Quality Outcome Reporting for EMS

The QORE (Quality Outcome Reporting for EMS) profile profile will facilitate electronic data capture of quality measure data to enable automated data capture and streamline quality measure analysis. This will improve the timeliness and accuracy of the information used to compute EMS quality measures.

Summary

New approaches to improvement to Emergency Medical Services (EMS) include leveraging clinical and process quality measures, including patient outcomes. EMS is unique to medicine as it is impossible to separate administration/operations from clinical care. EMS is the only component of the healthcare system that brings the care to the patient. All other components require the patient to come to the care provider. These efforts are often manual and entail manual data collection, rather than utilizing electronic information that is already collected in EMS electronic Patient Care Record (ePCR) systems and provider electric health records systems. This profile will facilitate electronic data capture of quality measure data to enable automated data capture and streamline quality measure analysis.

Benefits

This profile will improve the timeliness and accuracy of the information used to compute EMS quality measures.

Details

This profile uses a query and a SEND transaction to move quality measurement data across several EMR entities that will allow for this data to be used for quality and registry measurement for Hospitals and EMS companies. These transactions utilize FHIR and the transactions are specified with the profile.

Systems Affected

We expect that this profile will affect: Hospitals may use it to send data to registries (e.g. STEMI or Stroke) or use it to respond to a query for information from an ambulance organization. Ambulance organizations may use it to query the hospital for quality data measurement data or to send their measurement data to the registries that apply to their industry. Registries may use it to query query the measurement data from either hospitals or ambulance organization.

Actors & Transactions:

<Insert an actor-transaction diagram, and or list of Content Definitions> Actors: Data Responder - The Data Responder shall be responsible for the creation of content and the transmission of a QORE document to an Data Consumer.

Data Consumer - The Data Consumer is responsible for initiating a query to the Data Responder system for documents meeting certain criteria and can retrieve selected documents supplied by the Data Responder. Data Consumer is also responsible for receiving EMS quality data needed to compute EMS measures from the Data Sender.

Data Sender - The Data Sender is responsible for sending EMS quality data needed to compute EMS measures to the Data Receiver.

Transactions:

Query for EMS Quality Data [QRPH-55] - The Data Consumer sends a query for an EMS Quality Data to the Data Responder.

Send EMS Measure Report Data [QRPH-56] - The Data Sender sends quality measure report data to the Data Consumer.

Specification

Profile Status: Public Comment

Documents: https://www.ihe.net/uploadedFiles/Documents/QRPH/IHE_QRPH_Suppl_QORE.pdf

Underlying Standards:

<list all the standards on which the profile is based; if possible with links to sources>

• HL7 Version 3 Domain Analysis Model: Emergency Medical Services, Release 1 <http://www.hl7.org/implement/standards/product_brief.cfm?product_id=39>
• HL7 Version 3 Domain Information Model; Emergency Medical Services, Release 1 <http://www.hl7.org/implement/standards/product_brief.cfm?product_id=302>
• HL7 Version 3 Domain Analysis Model: Trauma Registry Data Submission, Release http://www.hl7.org/implement/standards/product_brief.cfm?product_id=363
• HL7 FHIR standard STU3 http://hl7.org/fhir/STU3/index.html
• eMeasures References: https://www.heart.org/HEARTORG/Professional/MissionLifelineHomePage/Recognition/Mission-Lifeline-EMS-Recognition_UCM_308047_Article.jsp

FHIR Implementation Guide

Using Resources at FMM Level 0-5:

Composition (FMM 2)

Patient (FMM 5)

AllergieIntolerance (FMM 3)

Procedure (FMM 3)

Medication Statement (FMM 3)

Medications Administration (FMM 2)

Clinical Impression (FMM 0)

Diagnostic report (FMM 3)

Encounter (FMM 2)

Observation (FMM 5)

Condition (FMM 3)

Location (FMM 3)

Document Reference (FMM 3)

Device (FMM 2)

See Also

Related Profiles

• Paramedicine Care Summary is used to send paramedicine data gathered in an ambulance transport to the hospital so that it can have the information needed for sending measurement data.