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Quality Measures Workgroup Recommendations

QUALITY MEASURE WORKGROUP RECOMMENDATIONS. Quality Measures Workgroup Recommendations. Mar 2, 2011. Stage 1 Quality Measure Objectives.

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Quality Measures Workgroup Recommendations

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  1. QUALITY MEASURE WORKGROUP RECOMMENDATIONS Quality Measures Workgroup Recommendations Mar 2, 2011

  2. Stage 1 Quality Measure Objectives • EPs must report on 3 required core CQMs, and if the denominator of 1 or more of the required core measures is 0, then EPs are required to report results for up to 3 alternate core measures. • EPs must also select 3 additional CQMs from a set of 38. It is acceptable to have a '0' denominator provided the EP does not have an applicable population. • In sum, EPs must report on 6 total measures: 3 required core measures (substituting alternate core measures where necessary) and 3 additional measures from the menu set.

  3. Stage 1 Clinical Quality Measures Stage 1 CQMs Objective

  4. Stage 1 Quality Measures (Core/Alternate) • Core Measures • Adult Weight Screening and Follow-up • Hypertension: Blood Pressure Management • Preventive Care and Screening Measure Pair: • Tobacco Use Assessment • Tobacco Cessation Intervention • Alternate Core (if core measures do not apply) • Childhood Immunization Status • Preventive Care and Screening: Influenza Immunization for Patients  50 • Weight Assessment and Counseling for Children Adolescents • Menu Set • 3 measures from a set of 38 specialty-related clinical quality measures

  5. Stage 2 & 3 Measure Selection

  6. QMWG − Domain Framework for Stage 2 • Clinical Appropriateness/Efficiency • Population & Public Health • Patient & Family Engagement • Care Coordination • Patient Safety

  7. Projected Timeline (draft) • 3/11, HITPC endorses QMWG recommendations • 3/11 − 6/11, ONC to initiate measure development activities • 6/11 − 12/11, Stage 2 measure concepts/specifications to be defined and put out for public comment • 1/12 − 4/12, Development of de novo Stage 2 measures based on QMWG guidance to be completed

  8. Policy Issues to Consider • Framework for Stage 2 CQMs • Balance core measures with “specialty” measures • Inclusion of Stage 1 and “retooled” measure set • Exchange and interoperability infrastructure to facilitate implementation of innovative measures (e.g.-standardized Transition of Care document, ability to incorporate longitudinal data) • Available infrastructure for patient reported outcomes • Available standards and vocabulary sets to adopt measures (Standards Committee)

  9. Next Steps • Recommendations will inform ONC on measure selection and harmonization process for Stage 2 and Stage 3 Meaningful Use • Recommendations will inform measure development work in potential procurement process • Recommendations will inform HIT Standards Committee Quality Workgroup on standards and necessary vocabulary sets for development and implementation of e-measures • Inform other FACA groups regarding necessary exchange infrastructure to facilitate implementation of novel measures

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