HITSPHealthcare Information Technology

Standards Panel

Population Health Care Delivery Consumer Empowerment

Confidentiality, Privacy & Security

Population Health & Clinical Care Connections

Quality

http://www.hhs.gov/healthit/

Adverse / Sentinel Event Reporting Use

Case

Quality Reporting Use

Case

Public Health Reporting Use

Case

Expected mid-February 2007

Collaborative for Performance Measure Integration with EHR Systems

• Co-sponsored by: American Medical Association (AMA) National Committee for Quality Assurance (NCQA) Centers for Medicare and Medicaid Services (CMS)

Guest: Joint Commission for Accreditation of Healthcare Organizations (JCAHO)

– Workgroup A – Intra-EHR Activities– Workgroup B – Inter-EHR / Measure Developer and Report Receiver

Interactions

Vendor/User of Healthcare Information

System

Performance Measure

Development Organizations

e.g., NCQA, PCPI, JCAHO

Performance Measure Endorsers/

Approvers

e.g., NQF, AQA/HQA

Decision to Implement (by

measure and by receiver)

Related Codification

Rules

Local Decision Support(internal interaction

and reporting)

Transmission (implementer-

specific data subset)

Performance Measure

Implementers/ Receivers

F I L T E R

Performance Benchmarking

Clearinghouse/ Outsourced Measure

Calculator/ Benchmarking Service

Data quality, terminology,

reliability results

Specification Revisions

Decision to Implement (by

measure and by receiver)

Incorporate into Healthcare

Information System(Automated/Manual)

F I L T E R

Disseminate to Provider

Organizations (customers/ health

care providers)

Entity Action Function Data File Process StepFeedback Mechanism

Related Process Step (if required by entity)

K E Y

Data quality, terminology,

reliability results

Performance Measurement

Rules (PM)

Aggregator

MeasurementSystem

Report CardMeasurement

ConsumerSystem

(Individuals, payors, regulators)

Aggregate Data

Selected dataPush / Pull

Analyzer

Selected dataVocabulary

Mapping

Communicate Structured Measurement Rules(Policy Grammar?)

Retrieve data of interest

Send selected data of interest

Send aggregate data of interest

Pseudonymized DB

Clinical Patient Information Resource

Pseudonymizer

Decision Support(HIS)

InternalReport Card

Supply patient-specific guideline

PseudonymizationRequest

Send Periodic Report

View, and retrieve report

notify (e.g. for rule validation)

CommunicateTranslation

Communicate Measurement Rules

Performance Improvement

Send Current Status

Send Current Status

TransformerHuman readable rules to machine readable Rules

Select Measure, Configure System

Quality Management

Aggregator

MeasurementSystem

Analyzer

Pseudonymizer Decision Support

MeasurementRules

Data of Interest

ConsumerExternal

(Individuals, payors, regulators)

Consumer Internal

(provider, enterprise mgmt)

HIS

RetrospectiveConcurrent

Information Flow

Performance Improvement

Retrospective