Quality Measure Execution-Early Hearing

The Quality Measure Execution-Early Hearing (QME-EH) profile describes the content needed to communicate patient-level data to electronically monitor the performance of early hearing detection and intervention (EHDI) initiatives for newborns.

Summary

The Newborn Hearing Screening measure (EHDI 1a) developed by the Centers for Disease Control and Prevention (CDC) and endorsed by the US National Quality Forum (NQF), has been selected as the sample measure for the Trial Implementation of this QME-EH profile. The EHDI- 1a measure provides patient-level information to track performance against the goal to provide hearing screening for all newborns prior to discharge from a birthing facility. Where specific US measure content is specified in this profile, realm-specific options and definitions have been used.

The Quality Measure Execution-Early Hearing (QME-EH) content profile demonstrates the use of the HL7 Quality Reporting Document Architecture (QRDA) standard to implement the patient-level quality measure report (QRDA level I) for measures specific to newborn hearing screening. QRDA establishes the general implementation guidelines for using the HL7 Clinical Document Architecture Standard (CDA R2) to create different types of quality measure reports. QME-EH constrains QRDA for measures defined for the newborn hearing screening conducted as a part of the Early Hearing Detection and Intervention (EHDI) public health program.

Benefits

• Ensure that digital newborn hearing screening quality measure data captured and communicated consistently in order to support consistent quality measure computation
• Standardize quality measurement for care of newborns born in a birthing facility
• Provide interoperability between clinical EHRs and Public Health EHDI Information Systems (EHDI-IS) for increased efficiency and better data quality

Details

The Quality Measure Execution-Early Hearing (QME-EH) content profile specifies how to use the HL7 Quality Reporting Document Architecture (QRDA) standard to implement a patient-level quality measure report for newborn hearing screening.

QRDA is a specialized implementation guide (IG) for the HL7 Clinical Document Architecture standard (CDA R2). It establishes general guidelines for creating three types of CDA documents for sharing different types of quality measure reports.

The QME-EH profile shows implementers how to use a supplied measure definition for newborn hearing screening, and the measure definition’s associated data set and data processing logic, to create and consume a CDA-based patient-level quality measure report. This includes:

Measure Section: Each Measure Section in the report declares which measure(s) the data enclosed within the section is intended to support. Each measure section further includes:

Reporting Parameters Section: Within each Measure Section, the patient-level QRDA document provides information about the reporting time interval applicable for creating or consuming the data associated with that measure or set of measures. The reporting time interval is jurisdictionally defined. This may contain other information that provides context for the patient data being reported.

Patient Data Section: Within each Measure Section, the patient-level QRDA document encodes discrete data needed to process the data and execute the assessment defined for the quality measure or set of measures.

Systems Affected

Actors & Transactions:

The QME-EH profile does not define any actor groupings.

Specification

Profile Status: Trial Implementation

• IHE QRPH Supplement QME-EH

Documents:

Underlying Standards:

• HL7 Clinical Document Architecture (CDA® Release 2)
• HL7 QRDA IG July 2012
• Logical Observation Identifiers Names and Codes (LOINC®)
• Systematized Nomenclature Of Medicine Clinical Terms (SNOMED-CT)

See Also

Related Profiles

• Cross-enterprise Document Sharing [XDS.b], Cross-enterprise Document Sharing Environment including

Cross Enterprise Document Reliable Interchange [XDR] can be used to support a reliable messaging-based infrastructure for sharing EHCP documents between sites over a network Cross Enterprise Document Media Interchange [XDM] can be used to support a media-based infrastructure for sharing EHCP documents between sites over a network Patient Cross Reference [PIX], Patient Demographic Query [PDQ], Notification of Availability of Documents [NAV], and Document Metadata Subscription [DSUB] can be used to support a registry/repository-based infrastructure for sharing EHCP documents between sites over a network Consistent Time [CT] and Audit Trail and Node Authentication [ATNA] are used to support security and privacy when sharing the EHCP documents between sites over a network Basic Patient Privacy Consents [BPPC] profile can be used to capture and communicate parental consents associated with the hearing screening workflow, and these should be included in the EHCP metadata. Digital Signature [DSG] can be used to assert the authoritative source of the care plan as public health. Shared Value Set [SVS] can be used to provide related value sets to the EHCP document

Consumer Information

Implementer Information

This page is based on the Profile Overview Template