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.
Profile Selection
These Brief Profile Proposals were submitted for the 2006-2007 Development Cycle:
These Detailed Profile Proposals were short-listed and evaluated by the Technical Committee
These items were selected by the Planning Committee for this Cycle:
Timeline : 2007-2008 Development Cycle
Legend
| Timeframe
|
Activity
|
Scheduled
|
Location
|
| 2007
|
| Nov.
|
Submit Brief Profile Proposals to Planning Committee (PC)
|
Nov 5 - Deadline
|
E-mail
|
| Nov.
|
PC Selects "Short List" of Profiles
|
Nov 6 10am
|
Face-to-Face
|
| Nov.
|
PC Selects Final Profiles
|
Dec 6 1400-1500
|
Tcon
|
| 2008
|
| Jan.
|
Update Technical Framework from 2007
|
Jan 8-10
|
Face-to-Face
|
|
| March.
|
Kick-off New Profile Development
|
March 10-13
|
Face-to-Face
|
|
| May.
|
TC Prepares Supplements for Public Comments
|
May 19-23
|
Face-to-Face
|
|
| June.
|
TC Publishes Technical Framework for Public Comment
|
June 9
|
Tcon
|
|
| July.
|
TC Reviews Public Comment Feedback and Prepare Trial Implementation
|
July 21-25
|
Face-to-Face
|
|
| 2009
|
| Jan.
|
Test implementations at Connectathon
|
|
Chicago
|
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
- 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
|
|
NQF Consumer Council
AARP
OASIS Data for Home Care (CMS)
CMS Hospital Compare and Nursing Home Compare
|
|
|
|
| Harmonization with other initiatives
|
|
|
|
|
|
|