Quality, Research and Public Health

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

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:

• The Quality, Research and Public Health Planning Committee
• The Quality, Research and Public Health Technical Committee

Timeline: 2014-2015 Planning and Development Cycle

The following table outlines the general activities and steps planned for the 2014-2015 year. Details on the 2014-2015 QRPH facee-to-face meetings is available at ITI, PCC & QRPH Development Cycle Meetings.

The Timeline shows the main milestones of the development cycle, 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 Quality, Research and Public Health Planning Committee and Quality, Research and Public Health Technical Committee pages.

Dates and times are U.S. Central Time (Chicago).

Scheduled	Activity
2014
July 9	Call for Profile/White Paper Proposals Announced, see Domain News Announcements
September 26	Call for Proposals Closes
October 3, 10, 17	Committee participates in Planning Committee's Proposal Review Webinars
October 22-23	2015-2015 Planning Proposal Evaluation Kickoff - Planning Committee Meeting
November 12-13	Technical Proposal Evaluation Meeting - Technical Committee Meeting in Oak Brook, IL
2015
January 26-30	Test implementations at IHE North American Connectathon 2015 - HIMSS Innovation Center, Cleveland OH
February 23-27	Volume One Finalization Meeting - Paris, France
April 27-May 1	Preparations for Public Comment and Issuance Meeting
July 20-24	Preparation for Trial Implementation and Issuance Meeting

Roadmap

The matrix tracking the status of development for each of these profiles is available here.

QRPH current published documents can be found here.

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 Incoming 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.

Current Domain Activities

The Quality, Research and Public Health Domain is pleased to announce the following Profiles to be developed during the 2015-2016 cycle:

• Quality Measure Execution – Early Hearing (QME-EH) Profile will specifies how to create and consume standard electronic patient-level and aggregate-level quality reports for the Newborn Hearing Screening (CMS53v4) electronic clinical quality measure (eCQM) defined by the Centers for Disease Control (CDC) Early Hearing Detection and Intervention (EHDI) program.

• The RPE4ICP white paper will describe how a standards-based business process definition (BPMN) may be leveraged to describe evidence-based integrated care pathways (ICPs) and how these might be pervasively operationalized within a health information exchange (HIE). Specifically, the white paper will report on prototyping efforts to leverage the RPE profile to incorporate such capability within the OpenHIE infrastructure using example ICPs representing HIV care and EPI-based immunizations.

• "Aggregate Data Exchange (ADX) is a Content Module profile which allows for the representation of reported public health data. It will most typically be used to represent routinely reported aggregate data such as the numerators and denominators which can be used in the construction of public health indicators."

• Content Based Document Types (CDT) Profile allows researchers/ epidemiologists/ public health/ clinicians to perform a research of clinical documents available in a Clinical Community based on the document content. It is intended to identify documents that may store clinical data of interest. This profile assumes that the Clinical Community is organized as an XDS (Cross-Enterprise Document Sharing profile, defined by the IHE IT Infrastructure domain) environment.

• XDS-Clinical Data Retrieve (XDS-CDR) white paper is intended to provide guidance about how to build a standardized infrastructure using IHE profiles to allow the sharing of information (both data and documents) between a Clinical Community and a Quality Research and Public Health Community. It allows both the reuse of clinical data for clinical research, health surveillance, epidemiology, health services, public health, healthcare quality evaluation purposes and the use of research/quality/public health data for the patient's care.

Minutes

See the respective committee pages for agenda and minutes of each meeting or tcon.

• The Quality, Research and Public Health Planning Committee
• The Quality, Research and Public Health Technical Committee

Committee Rosters

• Combined QRPH Planning and Technical Committee Roster (Google Docs)

Committee Distribution Lists

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

• QRPH Technical Committe Google Group
• QRPH Planning Committe Google Group

• QRPH Archive