Semantic Health Information Performance and Privacy Standard (SHIPPS)

1. Semantic Health Information Performance and Privacy Standard (SHIPPS) eMeasure: NQF 0004 Initiation and Engagement of Alcohol and Other Drug Dependence Treatment

2. Resources • NQF_HQMF_HumanReadable_0004.pdf • NQF_Retooled_Measure_0004 (2).xlsx • QDS Measure

3. Approach • Description of Measure • Identify common concepts e.g. objects and attributes • Link the relationship of objects buried in the numerator and denominator • Create a high level information model • Note the many terminology bindings • Identify appropriate terminology / value set e.g. SNOMED-CT for clinical concepts • Compute the Measure • Future: Mapping the standard QDS concept and data type against HL7

4. Description of eMeasure with information objects The percentage of adolescent and adult patients with a new episode of alcohol and other drug (AOD) dependence who initiate treatment through an inpatient AOD admission, outpatient visit, intensive outpatient encounter or partial hospitalization within 14 days of the diagnosis and who initiated treatment and who had two or more additional services with an AOD diagnosis within 30 days of the initiation visit. NQF 0004: Initiation and Engagement of Alcohol and Other Drug Dependence Treatment

5. Identify common concepts e.g. objects and attributesNQF 0004: Initiation and Engagement of Alcohol and Other Drug Dependence Treatment

6. Create a high level information model Linking the relationship of objects buried in the numerator and denominator

7. Identify appropriate terminology / value sets for clinical concepts QDS for NQF 0004: many terminology bindings for diagnosis code We also have vocabulary bindings for visit type, status code, procedure code, service code in the NFQ 0004

8. Quality Data Set (QDS) • Focus on • Standard concept (column D) • Standard category (column E) • QDS data type (column F) • Standard taxonomy (column H) • Standard code list (column J) Note columns relate to NQF Retooled Measure 0004

9. Compute the Measure Denominator: all adolescents and adults with a new episode of drug abuse (during the measure period) AND: (Person.dateOfBirth – Measure.startDate) > 12 years (persons who were adolescent or adults during the entire measure period) AND Person.diagnosis.code=”AOD- alcohol or drug dependence” AND Person.diagnosis.statusCode=”active” AND (Person.diagnosis. effectiveDate >= Measure.startDate AND Person.diagnosis.effectiveDate <= Measure.endDate) - diagnosed during the measure period Numerator: the subset who also meet the following: Initiated treatment trough an encounter within 14 days of diagnosis:Person.encounter.procedure.code=” alcohol, drug rehab and detox interventions ” AND (Person.encounter.procedure.date - Person.diagnosis. effectiveDate <= 14 days )AND (Person.encounter.startDate => Measure.startDate AND Person.encounter.endDate <= Measure.endDate) Received two additional services besides treatment during the period of 30 days after the first encounter count( Person.encounter.service.code=” encounter point of service modifier ”)=2 AND (Person. encounter.service.date => Measure.startDate AND Person. encounter.service.date <=Measure.endDate) AND (Person. encounter service.date – Person.encounter[FIRST].endDate) <= 30 days Measure= Numerator(Subset)/Denominator x 100%  CODED– see QDS spreadsheet

10. Criteria Review of criteria for data elements only