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Jacob Reider

Jacob Reider. ONC Senior Policy Advisor. Jacob Reider - ONC.

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Jacob Reider

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  1. Jacob Reider ONC Senior Policy Advisor

  2. Jacob Reider - ONC • CDS and QM activities will both rely heavily on the creation, maintenance and sharing of value sets.  These needs seem identical to the needs of the QH project in the domain of “concepts to codes.”  We need to define a list of CODES that qualify a patient for inclusion or exclusion in a given query/quality measure/CDS intervention.  • Has this patient with DIABETES had an A1C TEST?  How is “diabetes” defined?  What is an A1C test?  • A value set is a list of ALL possible codes that would exist in the system that would “count.”  Such a list may be very long – and is ideally harmonized with other such lists – so that CMS’ “diabetes” list is the same as Humana’s .. etc.  If the definitions (lists) differ – then we’re never talking about the same thing.

  3. Jacob Reider (Con’t) • As we look @ Query Health’s needs for “concepts to codes” – is there something inherently different from “value sets” here?  • Would this project benefit from aligning the nomenclature – abandoning the term “concepts to codes” in favor of “value set?”  Why would we do this?  Why not?  • Note that the term “value set” is sometimes used to refer to a “convenience set” – which is a different beast.  Convenience sets are not comprehensive – but actually aim to constrain a list of codes to a given specialty for the convenience of a give type of provider.  So there may be a “cardiology convenience set” which is a list of the most common terms a cardiologist may use.  This would presumably make “lookup” easier for a cardiologist.  Some argue that as computers get better/stronger/faster, such convenience sets are no longer relevant.

  4. Jacob Reider (Con’t). • What are the hurdles ahead for “concepts to codes/value sets? • How does this group see collaborating with other initiatives?  • What are the near-term and long-term opportunities?  • Where can this group help?

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