QRDA-Update

Quality Reporting �Document Architecture Purpose: Develop an electronic data standard for healthcare information systems to use in communicating patient level quality measurement data across disparate systems. Sponsors: HL7 Pediatric SIG, Alliance for Pediatric Quality, AHIMA, Iowa Foundation for Medical Care Primary Benefactor for Phase I: Alliance for Pediatric Quality HL7 Sponsor: HL7 Pediatrics SIG Project Management: Alschuler Associates Mission: Lead, shape and accelerate recognition and adoption of quality improvement

• Goal: Promote pediatric improvement and measures
  • Spread use of measures for improvement and public reporting

• Goal: Ensure HIT works for children
  • Seek industry-wide adoption of data standards for pediatrics
  • Endorse pediatric data standards that make comparability possible

Problem: lack of clinical data standard for quality reporting*

• Data collection is time consuming, burden for physicians and providers
• Data mapping is resource-intensive
• Lack of standard data complicates or inhibits data mining
• Administrative data sets inconsistent with clinical findings

• Source: Agency for Healthcare Research & Quality

Opportunity: clinical data standard for reporting

• Extracted directly from the EMR
  • reduces collection burden
  • eliminates data mapping
  • supports data mining across applications
  • higher quality data
• Supports adoption of quality measurement
  • Burden on physicians and providers reduced
  • Vendors have single model for findings for reporting and exchange

Leverage and Harmonize with Others: American Health Information Community (AHIC), Health Information Technology Standards Panel (HITSP), and Certifcation Commission for Health Information Technology (CCHIT) - Promoting automation of quality measurement data collection, aggregation and reporting - Developing quality use case and interoperability specifications - Certifying vendor products for interoperability

NQF Health Information Technology Expert Panel (HITEP) - Identify high-value data from EHRs for quality measurement

Collaborative for Performance Measure Integration with EHR Systems (The Collaborative)Sponsored by American Medical Association (AMA) and National Committee on Quality Assurance (NCQA) - Addressing performance measure functionality and integration with EHRs - Facilitating integration, calculation and reporting of quality measures within vendor products

Integrating the Healthcare Enterprise (IHE) - Building Technical Framework for coordination of quality data submission, aggregation and feedback - Driving vendor adoption of standards

Health Level Seven (HL7) - Developing, balloting and publishing the QRDA standard - Working with Clinical Interoperability Council, Electronic Health Record Technical Committee, Government SIG, Pediatric Data Standards SIG, Structured Documents Technical Committee, and more