Clinical Quality Framework

Initiative Launch

March 21, 2014

12-1pmcqframework.info

Co-Coordinator: Ken Kawamoto Co-Coordinator: Marc HadleyONC Sponsor: Alicia Morton CMS Sponsor: Minet JavellanaONC Sponsor: Lauren Richie Project Manager: Bridget Blake

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• The standards used for the electronic representation of CDS and CQM were not developed in consideration of each other, and use different approaches to patient data and computable expression logic

• Adhering to different standards places an additional implementation burden on vendors and providers with homegrown systems

• It is currently difficult to share logic between eCQMs and CDS rules

Clinical Quality Framework

Initiative: Background

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  Patient Data Computable Expression Logic

Clinical Decision Support  Virtual Medical Record (for both physical and logical models)

CDS Knowledge Artifact Implementation Guide

Electronic Clinical Quality Measurement (eCQM)

Quality Reporting Data Architecture (for physical model)

Quality Data Model (for logical model)

Health Quality Measure Format (for physical model)

Quality Data Model (for logical model)

Clinical Quality Framework

Value Statement

• CDS and eCQM are both important aspects of clinical quality improvement (CQI). Harmonizing the electronic standards used for these two domains will have a number of important benefits including:

– Reduced burden on implementers.

– Increased re-use of expressions from eCQM in CDS and vice versa.

– Improved standards quality through the unification of community effort.

Clinical Quality Framework

Draft Scope

• To identify, define, and harmonize electronic standards that promote integration between Clinical Decision Support (CDS) and electronic Clinical Quality Measurement (eCQM) in the areas of:– Metadata: Identify common metadata across the two domains and

harmonize the identification and representation of that metadata– Patient Data Model: Develop a patient data model that supports the

requirements of eCQM and CDS– Logical Expression Language: Develop a common expression language

that can be used to define both CDS and eCQM  logical expressions.• To refactor existing CDS and eCQM standards to utilize the

harmonized standards.• To the extent possible, to pilot the standards and refine them

accordingly.• To engage the clinical quality community to optimize the rigor and

usability of the harmonized CDS and eCQM specifications.

Note: Out-of-scope items will be identified by the Clinical Quality Framework initiative team during the discovery phase.

Clinical Quality Framework

Call for Participation• The kickoff will be on 3/21/14 from 12-1 p.m.

– https://siframework1.webex.com/siframework1/onstage/g.php?t=a&d=669782317– Dial In: 1-650-479-3208– Access code: 669 782 317

• Community involvement in the harmonization of the eCQM and CDS standards gives participants the following:– The ability to accelerate the standards development process– Early access to standards under development for internal

prototyping, etc.• We are seeking volunteers for the following:

– Use Case Sub-team Lead(s) – Standards Editorial Sub-team Lead– HL7 Clinical Quality Information Work Group Liaison – HL7 Structured Documents Work Group Liaison

• Sign up at http://wiki.siframework.org/Clinical+Quality+Framework+Join+the+Initiative