Quality Reporting HIT Standards Project July 2007

DRAFT

Alliance for Pediatric QualityQuality Reporting HIT Standards Project

July 2007

DRAFT 2www.kidsquality.org

1.Goal2.Participants3.Rationale 4.Project Overview5.How to Participate


Quality Reporting Document Architecture

Develop a standard for healthcare information systems to communicate quality

measurement data across disparate systems in a standardized fashion.

QRDA: Project Goal


Founders

Project Management

HL7 Sponsor

Primary BenefactorFor Phase One

PeDS SIG

Participants: A Private Collaborative

PeDS SIG


Using Data for Quality Performance Measurement

*Problem Time-consuming and problematic

operations for data acquisition from electronic systems

Multiple and disparate systems within health care organizations complicate data mining and coordination of efforts

Resource-intensive data mapping efforts to link systems and performance measurement data requirements

Conflicts or differences between administrative data sets

Physicians and providers struggle to meet increasing demands for performance data

*Source: Agency for Healthcare Research & Quality

Opportunity Support efficient collection,

aggregation and reporting of quality measurement information• Among providers within a

healthcare system• Among providers from different

healthcare systems• Among providers and requestors

of quality data (e.g. QIOs, payers, accrediting orgs, etc.)

• More…

Support adoption of quality measurement• Among developers of health

information technology systems• Among providers and payers


Example: Traditional Quality Measure Reporting

MedicalRecord

(Paper, EMR)

Manual AbstractionAdministrative DataAd Hoc FormsAd Hoc Databases

IT Assistance,Manual Data Entry

Provider

scrubbing

periodic reportingdocumentation

Requestors of Quality Data

(e.g. quality improvementorganization)


(e.g. payer)


(e.g. accrediting org)



Provider sends one set of measure information to multiple requestors of quality data


Example: QRDA Simplifies Quality Measure Reporting

MedicalRecord

(Paper, EMR)

Manual AbstractionAdministrative DataAd Hoc FormsAd Hoc Databases

Provider

HL7 v3 message, QRDA

periodic reportingdocumentation


(e.g. quality improvementOrganization)


(e.g. payer)


(e.g. accrediting org)

Provider sends one set of measure information to multiple requestors of quality data


Hosp

ital or

Am

bula

tory

In

form

ati

on S

yst

em

ADT

RIS/PACS

LIS

PIS


EDIS

QRDA

HL7 v3 Standard Specification


Goal: Shared Approach to Document Architecture

Quality ReportingDocument Architecture

Measure NameMeasure SetSubmitting EntityReceiving EntityProcedure CodeDiagnosis CodeLab ResultsCriteriaPatient/Provider dataEtc…

quality measure

Data Elements inCommon Format

Measure NameMeasure SetSubmitting EntityReceiving EntityProcedure CodeDiagnosis CodeLab ResultsCriteriaPatient/Provider dataetc.

quality measur

e

quality measur

e


Phase One: Define project opportunity Select standards

development expert for support

Secure endorsement and funding

Recruit volunteers Develop prototype QRDA-

compliant reports Make recommendations

for moving forward Secure endorsement and

funding for Phase Two

QRDA Project Overview

Phase Two: Ballot and publish QRDA

Draft Standard for Trial Use through HL7

Training material and support for vendors adopting the QRDA for pilot measures; Guidelines on prioritized reporting measures

Conduct proof of concept demonstrations

3 months TBD


1. Data elements for pilot measures Using NQF-endorsed quality measures; 2 adult outpatient; 2 pediatric inpatient

2. Minimum of two clinical document architecture samples of quality reporting document

3. Training and education for project team and interested stakeholders

4. Description of relationship of this project with other, similar efforts

5. Coordination with related efforts6. Description of options for moving forward7. Definition of benefit from IT perspective8. Webcast on findings

Major Phase One Deliverables


Certification Commission for Health Information Technology- For possible vendor certification of the QRDA standard

Collaborative for Performance Measure Integration with EHR Systems- Addressing performance measure functionality and integration with EHRs- Facilitating integration, calculation and reporting of measures within vendor products for reporting - Includes American Medical Association, National Committee on Quality Assurance and Centers for

Medicare & Medicaid Services

Health Information Technology Standards PanelAmerican Health Information Community- Promoting automation of quality data reporting - Developing quality use cases

Health Level Seven- Vehicle for publishing the QRDA standard- Working with Clinical Interoperability Council, Electronic Health Record Technical Committee, Government

SIG, Pediatric Data Standards SIG, Structured Documents Technical Committee, and more

Integrating the Healthcare Enterprise- Driving vendor adoption of standards

Leverage and Harmonize With Others


Phase One: Volunteer Opportunities

Volunteer Opportunities Expertise Immediate Commitments

Technical Content Experts (Source Organizations) hospitals and physician offices adult and pediatric

Have understanding of how quality measurement data is collected and sent to receiving organizations

Private phone call in July with consultant to share experiences Review of draft deliverables and conference call Aug. 14, 1-2:30 pm CST to react

Technical Content Experts (Receiver Organizations)

Have understanding of how quality measurement data is captured and reported

Private phone call in July with consultant to share experiences Review of draft deliverables and conference call Aug. 14, 1-2:30 pm CST to react

Clinical Content Experts Have familiarity with clinical content of some or all of the sample quality measures being used in this project

Available to respond to email and/or phone questions about sample quality measures used for this project

HL7 Experts Have an interest in learning the HL7 method for developing future vendor implementation guides for quality measures using QRDA

Involvement in major project activities Participation in training later in the project

Connectors Have an understanding of related activities within other organizations

Help the project team connect dots with other activities


Volunteer List – How to Participate

Volunteer Roles Volunteers

Technical Content Experts (Source Organizations)

Feliciano Yu, MD. Children’s Hospital of Alabama Chad Bennett, Iowa Foundation for Medical Care TBD

Technical Content Experts (Receiver Organizations)

Bob Underwood, CHCA TBD

Clinical Content Experts TBD

HL7 Experts Bob Underwood, CHCA TBD

Connectors TBD

Contact [email protected] if you are interested in: serving on the phase one project team in one of the volunteer roles joining an email list to stay up-to-date on major project activities


Chad BennettIowa Foundation for Medical CareThe Collaborative for Performance Measure Integration with EHR [email protected]

Crystal KallemAmerican Health Information Management Association (AHIMA)HL7 Structured Documents Technical [email protected]

Joy Kuhl, Project FacilitatorAlliance for Pediatric QualityHL7 Pediatric Data Standards Special Interest [email protected]

Feliciano Yu, MDHL7 Pediatric Data Standards Special Interest GroupThe Children’s Hospital of [email protected]

Primary Project Contacts

DRAFT

Alliance for Pediatric Quality


200+ children’s hospitals and 60,000 pediatricians using the same play book to improve care

Alignment of physicians and hospitals is essential to improvement progress

Combined expertise and spheres of influence will accelerate improved quality for children

HospitalHospitalCommunityCommunity

PhysicianPhysicianCommunityCommunity

Four national pediatric organizations aligned to improve the qualityof health care for America’s children.



Alliance Goals & Strategies

1. Promote meaningful pediatric improvement and measures Promote initiatives using measures for

improvement Spread use of measures for improvement and

public reporting Develop a comprehensive catalogue of

pediatric improvement priorities and measures

2. Ensure health information technology works for children Seek industry-wide adoption of data

standards for pediatrics Promote integration of child health EHR-S

standards into vendor systems Endorse pediatric data standards that make

comparability possible

3. Explore opportunities for collecting and sharing data

Our Strategies Work for consensus – speak with one

voice for improvement in quality for children; advance pediatric improvement initiatives, measures and data/health information technology

Endorse and promote projects that advance pediatric quality and health information technology

Convene stakeholders

Advocate in media and legislature


Project Fit With Alliance Mission


HL7 PeDSSIGWith other HL7 committees,

organizations and vendors within the HL7 enterprise

• Lead, shape and accelerate recognition and adoption of quality improvement• Promotes improvement priorities • Provides specific data elements for pediatric quality measures• Maps data elements to HL7 RIM• Develops HL7 v3 Implementation Guideline for measure/s using QRDA standard

VendorEMR systems and other systems

• Adopts HL7 implementation plan through system updates• Develops internal logic/algorithms to capture data elements for specific measure/s• Validates and tests accuracy of data output for specific measure

Reporting Facility

Practice/Healthcare Institution

• Purchases vendor that complies with HL7 standards• Receives functionality through vendor system• Participates in reporting to Improvement Organization (s)


Or other central quality assurance bodies such as CHCA, NACHRI, etc.

• Accepts QRDA data-submissions for benchmarking

CCHIT • Possible vendor certification of compliance

Quality Reporting HIT Standards Project July 2007

Documents

Transcript of Quality Reporting HIT Standards Project July 2007