HIT Policy Committee

1. HIT Policy Committee Clinical Operations Workgroup Report Jamie Ferguson Kaiser Permanente John Halamka Harvard Medical School 16 July, 2009

2. Clinical Operations Workgroup Process Review proposed MU objectives and measures Initial focus on proposed MU quality measures Identify existing EHR standards for MU measures Existing HHS adopted, recognized and accepted standards Other widely accepted and widely deployed standards Gaps in standards for the measure Identify the feasibility of widespread implementation of the identified national EHR standards by 2011 or 2013 or beyond “Reality check” notes on requirements and next steps 2

3. Example of Clinical Operations Process Pre-decisional Draft Example For Discussion, page 1 of 2 3

4. Example of Clinical Operations Process Pre-decisional Draft Example For Discussion, page 2 of 2 4

5. Clinical Operations Workgroup Status • A first draft of the existing EHR standards identification is complete for all proposed quality measures • A first draft of the widespread implementation feasibility assessment for 2011 and 2013 is complete for most proposed quality measures • Many of these same EHR standards and widespread implementation feasibility assessments will apply to MU measures other than those for quality reporting

6. Clinical Operations Workgroup Next Steps Complete the identification of existing EHR standards and widespread implementation feasibility and timing for the standards for all MU proposed measures Includes cross-workgroup discussions Harmonization of workgroup recommendations for standards and widespread implementation feasibility of the standards E.g. consistent standards applicable for different measures Develop Standards Committee recommendations based on workgroup recommendations 6