September, 2005What IHE Delivers 1 IHE Quality Domain February 26, 2008

2 IHE Quality Domain – Year 1 IHE Quality Year 1 Participation Participation HIMSS, RSNA, American Heart Association Sponsorship HIMSS, RSNA, American Heart Association Sponsorship Leadership by clinical committee members, vendors Leadership by clinical committee members, vendors Technical Framework (Patient-Level Export of Quality Data – PEQD) Technical Framework (Patient-Level Export of Quality Data – PEQD) Year 2 – Evaluate commonalities for data repurposing, expand scope to Quality, Public Health and Research Year 2 – Evaluate commonalities for data repurposing, expand scope to Quality, Public Health and Research

3 IHE Quality Domain: PEQD Analyzer / Aggregator Form Manager Form Receiver Form Archiver Form Filler Patient Encounter Source Patient Encounter Consumer Data Repository Clinical Data Consumer Information Source Display Document Registry Document Consumer Document Repository Document Source Enterprise Report Repository Report Creator Care Delivery Information System Actors` Actors Grouped for Options Document Source Document Recipient Monitoring Agent / Destination Agency Submit Report [Reserved] Provide and Register Document Set [ITI-14] Retrieve Document [ITI-17] Query Registry [ITI-16] Retrieve Document for Display [ITI-12] Retrieve Specific Info for Display [ITI-11] Patient Encounter Management [ITI-31] Query Data [PCC 1 - 6] Retrieve Form [ITI-34] Submit Form [ITI-35] Archive Form [ITI-36] Submit Aggregate Data [reserved] Provide and Register Document Set [ITI-14] Provide Notification of New Measure Definition [reserved] Patient Admin Management (PAM) Query for Existing Data (QED) Retrieve Into for Display (RID) Cross-Enterprise Document Sharing (XDS) Cross-Enterprise Document Reliable Interchange (XDR) Retrieve Form for Data Capture (RFD) Key Actors from Other Profiles

4 Year 2 – Technical Framework Selected Profiles Structured Quality Measure Definition and Import Structured Quality Measure Definition and Import Drug Safety Content Drug Safety Content

5 Year 2 – Technical Framework Mission Expand international participation and reach out to Public Health and Research organizations Expand international participation and reach out to Public Health and Research organizations Expand scope and rename as Quality, Public Health and Research Domain Expand scope and rename as Quality, Public Health and Research Domain Reach out to Clinical Decision Support community Reach out to Clinical Decision Support community

6 <CONCEPT NAME="diabetes" LANG="I9" <CONCEPT NAME="HbA1c" LANG="LOINC" <CONCEPT NAME="age" VALUE="18" UNI Quality Measure QMDQMD Quality Report QRD diagnosis from common data elements (HITEP) structure & terminology standard selection (HITSP) logic content (Collaborative) defined by measure developer organization (MDO) and endorsed by consensus including proper formatting (NQF) Patient n CCDCCD... Patient 2 CCDCCD... <CONCEPT NAME="HbA1c" VALUE="8.6" <CONCEPT NAME="LDL" VALUE="165" DA <CONCEPT NAME="Diabetes" DATE="10/ <CONCEPT NAME="Hyperlipidemia" DA <CONCEPT NAME="Atorvastatin" <CONCEPT NAME="Aspirin" DA <CONCEPT NAME="Metform Patient 1 XDS MS patient data sharing standard (HL7/CDA) logic representation (HL7/IHE) (IHE/HITSP) Diagram Courtesy of Dan Rosenthal, National Quality Forum Harmonization of Specification Efforts

September, 2005What IHE Delivers 7 Questions ??