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HITSP Healthcare Information Technology Standards Panel

Population Health & Clinical Care Connections. Quality. Consumer Empowerment. Confidentiality, Privacy & Security. Population Health. Care Delivery. http://www.hhs.gov/healthit/. Expected mid-February 2007. Adverse / Sentinel Event Reporting Use Case. Public Health Reporting Use Case.

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HITSP Healthcare Information Technology Standards Panel

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  1. Population Health & Clinical Care Connections Quality Consumer Empowerment Confidentiality, Privacy & Security Population Health Care Delivery http://www.hhs.gov/healthit/ Expected mid-February 2007 Adverse / Sentinel Event Reporting Use Case Public Health Reporting Use Case Quality Reporting Use Case HITSP Healthcare Information Technology Standards Panel

  2. Collaborative for Performance Measure Integration with EHR Systems • Co-sponsored by: American Medical Association (AMA) National Committee for Quality Assurance (NCQA) Centers for Medicare and Medicaid Services (CMS) Guest: Joint Commission for Accreditation of Healthcare Organizations (JCAHO) • Workgroup A – Intra-EHR Activities • Workgroup B – Inter-EHR / Measure Developer and Report Receiver Interactions

  3. Related Codification Rules Local Decision Support (internal interaction and reporting) K E Y Feedback Mechanism Related Process Step (if required by entity) Entity Action Function Data File Process Step Performance Measure Endorsers/ Approvers e.g., NQF, AQA/HQA Specification Revisions F I L T E R Performance Measure Development Organizations e.g., NCQA, PCPI, JCAHO Vendor/User of Healthcare Information System Incorporate into Healthcare Information System (Automated/Manual) Performance Benchmarking Data quality, terminology, reliability results Decision to Implement (by measure and by receiver) Decision to Implement (by measure and by receiver) Disseminate to Provider Organizations (customers/ health care providers) Data quality, terminology, reliability results Performance Measure Implementers/ Receivers Clearinghouse/ Outsourced Measure Calculator/ Benchmarking Service F I L T E R Transmission (implementer-specific data subset)

  4. Quality Management Pseudonymized DB Transformer Human readable rules to machine readable Rules Select Measure, Configure System Performance Measurement Rules (PM) Push / Pull Analyzer Selected data Communicate Structured Measurement Rules (Policy Grammar?) Retrieve data of interest Clinical Patient Information Resource Communicate Measurement Rules Communicate Translation Selected data Vocabulary Mapping Send selected data of interest Aggregator Supply patient-specific guideline Decision Support (HIS) notify (e.g. for rule validation) Pseudonymization Request Aggregate Data Send aggregate data of interest Pseudonymizer Measurement System Send Current Status Internal Report Card Send Periodic Report Send Current Status Report Card Measurement Consumer System (Individuals, payors, regulators) View, and retrieve report Performance Improvement

  5. Information Flow Measurement Rules Data of Interest HIS Analyzer Retrospective Concurrent Decision Support Pseudonymizer Aggregator Measurement System Performance Improvement Retrospective Consumer Internal (provider, enterprise mgmt) Consumer External (Individuals, payors, regulators)

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