list data type concept data flow code list data type concept Primary content experts Measure Developers EHR, HIE, registry

measure data flow code list data type concept data flow code list data type concept data flow code list data type concept data flow code list data type concept data flow code list data type concept Primary content experts Measure Developers EHR, HIE, registry

measure data flow code list data type concept data flow code list data type concept data flow code list data type concept data flow code list data type concept data flow code list data type concept EHR Registries Primary content experts Measure Developers HER, HIE, registry

14 Structure » Active Project – 26 Measures CMS HITSP Project – Spring 2009 Standardize specifications for three (3) inpatient measure sets: 1.Venous Thromboembolism (VTE - 8) 2.Stroke (STK – 6) 3.Emergency Department (ED – 2) 4.Physician Quality Reporting Initiative (PQRI) Ambulatory Measures (PQRI – 10) 5.Demonstration 6.Certification

15 Diabetes Coronary Artery Disease Moderately or Severely Depressed Left Ventricular Systolic Function ACE I PrescriptionARB PrescriptionACE I AllergyARB Allergy+OR- AND AND / OR Med ReasonEtc-- Build Measures From Individual QDS Elements: Adding Logic Structure » Quality Data Set

16 Progress 1.Update to measure grid for meaningful use –Recommended set of 29 measures –17 can be retooled for EHRs –Other measures 10 EHR utilization 2 Privacy and Security 2.Retooling beginning September 21, Review measure submission workflow HIT Standards Committee

Health Quality Measure Format (HQMF): eMeasure eMeasure Style Sheet (Human Readable) HL7 Standard Development

18 Connecting the Dots Clinical Guidelines Decision Support Quality Measures