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HIT Standards Committee. Clinical Quality Measures Workgroup Report Jim Walker Karen Kmetik June 22, 2011. ACTIVITIES SINCE LAST REPORT. Joint Hearing on MU1 and needs for MU2 (May 19): Quality MeasuresWG, HITPC Clinical Quality WG, HITSC

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Hit standards committee

HIT Standards Committee

Clinical Quality Measures Workgroup Report

Jim Walker

Karen Kmetik

June 22, 2011


Activities since last report

ACTIVITIES SINCE LAST REPORT

Joint Hearing on MU1 and needs for MU2 (May 19):

Quality MeasuresWG, HITPC

Clinical Quality WG, HITSC

June 20 Code set selection for the fundamental categories of the QDM.

Vocabulary Work Group, HITSC

CQMWG, HITSC


Updated measures framework aligned with nqs

Updated Measures Framework (aligned with NQS)


Proposed model

PROPOSED MODEL

  • Core is maintained and additional measures are added.

    • Providers pick measures from the core list.

  • Menu is maintained and additional measures are added.

    • Menu measures are stratified into the 6 domain areas.

    • Providers pick measures from the menu list (at least one from each domain).


Code set selection

CODE SET SELECTION

Working with Vocabulary Task Force to assign code set(s) to the fundamental concepts in the NQF’s Quality Data Model v.3 (QDM)

Preparatory Interviews

Work group members

Measure developers

other subject matter experts

First joint meeting June 20.

Review of the QDM’s fundamental concepts for clarity and streamlining under way.


Upcoming issues

Upcoming Issues

Problem lists: attributes for reconciliation

Patient reported outcomes: including standardized tools for implementation in EHRs

Exclusions: Establish requirements for management of non-standardized patient situations (e.g., participation in clinical trials).

Plan of care: Identify components and standards for documenting care plans.


Issues from the hitpc quality measures wg

Issues from the HITPC Quality Measures WG

Longitudinal/delta measures: Identify types, applications, and standards.

Attribution of actions to specific actors

Capacity of EHRs to handle increasingly complex measures


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