Difference between revisions of "Quality, Research and Public Health"

Latest revision as of 11:20, 6 February 2024

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 and Committee Rosters

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:

QRPH Development Continuous Cycle

The Quality, Research and Public Health Committee has moved to a continuous development cycle. The three 4-day face-to-face working meetings in the first half of the calendar year, plus two 2-day selection meetings in the last calendar quarter, are replaced by four 4-day working meetings evenly spaced through the year. A portion of each meeting is devoted to planning tasks such as review and prioritizing of proposals, and the rest of the meeting would operate similar to our current technical meetings, except each work item could be in a different phase (volume 1 prep, public comment prep, TI prep).

Additional process details can be found here.

Planning and Development Cycle

The following outlines the general activities and steps planned for the QRPH Continuous development cycle.

Schedule	Activity
2021
Continuous Development	Call for Profile/White Paper Proposals Announced (one month before scheduled planning committee face to face or virtual meeting)
Continuous Development	Profile Proposals Due to Planning Co-Chairs
November 9-13 face-to-face (Virtual)	Continuous Development
2022
February 14-22 face-to-face or virtual (TBD)	IHE ITI, PCC, QRPH Domain Continuous Development Meeting
April 25-29 face-to-face or virtual (TBD)	IHE ITI, PCC, QRPH Domain Continuous Development Meeting
July 18-22 face-to-face or virtual (TBD)	IHE ITI, PCC, QRPH Domain Continuous Development Meeting
Continuous Development	Publication of Final Text Technical Framework
2023
February 6-10 virtual (TBD)	IHE ITI, PCC, QRPH Domain Continuous Development Meeting
April 24-28 face-to-face or virtual (TBD)	IHE ITI, PCC, QRPH Domain Continuous Development Meeting
July 24-28 face-to-face or virtual (TBD)	IHE ITI, PCC, QRPH Domain Continuous Development Meeting
Continuous Development	Publication of Final Text Technical Framework
Continuous Development	Publication of Final Text Technical Framework
2024
February 5-8	IHE ITI, PCC, QRPH Domain Continuous Development Meeting
April 24-28 face-to-face (TBD)	IHE ITI, PCC, QRPH Domain Continuous Development Meeting
July 24-28 face-to-face (TBD)	IHE ITI, PCC, QRPH Domain Continuous Development Meeting
Continuous Development	Publication of Final Text Technical Framework

QRPH Domain Planning and Technical Development Cycle Master Schedule by Calendar Year

Older Schedules

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 Submitted 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.

Committee Distribution Lists

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

Testing Discussion and Notes

VRDR Testing

@@ Line 1: / Line 1: @@
-IHE Quality, Research and Public Health Domain (QRPH) addresses the infrastructure necessary to share information relevant to quality improvement in electronic patient care and health care records.
+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.
-It is sponsored by the [http://www.americanheart.org American Heart Association (AHA)], [http://www.himss.org Health Information Management Systems Society (HIMSS)], and [http://www.rsna.org Radiological Society of North America (RSNA)] and manages the [[Profiles#IHE Quality Profiles| Quality Profiles]] and the [[Frameworks| Quality Technical Framework]].
+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 and Committee Rosters==
+QRPH is sponsored by [http://www.himss.org Healthcare Information and Management Systems Society (HIMSS)] and the [http://www.rsna.org Radiological Society of North America (RSNA)] and manages the [http://wiki.ihe.net/index.php/Profiles#IHE_Quality.2C_Research.2C_and_Public_Health_Profiles 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]]'''
+* '''[https://docs.google.com/spreadsheets/d/1phMzQQi3GKBz1LsDRYo1SB6iCctiie2ZXIbBrALjOME/edit?usp=sharing QRPH Planning and Technical Committee Rosters]
 __TOC__
+==QRPH Development Continuous Cycle==
+The Quality, Research and Public Health Committee has moved to a continuous development cycle. The three 4-day face-to-face working meetings in the first half of the calendar year, plus two 2-day selection meetings in the last calendar quarter, are replaced by four 4-day working meetings evenly spaced through the year. A portion of each meeting is devoted to planning tasks such as review and prioritizing of proposals, and the rest of the meeting would operate similar to our current technical meetings, except each work item could be in a different phase (volume 1 prep, public comment prep, TI prep).
+[https://wiki.ihe.net/index.php/QRPH_Continuous_Development_Cycle Additional process details can be found here.]
-==Timeline : 2008-2009 Development Cycle==
+==Planning and Development Cycle==
-The '''Timeline shows the main milestones''' of the development cycle, the '''Timeframe''' when they are typically expected to happen, 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 page of the relevant Committee.
+The following outlines the general activities and steps planned for the QRPH Continuous development cycle.
-[''All times in Central US time'']
 {| style="width:100%" border="1" cellpadding="3"
-! Timeframe
+! Schedule
 ! Activity
-! Scheduled
-! Location
 |-
-| colspan="4" align="center" style="background:#dddddd" | '''2008'''
+| colspan="4" align="center" style="background:#dddddd" | '''2021'''
+|-
+| Continuous Development
+| Call for Profile/White Paper Proposals Announced (one month before scheduled planning committee face to face or virtual meeting)
+|-
+| Continuous Development
+| Profile Proposals Due to Planning Co-Chairs
+|-
+| November 9-13 face-to-face (Virtual)
+| Continuous Development
+|-
+| colspan="4" align="center" style="background:#dddddd" | '''2022'''
+|-
+| February 14-22 face-to-face or virtual (TBD)
+| IHE ITI, PCC, QRPH Domain Continuous Development Meeting
+|-
+| April 25-29 face-to-face or virtual (TBD)
+| IHE ITI, PCC, QRPH Domain Continuous Development Meeting
+|-
+| July 18-22 face-to-face or virtual (TBD)
+| IHE ITI, PCC, QRPH Domain Continuous Development Meeting
+|-
+| Continuous Development
+| Publication of Final Text Technical Framework
+|-
+| colspan="4" align="center" style="background:#dddddd" | '''2023'''
+|-
+| February 6-10  virtual (TBD)
+| IHE ITI, PCC, QRPH Domain Continuous Development Meeting
+|-
+| April 24-28 face-to-face or virtual (TBD)
+| IHE ITI, PCC, QRPH Domain Continuous Development Meeting
 |-
-| Nov.
+| July 24-28 face-to-face or virtual (TBD)
-| QRPH Technical Committee Face-to-Face Meeting  [[Agenda Nov 18-19 QRPH Tech|Agenda
+| IHE ITI, PCC, QRPH Domain Continuous Development Meeting
-| Nov 18-19
-| RSNA Headquarters, Oakbrook IL
 |-
-| Oct.
+| Continuous Development
-| QRPH Planning Committee Face-to-Face Meeting  [[QRPH Plan Agenda 2008.10.20-21|Agenda]]; [[Quality Plan Minutes 2008.10.20-21|Minutes]]
+| Publication of Final Text Technical Framework
-| Oct 20-21
-| Arlington VA HIMSS Office
 |-
-| Nov
+| Continuous Development
-| Planning Committee Selects Final Proposals
+| Publication of Final Text Technical Framework
-| TBD
-| Tcon
 |-
-| Nov.
-| QRPH Technical Committee Face-to-Face Meeting [[QRPH Tech Agenda 2008.11.18-19|Agenda]]
-| Nov 18-19
-| RSNA Headquarters, Oakbrook IL
 |-
-| Nov.
+| colspan="4" align="center" style="background:#dddddd" | '''2024'''
-| Technical Committee Selects Final Profiles
-| TBD
-| Tcon
 |-
-| colspan="4" align="center" style="background:#dddddd" | '''2009'''
+| February 5-8
+| IHE ITI, PCC, QRPH Domain Continuous Development Meeting
 |-
-| *
+| April 24-28 face-to-face (TBD)
-| Update Teleconference
+| IHE ITI, PCC, QRPH Domain Continuous Development Meeting
-| TBD
-| TCon
-|
 |-
-| *
+| July 24-28 face-to-face (TBD)
-| Kick-off New Profile Development
+| IHE ITI, PCC, QRPH Domain Continuous Development Meeting
-| TBD
-| Face-to-Face
-|
 |-
+| Continuous Development
+| Publication of Final Text Technical Framework
 |-
-| colspan="4" align="center" style="background:#dddddd" | '''2010'''
-|-
-| Jan.
-| Test implementations at Connectathon
-| &nbsp;
-| Chicago
-|-
 |}
-==Roadmap==
-The '''[[Quality Roadmap]]''' outlines goals and plans over the next 5 years.  The Roadmap will be updated after the Quality, Research & Public Health Domain (QRPH) March 11-14, 2008 Technical Committee meeting.
-==Minutes==
+*[https://docs.google.com/spreadsheets/d/1kc4IWWBBCmZO-PFl2FCsdHia4EjfvRIB-v1hihtnhUk/edit?usp=sharing QRPH Domain Planning and Technical Development Cycle Master Schedule by Calendar Year]
-See the respective committee pages for agenda and minutes of each meeting or tcon.
+*Older Schedules
-* The [[Quality, Research and Public Health Planning Committee]]
+**[[QRPH 2018-2019 Planning and Development Cycle (calendar year 2017-2018)]]
-* The [[Quality, Research and Public Health Technical Committee]]
+**[[QRPH 2017-2018 Planning and Development Cycle (calendar year 2016-2017|QRPH 2017-2018 Planning and Development Cycle (calendar year 2016-2017)]]
+**[[QRPH 2016-2017 Planning and Development Cycle (calendar year 2015-2016)]]
-==Profile Selection==
+__TOC__
-These '''Brief Profile Proposals''' were submitted for the 2007-2008 Development Cycle:
-* [[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]]
-These '''Detailed Profile Proposals''' were short-listed and evaluated by the [http://wiki.ihe.net/index.php?title=Quality%2C_Research_and_Public_Health_Technical_Committee Technical Committee]
-* [[Structured Quality Measure Definition and Import Detailed Proposal]]
-==Current 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 is to establish profiles for incorporation of output from the query specification within the clinical system workflow to enable clinical decision support.  The Domain is also defining a profile for adverse event reporting especially with reference to medication-related adverse outcomes.  The Public Health, Research and Quality Domain is seeking technical volunteers for assitance in completing these profiles.
-These items were '''selected''' by the [[Committees| Quality, Research and Public Health Technical Committee]] for this Cycle:
-* [[Performance Measurement Data Element Structured for EHR Extraction]] White Paper * [ftp://ftp.ihe.net/Quality/Technical_Comittee/2008/Public_Comment_Version_1_Performance_Measure_Data_Element_Structured_for_EHR_Extraction.doc Version 1.0 for Public Comment]--- June 3, 2008
-* [[Drug Safety Content]] Profile
-* [[White Paper: Care Management Content/Infrastructure]]
-* [[Observation Status: Aggregate Measure Report Definition]]
-* [[Clinical Research Data Capture]]
-If you would like to participate, contact the [http://wiki.ihe.net/index.php?title=Quality_Planning_Committee QRPH Planning Committe] or the [http://wiki.ihe.net/index.php?title=Quality%2C_Research_and_Public_Health_Technical_Committee QRPH Technical Committee].
-== 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.
+==Change Proposals==
-Current sponsors include the American Heart Association (AHA), the Healthcare Information and Management Systems Society (HIMSS), and the Radiological Society of North America (RSNA).
+__NOTOC__
-==Supporters and Endorsements==
+The Quality Research and Public Health domain committee follows the general IHE [[Change Proposal Process]]. QRPH specific details are listed below:
-IHE Quality, Research & Public Health (QRPH) is supported or endorsed by the following organizations:
+* CPs should be developed using the [http://wiki.ihe.net/images/1/14/IHE_Change_Proposal-Template-V10.1.docx standard change proposal template].
+* Submit incoming CP's to the [ftp://iheyr2@ftp.ihe.net/Quality/TF_Maintenance/CPs/01%20Submitted/ Submitted Directory]. You may choose to do so in one of two ways:
+*# 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")
+*# 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 [https://docs.google.com/spreadsheet/ccc?key=0AlA2kOz33tdvdEdzQjE3cnJMSU1pVnZDX0tpTDdLb1E&hl=en_US Change Proposals].
-* [http://www.americanheart.org American Heart Association (AHA)]
-* [http://www.himss.org Health Information Management Systems Society (HIMSS)]
-* [http://www.RSNA.org Radiological Society of North America]
-==See Also==
+==Committee Distribution Lists==
+Subscribe to the QRPH domain committee lists by visiting the Google Group sites linked below:
-The [[Quality, Research and Public Health Planning Committee]]
+*[http://groups.google.com/group/iheqrphtech QRPH Technical Committee Google Group]
+*[http://groups.google.com/group/iheqrphplan QRPH Planning Committee Google Group]
+*[[QRPH Archive]]
-The [[Quality, Research and Public Health Technical Committee]]
+==Testing Discussion and Notes==
-This page is based on the [[Domain Template]].
+*[[VRDR Testing]]