USHIK: A Meaningful Use One-Stop Shop

Health Information Technology Standards Council

J. Michael Fitzmaurice, Ph.D.Agency for Healthcare Research and Quality

November 13, 2012

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Agency for Healthcare Research Agency for Healthcare Research and Quality (AHRQ)and Quality (AHRQ)

MissionMission

Improve the quality, safety, efficiency and Improve the quality, safety, efficiency and effectiveness of health care for all Americanseffectiveness of health care for all Americans

AgendaAgenda

United States Health Information KnowledgebaseUnited States Health Information Knowledgebase– Meaningful Use PortalMeaningful Use Portal

MU1MU1 MU2MU2

Stage 2Stage 2– Focus on 2014 Clinical Quality Measures and their Value SetsFocus on 2014 Clinical Quality Measures and their Value Sets– Sources of Truth: CMS, ONC, Sources of Truth: CMS, ONC,

NQF, Measure Developers, Code Set MaintainersNQF, Measure Developers, Code Set Maintainers

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SDO

CF

MU

SIF

APCD

USHIK Information ModelsUSHIK Information Models

•Standards Developing Organizations•Health Information Technology Standards Panel•Patient Safety Common Formats•Meaningful Use

•Stage 1•Stage 2

•All-Payer Claims Data•Standards and Interoperability Framework

USHIK Portalsushik.ahrq.gov

HITSP

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USHIK: A One-Stop ShopUSHIK: A One-Stop Shop

Pointers to Sources of TruthPointers to Sources of Truth– CMS for Clinical Quality Measures (CQMs) [Measure CMS for Clinical Quality Measures (CQMs) [Measure

developers, NQF]developers, NQF]– NLM for Measure Value Sets [Measure developers, NQF]NLM for Measure Value Sets [Measure developers, NQF]

Logical organizationLogical organization– 2012 and 2014 CQM data elements2012 and 2014 CQM data elements– 2012 and 2014 CQM QM computational logic2012 and 2014 CQM QM computational logic– 2012 and 2014 CQM code values for data elements 2012 and 2014 CQM code values for data elements

(Value Sets)(Value Sets)

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USHIK: A One-Stop ShopUSHIK: A One-Stop Shop

User-requested download formats available: User-requested download formats available: XML, Excel, PDF, SVS, CSV, CTS2XML, Excel, PDF, SVS, CSV, CTS2

By selected sets of CQM’s and Value SetsBy selected sets of CQM’s and Value Sets For all CQMs and Value SetsFor all CQMs and Value Sets Also, all in one combined flat file format—CVSAlso, all in one combined flat file format—CVS

Version comparisons (Version comparisons (as they become availableas they become available))– CQM comparisons—see what is differentCQM comparisons—see what is different– VS comparisons—see what codes have been subtracted VS comparisons—see what codes have been subtracted

and addedand added

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Meaningful Use Measures and MetadataMeaningful Use Measures and Metadata

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Clinical Quality Measures 2014Clinical Quality Measures 2014

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2014 Filter Options2014 Filter Options

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At A GlanceAt A Glance

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UMLS Authentication RequiredUMLS Authentication Required

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Downloads/ResourcesDownloads/Resources

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Population CriteriaPopulation Criteria

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Data CriteriaData Criteria

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Supplemental Data ElementsSupplemental Data Elements

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MetadataMetadata

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Benefit to AHRQBenefit to AHRQ

Lead agency in supporting clinical quality measuresLead agency in supporting clinical quality measures– DevelopmentDevelopment– ValidationValidation– Public availability in USHIK, National QM ClearinghousePublic availability in USHIK, National QM Clearinghouse– Organization and computational logic Organization and computational logic – Informatics applicationInformatics application

More uniform, accurate, computerized, valid health dataMore uniform, accurate, computerized, valid health data– Better research and operational dataBetter research and operational data– Leading to more robust research findings Leading to more robust research findings – Subsequent greater acceptability of research toolsSubsequent greater acceptability of research tools

A benefit to ALLA benefit to ALL17

USHIK: A Meaningful Use One-Stop Shop

Health Information Technology Standards Council

J. Michael Fitzmaurice, Ph.D.Agency for Healthcare Research and Quality

November 13, 2012