HL7 Quality Reporting Document Architecture. standardized quality reports
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2 HL7 Quality Reporting Document Architecture standardized quality reports
3 Relates to other standards Health Quality Measure Format (emeasure) Quality Data Model (QDM)
4 MU2 and Quality Reporting Quality Data Model QRDA -I HQMF emeasure QRDA -III 2012 Health Level S even International. All R ights R eserved. HL7 and Health Level S even are registered trademarks of Health Level S even International. R eg. U.S. TM Office.
5 Built on Clinical Document Architecture Quality Reporting Document Architecture (QRDA) Consolidated CDA (C-CDA) Clinical Document Architecture (CDA)
6 What is HQMF? standard for representing Quality Measure question / answer relationship to QRDA
7 What is QRDA? Quality Document Reporting Architecture (QRDA) is a CDA-based standard for reporting patient quality data for one or more quality measures. QRDA Category I Single patient Report QRDA Category III - Aggregate Report
8 QRDA-1: Patient Level Report Provider Patient Measures that are being reported on Patient data reporting parameters Insurance data
9 QRDA-1: Example
10 QRDA-3: Aggregate Report aggregate measure score breakdown by populations for measure numerator, denominator, exclusions
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12 QRDA Adoption Use in Federal Programs to standardize reporting and data collection on a national level PQRS Meaningful Use Inpatient Quality Reporting The Joint Commission emeasure Pilot
13 QRDA in Meaningful Use
14 QRDA in Meaningful Use (c) Clinical Quality Meas ures (1) Clinical quality meas ures capture and export (i) Capture For each and every CQM for which the EHR technology is presented for certification, EHR technology must be able to electronically record all of the data identified in the standard specified at (c) that would be necessary to calculate each CQM. Data required for CQM exclusions or exceptions must be codified entries, which may include specific terms as defined by each CQM, or may include codified expressions of patient reason, system reason, or medical reason. (ii) E xport EHR technology must be able to electronically export a data file formatted in accordance with the standards specified at (h) that includes all of the data captured for each and every CQM to which EHR technology was certified under paragraph (c)(1)(i) of this section.
15 QRDA in Meaningful Use (2) Clinical quality meas ures import and calculate (i) Import EHR technology must be able to electronically import a data file formatted in accordance with the standard specified at (h) and use such data to perform the capability specified in paragraph (c)(2)(ii) of this section. EHR technology presented for certification to all three of the certification criteria adopted in paragraphs (c)(1) through (3) of this section is not required to meet paragraph (c)(2)(i). (ii) Calculate EHR technology must be able to electronically calculate each and every clinical quality measure for which it is presented for certification. (3) Clinical quality meas ures electronic s ubmis s ion Enable a user to electronically create a data file for transmission of clinical quality measurement data: (i) In accordance with the standards specified at (h) and (k); and (ii) That can be electronically accepted by CMS.
16 Building on the Architecture PQRS QRDA Implementation Guide CMS Hospital Programs QRDA Implementation Guide Quality Reporting Document Architecture (QRDA) Consolidated CDA (C-CDA) Clinical Document Architecture (CDA)
17 Implementation Feedback DSTU Web pages
18 QRDA Resources CMS CQM Home Page Guidance/Legislation/EHRIncentivePrograms/eCQM_ Library.html CMS Program specific QRDA Implementation Guides qualitynet.org ONC CQM Issue Tracker
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