Quality Roadmap: Difference between revisions

From IHE Wiki
Jump to navigation Jump to search
← Older edit
Kevino (talk | contribs)
editor
4,951 edits
No edit summary
 
(8 intermediate revisions by 3 users not shown)
Line 1: Line 1:
==Scope and Current Work==
==Scope and Current Work==
''<This section is optional>''


''<Briefly (one or two lines) describe the Committee's scope and the current activities.>''
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.




==Current Meetings==


{| style="width:95%" border="1" cellpadding="1"
Priority:  
! Date      !! Time    !! Location !! Topic                      !! Agenda !! Minutes
'''H''' : Essential Now,
|-
'''M''' : Essential Future,
|''recent'' ||  &nbsp; ||  &nbsp;  || &nbsp;                      ||  &nbsp;|| &nbsp;
'''L''' : Nice to Have
|-
| 2007.11.05 || 1000-1730 || Chicago || Profile Selection and other topics ||  &nbsp; || &nbsp;
|-
| 2007.11.06 || 8300-1730 || Chicago || Profile Selection and other topics ||  &nbsp; || &nbsp;
|-|''older''  ||  &nbsp;  || &nbsp;  || &nbsp;                    ||    &nbsp;|| &nbsp;
|-
|}
 
==Legend==
{|
|'''Priority:'''
; H : Essential Now
; M : Essential Future
; L : Nice to Have
'''Prerequisites:''' List of applicable standards
 
'''Coordination:''' Other domains to coordinate efforts with.
|'''Strategy:'''
; CP : Develop Content Profile
; IP : Develop Integration Profile
; Res : Research Applicable Standards
; Promote : Promote Applicable Standards Development Efforts
'''Year:''' Earliest Opportunity given prerequisites, priority and skills.
|}


==Roadmap==
==Roadmap==
Line 48: Line 22:


AMA/ABMS program using performance measures for peer review of physician hospital groups
AMA/ABMS program using performance measures for peer review of physician hospital groups
|
|&nbsp;
|
|&nbsp;
|
|&nbsp;
|-
|-
|Decision support for ordering and procedure approvals
|Decision support for ordering and procedure approvals
|
|&nbsp;
|Massachusetts program based on ACR appropriateness criteria (consult with Dr. Keith Dreyer/MGH)
|Massachusetts program based on ACR appropriateness criteria (consult with Dr. Keith Dreyer/MGH)


Line 61: Line 35:


ACC/AHA Appropriateness Criteria, decision support tools
ACC/AHA Appropriateness Criteria, decision support tools
|
|&nbsp;
|
|&nbsp;
|
|&nbsp;
|-
|-
|Retrospective review of outcomes based on utilization of evolving technologies
|Retrospective review of outcomes based on utilization of evolving technologies
|
|&nbsp;
|NOPR (PET registry) ACRIN/CMS/Brown Univ.  
|NOPR (PET registry) ACRIN/CMS/Brown Univ.  
|
|&nbsp;
|
|&nbsp;
|
|&nbsp;
|-
|-
|Radiation dose
|Radiation dose
Line 77: Line 51:


*Minimization of dose to target patient population
*Minimization of dose to target patient population
|
|&nbsp;
|
|&nbsp;
|
|&nbsp;
|
|&nbsp;
|
|&nbsp;
|-
|-
|Real-time documentation of continuing education and certification (point-of-care CME)
|Real-time documentation of continuing education and certification (point-of-care CME)
|
|&nbsp;
|ACCME standards for award of physician CME
|ACCME standards for award of physician CME


Line 90: Line 64:


Medbiquitous/SCORM
Medbiquitous/SCORM
|
|&nbsp;
|
|&nbsp;
|
|&nbsp;
|-
|-
|Patient assessment to prevent adverse events
|Patient assessment to prevent adverse events
|
|&nbsp;
|
|&nbsp;
|
|&nbsp;
|
|&nbsp;
 
|&nbsp;
|-
|-
|Adverse event reporting
|Adverse event reporting




|
|&nbsp;
|Expected AHIC/ONC/HITSP Use Case on Adverse Events
|Expected AHIC/ONC/HITSP Use Case on Adverse Events


Line 114: Line 88:


Structural measures  
Structural measures  
|
|&nbsp;
|
|&nbsp;
|&nbsp;
|-
|-
|Measure Reporting
|Measure Reporting
Line 124: Line 99:


*Core Measure Reporting (AHA?/JCAHO?)
*Core Measure Reporting (AHA?/JCAHO?)
|
|&nbsp;
|AHIC/ONC/HITSP Use Case on Quality (including patient identity management)
|AHIC/ONC/HITSP Use Case on Quality (including patient identity management)


Line 137: Line 112:
State/provincial/regional quality measures
State/provincial/regional quality measures


|
|&nbsp;
|
|&nbsp;
|&nbsp;
|-
|-
|Data registries
|Data registries
Line 145: Line 121:
*Intermediary point to aggregate date to share with CMS, other destination agencies
*Intermediary point to aggregate date to share with CMS, other destination agencies
*Gathering quality data (peer review, patient safety, protocols in place and physician use of protocols) from various care settings  
*Gathering quality data (peer review, patient safety, protocols in place and physician use of protocols) from various care settings  
|
|&nbsp;
|
|&nbsp;
Disease management registries: STS, ACC NCDR, Tumor Registry, Trauma Registry, HDC Registry (HRSA)
Disease management registries: STS, ACC NCDR, Tumor Registry, Trauma Registry, HDC Registry (HRSA)


Line 152: Line 128:


National Practitioner Database
National Practitioner Database
|
|&nbsp;
|
|&nbsp;
|
|&nbsp;
|-
|-
|Standardized reporting: develop standard formats for reports (eg, Echo, Cath Lab, Nuc Med) to ensure report has elements needed to collect quality data  
|Standardized reporting: develop standard formats for reports (eg, Echo, Cath Lab, Nuc Med) to ensure report has elements needed to collect quality data  


|
|&nbsp;
|
|&nbsp;
|
|&nbsp;
 
|&nbsp;
|
|&nbsp;
|-
|-
|Consumer aspects of quality reporting
|Consumer aspects of quality reporting
Line 174: Line 150:


*Informed patient consent
*Informed patient consent
|
|&nbsp;
|
|&nbsp;
NQF Consumer Council
NQF Consumer Council


Line 183: Line 159:


CMS Hospital Compare and Nursing Home Compare
CMS Hospital Compare and Nursing Home Compare
|
|&nbsp;
|
|&nbsp;
|
|&nbsp;
|-
|-
|Harmonization with other initiatives
|Harmonization with other initiatives


* NCVHS hearings in July
* NCVHS hearings in July
|&nbsp;
|&nbsp;
|&nbsp;
|&nbsp;
|&nbsp;
|-

Latest revision as of 18:49, 6 November 2007

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
Peer Review

Peer review and feedback

  ACR RadPeer program

AMA/ABMS program using performance measures for peer review of physician hospital groups

     
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

     
Retrospective review of outcomes based on utilization of evolving technologies   NOPR (PET registry) ACRIN/CMS/Brown Univ.      
Radiation dose
  • Appropriate aggregation of dose information
  • Minimization of dose to target patient population
          
Real-time documentation of continuing education and certification (point-of-care CME)   ACCME standards for award of physician CME

ABMS MOC requirements

Medbiquitous/SCORM

     
Patient assessment to prevent adverse events          
Adverse event reporting


  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

     
Measure Reporting
  • Institutional (process)
  • Physician (performance)
  • Core Measure Reporting (AHA?/JCAHO?)
   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

     
Data registries
  • Procedure-specific datasets (eg, ACC Carotid Artery Stent Registry)
  • Intermediary point to aggregate date to share with CMS, other destination agencies
  • Gathering quality data (peer review, patient safety, protocols in place and physician use of protocols) from various care settings
    

Disease management registries: STS, ACC NCDR, Tumor Registry, Trauma Registry, HDC Registry (HRSA)

Immunization registries

National Practitioner Database

     
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
  • PHR as record of repeat procedures
  • Consumer view of provider quality information
  • Patient self management
  • Home health monitoring
  • Informed patient consent
    

NQF Consumer Council

AARP

OASIS Data for Home Care (CMS)

CMS Hospital Compare and Nursing Home Compare

     
Harmonization with other initiatives
  • NCVHS hearings in July
          
Retrieved from "http://wiki.ihe.net/index.php?title=Quality_Roadmap&oldid=11294"