1. Clinical Quality Workgroup Report April 20, 2011 Jim Walker, Chair Karen Kmetik, Co-Chair

2. Clinical Quality Workgroup Members Chair James WalkerGeisinger Health System a Co-Chair Karen KmetikAmerican Medical Association Members David BakerNorthwestern University Anne CastroBlueCross BlueShield of South Carolina Christopher ChuteMayo Clinic John DerrGolden Living, LLC Bob DolinHL7 Floyd EisenbergNQF Rosemary KennedyThomas Jefferson University David LanskyPacific Business Group on Health Gene NelsonDartmouth University Eva PowellNational Partnership Philip RennerKaiser Permanente Danny RosenthalInova Health System Joachim RoskiBrookings Institution Federal Ex Officio Jon White, AHRQ Aneel Advani, Indian Health Service, HHS Patrice Holtz, CMS, HHS TBD, CDC, HHS

3. Quality Data Model (QDM) Review Consensus that the QDM is well designed to support the development and implementation of quality measures.

4. QDM Review QDM Scope –Population Management: Capture of person-level data for aggregation. –Patient Safety: Capture of individual data for feed forward to Common Formats, etc. –Documentation of Evidence Quality: logically prior to measure documentation in QDM. –Documentation of Population Size required for measure application: logically prior to measure documentation in QDM.

5. Quality Data Model (QDM) Review Target Audiences –Guideline developers –Quality Measure developers –HIT manufacturers –Provider-organization measure developers

6. Next Steps – May 19 Testimony Focus: MU-1 issues to address for MU-2 and MU-3 Stakeholders –Small practices and hospitals (RECs, QIOs) –HIEs –IDNs and Hospital Systems –Measure Developers –Professional Associations –LTPAC Panelists

7. Next Steps Population-management test case MU-2 Measures