1. HIT Standards Committee Clinical Quality Measures Workgroup Report Jim Walker Karen Kmetik June 22, 2011

2. ACTIVITIES SINCE LAST REPORT Joint Hearing on MU1 and needs for MU2 (May 19): –Quality MeasuresWG, HITPC –Clinical Quality WG, HITSC June 20 Code set selection for the fundamental categories of the QDM. –Vocabulary Work Group, HITSC –CQMWG, HITSC

3. Updated Measures Framework (aligned with NQS)

4. PROPOSED MODEL Core is maintained and additional measures are added. –Providers pick measures from the core list. Menu is maintained and additional measures are added. –Menu measures are stratified into the 6 domain areas. –Providers pick measures from the menu list (at least one from each domain).

5. CODE SET SELECTION Working with Vocabulary Task Force to assign code set(s) to the fundamental concepts in the NQF ’ s Quality Data Model v.3 (QDM) Preparatory Interviews –Work group members –Measure developers –other subject matter experts First joint meeting June 20. Review of the QDM ’ s fundamental concepts for clarity and streamlining under way.

6. Upcoming Issues –Problem lists: attributes for reconciliation –Patient reported outcomes: including standardized tools for implementation in EHRs –Exclusions: Establish requirements for management of non-standardized patient situations (e.g., participation in clinical trials). –Plan of care: Identify components and standards for documenting care plans.

7. Issues from the HITPC Quality Measures WG Longitudinal/delta measures: Identify types, applications, and standards. Attribution of actions to specific actors Capacity of EHRs to handle increasingly complex measures