1. © Copyright, The Joint Commission vMR vs. QDM Virtual Medical Record (vMR) vs Quality Data Model (QDM) Patty Craig, MS MIS Project Lead for the Joint Commission's Receipt and Usage of eMeasure Data Division of Healthcare Quality Evaluation March 13, 2013

2. © Copyright, The Joint Commission Quality Data Model  QDM is the information model for: –HL7’s Health Quality Measure Format (HQMF) –HL7’s Quality Reporting Document Architecture (QRDA)  QDM is used via HQMF: –All 2014 Electronic Clinical Quality Measures (eCQM) –CDC’s IHE profile for their Cancer Registry –CDC’s IHE profile for their Early Hearing Detection and Intervention measures –S&I Query Health

3. © Copyright, The Joint Commission Is CDS real-time eCQM? Is CDS real-time eCQM?

4. © Copyright, The Joint Commission Pros:  Unified model for clinical concepts to support patient care  Decrease burden for EHR vendors and providers  vMR additional granularity would be useful for quality measurement Cons:  Scope of change for each side is still unknown  At this point, difficult to decide which portion of each model “wins”.  Cost to change  Cost to maintain  Ownership issues  This is not a sandbox! Alignment of QDM and vMR Can alignment improve both models?

5. © Copyright, The Joint Commission  Scope –Harmonization (resolve differences between two models), or –Merge (one model that is expanded to meet both needs)  Timeframe –Are we just aligning the good or also fixing the bad and ugly? –Sandbox or regulatory timeframes?  Stakeholders –More than just quality measure and CDS folks!  Cost to change and maintain Alignment Factors

6. © Copyright, The Joint Commission Summary Does alignment make sense? Yes! Will it be hard? Yes! Is alignment inevitable? If yes, the sooner the better!