HITSP Healthcare Information Technology Standards Panel Population HealthCare Delivery Consumer Empowerment Confidentiality, Privacy & Security Population.

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Presentation transcript:

HITSP Healthcare Information Technology Standards Panel Population HealthCare Delivery Consumer Empowerment Confidentiality, Privacy & Security Population Health & Clinical Care Connections Quality 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 IL T E RF IL 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 IL T E RF IL T E R Disseminate to Provider Organizations (customers/ health care providers) EntityActionFunctionData FileProcess Step Feedback Mechanism Related Process Step (if required by entity) K E Y Data quality, terminology, reliability results

Performance Measurement Rules (PM) Aggregator Measurement System Report Card Measurement Consumer System (Individuals, payors, regulators) Aggregate Data Selected data Push / Pull Analyzer Selected data Vocabulary 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) Internal Report Card Supply patient-specific guideline Pseudonymization Request Send Periodic Report View, and retrieve report notify (e.g. for rule validation) Communicate Translation Communicate Measurement Rules Performance Improvement Send Current Status Transformer Human readable rules to machine readable Rules Select Measure, Configure System Quality Management

Aggregator Measurement System Analyzer Pseudonymizer Decision Support Measurement Rules Data of Interest Consumer External (Individuals, payors, regulators) Consumer Internal (provider, enterprise mgmt) HIS Retrospective Concurrent Information Flow Performance Improvement Retrospective