Quality Roadmap
Scope and Current Work
There is ongoing work in several parts of the healthcare community today to incorporate quality guidelines into clinical workflow. To support and coordinate these efforts, the American College of Cardiology (ACC), the American Heart Association (AHA), the Healthcare Information and Management Systems Society (HIMSS), and the Radiological Society of North America (RSNA) have joined together to sponsor and launch the IHE Quality domain. Its mission is to address the infrastructure necessary to share information relevant to quality improvement in electronic patient care and health care records.
Priority: H : Essential Now, M : Essential Future, L : Nice to Have
Roadmap
Topic | Pri | Standards/Prerequesites | Coord | Strategy | Year |
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Peer Review
Peer review and feedback |
ACR RadPeer program
AMA/ABMS program using performance measures for peer review of physician hospital groups |
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Decision support for ordering and procedure approvals | Massachusetts program based on ACR appropriateness criteria (consult with Dr. Keith Dreyer/MGH)
Generate justification data when needed (through use of QED?) AQA principles for developing measures of appropriateness ACC/AHA Appropriateness Criteria, decision support tools |
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Retrospective review of outcomes based on utilization of evolving technologies | NOPR (PET registry) ACRIN/CMS/Brown Univ. | ||||
Radiation dose
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Real-time documentation of continuing education and certification (point-of-care CME) | ACCME standards for award of physician CME
ABMS MOC requirements Medbiquitous/SCORM |
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Patient assessment to prevent adverse events | |||||
Adverse event reporting
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Expected AHIC/ONC/HITSP Use Case on Adverse Events
Joint commission requirements (per state) CDC has voluntary and mandatory reporting for some diseases Care coordination efforts across disciplines - NQF, CMS, Joint Commission Adverse Event Reporting Structural measures |
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Measure Reporting
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AHIC/ONC/HITSP Use Case on Quality (including patient identity management)
Measures developers (eg, AMA/PCPI, NCQA, ACC/AHA, JCAHO), endorsers, testers and implementers (eg, NQF, AQA) Measuring health delivery disparities across demographic segments (eg, race, gender, socioeconomic status) - AHA Health Research and Educational Trust, HRSA Care coordination efforts across disciplines - NQF, CMS Structural measures State/provincial/regional quality measures |
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Data registries
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Disease management registries: STS, ACC NCDR, Tumor Registry, Trauma Registry, HDC Registry (HRSA) Immunization registries National Practitioner Database |
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Standardized reporting: develop standard formats for reports (eg, Echo, Cath Lab, Nuc Med) to ensure report has elements needed to collect quality data | |||||
Consumer aspects of quality reporting
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NQF Consumer Council AARP OASIS Data for Home Care (CMS) CMS Hospital Compare and Nursing Home Compare |
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Harmonization with other initiatives
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