www.qualityforum.org measure authoring tool: an introduction please dial-in to the number provided...
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www.qualityforum.org
Measure Authoring Tool: An Introduction
Please dial-in to the number provided below. We will begin shortly.
Webinar Call-In Information
Tel: (888) 395-3241 | Passcode: 7416392
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www.qualityforum.org
The Measure Authoring Tool:An Introduction
Thursday October 27, 2011
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Floyd Eisenberg, MD, MPH, FACP Chris Millet
Senior Vice President, Health IT Senior Project Manager, Health IT
National Quality Forum National Quality Forum
www.qualityforum.org
NQF’s Mission
To improve the quality of American healthcare by:
Building consensus on national priorities and goals for performance improvement and working in partnership to achieve them;
Endorsing national consensus standards for measuring and publicly reporting on performance; and
Promoting the attainment of national goals through education and outreach programs.
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Session Objectives
At the end of this session, participants should better understand and be able to describe:
• Explain what the MAT is, its purpose, importance, and its anticipated impact on performance measurement and quality improvement
• How the Quality Data Model (QDM) supports the MAT in eMeasure development
• What information in the MAT can be shared across users• Future functionality and the general timeline for new
releases.
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Real-Time Information to Clinician
Quality Measure
Quality Data Model
Measure Authoring
TooleMeasure EHR
Develop Performance Measures
QDM in the Clinical Realm
Electronic Reporting and
Sharing
CaptureData
ProvideCare
eMeasure: Health Quality Measure Format
Inform all Stakeholders
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What is the Measure Authoring Tool?
• Web-based application that allows you to create eMeasures without writing XML
• An eMeasure is a quality measure in a standardized XML file that can be read by both humans and computer systems
• Target Audience– Measure developers will be primary users.– Quality and health IT stakeholders (e.g., providers, health IT vendors,
QIO) will also benefit with better access to, capture of, and reporting on comparable data.
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How will the Measure Authoring Tool add value?
• Simplify the process of creating an eMeasure
• Standardize how eMeasures are expressed, for greater comparability
• Usable by all measure developers, to support internal quality improvement as well as public reporting programs
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How QDM Supports the MAT
• A standard structure and grammar to precisely and accurately represent eMeasures that can be used across clinical IT systems.
• Purpose
– Provides a standard way to clearly and consistently describe clinical concepts in quality measures and for sharing information across EHRs and other clinical systems.
• Importance– Defines a method to express quality measure requirements compatible with
data captured in EHRs and other clinical IT systems.
– Only “standard” for eMeasures that exists today.
For more information on QDM, visit http://www.qualityforum.org/QualityDataModel
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• Basic Release launched September 29, 2011
http://www.qualityforum.org/Topics/HIT/Measure_Authoring_Tool_(MAT)/Measure_Authoring_Tool_(MAT)
MAT Releases
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• Create and share eMeasures and their corresponding code lists with other users
• Create and reuse standard value sets (known as Code Lists in the MAT) and other measure components limiting rework as new measures are developed
• Use the Quality Data Model (QDM) as the grammar and structure to fully define and express eMeasures in a standard way
• Export eMeasures in an EHR readable format to enable collection of comparable healthcare quality data
Key Features and Functions
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Checklist for Creating an eMeasure in the MAT
• List of questions to consider before creating an eMeasureo Do I have existing Code lists that I want to use?o Do I already have Object Identifiers (OIDs) for code
lists?o Have I Identified QDM Categories and Datatypes that
I will need for this measure?
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Sample Measure
Percentage of patients aged 18 years and older with a diagnosis of CAD who were prescribed a lipid-lowering therapy
Initial Patient Population
Patients aged 18 years and older before the start of the measurement period.
Patients that have a documented diagnosis of coronary artery disease before orsimultaneously to encounter date
Patients who have at least 2 outpatient or nurse facility encounters during the measurement period
Denominator Patients aged 18 years and older with a diagnosis of coronary artery disease
Numerator Patients who were prescribed lipid-lowering therapy
Exclusions Patients who have documentation of a medical, system or patient reason for not prescribed lipid lowering therapy
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What data elements do we need?
Patients who… What kind of data are we dealing with?
What about the data? How do we define this data?
…Are diagnosed with Coronary Artery Disease
Diagnosis Active ICD-9 , ICD-10, SNOMED-CT
…Were prescribed Lipid-lowering Therapy
Medication AdministeredOrderDispensedActive
RxNorm
…Have had at least two encounters during the measurement period
Encounters CPT
…Are at least 18 years old or older
Patient Characteristic LOINC
Quality Data Model
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What’s next?
• Create Code lists– select QDM Category
• Apply Code list to Measure – select QDM Data Type
• Build phrases using QDM Elements– Add QDM attributes
• Add phrases to Clauses
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How will the Measure Authoring Tool add value?
• Impact on performance measurement and quality improvement
• Standardize how eMeasures are expressed, for greater comparability
• Usable by all measure developers, to support internal quality improvement as well as public reporting programs
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• Measure Authoring Tool User Guide– Available to access from the Measure Authoring Tool or– Download from http://www.qualityforum.org/MAT/
• Guide for Reading Eligible Providers (EP) and Hospital Measureshttp://www.qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=52706
• For MAT technical support, including user access and troubleshooting, contact [email protected]
• To submit comments and suggestions for enhancements on the MAT, contact [email protected]
Resources
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