Quality, Research and Public Health

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IHE Quality Domain addresses the infrastructure necessary to share information relevant to quality improvement in electronic patient care and health care records.

It is sponsored by the American Heart Association (AHA), American College of Cardiology (ACC), and Radiological Society of North America (RSNA) and manages the Quality Profiles and the Quality Technical Framework.

There are two committees:



Timeline : 2007-2008 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.

[All times in Central US time]

Timeframe Activity Scheduled Location
2007
Nov. Quality Planning Committee Face-to-Face Meeting Agenda; Minutes Nov 5-6 Face-to-Face
Nov. TC Follow up of Feasibility Analysis Agenda - Concept Discussion Nov 15 1400-1500 Tcon
Nov. PC Selects Final Profiles Agenda 6 December 2007 Dec 6 1400-1500 Tcon
2008
Feb. Update Teleconference Feb 19 12:00 - 14:00 TCon
March. Kick-off New Profile Development March 11-14 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 www.ihe.net
July. TC Reviews Public Comment Feedback and Prepare Trial Implementation July 21-25 Face-to-Face
2009
Jan. Test implementations at Connectathon   Chicago

Roadmap

The Quality Roadmap outlines goals and plans over the next 5 years. The Roadmap will be updated after the Public Health, Research and Quality (PHRQ) March 11-14, 2008 Technical Committee meeting.

Profile Selection

These Brief Profile Proposals were submitted for the 2007-2008 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:

  • TF Maintenance
  • Planning Committee Evaluation is included in the Excel spreadsheet located on the FTP server at the following location [1]

This profile proposal was brought over from PCC for inclusion in Quality.

Current Activity

The Public Health, Research and Quality Domain (PHRQ) 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. If you would like to participate, contact the Quality Planning Committee or the Quality Technical Committee.

IHE Public Health, Research and Quality Domain (PHRQ): 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 Public Health, Research and Quality, the Domain scope has been expanded to incorporate 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 has and about the 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 Public Health and Quality. Hence, there are significant similarities among Public Health, Quality and Research 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 Public Health, Quality and Research 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).

Supporters and Endorsements

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

See Also

Committees


This page is based on the Domain Template.

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