Quality Roadmap
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 | NOPR (PET registry) ACRIN/CMS/Brown Univ. | ||||
Radiation dose
|
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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
|
Joint commission requirements (per state)
CDC has voluntary and mandatory reporting for some diseases |
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Measure Reporting
|
Measures developers (eg, AMA/PCPI, NCQA, ACC/AHA, JCAHO), endorsers, testers and implementers (eg, NQF, AQA) | ||||
Data registries
|
Disease management registries: STS, ACC NCDR, Tumor Registry, Trauma Registry, HDC Registry (HRSA) Immunization registries National Practitioner Database |
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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
|
NQF Consumer Council AARP OASIS Data for Home Care (CMS) |
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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 |