HL7 CDA® R2 Implementation Guide: Supplemental QRDA Clinical Quality Data Sharing User Guide, Release 1

DESCRIPTION

Clinicians who report to quality programs have expressed a need to more successfully exchange (both send and receive) data for quality. This both allows providers to ensure that patient care is adhering to quality standards without repeating care activities inappropriately and to benefit from accurate assessment of the care they provide. CMS, the largest implementer of quality measurement programs, generally allows clinical activity from any provider to certify the appropriate application of the evidence-based criteria described in the measures as long as any provider has taken the appropriate action. Therefore, the more sharing of quality information there is, the more clinicians benefit with improved performance scores, the fewer unnecessary activities are repeated, and less clinically indicated activities should be missed. Thus, the quality use case can advance interoperability in this way.

 

ALTERNATIVE NAMES

HL7 CDA® R2 Implementation Guide: Supplemental QRDA Clinical Quality Data Sharing User Guide, Release 1 may also go by the following names or acronyms:

TARGETS

• Quality Reporting Agencies
• Regulatory Agency
• Payors
• EHR, PHR Vendors
• HIS Vendors
• Healthcare Institutions (hospitals, long term care, home care, mental health)

BENEFITS

• Enables data sharing across providers for quality reporting to public programs (Using data from multiple systems to report to CMS, State Medicaid)
• Enables registry reporting (such as to a specialty registry)
• Supports third party aggregate reporting for multiple functions (consumer-led or HIE-driven)
• Enables quality reporting to alternate data receivers and the use of additional implementation guidance

 

IMPLEMENTATIONS/CASE STUDIES

• TBD

DEVELOPMENT BACKGROUND

This document was designed after there were suggestions and comments that QRDA documents are sometimes used for sharing information and not only for actual reporting to an agency. Therefore, we wanted to discuss the possible use cases and contexts where QRDA might be used for data sharing. It would not be overlapping with C-CDA; it would be expected that the QRDA would be needed when the C-CDA did not support the datatypes and content that QRDA does and that data was needed (often this could be ultimately for quality reporting but initially would be used to collect and aggregate data prior to reporting). If the community finds the need to update QRDA to support this use case, further, this document should be informative.

 

RELATED DOCUMENTS

HL7 CDA® R2 Implementation Guide: Supplemental QRDA Clinical Quality Data Sharing User Guide, Release 1

(Download) (585 KB)

TOPIC

• Clinical Quality

BALLOT TYPE

• Informative

STATUS DATE

2018-07-13

RESPONSIBLE WORK GROUP

STAKEHOLDERS

• EHR, PHR Vendors
• Healthcare Institutions
• HIS Vendors
• Payors
• Quality Reporting Agencies
• Regulatory Agency

FAMILY

• CDA

CURRENT STATE

• Stable

REALM

• US Realm