Difference between revisions of "Quality Roadmap"
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Chrisdcarr (talk | contribs) |
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Appropriate aggregation of dose information | Appropriate aggregation of dose information | ||
− | Minimization of dose to patient population | + | Minimization of dose to target patient population |
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|Measure Reporting | |Measure Reporting | ||
− | Core Measure Reporting | + | *Core Measure Reporting |
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|Measures developers, endorsers, testers, implementers | |Measures developers, endorsers, testers, implementers |
Revision as of 15:15, 22 May 2007
Legend
Priority:
Prerequisites: List of applicable standards Coordination: Other domains to coordinate efforts with. |
Strategy:
Year: Earliest Opportunity given prerequisites, priority and skills. |
Roadmap
Topic | Pri | Standards/Prerequesites | Coord | Strategy | Year |
---|---|---|---|---|---|
Peer Review
Peer review and feedback |
ACR RadPeer program
AMA/ABMS program using performance measures for peer review of physician hospital groups |
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Decision support for ordering and procedure approvals | Massachusetts program based on ACR appropriateness criteria (consult with Dr. Keith Dreyer/MGH)
Generate justification data when needed (through use of QED?) AQA principles for developing measures of appropriateness ACC/AHA Appropriateness Criteria, decision support tools |
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Retrospective review of outcomes based on utilization of evolving technologies | |||||
Radiation dose
Appropriate aggregation of dose information Minimization of dose to target patient population |
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Real-time documentation of continuing education and certification (point-of-care CME) | ACCME standards for award of physician CME
ABMS MOC requirements Medbiquitous/SCORM |
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Patient assessment to prevent adverse events | |||||
Adverse event reporting
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Joint commission requirements (per state)
CDC has voluntary and mandatory reporting for some diseases |
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Measure Reporting
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Measures developers, endorsers, testers, implementers | ||||
Data registries | Procedure-specific datasets
Gathering quality data (peer review, patient safety, etc.) from various care settings Intermediary point to aggregate date to share with CMS, other destination agencies Protocols in place and physician use of protocols |
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Standardized reporting: develop standard formats for reports (eg, Echo, Cath Lab, Nuc Med) to ensure report has elements needed to collect quality data | |||||
Consumer aspects of quality reporting | PHR as record of repeat procedures
Consumer view of provider quality information Patient self management Home health monitoring Informed patient consent |
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Harmonization with other initiatives
a. Uniformity of measure import and export formats b. Measuring health delivery disparities across demographic segments (eg, race, gender, socioeconomic status) - AHA Health Research and Educational Trust, HRSA c. Care coordination efforts across disciplines - NQF, CMS d. Structural measures - different groups, data measures (eg, infection control) e. NCVHS hearings in July f. State/provincial/regional quality measures g. AHIC/ONC/HITSP Use Case on Quality i. Patient identity management/tracking of patients across settings h. Expected AHIC/ONC/HITSP Use Case on Adverse Events 3. Consumer aspects of quality reporting a. PHR as record of repeat procedures b. Consumer view of provider quality information c. Patient self management d. Home health monitoring e. Informed patient consent |