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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.  
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==
==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 [[Profiles#IHE Quality Profiles| Quality Profiles]].
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__


==Timeline:  2011-2012 Development Cycle==
==QRPH Development Continuous Cycle==
The Timeline shows the '''[[Domain Milestones]]''' of the developoment cycle, the '''Timeframe''' when they are typically expected to happen, and the actual date/time/location they have been '''Scheduled''' for this year.
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).


'''Specific meetings''' and their agendas and minutes are generally listed on the page of the relevant Committee.
[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].
 
The following outlines the general activities and steps planned for the QRPH Continuous development cycle.


[''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" | '''2011'''
| colspan="4" align="center" style="background:#dddddd" | '''2025'''
|-
|-
| Continuous Development
| Call for Profile/White Paper Proposals Announced (one month before scheduled planning committee face to face or virtual meeting)
|-
|-
 
| Continuous Development
| July
| Profile Proposals Due to Planning Co-Chairs
| Profile Development for Public Comment Publication (Technical Committee)
|-
| July 18-22
| July 14-17, 2025 Face-to-Face RSNA Headquarters Oak Brook, IL
| Oak Brook, IL (RSNA HQ)
| IHE ITI, PCC/QRPH Domain Continuous Development Meeting
|-
| colspan="4" align="center" style="background:#dddddd" | '''2026'''
|-
|
|
|-
|
|
|-
|-
 
|  
| May
|  
| Profile Development for Trial Implementation Publication (Technical Committee)
| May 2-6
| Oak Brook, IL (RSNA HQ)
|-
|-
 
| Continuous Development
| February
| Publication of Final Text Technical Framework
| Profile Development for Public Comment Publication (Technical Committee)
| Feb. 7-10
| Toronto, Canada
|-
|-
 
| colspan="4" align="center" style="background:#dddddd" | '''2027'''
| colspan="4" align="center" style="background:#dddddd" | '''2010'''
|-
|-
 
|  
| November
|  
| Initial Profile Development (Technical Committee)
| Nov. 17-18
| Arlington, VA
|-
|-
| October
| Profile Proposal Review and Work Planning (Planning Committee)
| Oct. 20-21
| Oak Brook, IL (RSNA HQ)
|-
| Aug.
| Documents Published for Trial Implementation
|  
|  
|  
|  
|-  
|-
| July
| Public Comment Deadline
|  
|  
|  
|  
|-  
|-
| June
| Continuous Development
| Documents Published for Public Comment
|  
|  
|-
| Continuous Development
|  
|  
|-
|-
==Timeline : 2010-2011 Development Cycle==
The Timeline shows the '''[[Domain 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"
! Timeframe
! Activity
! Scheduled
! Location
|-
|-
| colspan="4" align="center" style="background:#dddddd" | '''2011'''
| colspan="4" align="center" style="background:#dddddd" | '''2028'''
|-
| 
|
|-
|
| IHE ITI, PCC, QRPH Domain Continuous Development Meeting
|-
|
|
|-
| 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==


See the respective committee pages for agenda and minutes of each meeting or tcon.
*[https://docs.google.com/spreadsheets/d/1Ts2gJUJZXlFt3QfrLD3HeuLgYv-NRlZcu9_Q8_XdRYo/edit?usp=sharing QRPH Domain Cycle Planning and Technical Development Agendas]
* The [[Quality, Research and Public Health Planning Committee]]
* The [[Quality, Research and Public Health Technical Committee]]


== IHE Quality, Research and Public Health Domain (QRPH): A Call for Participation ==
*Older Schedules
**[[QRPH 2018-2019 Planning and Development Cycle (calendar year 2017-2018)]]
**[[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)]]


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.
__TOC__


Understanding the similarities for repurposing data for Quality, Research & Public Health, the Domain scope incorporates  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 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.
==Change Proposals==


__NOTOC__


Current sponsors include the American Heart Association (AHA), the Healthcare Information and Management Systems Society (HIMSS), and the Radiological Society of North America (RSNA).
The Quality Research and Public Health domain committee follows the general IHE [[Change Proposal Process]]. QRPH specific details are listed below:
 
==Supporters and Endorsements==
 
IHE Quality, Research & Public Health (QRPH) is supported or endorsed by the following organizations:


* [http://www.americanheart.org American Heart Association (AHA)]
* CPs should be developed using the [http://wiki.ihe.net/images/1/14/IHE_Change_Proposal-Template-V10.1.docx standard change proposal template].
* [http://www.himss.org Health Information Management Systems Society (HIMSS)]
* 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:
* [http://www.RSNA.org Radiological Society of North America]
*# 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].


==Committee Rosters==
* [https://spreadsheets.google.com/ccc?key=0AvSvbmWRIsFQdGx4M1dBY2wtMFg0UUctUUJiVXpZdnc&hl=en Combined QRPH Planning and Technical Committee Roster] (Google Docs)


==Committee Distribution Lists==
==Committee Distribution Lists==
Subscribe to the QRPH domain committee lists by visiting the Google Group sites linked below:
Subscribe to the QRPH domain committee lists by visiting the Google Group sites linked below:


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


==='''The QRPH specific CP Process:'''===
==Testing Discussion and Notes==
The following text explains what the process used by the QRPH commitee in processing submitted CPs.  It is consistent with the general IHE CP process and is informative only.


# Submission into the [ftp://ftp.ihe.net/Quality/Maintenance-2009-2010/CPs/Incoming Incoming Directory]. This is typically done via an email to the QRPH Technical Committee co-chair in charge of CPs (currently Jason Colquitt) or by directly updating the directory if you have access to the ftp write password.
*[[VRDR Testing]]
# First consideration by the committee.  If CP is accepted it is given a CP #, assigned an editor, renamed to CP-QRPH-xxxx-00.doc and placed in [ftp://ftp.ihe.net/Quality/Maintenance-2009-2010/CPs/Assigned Assigned Directory]. If CP is rejected it is moved to [ftp://ftp.ihe.net/Quality/Maintenance-2009-2010/CPs/Rejected Rejected Directory] and submitter is informed of explanation for rejection.  Likely reasons for rejection are: duplicate, merged, withdrawn or not enough information to understand the request.  Rejected CPs can be resubmitted with more information for reconsideration.
# CP numbering is managed on the [[QRPH_Change_Proposal_Master_List | Change Proposal Master List page]]
# Committee works with editor to draft the CP.  Versions are kept in Assigned directory and numbered -00, -01, -02, etc.
# Committee decides CP is ready for ballot.  Latest version of CP is moved to [ftp://ftp.ihe.net/Quality/Maintenance-2009-2010/CPs/Completed Completed Directory] and old versions are moved to [ftp://ftp.ihe.net/Quality/Maintenance-2009-2010/CPs/old_versions Old-Versions Directory]. 
# Co-chair collects Completed CPs into a ballot.  The [ftp://ftp.ihe.net/Quality/Maintenance-2009-2010/CPs/Ballots Ballots Directory] will be used for this.
# Ballot is released to the general community for voting
# Votes and comments are collected.  All yes votes means the CP passed ballot and moved to [ftp://ftp.ihe.net/Quality/Maintenance-2009-2010/CPs/FinalText Final Text Directory]. No votes are resolved by the committee.  Sometimes CP is withdrawn, sometimes NO voter changes to yes vote after explanations.  CP may be updated in this process.  If updates are insignificant (clarification only) the CP is considered passed.  If updates are significant the CP is submitted for another ballot.
==='''Also see:'''===
* [[Change Proposal Process | IHE Change Proposal Process]]
* [[Quality| QRPH Change Proposal Process]]
* [[QRPH_Change_Proposal_Master_List | QRPH Change Proposal Master List]]
* [[QRPH_Change_Proposal_Tracking | QRPH Change Proposal Tracking]]
* [[QRPH Archive]]

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

Retrieved from "http://wiki.ihe.net/index.php?title=Quality,_Research_and_Public_Health&oldid=134729"