Quality Planning Committee Minutes 2007-11-05 06

Quality Domain Planning Committee Agenda

Nov 5-6, 2007, RSNA Building, Oakbrook IL

Activity	Discussion Summary
Introduction and Review of New IHE Governance	New IHE governance review provided by Chris Carr. New information will be posted to this wiki site with respect to the Quality Domain as it becomes available.
Recap - Overview of ONC Quality Use Case, 2007 PEQD Effort	For context, the workflow diagrams of the ONC Quality Use Case ([1]) were reviewed with the Planning Committee. The gaps with respect to the PEQD framework were reviewed. Primary gaps exist in (a) the measure definition from measure developers, (b) the analyzer and aggregator function and (c) in the patient-level data submission.
Quality Reporting Document Architecture (QRDA) - Liora Alschuler, Pele Yu	The QRDA is in the process of review by HL7 Structured Documents with expectation of a ballot in May 2008. Briefly, QRDA is a constraint on CDA specific to quality reporting. It is likely that QRDA may be approved as a standard within the Quality Domain profile timeline for 2008, but approval in that timeline is not guaranteed.
Review Brief Profile Proposals by Planning Committee	Individual Profile Summaries: 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
PC Selects "Short List" of Profiles, Effort & Feasibility Analysis	PC evaluation grid available at the following link from the ftp site: [2]
Structured Quality Measure Validation and Aggregation	Summary: The validation component is a requirement of the Framework. It is a subsequent step to submission of the patient-level quality information, aggregation and analysis of that information, and re-send of the analyzed/aggregated information to the care provider (individual or organizational) for confirmation and/or correction of components of the report. The validation step is therefore deferred until 2009 work effort. The aggregation component is manageable with constraint on Medical Summary (as defined by HITSP in constructs to be published by December 2007 (C38), having completed comment resolution). The component is also managed with QRDA, but there is no definite assurance of formal approval by HL7 in May 2008. One option for the PC include creation of a constrained Medical Summary identical to the HITSP component and structure of QRDA such that the profile completion is independent of HL7 approval timelines. To be considered is identification of the time and editor required for creation of the profile. The PC identified this portion of the proposal as second in priority to Structured Quality Measure Definition and Import.
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	.