DataExchangeforQualityMeasures FHIR IG Proposal
Contents
- 1 Data Exchange for Quality Measures
- 2 Data Exchange for Quality Measures
- 2.1 Owning work group name
- 2.2 Committee Approval Date:
- 2.3 Contributing or Reviewing Work Groups
- 2.4 FHIR Development Project Insight ID
- 2.5 Scope of coverage
- 2.6 IG Purpose
- 2.7 Content location
- 2.8 Proposed IG realm and code
- 2.9 Maintenance Plan
- 2.10 Short Description
- 2.11 Long Description
- 2.12 Involved parties
- 2.13 Expected implementations
- 2.14 Content sources
- 2.15 Example Scenarios
- 2.16 IG Relationships
- 2.17 Timelines
- 2.18 When IG Proposal Is Complete
- 2.19 FMG Notes
Data Exchange for Quality Measures
==
Data Exchange for Quality Measures
Owning work group name
Committee Approval Date:
TODOPlease enter the date that the committee approved this IGproposal
Contributing or Reviewing Work Groups
FHIR Development Project Insight ID
1429
Scope of coverage
This IG is specific to the US Human exchange of data for quality measures across al healthcare disciplines. Its purpose is inpatient; outpatient; and primary, secondary and tertiary care settings. The content is developed by stakeholders including clinical care provider, EHR vendor, and payor representatives.
IG Purpose
As the US Healthcare system transitions from a fee-for-service payment model to a value-based-care (VBC) model, the authoring, collection and reporting of quality measures is essential to this new model. Currently, disparate methods, both propriety and non-proprietary, are used to collect, aggregate and report quality measures data. This implementation guide leverages the interoperability of FHIR to create a framework for the timely and standardized method for exchanging this data. By shortening the feedback loop of quality measures data, the framework can support activities such as closing gaps in care. Main IG will address the general framework for data exchange of quality measures. The framework will be exemplified in the specific use case of “30-Day Medication Reconciliation Post-Discharge,” for which the guide will implementation details including profiles and operations.
Content location
https://github.com/HL7/data-exchange-for-quality-measures
Proposed IG realm and code
us/davinci-deqm
Maintenance Plan
This specification will be maintained by the CQI work group once the Da Vinci project has completed initial development.
Short Description
Provides a mechanism for healthcare providers and data aggregators to exchange quality measure information using subscription, query, and push methods.
Long Description
The Data Exchange for Quality Measures Implementation Guide (IG) will provide guidance to implementers who wish to request and report clinical and administrative data using FHIR resources and operations in support of quality measure reporting. The main IG will detail the base and profiled FHIR resources and operations for three methods of exchanging data. Additionally, the specific use case of 30-Day Medication Reconciliation Post-Discharge will demonstrate how one of the three methods can be implemented to exchange measure data. Through the framework of this base implementation guide, stakeholders will have a consistent approach to creating FHIR profiles and utilizing FHIR operations to exchange quality measures data. This IG will be based on FHIR R4 with additional guidance for backward compatibility with STU3.
Involved parties
This implementation guide has been developed by U.S. EHR and Payor organizations as part of the Da Vinci project.
Expected implementations
In addition to a pilot reference implementation and testing at the Sept. 2018 and Jan. 2019 WGMs, several EHR and Payor organizations are expected to implement this implementation guide prior to the end of 2019 .
Content sources
Requirements are drawn from payor and provider organizations as part of the Da Vinci initiative. Additional guidance come from quality measure authors.
Example Scenarios
This IG outlines three methods for the data exchange: subscription, query/request, and push. In each case below, the [id] is the profile for a specific measure.
- In the subscription method, an aggregator system subscribes to a specific measure on a provider system. When measure data is generated on the provider system, the provider system performs a POST Measure/[id]/$submit-data operation on an aggregator system
- In the query/request method, an aggregator system queries a Measure/[id]/$collect-data operation and passes parameters for the query. The provider system returns an operation response with the applicable FHIR resources.
- In the push method, after measure data is generated, the provider system performs a POST Measure/[id]/$submit-data operation to send data to an aggregator system.
IG Relationships
This implementation guide will be "aligned" with US Core and will eventually be derived from US Core once that IG has been updated to align with FHIR R4.
Timelines
The intention is to perform initial balloting of the IG in the Sept. 20.
When IG Proposal Is Complete
When you have completed your proposal, please send an email to FMGcontact@HL7.org