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QDM and vMR Harmonization. Background. Initial discussion at HL7 Working Group Meeting in January Goal is to have one model for quality that can support measures and CDS Requires input from quality measures and CDS community to successfully create one model QDM User Group

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Presentation Transcript
background
Background
  • Initial discussion at HL7 Working Group Meeting in January
  • Goal is to have one model for quality that can support measures and CDS
  • Requires input from quality measures and CDS community to successfully create one model
    • QDM User Group
    • HL7 CDS and CQI Work Groups
    • S&I Framework Health eDecisionsinitiative
qdm overview
QDM Overview
  • Is a model for representing data criteria used for clinical guidelines, quality measures, and clinical decision support
  • What QDM does fairly well
    • Express criteria for data elements
      • Ex. Diagnosis, active some valueset
    • Is mapped to HL7 v3 standards such as HQMF and QRDA

NQF Document - DO NOT CITE OR DISTRIBUTE

qdm overview1
QDM Overview
  • What QDM does not do so well
    • Express criteria for relating data element criteria to each other
      • Ex. AND NOT: "Occurrence A of Diagnosis, Active: Mental Health Diagnoses" ends before start of "Occurrence A of Encounter, Performed: Inpatient Encounter"

NQF Document - DO NOT CITE OR DISTRIBUTE

harmonization options discussed so far
Harmonization options discussed so far
  • Use vMR as a base and add components of the QDM and other models
  • Use the QDM as a base and add components of the vMR and other models
  • Create a new model that incorporates QDM, vMR and other relevant models

Group decided further evaluation of the models against real use cases is needed before deciding on an approach

NQF Document - DO NOT CITE OR DISTRIBUTE

impact to harmonizing the qdm with vmr
Impact to harmonizing the QDM with vMR
  • QDM is used in over 90 measures in Meaningful Use and other eMeasures not in Meaningful Use
  • QDM is already incorporated into the MAT which enables development of eMeasures using HQMF and QDM
  • Meaningful Use Stage 3 measures are currently being developed using the QDM

NQF Document - DO NOT CITE OR DISTRIBUTE

next steps
Next steps
  • Continue to evolve QDM and vMR separately to meet short term needs of MU eMeasure development and HeD pilots
    • QDM Feb 2013
    • vMR Release 2
  • Scope a broader effort to combine QDM, vMR, and any other model that may be relevant for quality measures and CDS and eventually ballot the new model as HL7 DAM

NQF Document - DO NOT CITE OR DISTRIBUTE

discussion
Discussion

Discussion

NQF Document - DO NOT CITE OR DISTRIBUTE