1. HIT Standards Committee Quality Workgroup Janet Corrigan National Quality Forum June 23, 2009

2. 2 Quality Workgroup Overview Build on work of Health Information Technology Expert Panel to identify the Quality Data Set needed to support measurement and reporting Construct “Meaningful Use” Evaluation Matrix Example measures

3. HITEP 2008 -- Quality Data Set 11 Categories and 38 Data Types Common to High Priority Measures

4. HITEP 2009 Quality Data Set (QDS) – Quality Data Element

5. HITEP 2009 Quality Data Set (QDS) and Dataflow Dataflow: Source Recorder Setting Health record field

6. Meaningful Use Evaluation Matrix

7. HITECH Meaningful Use – 2011 Examples % of Hypertensive Patients with BP under Control [OP] Title: Controlling High Blood Pressure Description: Percentage of patients with last BP <140/80 mm Hg. Measure Steward: NCQA Numerator: Patients with last blood pressure measurement adequately controlled to systolic blood pressure <140 mm Hg and diastolic blood pressure < 80 mm Hg during the measurement year. Denominator: All patients > 18 years of age with a diagnosis of hypertension in the first six months of the measurement year or any time prior.

8. % of Hypertensive Patients with BP under Control [OP] Title: Adoption of Medication e-Prescribing QDS Datatypes: Age Hypertension diagnosis Ambulatory encounter Systolic blood pressure result HITSP Capability Communication of Structured Documents using CDA HITECH Meaningful Use – 2011 Examples

9. % of Permissible Prescriptions Transmitted Electronically [OP, IP] Title: Adoption of Medication e-Prescribing Description: Documents whether provider has adopted a qualified e-prescribing system and the extent of use in the ambulatory setting. [OP] Measure Steward – CMS Structural measure – G code for each patient for whom e-prescription is written HITECH Meaningful Use – 2011 Examples

10. % of Permissible Prescriptions Transmitted Electronically [OP, IP] Title: Adoption of Medication e-Prescribing QDS Datatypes: e-prescribing system present e-prescribing performed System reasons for not e-prescribing HITSP Capability Communication of Structured Documents using CDA Issue Ambulatory and Long-term Prescriptions Issue Hospital Prescription

11. HITECH Meaningful Use – 2011 Examples Next Steps –Identity complete set of measures and determine which ones can be retooled to meet anticipated timeframes –Map to HITEP Data Types and necessary HITSP Capabilities –Identify Certification Criteria