measure authoring tool: an introduction please dial-in to the number provided below

www.qualityforum.org

Measure Authoring Tool: An Introduction

Please dial-in to the number provided below. We will begin shortly.

Webinar Call-In Information

Tel: (888) 395-3241 | Passcode: 7416392

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The Measure Authoring Tool:An Introduction

Thursday October 27, 2011

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Floyd Eisenberg, MD, MPH, FACP Chris MilletSenior Vice President, Health IT Senior Project Manager, Health ITNational Quality Forum National Quality Forum


NQF’s Mission

To improve the quality of American healthcare by: Building consensus on national priorities and goals for

performance improvement and working in partnership to achieve them;

Endorsing national consensus standards for measuring and publicly reporting on performance; and

Promoting the attainment of national goals through education and outreach programs.

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Session Objectives

At the end of this session, participants should better understand and be able to describe:

• Explain what the MAT is, its purpose, importance, and its anticipated impact on performance measurement and quality improvement

• How the Quality Data Model (QDM) supports the MAT in eMeasure development

• What information in the MAT can be shared across users• Future functionality and the general timeline for new

releases.

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http://www.clker.com/clipart-26534.html



Real-Time Information to Clinician

Quality Measure

Quality Data Model

Measure Authoring

TooleMeasure EHR

Develop Performance Measures

QDM in the Clinical Realm

Electronic Reporting and

Sharing

CaptureData

ProvideCare

eMeasure: Health Quality Measure Format

Inform all Stakeholders

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What is the Measure Authoring Tool?

• Web-based application that allows you to create eMeasures without writing XML

• An eMeasure is a quality measure in a standardized XML file that can be read by both humans and computer systems

• Target Audience– Measure developers will be primary users.– Quality and health IT stakeholders (e.g., providers, health IT vendors,

QIO) will also benefit with better access to, capture of, and reporting on comparable data.

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How will the Measure Authoring Tool add value?

• Simplify the process of creating an eMeasure

• Standardize how eMeasures are expressed, for greater comparability

• Usable by all measure developers, to support internal quality improvement as well as public reporting programs

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How QDM Supports the MAT

• A standard structure and grammar to precisely and accurately represent eMeasures that can be used across clinical IT systems.

• Purpose

– Provides a standard way to clearly and consistently describe clinical concepts in quality measures and for sharing information across EHRs and other clinical systems.

• Importance– Defines a method to express quality measure requirements compatible with

data captured in EHRs and other clinical IT systems. – Only “standard” for eMeasures that exists today.

For more information on QDM, visit http://www.qualityforum.org/QualityDataModel 8

http://www.qualityforum.org/QualityDataModel




• Basic Release launched September 29, 2011

http://www.qualityforum.org/Topics/HIT/Measure_Authoring_Tool_(MAT)/Measure_Authoring_Tool_(MAT)

MAT Releases

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• Create and share eMeasures and their corresponding code lists with other users

• Create and reuse standard value sets (known as Code Lists in the MAT) and other measure components limiting rework as new measures are developed

• Use the Quality Data Model (QDM) as the grammar and structure to fully define and express eMeasures in a standard way

• Export eMeasures in an EHR readable format to enable collection of comparable healthcare quality data

Key Features and Functions

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Checklist for Creating an eMeasure in the MAT

• List of questions to consider before creating an eMeasureo Do I have existing Code lists that I want to use?o Do I already have Object Identifiers (OIDs) for code

lists?o Have I Identified QDM Categories and Datatypes that

I will need for this measure?

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Sample Measure

Percentage of patients aged 18 years and older with a diagnosis of CAD who were prescribed a lipid-lowering therapy

Initial Patient Population

Patients aged 18 years and older before the start of the measurement period.

Patients that have a documented diagnosis of coronary artery disease before orsimultaneously to encounter date

Patients who have at least 2 outpatient or nurse facility encounters during the measurement period

Denominator Patients aged 18 years and older with a diagnosis of coronary artery diseaseNumerator Patients who were prescribed lipid-lowering therapyExclusions Patients who have documentation of a medical, system or patient reason for

not prescribed lipid lowering therapy

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What data elements do we need?

Patients who… What kind of data are we dealing with?

What about the data? How do we define this data?

…Are diagnosed with Coronary Artery Disease

Diagnosis Active ICD-9 , ICD-10, SNOMED-CT

…Were prescribed Lipid-lowering Therapy

Medication AdministeredOrderDispensedActive

RxNorm

…Have had at least two encounters during the measurement period

Encounters CPT

…Are at least 18 years old or older

Patient Characteristic LOINC

Quality Data Model13


What’s next?

• Create Code lists– select QDM Category

• Apply Code list to Measure – select QDM Data Type

• Build phrases using QDM Elements– Add QDM attributes

• Add phrases to Clauses

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Create Code Lists

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Select QDM Category

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Apply Code List to Measure

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Select QDM Data Type

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Build Phrase Using QDM Elements

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Add QDM Attribute to a Phrase

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Select QDM Attribute

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Package the eMeasure

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Export the eMeasure

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The eMeasure

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The eMeasure

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How will the Measure Authoring Tool add value?

• Impact on performance measurement and quality improvement

• Standardize how eMeasures are expressed, for greater comparability

• Usable by all measure developers, to support internal quality improvement as well as public reporting programs

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• Measure Authoring Tool User Guide– Available to access from the Measure Authoring Tool or– Download from http://www.qualityforum.org/MAT/

• Guide for Reading Eligible Providers (EP) and Hospital Measureshttp://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=52706

• For MAT technical support, including user access and troubleshooting, contact [email protected]

• To submit comments and suggestions for enhancements on the MAT, contact [email protected]

Resources

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http://www.qualityforum.org/MAT/

http://www.qualityforum.org/MAT/

http://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=52706



mailto:[email protected]

mailto:[email protected]


Questions?

Thank You

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Thank You!

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measure authoring tool: an introduction please dial-in to the number provided below

Documents

quality measures

quality improvementhow

health quality measure

quality data model qdm

internal quality improvement

quality of american

clinical systems

clinical realm emeasure