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 is a process measure conducted as a part of the U.S. Centers for Disease Control and Prevention (CDC) Early Hearing Detection and Intervention (EHDI) public health program. It measures the proportion of newborns who receive hearing screening prior to discharge at birth.
The Quality Measure Execution-Early Hearing (QME-EH) Content Profile outlines steps to create and consume standard electronic patient-level and aggregate-level quality reports for the Newborn Hearing Screening (CMS31v4) electronic clinical quality measure (eCQM). QME-EH provides methods for reusing data from a standard summary of care document, generated by an EHR to create a patient-level quality report. Additionally, it specifies how to create an aggregate-level quality report for the Newborn Hearing Screening quality measure using multiple patient-level quality reports.
This profile specifies information exchange methods which permit greater data transparency and consistency for the quality measurement process and which reduce the burden of compliance with quality measurement programs.
This profile does not specify how to determine if the set of documents (clinical summary documents or patient-level quality reports) supplied for processing is the correct and complete set of documents to be processed for the measure. Actors creating quality reports need to determine if a document that is supplied in the run meets the measure definition’s criteria for the initial population of the measure before processing the rest of the data. Data in documents which meet the initial population (IP) criteria should be included in the quality report. Refer to QRPH TF-3: X.6.3 for considerations regarding the use of a mechanisms defined within the IHE QRPH Newborn Admission Notification Information (NANI) Profile to confirm if the run of documents processed for the quality measure is complete.
Benefits
- Ensures digital newborn hearing screening quality measure data are captured and communicated, supporting consistent quality measure computation
- Standardizes quality measurement for newborn care in birthing facilities
- Provides interoperability between clinical EHRs and Public Health EHDI Information Systems (EHDI-IS) for increased efficiency and data quality
- Reduces reporting burden for EHRs by allowing quality measure data to be consumed out of standard clinical summaries
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 or aggregate-level quality measure report.
Systems Affected
Actors & Transactions:
The QME-EH profile does not define any actor groupings.
Specification
Profile Status: Trial Implementation
Documents:
Underlying Standards:
See Also
Related Profiles
- Cross-enterprise Document Sharing for Imaging [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 Identifier Cross Referencing [PIX], Patient Demographics Query [PDQ], Notification of Document Availability [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.
- Document Digital Signature [DSG] can be used to assert the authoritative source of the care plan as public health.
- Sharing Value Sets [SVS] can be used to provide related value sets to the EHCP document.
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