HIT Standards Committee Quality Workgroup Next Steps: Quality Measures for 2013 Janet Corrigan,...
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Transcript of HIT Standards Committee Quality Workgroup Next Steps: Quality Measures for 2013 Janet Corrigan,...
HIT Standards CommitteeHIT Standards CommitteeQuality WorkgroupQuality Workgroup
Next Steps:Quality Measures for 2013
Janet Corrigan, ChairJanet Corrigan, ChairNational Quality Forum
Floyd EisenbergFloyd EisenbergNational Quality Forum
June 30, 2010
2
Clinical Quality Workgroup Members
• Janet Corrigan, Chair, National Quality Forum• Floyd Eisenberg, National Quality Forum• John Derr, Golden Living, LLC• Judy Murphy, Aurora Health• Marc Overhage, Regenstrief• Rick Stephens, Boeing• James Walker, Geisinger• Jack Corley, Healthcare Information Technology
Standards Panel (HITSP)• John Halamka, Harvard Medical School • Walter Suarez, Kaiser Permanente
3
Presentation at a Glance
• Update on Retooling of Potential 2011 MU Measures
• Results of the ONC Environmental Scan of Leading Health Systems
• Overview of NQF Fast Track Project
4
Measure Retooling Update
• 44 Ambulatory Measures
• Use the Quality Data Set to identify data elements
• Apply logic in human readable format
• Provide lists of codes (value sets) for each data element
5
ONC Environmental Scan
Scan of 12 leading healthcare systemsResponses from 9 organizations:• American Board of Family Medicine
• Geisinger Health System
• Mayo Clinic
• Kaiser Permanente
• Aurora Healthcare
• Tenet Healthcare
• Interim Healthcare
• PointRight
• National Association of Home Care and Hospice
6
ONC Environmental Scan
Condition /
Cross-Cutting AreaPerformance Measure*
Diabetes HbA1c<7%
Diabetic Screen for Peripheral Neuropathy
Monitoring HbA1c and LDL in Patients with Diabetes
Tobacco use in Diabetic Patients
Preventive Services Breast Cancer Screening
Colon Cancer Screening Rate
Cervical Cancer Screening Rates
Flu Vaccination
Obesity Weight Management
Hypertension High Blood Pressure Yellow highlighting indicates the measure or a comparable measure is included in the set
delivered to HHS
7
ONC Environmental Scan
Condition /Cross-Cutting Area Performance Measure
Healthcare Associated
Infections
Decrease Use of Urinary Indwelling Catheters in
Patients 65 and Older
SCIP-Inf-3 Prophylactic Antibiotics Discontinued Within
24 Hours After Surgery End Time
SCIP-Inf-9 Postoperative Urinary Catheter Removal on
Post-op Day 1 or 2
Safety Events Total Falls per 1,000 Patient Days
Appropriate Use of High Risk Medications
High-Risk Pressure Ulcer Prevention and Chronic Care
Medication Management Medication Compliance
8
ONC Environmental Scan
Condition /Cross-Cutting Area Performance Measure
Patient experience HCAHPS Survey Scores
Staffing Nursing Staffing Ratio
Nursing Turnover Rates
Skilled Nursing Chronic Care (CC) Percent of residents who have
moderate to severe pain.Physical Restraints-Chronic Care (CC) Percent of residents with daily physical restraints.
Care Transition Re-hospitalization measures
Stratification of disposition based on discharge
assessment
9
ONC Environmental Scan
Condition /Cross-Cutting Area Performance Measure
Home Care Acute Care Hospitalization after Home Health
Episodes of Care
Improvement in Management of Oral Medications
Stabilization in Self Grooming
Stabilization in Light Meal Preparation
10
NQF Fast Track Project – Two Objectives
1. Identify “types of measures” that might be appropriate for 2013 with input from: • ONC Environmental scan of health systems• Comments on Potential MU11 Measures• Beacon Communities List of Measures• Gretsky Group• Other
2. Identify pathways to generate the desired types of measures within the requisite time frame:• Appropriate measures available• “Similar” measures available that might be adapted• Measures would need to be developed de novo
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Next Step
• NQF Report due July 2010• Intended to
o Inform Policy Committee’s September discussions aimed at identifying types of MU measures for 2013
o Identify time-sensitive measure development work that must get underway very quickly
o Input to Standards Committee’s Fall work aimed at identifying specific measures available to satisfy Policy Committee’s recommended measure types