QMWG Measures FrameworkQMWG Measures Framework

June 8, 2011

Core + Categorized Menu

Core Measures

1. Adult Weight Screening and Follow-up2. Hypertension: Blood Pressure Management3. Preventative Care and Screening Measure Pair

a. Tobacco Use Assessmentb. Tobacco Cessation Intervention

Alternate Core Measures

1. Childhood Immunization Status2. Preventative Care and Screening: Influenza

Immunization for Patients >= 503. Weight Assessment and Counseling for

Children Adolescents

Menu Set Measures

16.6667%

16.6667%

16.6667%

16.6667%

16.6667%

16.6667%

CORE

Population & Public Health

Patient Safety

Efficiency

Patient & Family

Engagement

Care Coordination

MENU

ClinicalProcess

Alignment with National Quality Strategy

NQS Priorities eQM DomainsMaking care safer by reducing harm caused in the delivery of care.

Patient Safety

Ensuring that each person and family are engaged as partners in their care.

Patient & Family Engagement

Promoting effective communication and coordination of care.

Care Coordination

Promoting the most effective prevention and treatment practices for the leading causes of mortality, starting with cardiovascular disease.

Clinical Process

Working with communities to promote wide use of best practices to enable healthy living.

Population & Public Health

Making quality care more affordable for individuals, families, employers, and governments by developing and spreading new health care delivery models.

Efficiency

Proposed Model

• Core is maintained and additional measures are added

• Menu is maintained and additional measures are added

• Menu measures are stratified into the 6 domain areas

• Providers pick measures from the core list• Providers pick measures from the menu

list– Providers pick 1 measure from each of the

domain areas

Dr. James – Primary Care Physician

Dr. James – Primary Care Physician

Methodologic Issues• Patient reported data--a vehicle is needed to capture data

tagged to source (need CDA type standard and transport standard for self-reported race, ethnicity, language, and equity; perception of experience; and structured data for m-health/home devices)

• Delta measures—need guidance for reasonable measures of quality for comparison of data points over time

• Problem lists--identify standards to consistently represent attributes and that can be used for reconciliation

• Capacity and scalability of EHRs—must be in step with increasing complexity of quality measures

• Attribution of provider—needs standards to assign each member of a panel for measurement