Measure Authoring Tool: An Introduction Please dial-in to the number provided below.

1. Measure Authoring Tool: An Introduction Please dial-in to the number provided below. We will begin shortly. Webinar Call-In Information Tel: (888) 395-3241 | Passcode: 7416392

2. The Measure Authoring Tool:An Introduction Thursday October 27, 2011 • Floyd Eisenberg, MD, MPH, FACP Chris Millet • Senior Vice President, Health IT Senior Project Manager, Health IT • National Quality Forum National Quality Forum

3. NQF’s Mission To improve the quality of American healthcare by: • Building consensus on national priorities and goals for performance improvement and working in partnership to achieve them; • Endorsing national consensus standards for measuring and publicly reporting on performance; and • Promoting the attainment of national goals through education and outreach programs.

4. Session Objectives At the end of this session, participants should better understand and be able to describe: • Explain what the MAT is, its purpose, importance, and its anticipated impact on performance measurement and quality improvement • How the Quality Data Model (QDM) supports the MAT in eMeasure development • What information in the MAT can be shared across users • Future functionality and the general timeline for new releases.

5. QDM in the Clinical Realm Real-Time Information to Clinician Inform all Stakeholders Develop Performance Measures eMeasure: Health Quality Measure Format

6. What is the Measure Authoring Tool? • Web-based application that allows you to create eMeasures without writing XML • An eMeasure is a quality measure in a standardized XML file that can be read by both humans and computer systems • Target Audience • Measure developers will be primary users. • Quality and health IT stakeholders (e.g., providers, health IT vendors, QIO) will also benefit with better access to, capture of, and reporting on comparable data.

7. How will the Measure Authoring Tool add value? • Simplify the process of creating an eMeasure • Standardize how eMeasures are expressed, for greater comparability • Usable by all measure developers, to support internal quality improvement as well as public reporting programs

8. How QDM Supports the MAT • A standard structure and grammar to precisely and accurately represent eMeasures that can be used across clinical IT systems. • Purpose • Provides a standard way to clearly and consistently describe clinical concepts in quality measures and for sharing information across EHRs and other clinical systems. • Importance • Defines a method to express quality measure requirements compatible with data captured in EHRs and other clinical IT systems. • Only “standard” for eMeasures that exists today. For more information on QDM, visit http://www.qualityforum.org/QualityDataModel

9. MAT Releases • Basic Release launched September 29, 2011 http://www.qualityforum.org/Topics/HIT/Measure_Authoring_Tool_(MAT)/Measure_Authoring_Tool_(MAT)

10. Key Features and Functions • Create and share eMeasures and their corresponding code lists with other users • Create and reuse standard value sets (known as Code Lists in the MAT) and other measure components limiting rework as new measures are developed • Use the Quality Data Model (QDM) as the grammar and structure to fully define and express eMeasures in a standard way • Export eMeasures in an EHR readable format to enable collection of comparable healthcare quality data

11. Checklist for Creating an eMeasure in the MAT • List of questions to consider before creating an eMeasure • Do I have existing Code lists that I want to use? • Do I already have Object Identifiers (OIDs) for code lists? • Have I Identified QDM Categories and Datatypes that I will need for this measure?

12. Sample Measure Percentage of patients aged 18 years and older with a diagnosis of CAD who were prescribed a lipid-lowering therapy

13. What data elements do we need? Quality Data Model

14. What’s next? • Create Code lists • select QDM Category • Apply Code list to Measure • select QDM Data Type • Build phrases using QDM Elements • Add QDM attributes • Add phrases to Clauses

15. Create Code Lists

16. Select QDM Category

17. Apply Code List to Measure

18. Select QDM Data Type

19. Build Phrase Using QDM Elements

20. Add QDM Attribute to a Phrase

21. Add QDM Attribute to a Phrase

22. Select QDM Attribute

23. Select QDM Attribute

24. Select QDM Attribute

25. Add QDM Attribute to a Phrase

26. Package the eMeasure

27. Export the eMeasure

28. The eMeasure

29. The eMeasure

30. How will the Measure Authoring Tool add value? • Impact on performance measurement and quality improvement • Standardize how eMeasures are expressed, for greater comparability • Usable by all measure developers, to support internal quality improvement as well as public reporting programs

31. Resources • Measure Authoring Tool User Guide • Available to access from the Measure Authoring Tool or • Download from http://www.qualityforum.org/MAT/ • Guide for Reading Eligible Providers (EP) and Hospital Measureshttp://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=52706 • For MAT technical support, including user access and troubleshooting, contact MATSupport@qualityforum.org • To submit comments and suggestions for enhancements on the MAT, contact MATNQF@qualityforum.org

32. Thank You Questions?

33. Thank You!