Project Summary for QDM-based Health Quality Measure Format
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Project Details
Number | 756 View Ballot Items List (with NIBs) |
---|---|
Name | QDM-based Health Quality Measure Format |
Sponsor(s) | Clinical Quality Information Work Group |
Co-Sponsor(s) | Clinical Decision Support Work Group, Structured Documents Work Group |
Steering Division | Clinical |
Description | Sept 2016 Update: The new STU ballot scheduled for January 2017 will update the QDM-based HQMF based on changes to QDM used in the US Domain for creating electronic clinical quality measures (eCQMs) and also update consistent with the HQMF R1 Normative ballot also scheduled for the January 2017 ballot. Oct 2015 Update: In October 2015, an update was published to address QDM 4.2. Update 10/27/15: Will conduct a DSTU update to address DSTU comments with an approved errata disposition that have not yet been addressed in the IG. This project is intended to create a domain analysis model to describe the content required within EHRs to measure quality and performance and maintain safety standards. The information model content will be derived from the Quality Data Model (QDM) established in a public consensus process by National Quality Forum (NQF) in the United States. QDM is a model of information based on the needs of quality measure developers and clinical decision support rule creators. It has now been tested in the retooling of 113 existing quality measures into HQMF format and in a number of CDS rules in an eRecommendations project funded by the Agency for Healthcare Research and Quality (AHRQ). The QDM model will be described in detail at three levels: 1) First is the need, background and definitions. 2) The second level is the set of CDA and RIM templates developed to describe each of the QDM elements. This section will further describe the constraints applied and conventions used to manage the various data contexts and attributes required by the QDM and measures. It will also describe the comparators used to indicate relationships between data elements (e.g., A occurring <= 3 days before B). 3) The third section will list the areas that could not be sufficiently described using existing standards with suggestions for harmonization of existing standards or gaps that need to be filled to manage the domain. The document will provide sufficient detail for the HQMF that the DSTU can be implemented in more standard and structured manner. The goal is to provide a standard methodology for implementing performance measurement in clinical information systems to enable current and future measures of meaningful use of EHRs and patient centered measures of health. Update 5/6/2014: The DSTU will be updated to incorporate changes introduced in the base standard that this implementation guide is based on: the Health Quality Measure Format (HQMF) Release 2.1. The HQMF R2.1 standard has been refactored to produce: - A modular framework for clinical quality measures which cleanly separates metadata, expression logic and data model - Modules that encompass the existing metadata, expression logic and data model capabilities The scope is primarily limited to updating the DSTU to meet the changes and minor revisions made in HQMF R2.1 to support Meaningful Use Stage 3. In addition, minor revisions or additional guidance will be provided to implement aspects HQMF R2.1, in response to comments received during the DSTU period. The specific issues that will be in scope are listed here: https://docs.google.com/spreadsheets/d/1DeMqTfA9u7iFcjoTrP0F-AZ0WIDK6l-YIABIj5sanhc/edit |
Project Facilitator | Yan Heras |
Status | Archived |
SD Approval Date | Oct 6, 2016 |
TSC Approval Date | Oct 24, 2016 |
Type | Ballot - STU |
Objectives / Deliverables | Sept 2016 Update: Updated QDM-based HQMF R1.4 DSTU Release 4 (based on HQMF R2.1) - Target: September 2016 Ballot STU QDM-based R1.5 based on HQMF R1 Normative and QDM - Target: January 2017 Update QDM-based HQMF R1.5 CQI WG - Target: May 2017 to December 2019. Oct 2015 Update: Seek approval of PSS updates - Target: 10/27-10/30/15 Develop Updated DSTU - Target: 12/4/15 Peer Review Process - Target: 12/4/15 - 12/18/15 Publish Implementation Guide - Target: January 2016 Original Timeframe: Define and seek approval of project scope - Target: May 2012 WGM Analysis, design, and draft specifications (regular meetings) - Target: May - July 2012 Submit NIB - Target: June 24, 2012 Submit for DTSU Ballot - Target: Aug 27, 2012 (out of cycle ballot) Ballot period - Target: Aug 27 - Sept 24, 2012 Ballot reconciliation - Target: Sept - Nov 2012 Submit to TSC for DTSU approval and publication - Target: December 2012 Subsequent ballots to be performed as needed Taken From Project Tacoma Timelines: Define/seek approval of PSS updates - Target: 5/7-5/27/14 Develop Updated DSTU - Target: 7/22/2014 Peer Review Process (or out-of-cycle ballot, if required) - Target: August 2014 Publish Implementation Guide (incl. security patched style sheet for HQMF R2.1) - Target: 8/19/2014 Project End Date - Target: TBD |
Next Milestone Date | 2020 January WGM |
Project End Date | 2020 May WGM |
Project Intent | Revise Current Standard |
Project Need | A comprehensive project to retool 113 measures with HQMF identified and resolved a number of significant challenges in defining data elements required by measures, and in representing data interrelationships. The project used existing HL7 standards, relying heavily on CDA, the RIM and published comparators. The Domain Analysis Model is required to consolidate, in one place, the various elements used, the conventions and constraints applied, and the challenges still present. The publication will provide significant direction to facilitate more integrated performance measurement and, moreover, enable more defined data sharing for interoperability among systems for direct patient care processes as well. The model will further enable EHR vendors, Laboratory Information Systems, Pharmacy Information Systems, HIEs and others to share more semantically interoperable data. The model will also have significant impact on research organizations and public health reporting since it enables more facile sharing of repurposed data using the same methodology. Update 5/6/2014: There is a desire from the Clinical Quality Improvement (CQI) community to have a single family of standards that support both Clinical Quality Measures (CQM) and Clinical Decision Support (CDS). Work is already underway to harmonize standards across the two domains by: - Defining the functional requirements for a unified expression language - Defining a domain analysis model for the data required by CQM and CDS - Defining a common set of metadata for CQM and CDS This project will update the DSTU to align with the updates made in HQMF R2.1 and align it with the removals and additions of datatypes and operators made in QDM 4.1.1. Sept 2016 Update: The STU update will align with the HQMF R1 Normative in January 2017 and also include the QDM updates. |
Implementers | 1) Centers for Medicare & Medicaid Services (CMS)- Deborah Krauss, Shanna Hartman 2) The Mitre Corporation - Paul Denning 3) The Joint Commission - Patty Craig 4) Telligen - Stan Rankins 5) NCQA - Anne Smith |
Security Risks | No |
External Drivers | QDM-based HQMF is used in US CMS programs to develop electronic clinical quality measures (eCQMs) for use in government programs for evaluating healthcare performance). The standard must be updated when the data model and underlying HQMF standards update to remain current. |
Common Names / Keywords/ Aliases | QDM-based HQMF |
Lineage | QDM-based HQMF R1.4 DSTU Release 4 – update approved by CQI WG September 2016. |
Dependancies | The QDM-based HQMF is based on the HQMF project (#508). HQMF will also be balloted in the January 2017 ballot cycle as a Normative (R1) ballot. The CQI WG expects to be able to manage the two ballots concurrently. (http://www.hl7.org/special/Committees/projman/searchableProjectIndex.cfm?action=edit&ProjectNumber=756) |
Project Document Repository | The Project Repository Location is located at: http://www.hl7.org/implement/standards/product_brief.cfm?product_id=346 |
Backwards Compatibility | Yes |
External Vocabularies | No |
Products | |
Joint Copyright? | |
External Pjt Collaborators | US Health Information Technology Standards Committee Quality Workgroup. IHE Quality, Research and Public Health Committee (IHE QRPH); IHE and HL7 have an active MOU. National Quality Forum (US) |
Realm | Realm Specific - Enter "U.S." or name of HL7 Affiliate below |
HL7 Affiliate | U.S. |
Stakeholders | Quality Reporting Agencies, Regulatory Agency, Standards Development Organizations (SDOs), Payors, Other (specify in Misc. Notes below) |
Vendors | Pharmaceutical; EHR, PHR; Health Care IT; Clinical Decision Support Systems |
Providers | Local and State Departments of Health; Healthcare Institutions (hospitals, long term care, home care, mental health) |
Ballot Cycle Info | 2017 Jan Ballot Cycle Info: STU Ballot results: Postponed Document Name: HL7 Version 3 Implementation Guide: Quality Data Model (QDM)-based Health Quality Measure Format (HQMF), Release 1 - US Realm Submitter: Floyd Eisenberg MD 2013 Sept Ballot Cycle Info: DSTU Ballot results: Met basic vote requirements. 16 Negatives to reconcile Document Name: HL7 Version 3 Implementation Guide: Quality Data Model (QDM)-based Health Quality Measure Format (HQMF), Release 1 - US Realm NIB Submitted By: Brett Marquard 2012 Oct Out of Cycle Info: DSTU Ballot results: Met basic vote requirements. 4 Negative votes to reconcile Document Name: HL7 Version 3 Implementation Guide: Quality Data Model (QDM)-based Health Quality Measure Format (HQMF), Release 1 Ballot Code: V3_IG_HQMF_R1_D1_2012SEP NIB Submitted By: Brett Marquard 2012 Jan Ballot Cycle Info: DSTU Ballot results: Postponed Document Name: HL7 Version 3 Implementation Guide: Health Quality Measure Format (HQMF), Release 1 Ballot Code: V3_IG_HQMF_R1_D1_2012JAN NIB Submitted By: Brett Marquard 2011 Sept Ballot Cycle Info: INFORMATIVE Ballot results: Postponed Document Name: HL7 Version 3 Implementation Guide: Health Quality Measure Format (HQMF), Release 1 Ballot Code: V3_IG_HQMF_R1_I1_2011SEP NIB Submitted By: Robert Dolin 2011 May Ballot Cycle Info: DSTU Ballot results: Postponed Document Name: HL7 Version 3 Implementation Guide: Health Quality Measure Format (HQMF), Release 1 - US Realm Ballot ID: V3_IG_HQMF_R1_D1_2011MAY NIB Submitted By: Austin Kreisler |
Misc Notes | 2019 May: The CQI WG yesterday reviewed the QDM-based HQMF ballot in detail. There were no comments and only affirmative votes (and some abstentions). We uploaded the document you noted to the ballot desktop and the CQI WG yesterday voted to withdraw based on the ballot results. [http://www.hl7.org/ctl.cfm?action=ballots.home&ballot_cycle_id=549&ballot_voter_id=14410]. Per Lynn, this will allow closure of projects ID 756 and 1500. PMO archiving project. 2017 Nov: TSC approved STU Publication Extension Request for HL7 Version 3 Implementation Guide: Quality Data Model (QDM)-based Health Quality Measure Format (HQMF), Release 1, US Realm, STU Release 1.4 at TSC Tracker 14046 for 24 months through October 26, 2019. 2016 October: Submitted revised PSS. Updates to HL7 Version 3 Implementation Guide: Quality Data Model (QDM)-based Health Quality Measure Format (HQMF), Release 1.4 DSTU Release 4 (based on HQMF R2.1). Mar 2016: TSC approved DSTU publication request for QDM-based HQMF IG v1.3 at TSC Tracker 9608 through 2017-10-15. Feb 2016: TSC approved DSTU publication request for HL7 Version 3 Implementation Guide: Quality Data Model (QDM)-based Health Quality Measure Format (HQMF), Release 1 - US Realm, DSTU Release 1.0 through 1.3 at TSC Tracker 9332 Oct 2015: TSC approved DSTU publication request of HL7 Version 3 Implementation Guide: Quality Data Model (QDM)-based Health Quality Measure Format (HQMF), Release 1.2 - US Realm at TSC Tracker 8740 July 2015: C. Kallem: Will conduct a DSTU update on the QDM-based HQMF IG to align with the newest Quality Data Model (QDM) changes (version 4.2). Feb 2015: TSC approved DSTU Publication Request of HL7 Version 3 Implementation Guide: Quality Data Model (QDM)-based Health Quality Measure Format (HQMF), Release 1.1 - US Realm, DSTU Release 1.1 for 24 months at TSC Tracker 5590 through Feb 27, 2016 May 2014: CQI WG submitted an updated PSS. Updates to HL7 Version 3 Implementation Guide: Quality Data Model (QDM)-based Health Quality Measure Format (HQMF), Release 1 - ... |
U.S. Govt Interest? | Yes |
USRSC Approval | Received |
FMG Approval | Not Needed |
ARB Approval | |
Start Date | Feb 24, 2011 |
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