QRPH Archive

IHE Quality, Research and Public Health Domain (QRPH): A Call for Participation

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.

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.

Current sponsors include the American Heart Association (AHA), the Healthcare Information and Management Systems Society (HIMSS), and the Radiological Society of North America (RSNA).

Materials from previous development cycles of the QRPH domain wiki are archived here for reference.

Timeline: 2012-2013 Development Cycle

The following proposals were evaluated by the Planning and Technical Committees.

• Early Health Detection and Intervention Workflow (EHDI-WD) jointly developed with Patient Care Coordination (PCC)
• Research Matching (RM)
• Data Element Exchange (DEX)
• Vital Records and Death Reporting (VRDR)
• Healthy Weight (HW)

2012-2013 Planning Cycle

The following table lists all scheduled meetings of the QRPH Planning Committee. All times are Central Time.

Scheduled Meetings

The following table lists all scheduled meetings of the QRPH Planning Committee. All times are Central Time.

Date	Time	Location	Topic	Agenda/Minutes
30 & 31 Oct-2012	all day	Oak Brook, Illinois, US	Selection of 2012-13 Profile/White Paper Proposal Candidates	Agenda & Minutes
26-Oct-2012	10:00-11:30 CDT	T-con	Webinar #3 - Presentation of Proposed 2012-13 Profiles/White Papers	Agenda & Minutes
19-Oct-2012	10:00-11:30 CDT	T-con	Webinar #2 - Presentation of Proposed 2012-13 Profiles/White Papers	Agenda & Minutes
12-Oct-2012	10:00-11:30 CDT	T-con	Webinar #1 - Presentation of Proposed 2012-13 Profiles/White Papers	Agenda & Minutes
05-Oct-2012	10:00-11: CDT	T-con	Discussion of Brief Proposals Review for 10/12 and 10/19	Agenda & Minutes

Timeline: 2011-2012 Development Cycle

The Quality, Research and Public Health Domain is pleased to announce the following Profiles to be developed during the 2011-2012 cycle:

• Clinical Research Document (CRD) describes the content pertinent to the clinical research use case required within the Retrieve Form for Data-Capture (RFD) pre-population parameter.

• Drug Safety Content (DSC) describes the content pertinent to the drug safety use case required within the Retrieve Form for Data-Capture (RFD) pre-population parameter.

• Early Hearing Care Plan (EHCP) assists with the early detection, documentation of and intervention for hearing loss by enabling electronic communication of care plan content and instructions available to all authorized providers of care as jurisdictionally directed by the Public Health EHDI Program.

• Maternal Child Health-Birth and Fetal Death Reporting (MCH-BFDrpt) defines the EHR content that may be used to pre-populate and transmit birth and fetal death information to vital records systems for vital registration purposes.

• Physician Reporting to a Public Health Repository – Cancer Registry (PRPH-Ca) defines the data elements to be retrieved from the EMR and transmitted to the cancer registry or to a healthcare provider.

• Retrieve Process for Execution (RPE) enables a healthcare provider to access a process definition, such as a research protocol and to execute automated activities, without leaving an EMR session.

2011-2012 Planning Cycle

The following table lists all scheduled meetings of the QRPH Planning Committee. All times are Central Time.

Date	Time	Location	Topic	Webex Link	Agenda	Minutes
February 10, 2012	1:00 - 5:00 pm Paris Time	QRPH_Tech_Mtg_Agenda_2012-02-06-10#Friday_February_10.2C_2012_Agenda	Planning Meeting		Agenda	Minutes
October 11-12, 2011	all day	Oak Brook, IL (RSNA HQ)	Planning Profile Evaluation Kickoff		Agenda	Minutes
October 7, 2011	1:00pm - 3:00pm	Teleconference	Webinar #4 - Presentation of Proposed 11/12 Profiles/White Papers	[1]	Agenda	Minutes
September 30, 2011	10:00am - 12:00pm CDT	Teleconference	Webinar #3 - Presentation of Proposed 11/12 Profiles/White Papers		Agenda	Minutes
September 23, 2011	1:00pm - 3:00pm CDT	Teleconference	Webinar #2 - Presentation of Proposed 11/12 Profiles/White Papers		Agenda	Minutes
September 9, 2011	10:00am - 12:00pm CDT	Teleconference	Webinar #1 - Presentation of Proposed 11/12 Profiles/White Papers		Agenda	Minutes

2010-2011 Planning Cycle

The following table lists all scheduled meetings of the QRPH Planning Committee. All times are Central Time.

Date	Time	Location	Topic	Webex Link	Agenda	Minutes
2011-01-05	9-10am	Teleconference	Plan and Prepare Presentations for Showcase		Agenda	Minutes
20/21-Oct-2010	all day	Oak Brook, Illinois, US	[[2]]Selection of 2010-11 Profile/White Paper Proposal Candidates		Agenda	Day 1, Day 2
15-Oct-10	9:00am-11:00am CDT	T-con	Webinar #2 - Presentation of Proposed 10/11 Profiles/White Papers		Agenda	Minutes
13-Oct-10	12:00pm-2:00pm CDT	T-con	Webinar #1 - Presentation of Proposed 10/11 Profiles/White Papers		Agenda	Minutes

Profile Development 2008-2009

All profiles should be written in Word documents and saved to the ftp site; links from the wiki should also be provided. Component work and communication should continue on the wiki as profile development continues. See the Template for Profiles

• Retrieve Protocol for Execution Profile
• Chronic Disease Management Reporting Profile
• Performance Quality Report Profile
• Maternal and Child Health Profile
• Diabetes Care Management White Paper
• New-born screening Planning White Paper
• Pseudonymization White Paper QRPH Planning White Paper
• Redaction Services Profile

2007-2008 Activity

The Quality, Research & Public Health Domain (QRPH) is currently focused on the workflow cycle of queries for data and selection of population cohorts from within the clinical record. The cycle begins with a query defintion that can be incorporated into the EHR to identify appropriate patients that represent the desired cohort, and identify expected interventions as well as exceptions that would exclude individuals from the cohort. Cohort selection and management should be enabled for concurrent management and analysis as well as for retrospective analysis. Methods for accessing patient-level clinical data to meet the requirements of the query were discussed in the framework reviewed in 2007 (Patient-Level Export of Quality Data <PEQD>). The 2008 work effort completed two profiles and one white paper.

• Performance Measurement Data Element Structured for EHR Extraction White Paper * Final Version
• Drug Safety Content Profile
• Clinical Research Data Capture

The QRPH Domain continues to seek volunteers for participation in current work effort, change proposals to existing profiles, and recommendations for new activities. If you would like to participate, contact the QRPH Planning Committe or the QRPH Technical Committee.

Supporters and Endorsements

IHE Quality, Research & Public Health (QRPH) is supported or endorsed by the following organizations:

• American Heart Association (AHA)
• Health Information Management Systems Society (HIMSS)
• Radiological Society of North America

Also see:

• IHE Change Proposal Process
• QRPH Change Proposal Process
• QRPH Change Proposal Master List
• QRPH Change Proposal Tracking