1. USHIK: A Meaningful Use One-Stop Shop Health Information Technology Standards Council J. Michael Fitzmaurice, Ph.D. Agency for Healthcare Research and Quality November 13, 2012

2. 2 Agency for Healthcare Research and Quality (AHRQ) Mission Improve the quality, safety, efficiency and effectiveness of health care for all Americans

3. Agenda United States Health Information Knowledgebase United States Health Information Knowledgebase – Meaningful Use Portal MU1 MU1 MU2 MU2 Stage 2 Stage 2 – Focus on 2014 Clinical Quality Measures and their Value Sets – Sources of Truth: CMS, ONC, NQF, Measure Developers, Code Set Maintainers NQF, Measure Developers, Code Set Maintainers 3

4. SDO CF MU SIF APCD USHIK Information Models Standards Developing Organizations Health Information Technology Standards Panel Patient Safety Common Formats Meaningful Use Stage 1 Stage 2 All-Payer Claims Data Standards and Interoperability Framework USHIK Portals ushik.ahrq.gov HITSP 4

5. USHIK: A One-Stop Shop Pointers to Sources of Truth Pointers to Sources of Truth – CMS for Clinical Quality Measures (CQMs) [Measure developers, NQF] – NLM for Measure Value Sets [Measure developers, NQF] Logical organization Logical organization – 2012 and 2014 CQM data elements – 2012 and 2014 CQM QM computational logic – 2012 and 2014 CQM code values for data elements (Value Sets) 5

6. USHIK: A One-Stop Shop User-requested download formats available: XML, Excel, PDF, SVS, CSV, CTS2 User-requested download formats available: XML, Excel, PDF, SVS, CSV, CTS2 By selected sets of CQM’s and Value Sets By selected sets of CQM’s and Value Sets For all CQMs and Value Sets For all CQMs and Value Sets Also, all in one combined flat file format—CVS Also, all in one combined flat file format—CVS Version comparisons ( as they become available ) Version comparisons ( as they become available ) – CQM comparisons—see what is different – VS comparisons—see what codes have been subtracted and added 6

7. Meaningful Use Measures and Metadata 7

8. Clinical Quality Measures 2014 8

9. 2014 Filter Options 9

10. At A Glance 10

11. UMLS Authentication Required 11

12. Downloads/Resources 12

13. Population Criteria 13

14. Data Criteria 14

15. Supplemental Data Elements 15

16. Metadata 16

17. Benefit to AHRQ Lead agency in supporting clinical quality measures Lead agency in supporting clinical quality measures – Development – Validation – Public availability in USHIK, National QM Clearinghouse – Organization and computational logic – Informatics application More uniform, accurate, computerized, valid health data More uniform, accurate, computerized, valid health data – Better research and operational data – Leading to more robust research findings – Subsequent greater acceptability of research tools A benefit to ALL A benefit to ALL 17

18. USHIK: A Meaningful Use One-Stop Shop Health Information Technology Standards Council J. Michael Fitzmaurice, Ph.D. Agency for Healthcare Research and Quality November 13, 2012