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2. Clinical Quality Workgroup Members. Janet Corrigan, Chair, National Quality ForumFloyd Eisenberg, National Quality ForumJohn Derr, Golden Living, LLCJudy Murphy, Aurora HealthMarc Overhage, RegenstriefRick Stephens, BoeingJames Walker, GeisingerJack Corley, HITSPJohn Halamka, Harvard Medi
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1. HIT Standards Committee Clinical Quality Workgroup
Comments & Discussion on the Notice for Proposed Rule Making (NPRM) Electronic Health Record Incentive Program
and the Interim Final Rule (IFR) on Initial Set of Standards, Implementation Specifications, and Certification Criteria for EHRs
Janet Corrigan, National Quality Forum
Floyd Eisenberg, National Quality Forum
February 24, 2009
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2. 2 Clinical Quality Workgroup Members Janet Corrigan, Chair, National Quality Forum
Floyd Eisenberg, National Quality Forum
John Derr, Golden Living, LLC
Judy Murphy, Aurora Health
Marc Overhage, Regenstrief
Rick Stephens, Boeing
James Walker, Geisinger
Jack Corley, HITSP
John Halamka, Harvard Medical School
3. Workgroup members were asked to respond to two specific questions:
NPRM – review of measures listed with respect to those recommended by the Standards Committee
IFR – review adequacy of IFT standards to support the requirements of measures in the NPRM
Review Process 3
4. 90 Unique Ambulatory Measures
43 Unique Hospital Measures
List includes 15 of the 17 measures recommended by the Standards Committee
NQF # 0097 – Medication Reconciliation
NQF # 0489 – The ability for providers with HIT to receive laboratory data electronically directly into their qualified / certified EHR system as discrete searchable data elements
Replaced by metrics for EHR reporting for reporting of exchange of clinical information, medication reconciliation and summary of care records, among others.
Recommendations – Some concern about granularity of the metrics listed for EHR exchange of information.
NPRM Review 4
5. Specialties were addressed by the list of measures in the NPRM NPRM Review 5