Request for Information on Quality Measurement Enabled by Health IT, 42738-42740 [2012-17530]
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42738
Federal Register / Vol. 77, No. 140 / Friday, July 20, 2012 / Notices
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Healthcare Research and
Quality
Patient Safety Organizations:
Voluntary Relinquishment From the
Coalition for Quality and Patient Safety
of Chicagoland (CQPS PSO)
Agency for Healthcare Research
and Quality (AHRQ), HHS.
ACTION: Notice of Delisting.
AGENCY:
The Patient Safety and
Quality Improvement Act of 2005
(Patient Safety Act), Public Law 109–
41,42 U.S.C. 299b–21–b–26, provides
for the formation of Patient Safety
Organizations (PSOs), which collect,
aggregate, and analyze confidential
information regarding the quality and
safety of health care delivery. The
Patient Safety and Quality Improvement
Final Rule (Patient Safety Rule), 42 CFR
Part 3, authorizes AHRQ, on behalf of
the Secretary of HHS, to list as a PSO
an entity that attests that it meets the
statutory and regulatory requirements
for listing. A PSO can be ‘‘delisted’’ by
the Secretary if it is found no longer to
meet the requirements of the Patient
Safety Act and Patient Safety Rule, or
when a PSO chooses to voluntarily
relinquish its status as a PSO for any
reason. AHRQ has accepted a
notification of voluntary relinquishment
from the Coalition for Quality and
Patient Safety of Chicagoland (CQPS
PSO) of its status as a PSO, and has
delisted the PSO accordingly.
DATES: The directories for both listed
and delisted PSOs are ongoing and,
reviewed weekly by AHRQ. The
delisting was effective at 12:00 Midnight
ET (2400) on May 24, 2012.
ADDRESSES: Both directories can be
accessed electronically at the following
HHS Web site: https://
www.pso.AHRQ.gov/.
FOR FURTHER INFORMATION CONTACT:
Eileen Hogan, Center for Quality
Improvement and Patient Safety, AHRQ,
540 Gaither Road, Rockville, MD 20850;
Telephone (toll free): (866) 403–3697;
Telephone (local): (301) 427–1111; TTY
(toll free): (866) 438–7231; TTY (local):
(301) 427–1130; Email:
pso@AHRQ.hhs.gov.
SUPPLEMENTARY INFORMATION:
mstockstill on DSK4VPTVN1PROD with NOTICES
SUMMARY:
Background
The Patient Safety Act authorizes the
listing of PSOs, which are entities or
component organizations whose
mission and primary activity is to
conduct activities to improve patient
safety and the quality of health care
VerDate Mar<15>2010
18:18 Jul 19, 2012
Jkt 226001
delivery. HHS issued the Patient Safety
Rule to implement the Patient Safety
Act. AHRQ administers the provisions
of the Patient Safety Act and Patient
Safety Rule (PDF file, 450 KB. PDF
Help) relating to the listing and
operation of PSOs. The Patient Safety
Rule authorizes AHRQ to list as a PSO
an entity that attests that it meets the
statutory and regulatory requirements
for listing. A PSO can be ‘‘delisted’’ if
it is found no longer to meet the
requirements of the Patient Safety Act
and Patient Safety Rule, or when a PSO
chooses to voluntarily relinquish its
status as a PSO for any reason. Section
3.108(d) of the Patient Safety Rule
requires AHRQ to provide public notice
when it removes an organization from
the list of federally approved PSOs.
AHRQ has accepted a notification from
Coalition for Quality and Patient Safety
of Chicagoland (CQPS PSO), PSO
number P0090, which is a component
entity of Project Patient Care, Inc., to
voluntarily relinquish its status as a
PSO. Accordingly, the Coalition for
Quality and Patient Safety of
Chicagoland (CQPS PSO) was delisted
effective at 12:00 Midnight ET (2400) on
May 24, 2012.
More information on PSOs can be
obtained through AHRQ’s PSO Web site
at https://www.pso.AHRQ.gov/
index.html.
Dated: July 13, 2012.
Carolyn M. Clancy,
Director.
[FR Doc. 2012–17531 Filed 7–19–12; 8:45 am]
BILLING CODE 4160–90–M
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Healthcare Research and
Quality
Request for Information on Quality
Measurement Enabled by Health IT
Agency for Healthcare Research
and Quality (AHRQ), Health and Human
Services (HHS).
ACTION: Notice of Request for
Information (RFI).
AGENCY:
The Agency for Healthcare
Research and Quality (AHRQ) requests
information from the Public, including
diversified stakeholders (health
information technology (IT) system
developers, including vendors; payers,
quality measure developers, end-users,
clinicians, health care consumers)
regarding current successful strategies
and challenges regarding quality
measurement enabled by health IT.
Quality measurement—the assessment
SUMMARY:
PO 00000
Frm 00047
Fmt 4703
Sfmt 4703
of the timeliness, completeness and
appropriateness of preventive services,
diagnostic services, and treatment
provided in health care—has been most
generally conducted via paper chart
information capture, manual chart
abstraction, and the analysis of
administrative claims data.
DATES: Submit comments on or before
August 20, 2012.
ADDRESSES: Electronic responses are
preferred and should be addressed to
HIT-PTQ@AHRQ.hhs.gov. Nonelectronic responses will also be
accepted. Please send by mail to:
Rebecca Roper, Agency for Healthcare
Research and Quality, Attention: HITEnabled QM RFI Responses, 540 Gaither
Road, Room 6000, Rockville, MD 20850,
Phone: 301–427–1535.
FOR FURTHER INFORMATION CONTACT:
Please identify in the subject line of
emails that you are inquiring about the
‘‘Question about HIT-enabled QM RFI’’.
Contact Angela Nunley, email:
Armela.Nunley@AHRQ.hhs.gov, Phone:
301–427–1505, or, Rebecca Roper,
email: Rebecca.ROPER@AHRQ.hhs.gov,
Phone: 301–427–1535.
SUPPLEMENTARY INFORMATION:
Background
Health information technology (IT),
such as, electronic health records (EHR)
which may include clinical decision
support and health information
exchange, has seen a tremendous
increase in adoption in recent years.
Some institutions have successfully
used health IT to generate health ITenabled quality measures which may be
retooled versions of established paperbased or administrative data-driven
quality measures or (preferably) they are
‘‘de novo’’ quality measures that were
developed with the capabilities of
health IT in mind. These new health ITenabled quality measures seek to
leverage the use of electronic clinical
data capture, analysis and reporting to
measure and report electronically
enabled quality measures in order to
facilitate improvements in the quality of
care provided. AHRQ supports research
to improve health care quality through
enhancements in the safety, efficiency,
and effectiveness of health care
available to all Americans. Through this
RFI, AHRQ is seeking information
related to successful strategies and/or
remaining challenges encountered
regarding the development of health ITenabled quality measure development
and reporting.
Health IT has the potential to advance
quality measurement and reporting
through the use of efficient automated
data collection, analysis, processing,
E:\FR\FM\20JYN1.SGM
20JYN1
mstockstill on DSK4VPTVN1PROD with NOTICES
Federal Register / Vol. 77, No. 140 / Friday, July 20, 2012 / Notices
and its ability to facilitate information
exchange among and across care
settings, providers, and patients. Quality
measurement enabled by health IT,
referred to as health IT-enabled quality
measurement, is an emerging field.
There are numerous perspectives on
how to achieve the future state of
quality measurement. These varied
perspectives sometimes include
competing choices and challenges:
(1) Underdeveloped or unavailable
infrastructure (e.g., whether the measure
set should be extensive or
parsimonious); (2) incompleteness of
the measure set (e.g., developing
measures that matter to consumers, how
to measure value); and (3) technology
challenges (e.g., how might
unstructured data be captured in the
EHR to be used for measurement, if and
how to integrate patient-generated and
clinician-generated data).
In preparation for the development of
this RFI, AHRQ generated a high-level
overview of the current state of quality
measurement through health IT,
challenges facing the advancement of
quality measurement enabled by health
IT, a partial catalog of current efforts
seeking to address those challenges,
and, possibilities for the next generation
of health IT-enabled quality
measurement. This report, ‘‘An
environmental snapshot—Quality
Measurement Enabled by Health IT:
Overview, Possibilities, and Challenges’’
can be found at https://
healthit.AHRQ.gov/
HealthITEnabledQualityMeasurement/
Snapshot.pdf.
AHRQ is committed to garnering
further insight in order to facilitate
meaningful advancements in the next
generation of quality measurement.
Through this Request for Information
AHRQ is seeking information on the
building blocks of health IT-enabled
quality measurement in terms of
perspectives, practicalities, and
priorities. Responses will be used in
conjunction with deliberative activities
to inform the development of a
summary report to be released to the
public approximately in summer 2013.
Respondents should note that this
Request for Information is completely
voluntary; respondents are welcome to
address as many of the questions posed
as they wish. AHRQ would appreciate if
you clearly indicate the number of the
question area to which you are
providing a response. This RFI is for
planning purposes only.
Responses to this are not offers,
cannot be accepted by the Government
to form a binding contract, and are not
intended to influence regulation.
VerDate Mar<15>2010
18:18 Jul 19, 2012
Jkt 226001
Questions Regarding Quality
Measurement Enabled by Health IT
1. Briefly describe what motivates
your interest in clinically-informed
quality measures through health
information technology. To what extent
is your interest informed by a particular
role (e.g., provider, payer, government,
vendor, quality measure developer,
quality improvement organization,
standards organization, consumer
advocate) in this area?
2. Whose voices are not being heard
or effectively engaged at the crucial
intersection of health IT and quality
measurement? What non-regulatory
approaches could facilitate enhanced
engagement of these parties?
3. Some quality measures of interest
have been more difficult to generate,
such as measures of greater interest to
consumers, measures to assess value,
specialty-specific measures, measures
across care settings (i.e., measures
enabled by health information
exchange), and measures that take into
account variations in risk. Describe the
infrastructure that would be needed to
ensure development of such measures.
4. What health IT-enabled quality
measures, communication channels,
and/or technologies are needed to better
engage consumers either as contributors
of quality information or as users of
quality information?
5. How do we motivate measure
developers to create new health ITenabled quality measures (which are
distinct from existing measures which
were retooled into electronicallyproduced quality measures) that
leverage the unique data available
through health IT? Please provide
examples of where this has been
successfully. What new measures are in
the pipeline to leverage data available
through health IT?
6. Describe how quality measurement
and ‘‘real-time’’ reporting could inform
clinical activity, and the extent to which
it could be considered synonymous
with clinical decision support.
7. Among health IT-enabled quality
measures you are seeking to generate in
a reliable fashion, including the
currently proposed Meaningful Use
Stage 2 measure set, what types of
advances and/or strategies for e-measure
generation if pursued, would support
more efficient generation of quality
measures?
8. Many EHR, HIE, and other health
IT vendors are developing software code
to support measures. Tools such as the
Measure Authoring Tool (MAT) were
created to improve efficiencies in the
process of creating and implementing
eMeasures. What additional approaches
PO 00000
Frm 00048
Fmt 4703
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42739
might be used to enable consistent,
accurate, and efficient quality
measurement when using health IT?
9. How do you see the establishment
and adoption of data standards
impacting the future of health ITenabled quality measurement? For what
types of quality measures should a
combination of natural language
processing and structured data be
considered?
10. Much support has been voiced for
the need of longitudinal data in quality
measurement. What are the strengths
and weaknesses of different information
architectures and technologies to
support health IT-enabled quality
measurement across time and care
settings? How can data reuse (capture
once, use many times) be supported in
different models? What examples might
you provide of successful longitudinal
health IT-enabled quality measurement
(across time and/or across multiples
care settings)?
11. What are the most effective means
by which to educate providers on the
importance of health IT-enabled quality
measurement and how clinical
information is used to support health
IT-enabled quality measurement and
reporting? How can providers be better
engaged in the health IT-enabled quality
measurement process?
12. What is the best way to facilitate
bi-directional communication between
vendors and measure developers to
facilitate collaboration in health ITenabled measure development?
13. To what extent do you anticipate
adopting payment models that use
quality measurement informed by
electronic clinical records (as opposed
to exclusively using claims data)? What
strategies are you pursuing to gain
access to clinical data and test the
reliability of health IT-enabled clinical
outcome measures? How do you
anticipate sharing quality measure
results with consumers and other
stakeholders?
14. What tools, systems, and/or
strategies has your organization been
using to aggregate information from
various EHRs and other health IT for use
in quality measurement? What strategies
is your organization pursuing to move
toward greater automation in quality
measurement?
15. Please describe scalable programs,
demonstrations, or solutions (domestic
or internationally) that show material
progress toward quality measurement
enabled by health IT.
Reference Material
Anderson KM, Marsh CA, Isenstein H,
Flemming AC, Reynolds J. An
Environmental Snapshot: Health IT-
E:\FR\FM\20JYN1.SGM
20JYN1
42740
Federal Register / Vol. 77, No. 140 / Friday, July 20, 2012 / Notices
enabled Quality Measurement: Efforts,
Challenges, and Possibilities (Prepared
by Booz Allen Hamilton, under Contract
No. HHSA2902009000241.) AHRQ
Publication No. 12–0061–EF. Rockville,
MD: Agency for Healthcare Research
and Quality. July 2012. See: https://
healthit.ahrq.gov/
HealthITEnabledQualityMeasurement/
Snapshot.pdf
Dated: July 13, 2012.
Carolyn M. Clancy,
AHRQ Director.
[FR Doc. 2012–17530 Filed 7–19–12; 8:45 am]
BILLING CODE 4160–90–M
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
Statement of Organization, Functions,
and Delegations of Authority
Part F of the Statement of
Organization, Functions, and
Delegations of Authority for the
Department of Health and Human
Services, Centers for Medicare &
Medicaid Services (CMS), (last amended
at Federal Register, Vol. 76, No. 203,
pp. 65197–65199, dated October 20,
2011) is amended to change the
organizational title from the Office of
Clinical Standards and Quality (OCSQ)
to the Center for Clinical Standards and
Quality. The organizational title change
reflects the increasing breadth and
importance of quality, patient safety,
evidence-based coverage, and valuebased purchasing programs. The
administrative code is not changed and
remains the same.
Part F., Section FC. 10 (Organization)
is revised as follows:
Office of the Administrator (FC)
Office of Equal Opportunity and Civil
Rights (FCA)
Office of Legislation (FCC)
Office of the Actuary (FCE)
Office of Strategic Operations and
Regulatory Affairs (FCF)
Center for Clinical Standards and
Quality (FCG)
Center for Medicare (FCH)
Center for Medicaid and CHIP Services
(FCJ)
Center for Strategic Planning (FCK)
Center for Program Integrity (FCL)
Chief Operating Officer (FCM)
Office of Minority Health (FCN)
Center for Medicare and Medicaid
Innovation (FCP)
Federal Coordinated Health Care Office
(FCQ)
Center for Consumer Information and
Insurance Oversight (FCR)
Office of Public Engagement (FCS)
Office of Communications (FCT)
Corrective Action Documentation
Process-Final.
OMB No.: 0970–0215.
Description
42 U.S.C. 612 (Section 412 of the
Social Security Act as amended by Pub.
L. 104–193, the Personal Responsibility
and Work Opportunity Reconciliation
Act of 1996 (PRWORA)), mandates that
federally recognized Indian Tribes with
an approved Tribal TANF program
collect and submit to the Secretary of
the Department of Health and Human
Services data on the recipients served
by the Tribes’ programs. This
information includes both aggregated
and disaggregated data on case
characteristics and
individualcharacteristics. In addition,
Tribes that are subject to a penalty are
allowed to provide reasonable cause
justifications as to why a penalty should
not be imposed or may develop and
implement corrective compliance
procedures to eliminate the source of
the penalty. Finally, there is an annual
report, which requires the Tribes to
describe program characteristics. All of
the above requirements are currently
approved by OMB and the
Administration for Children and
Families is simply proposing to extend
them without any changes.
Authority: 44 U.S.C. 3101)
Dated: July 11, 2012.
Marilyn Tavenner,
Acting Administrator and Chief Operating
Officer, Centers for Medicare & Medicaid
Services.
[FR Doc. 2012–17782 Filed 7–19–12; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Respondents
Indian Tribes
Administration for Children and
Families
Submission for OMB Review;
Comment Request
Title: Tribal TANF Data Report, TANF
Annual Report, and Reasonable Cause/
ANNUAL BURDEN ESTIMATES
Number of
respondents
Instrument
Number of
responses per
respondent
Average
burden hours
per response
Total burden
hours
Final Tribal TANF Data Report ........................................................................
Tribal TANF Annual Report .............................................................................
Tribal TANF Reasonable Cause/Corrective ....................................................
66
66
66
4
1
1
451
40
60
119,064
2,640
3,960
Estimated Total Annual Burden Hours .....................................................
........................
........................
........................
125,664.
mstockstill on DSK4VPTVN1PROD with NOTICES
Additional Information
Copies of the proposed collection may
be obtained by writing to the
Administration for Children and
Families, Office of Planning, Research
and Evaluation, 370 L’Enfant
Promenade, SW., Washington, DC
20447, Attn: ACF Reports Clearance
Officer. All requests should be
VerDate Mar<15>2010
18:18 Jul 19, 2012
Jkt 226001
identified by the title of the information
collection. Email address:
infocollection@acf.hhs.gov.
OMB Comment
OMB is required to make a decision
concerning the collection of information
between 30 and 60 days after
publication of this document in the
Federal Register. Therefore, a comment
PO 00000
Frm 00049
Fmt 4703
Sfmt 4703
is best assured of having its full effect
if OMB receives it within 30 days of
publication. Written comments and
recommendations for the proposed
information collection should be sent
directly to the following: Office of
Management and Budget, Paperwork
Reduction Project, Fax: 202–395–7285,
Email:
E:\FR\FM\20JYN1.SGM
20JYN1
]]>Agencies
[Federal Register Volume 77, Number 140 (Friday, July 20, 2012)]
[Notices]
[Pages 42738-42740]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-17530]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality
Request for Information on Quality Measurement Enabled by Health
IT
AGENCY: Agency for Healthcare Research and Quality (AHRQ), Health and
Human Services (HHS).
ACTION: Notice of Request for Information (RFI).
-----------------------------------------------------------------------
SUMMARY: The Agency for Healthcare Research and Quality (AHRQ) requests
information from the Public, including diversified stakeholders (health
information technology (IT) system developers, including vendors;
payers, quality measure developers, end-users, clinicians, health care
consumers) regarding current successful strategies and challenges
regarding quality measurement enabled by health IT. Quality
measurement--the assessment of the timeliness, completeness and
appropriateness of preventive services, diagnostic services, and
treatment provided in health care--has been most generally conducted
via paper chart information capture, manual chart abstraction, and the
analysis of administrative claims data.
DATES: Submit comments on or before August 20, 2012.
ADDRESSES: Electronic responses are preferred and should be addressed
to HIT-PTQ@AHRQ.hhs.gov. Non-electronic responses will also be
accepted. Please send by mail to: Rebecca Roper, Agency for Healthcare
Research and Quality, Attention: HIT-Enabled QM RFI Responses, 540
Gaither Road, Room 6000, Rockville, MD 20850, Phone: 301-427-1535.
FOR FURTHER INFORMATION CONTACT: Please identify in the subject line of
emails that you are inquiring about the ``Question about HIT-enabled QM
RFI''. Contact Angela Nunley, email: Armela.Nunley@AHRQ.hhs.gov, Phone:
301-427-1505, or, Rebecca Roper, email: Rebecca.ROPER@AHRQ.hhs.gov,
Phone: 301-427-1535.
SUPPLEMENTARY INFORMATION:
Background
Health information technology (IT), such as, electronic health
records (EHR) which may include clinical decision support and health
information exchange, has seen a tremendous increase in adoption in
recent years. Some institutions have successfully used health IT to
generate health IT-enabled quality measures which may be retooled
versions of established paper-based or administrative data-driven
quality measures or (preferably) they are ``de novo'' quality measures
that were developed with the capabilities of health IT in mind. These
new health IT-enabled quality measures seek to leverage the use of
electronic clinical data capture, analysis and reporting to measure and
report electronically enabled quality measures in order to facilitate
improvements in the quality of care provided. AHRQ supports research to
improve health care quality through enhancements in the safety,
efficiency, and effectiveness of health care available to all
Americans. Through this RFI, AHRQ is seeking information related to
successful strategies and/or remaining challenges encountered regarding
the development of health IT-enabled quality measure development and
reporting.
Health IT has the potential to advance quality measurement and
reporting through the use of efficient automated data collection,
analysis, processing,
[[Page 42739]]
and its ability to facilitate information exchange among and across
care settings, providers, and patients. Quality measurement enabled by
health IT, referred to as health IT-enabled quality measurement, is an
emerging field. There are numerous perspectives on how to achieve the
future state of quality measurement. These varied perspectives
sometimes include competing choices and challenges: (1) Underdeveloped
or unavailable infrastructure (e.g., whether the measure set should be
extensive or parsimonious); (2) incompleteness of the measure set
(e.g., developing measures that matter to consumers, how to measure
value); and (3) technology challenges (e.g., how might unstructured
data be captured in the EHR to be used for measurement, if and how to
integrate patient-generated and clinician-generated data).
In preparation for the development of this RFI, AHRQ generated a
high-level overview of the current state of quality measurement through
health IT, challenges facing the advancement of quality measurement
enabled by health IT, a partial catalog of current efforts seeking to
address those challenges, and, possibilities for the next generation of
health IT-enabled quality measurement. This report, ``An environmental
snapshot--Quality Measurement Enabled by Health IT: Overview,
Possibilities, and Challenges'' can be found at https://healthit.AHRQ.gov/HealthITEnabledQualityMeasurement/Snapshot.pdf.
AHRQ is committed to garnering further insight in order to
facilitate meaningful advancements in the next generation of quality
measurement. Through this Request for Information AHRQ is seeking
information on the building blocks of health IT-enabled quality
measurement in terms of perspectives, practicalities, and priorities.
Responses will be used in conjunction with deliberative activities to
inform the development of a summary report to be released to the public
approximately in summer 2013.
Respondents should note that this Request for Information is
completely voluntary; respondents are welcome to address as many of the
questions posed as they wish. AHRQ would appreciate if you clearly
indicate the number of the question area to which you are providing a
response. This RFI is for planning purposes only.
Responses to this are not offers, cannot be accepted by the
Government to form a binding contract, and are not intended to
influence regulation.
Questions Regarding Quality Measurement Enabled by Health IT
1. Briefly describe what motivates your interest in clinically-
informed quality measures through health information technology. To
what extent is your interest informed by a particular role (e.g.,
provider, payer, government, vendor, quality measure developer, quality
improvement organization, standards organization, consumer advocate) in
this area?
2. Whose voices are not being heard or effectively engaged at the
crucial intersection of health IT and quality measurement? What non-
regulatory approaches could facilitate enhanced engagement of these
parties?
3. Some quality measures of interest have been more difficult to
generate, such as measures of greater interest to consumers, measures
to assess value, specialty-specific measures, measures across care
settings (i.e., measures enabled by health information exchange), and
measures that take into account variations in risk. Describe the
infrastructure that would be needed to ensure development of such
measures.
4. What health IT-enabled quality measures, communication channels,
and/or technologies are needed to better engage consumers either as
contributors of quality information or as users of quality information?
5. How do we motivate measure developers to create new health IT-
enabled quality measures (which are distinct from existing measures
which were retooled into electronically-produced quality measures) that
leverage the unique data available through health IT? Please provide
examples of where this has been successfully. What new measures are in
the pipeline to leverage data available through health IT?
6. Describe how quality measurement and ``real-time'' reporting
could inform clinical activity, and the extent to which it could be
considered synonymous with clinical decision support.
7. Among health IT-enabled quality measures you are seeking to
generate in a reliable fashion, including the currently proposed
Meaningful Use Stage 2 measure set, what types of advances and/or
strategies for e-measure generation if pursued, would support more
efficient generation of quality measures?
8. Many EHR, HIE, and other health IT vendors are developing
software code to support measures. Tools such as the Measure Authoring
Tool (MAT) were created to improve efficiencies in the process of
creating and implementing eMeasures. What additional approaches might
be used to enable consistent, accurate, and efficient quality
measurement when using health IT?
9. How do you see the establishment and adoption of data standards
impacting the future of health IT-enabled quality measurement? For what
types of quality measures should a combination of natural language
processing and structured data be considered?
10. Much support has been voiced for the need of longitudinal data
in quality measurement. What are the strengths and weaknesses of
different information architectures and technologies to support health
IT-enabled quality measurement across time and care settings? How can
data reuse (capture once, use many times) be supported in different
models? What examples might you provide of successful longitudinal
health IT-enabled quality measurement (across time and/or across
multiples care settings)?
11. What are the most effective means by which to educate providers
on the importance of health IT-enabled quality measurement and how
clinical information is used to support health IT-enabled quality
measurement and reporting? How can providers be better engaged in the
health IT-enabled quality measurement process?
12. What is the best way to facilitate bi-directional communication
between vendors and measure developers to facilitate collaboration in
health IT-enabled measure development?
13. To what extent do you anticipate adopting payment models that
use quality measurement informed by electronic clinical records (as
opposed to exclusively using claims data)? What strategies are you
pursuing to gain access to clinical data and test the reliability of
health IT-enabled clinical outcome measures? How do you anticipate
sharing quality measure results with consumers and other stakeholders?
14. What tools, systems, and/or strategies has your organization
been using to aggregate information from various EHRs and other health
IT for use in quality measurement? What strategies is your organization
pursuing to move toward greater automation in quality measurement?
15. Please describe scalable programs, demonstrations, or solutions
(domestic or internationally) that show material progress toward
quality measurement enabled by health IT.
Reference Material
Anderson KM, Marsh CA, Isenstein H, Flemming AC, Reynolds J. An
Environmental Snapshot: Health IT-
[[Page 42740]]
enabled Quality Measurement: Efforts, Challenges, and Possibilities
(Prepared by Booz Allen Hamilton, under Contract No.
HHSA2902009000241.) AHRQ Publication No. 12-0061-EF. Rockville, MD:
Agency for Healthcare Research and Quality. July 2012. See: https://
healthit.ahrq.gov/HealthITEnabledQualityMeasurement/Snapshot.pdf
Dated: July 13, 2012.
Carolyn M. Clancy,
AHRQ Director.
[FR Doc. 2012-17530 Filed 7-19-12; 8:45 am]
BILLING CODE 4160-90-M
