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IHE Quality, Research and Public Health Domain (QRPH) addresses the infrastructure necessary to share information relevant to quality improvement in electronic patient care and health care records.  
IHE Quality, Research and Public Health Domain (QRPH) addresses the infrastructure and content necessary to:
* share information relevant to quality improvement,
* improve the liaison between the primary care system and clinical research and  
* provide population base health surveillance.
The three distinct components of the QRPH domain are all reliant on the secondary use of data gathered in clinical care.


It is sponsored by the [http://www.americanheart.org American Heart Association (AHA)], [http://www.himss.org Health Information Management Systems Society (HIMSS)], and [http://www.rsna.org Radiological Society of North America (RSNA)] and manages the [[Profiles#IHE Quality Profiles| Quality Profiles]] and the [[Frameworks| Quality Technical Framework]].
The work of QRPH enables the stakeholders to focus on the workflow cycle of queries for data and selection of population cohorts from within the clinical record.  In addition, QRPH incorporates the output from the query specification within the clinical system workflow to enable clinical decision support and defines profiles for adverse event reporting, especially with reference to medication-related adverse outcomes.
 
==Sponsors and Committee Rosters==
QRPH is sponsored by [http://www.himss.org Healthcare Information and Management Systems Society (HIMSS)] and the [http://www.rsna.org Radiological Society of North America (RSNA)] and manages the [http://wiki.ihe.net/index.php/Profiles#IHE_Quality.2C_Research.2C_and_Public_Health_Profiles Quality Profiles].


There are two committees.  For details regarding activities of each, select the appropriate link below:  
There are two committees.  For details regarding activities of each, select the appropriate link below:  
* '''The [[Quality, Research and Public Health Planning Committee]]'''
* '''The [[Quality, Research and Public Health Planning Committee]]'''
* '''The [[Quality, Research and Public Health Technical Committee]]'''
* '''The [[Quality, Research and Public Health Technical Committee]]'''
* '''[https://docs.google.com/spreadsheets/d/1phMzQQi3GKBz1LsDRYo1SB6iCctiie2ZXIbBrALjOME/edit?usp=sharing QRPH Planning and Technical Committee Rosters]


__TOC__
__TOC__


==QRPH Development Continuous Cycle==
The Quality, Research and Public Health Committee has moved to a continuous development cycle. The three 4-day face-to-face working meetings in the first half of the calendar year, plus two 2-day selection meetings in the last calendar quarter, are replaced by four 4-day working meetings evenly spaced through the year. A portion of each meeting is devoted to planning tasks such as review and prioritizing of proposals, and the rest of the meeting would operate similar to our current technical meetings, except each work item could be in a different phase (volume 1 prep, public comment prep, TI prep).
[https://wiki.ihe.net/index.php/QRPH_Continuous_Development_Cycle Additional process details can be found here.]
==Planning and Development Cycle==
This Domain is currently meeting jointly with the Patient Care Coordination (PCC) Domain. Weekly calls are held Thursdays 11:00am CT. Meeting information and Agendas are *[https://docs.google.com/spreadsheets/d/1Ts2gJUJZXlFt3QfrLD3HeuLgYv-NRlZcu9_Q8_XdRYo/edit?usp=sharing Here].


==Timeline : 2008-2009 Development Cycle==
The following outlines the general activities and steps planned for the QRPH Continuous development cycle.
The '''Timeline shows the main milestones''' of the development cycle, the '''Timeframe''' when they are typically expected to happen, and the actual date/time/location they have been '''Scheduled''' for this year. '''Specific meetings''' and their agendas and minutes are generally listed on the page of the relevant Committee.


[''All times in Central US time'']


{| style="width:100%" border="1" cellpadding="3"
{| style="width:100%" border="1" cellpadding="3"
! Timeframe
! Schedule
! Activity
! Activity
! Scheduled
! Location
|-
|-
| colspan="4" align="center" style="background:#dddddd" | '''2007'''
| colspan="4" align="center" style="background:#dddddd" | '''2025'''
|-
|-
| Nov.
| Continuous Development
| Quality Planning Committee Face-to-Face Meeting  [[Quality Plan Agenda 07.11.05-06|Agenda]]; [[Quality Plan Minutes 07.11.05-06|Minutes]]
| Call for Profile/White Paper Proposals Announced (one month before scheduled planning committee face to face or virtual meeting)
| Nov 5-6
| Face-to-Face
|-
|-
| Nov.
| Continuous Development
| TC Follow up of Feasibility Analysis [[Agenda - Concept Discussion]]
| Profile Proposals Due to Planning Co-Chairs
| Nov 15 1400-1500
| Tcon
|-
|-
| Nov.
| July 14-17, 2025 Face-to-Face RSNA Headquarters Oak Brook, IL
| PC Selects Final Profiles  [[Agenda 6 December 2007]]
| IHE ITI, PCC/QRPH Domain Continuous Development Meeting
| Dec 6 1400-1500
| Tcon
|-
|-
| colspan="4" align="center" style="background:#dddddd" | '''2008'''
| colspan="4" align="center" style="background:#dddddd" | '''2026'''
|-
|-
| Feb.
|  
| Update Teleconference
|  
| Feb 19 12:00 - 14:00
|-
| TCon
|  
|
|  
|-
|-
| March.
|  
| Kick-off New Profile Development [[QRPH Agenda 11-14 March 2008]]
| March 11-14
| Face-to-Face
|  
|  
|-
|-
| April.
| Continuous Development
| Technical Committe Update Value Set White Paper [ftp://ftp.ihe.net/Quality/Technical_Comittee/2008/IHE_QRPH_White_Paper_Performance_Measure_Data_Element_Structured_for_EHR_Extraction_2008_04_03a.doc April 3 Version]
| Publication of Final Text Technical Framework
| April 3
| Tcon
|
|-
|-
| April.
| colspan="4" align="center" style="background:#dddddd" | '''2027'''
| QRPH Technical Committee Call [ftp://ftp.ihe.net/Quality/Technical_Comittee/2008/IHE_QRPH_White_Paper_Performance_Measure_Data_Element_Structured_for_EHR_Extraction_2008_04_22.doc Updated Version of White Paper]
| April 17
| Tcon
|
|-
|-
| April.
|  
| Planning & Technical Committee Co-chair Discussion with Sponsors [http://wiki.ihe.net/index.php?title=April_22_-_QRPH_Technical/Planning_Co-chairs_discussion Summary]
|  
| April 22
|-
| Tcon
|  
|
|  
|-
|-
| April.
|  
| Update Performance Measure Data Element Structured for EHR Extraction White Paper [http://wiki.ihe.net/index.php?title=Agenda_/_Minutes_of_10:00_-_11:00_AM_%28CDT_US%29_White_Paper_Update_Call Agenda / Minutes]
|  
| April 30
| Tcon
|
|-
|-
| May.
| Continuous Development
| QRPH Technical Committee Call [[Agenda 1 May QRPH TC Call]]
|  
| May 1
| Tcon
|
|-
|-
| May.
| Continuous Development
| TC Prepares Supplements for Public Comments
| May 19-23
| Face-to-Face
|  
|  
|-
|-
| June.
| TC Publishes Technical Framework for Public Comment
| June 9
| www.ihe.net
|
|-
|-
| July.
| colspan="4" align="center" style="background:#dddddd" | '''2028'''
| TC Reviews Public Comment Feedback and Prepare Trial Implementation
| July 21-25
| Face-to-Face
|
|-
|-
| November.
|
| QRPH Planning Committee Meeting
|  
| TBD
| Face-to-Face
|-
|-
| colspan="4" align="center" style="background:#dddddd" | '''2009'''
|  
|-  
| IHE ITI, PCC, QRPH Domain Continuous Development Meeting
| Jan.
|-
| Test implementations at Connectathon
|  
|  
|  
| Chicago
|-
|-  
| Continuous Development
|  
|-
 
|}
|}


==Roadmap==


The '''[[Quality Roadmap]]''' outlines goals and plans over the next 5 years.  The Roadmap will be updated after the Quality, Research & Public Health Domain (QRPH) March 11-14, 2008 Technical Committee meeting.


==Minutes==
*[https://docs.google.com/spreadsheets/d/1Ts2gJUJZXlFt3QfrLD3HeuLgYv-NRlZcu9_Q8_XdRYo/edit?usp=sharing QRPH Domain Cycle Planning and Technical Development Agendas]


See the respective committee pages for agenda and minutes of each meeting or tcon.
*Older Schedules
* The [[Quality, Research and Public Health Planning Committee]]
**[[QRPH 2018-2019 Planning and Development Cycle (calendar year 2017-2018)]]
* The [[Quality, Research and Public Health Technical Committee]]
**[[QRPH 2017-2018 Planning and Development Cycle (calendar year 2016-2017|QRPH 2017-2018 Planning and Development Cycle (calendar year 2016-2017)]]
**[[QRPH 2016-2017 Planning and Development Cycle (calendar year 2015-2016)]]


==Profile Selection==
__TOC__
 
These '''Brief Profile Proposals''' were submitted for the 2007-2008 Development Cycle:
* [[Structured Quality Measure Validation and Aggregation]]
* [[Structured Quality Measure Definition and Import]]
* [[Receive & Forward Proxy Actor]]
* [[Proposed Work Item: Imaging Structured Reporting – Creation and Transmission]]
* [[Electronic Exchange of Patient Care Coordination Data Using the Omaha System; A Terminology That Supports Clinical Practice]]
 
These '''Detailed Profile Proposals''' were short-listed and evaluated by the [http://wiki.ihe.net/index.php?title=Quality%2C_Research_and_Public_Health_Technical_Committee Technical Committee]
* [[Structured Quality Measure Definition and Import Detailed Proposal]]
 
==Current Activity==
 
The Quality, Research & Public Health Domain (QRPH) is currently focused on the workflow cycle of queries for data and selection of population cohorts from within the clinical record.  The cycle begins with a query defintion that can be incorporated into the EHR to identify appropriate patients that represent the desired cohort, and identify expected interventions as well as exceptions that would exclude individuals from the cohort.  Cohort selection and management should be enabled for concurrent management and analysis as well as for retrospective analysis. Methods for accessing patient-level clinical data to meet the requirements of the query were discussed in the framework reviewed in 2007 (Patient-Level Export of Quality Data <PEQD>).  The 2008 work effort is to establish profiles for incorporation of output from the query specification within the clinical system workflow to enable clinical decision support.  The Domain is also defining a profile for adverse event reporting especially with reference to medication-related adverse outcomes.  The Public Health, Research and Quality Domain is seeking technical volunteers for assitance in completing these profiles.
 
These items were '''selected''' by the [[Committees| Quality, Research and Public Health Technical Committee]] for this Cycle:
* [[Performance Measurement Data Element Structured for EHR Extraction]] White Paper
* [[Drug Safety Content]] Profile
* [[White Paper: Care Management Content/Infrastructure]]
* [[Observation Status: Aggregate Measure Report Definition]]
 
If you would like to participate, contact the [http://wiki.ihe.net/index.php?title=Quality_Planning_Committee QRPH Planning Committe] or the [http://wiki.ihe.net/index.php?title=Quality%2C_Research_and_Public_Health_Technical_Committee QRPH Technical Committee].
 
== IHE Quality, Research & Public Health Domain (QRPH): A Call for Participation ==
 
The Domain began under the sponsorship of 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) as outreach to Clinician Communities to Discuss How to Incorporate Quality Guidelines into Electronic Health Record Interoperability. Its mission is to address the infrastructure necessary to share information relevant to quality improvement in electronic patient care and health care records.  Beginning with a domain kickoff meeting April 11-12 2007 at the Four Points Sheraton, Chicago-O'Hare. The meeting focused on developing use cases to provide the basis for a Technical Framework to enable sharing of quality guidelines in electronic health record (EHR) applications and related systems.
 
Understanding the similarities for repurposing data for Quality, Research & Public Health, the Domain scope has been expanded to incorporate the broader vision.  Clinical, demographic and financial information about individuals is used routinely in the process of providing clinical care directly to patients.  Information gained through direct care processes has and about the care processes provided to patients has significant value with respect to the monitoring of disease patterns for known clinical processes regarding incidence, prevalence and situational awareness, and to the identification of new patterns of disease not previously known or anticipated. Public Health requirements therefore, are met through the re-purposing of clinically derived data for analysis. Such data are subsequently incorporated within existing Public Health population analyses and programs for direct outreach and condition management through registries and locally determined appropriate treatment programs or protocols.  Similarly, information about care processes delivered to patients is used to identify adherence to expected evidence-based clinical care protocols or guidelines to determine the processes and/or outcomes that determine the quality of care provided by individual clinicians or groups of clinicians.  Much of the data required for quality analyses exists within the clinical patient record and, similar to the examples provided for Public Health, those data can be re-purposed for analysis.  The protocols for subsequent management of clinicians and individual patients with respect to quality data are often addressed as performance improvement or performance management or disease management initiatives on the level of populations and for individual patient care.  Research and clinical trials, likewise, require identification of patterns of clinical presentation and processes to identify individual patients and groups of patients appropriate to consider for inclusion in research protocols and for whom consent might be sought.  Subsequent management, follow up and clinical information requirements require similar infrastructure and high level content gathering capabilities as identified in Quality and Public Health.  Hence, there are significant similarities among Quality, Research & Public Health requirements for re-purposing of existing clinical data and the subsequent management of patients and clinical care providers. The issues of specifications for patient selection, and for individual and aggregate (summary) reporting of data, and for privacy and security constraints for re-use (or secondary use) of patient or clinician-derived data can best be managed in an IHE Domain specifically focused in this area.  Such a domain also provides focus where Quality, Research & Public Health experts can collaborate and coordinate activities.  Globally there is a need to gather and report on secondary data used in public health, clinical decision support and research to improve quality, efficiency and safety of patient care delivery.
 
Current sponsors include the American Heart Association (AHA), the Healthcare Information and Management Systems Society (HIMSS), and the Radiological Society of North America (RSNA).


==Supporters and Endorsements==
==Change Proposals==


IHE Quality, Research & Public Health (QRPH) is supported or endorsed by the following organizations:
__NOTOC__


* [http://www.americanheart.org American Heart Association (AHA)]
The Quality Research and Public Health domain committee follows the general IHE [[Change Proposal Process]]. QRPH specific details are listed below:
* [http://www.himss.org Health Information Management Systems Society (HIMSS)]
* [http://www.RSNA.org Radiological Society of North America]


==See Also==
* CPs should be developed using the [http://wiki.ihe.net/images/1/14/IHE_Change_Proposal-Template-V10.1.docx standard change proposal template].
* Submit incoming CP's to the [ftp://iheyr2@ftp.ihe.net/Quality/TF_Maintenance/CPs/01%20Submitted/ Submitted Directory]. You may choose to do so in one of two ways:
*# E-mail the QRPH Technical Committee co-chair in charge of CPs (check [[Committees]] for current co-chair - subject the e-mail as "New QRPH CP")
*# Directly update the directory if you have access to the ftp write password and e-mail the QRPH co-chairs to let them know of the new CP.
* The CPs are tracked on a Google Docs spreadsheet [https://docs.google.com/spreadsheet/ccc?key=0AlA2kOz33tdvdEdzQjE3cnJMSU1pVnZDX0tpTDdLb1E&hl=en_US Change Proposals].


The [[Quality, Research and Public Health Planning Committee]]


The [[Quality, Research and Public Health Technical Committee]]
==Committee Distribution Lists==
Subscribe to the QRPH domain committee lists by visiting the Google Group sites linked below:


*[http://groups.google.com/group/iheqrphtech QRPH Technical Committee Google Group]
*[http://groups.google.com/group/iheqrphplan QRPH Planning Committee Google Group]
*[[QRPH Archive]]


==Testing Discussion and Notes==


This page is based on the [[Domain Template]].
*[[VRDR Testing]]

Latest revision as of 11:11, 1 May 2025

IHE Quality, Research and Public Health Domain (QRPH) addresses the infrastructure and content necessary to:

  • share information relevant to quality improvement,
  • improve the liaison between the primary care system and clinical research and
  • provide population base health surveillance.

The three distinct components of the QRPH domain are all reliant on the secondary use of data gathered in clinical care.

The work of QRPH enables the stakeholders to focus on the workflow cycle of queries for data and selection of population cohorts from within the clinical record. In addition, QRPH incorporates the output from the query specification within the clinical system workflow to enable clinical decision support and defines profiles for adverse event reporting, especially with reference to medication-related adverse outcomes.

Sponsors and Committee Rosters

QRPH is sponsored by Healthcare Information and Management Systems Society (HIMSS) and the Radiological Society of North America (RSNA) and manages the Quality Profiles.

There are two committees. For details regarding activities of each, select the appropriate link below:


QRPH Development Continuous Cycle

The Quality, Research and Public Health Committee has moved to a continuous development cycle. The three 4-day face-to-face working meetings in the first half of the calendar year, plus two 2-day selection meetings in the last calendar quarter, are replaced by four 4-day working meetings evenly spaced through the year. A portion of each meeting is devoted to planning tasks such as review and prioritizing of proposals, and the rest of the meeting would operate similar to our current technical meetings, except each work item could be in a different phase (volume 1 prep, public comment prep, TI prep).

Additional process details can be found here.

Planning and Development Cycle

This Domain is currently meeting jointly with the Patient Care Coordination (PCC) Domain. Weekly calls are held Thursdays 11:00am CT. Meeting information and Agendas are *Here.

The following outlines the general activities and steps planned for the QRPH Continuous development cycle.


Schedule Activity
2025
Continuous Development Call for Profile/White Paper Proposals Announced (one month before scheduled planning committee face to face or virtual meeting)
Continuous Development Profile Proposals Due to Planning Co-Chairs
July 14-17, 2025 Face-to-Face RSNA Headquarters Oak Brook, IL IHE ITI, PCC/QRPH Domain Continuous Development Meeting
2026
Continuous Development Publication of Final Text Technical Framework
2027
Continuous Development
Continuous Development
2028
IHE ITI, PCC, QRPH Domain Continuous Development Meeting
Continuous Development



Change Proposals

The Quality Research and Public Health domain committee follows the general IHE Change Proposal Process. QRPH specific details are listed below:

  • CPs should be developed using the standard change proposal template.
  • Submit incoming CP's to the Submitted Directory. You may choose to do so in one of two ways:
    1. E-mail the QRPH Technical Committee co-chair in charge of CPs (check Committees for current co-chair - subject the e-mail as "New QRPH CP")
    2. Directly update the directory if you have access to the ftp write password and e-mail the QRPH co-chairs to let them know of the new CP.
  • The CPs are tracked on a Google Docs spreadsheet Change Proposals.


Committee Distribution Lists

Subscribe to the QRPH domain committee lists by visiting the Google Group sites linked below:

Testing Discussion and Notes

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