Quality 101

"Quality 101" is offered by the HIMSS Patient Safety & Quality Outcomes Committee as an introduction to the growing field of quality measures, standards of care, and evidenced-based medicine. HIMSS Quality 101 hopes to provide you with a portal into the "world of quality measurement and improvement."

Table of Contents

The Basics
Key Industry Players
Measures
Improvement
Performance Improvement
Quality & Meaningful Use
Public Reporting
Quality/Cost Relationship
Clinical Decision Support
Articles of Interest
Resources

HIMSS NQF Membership Get Involved!

National Quality Forum (NQF): Opportunities for HIMSS members
HIMSS is now a member of NQF, and HIMSS Patient Safety & Quality Outcomes Committee is extending to you information about NQF activities within four categories:

1. Nominations
2. Call for Measures
3. Call for Comment
4. Upcoming Events

News

Small and Medium Size Practices Use Few Patient Centered Medical Home Processes (6/30/2011)

Texas Health Resources CMIO tells how the system earned $19M for Stage 1 (6/21/2011)

CMS Innovation Center Website Launched To Collect Best Practices (4/7/2011)

New Resource Identifies Care Coordination Measures (3/25/2011)

IOM Recommends Standards to Achieve Reliable Clinical Practice Guidelines and High-Quality Systematic Reviews of Evidence (3/25/2011)

HHS Releases National Quality Strategy (3/25/2011)

HIMSS has released its "Call for Action" for 2011/2012, summarizing the Society's top policy priorities for the 112th Congress and the Obama Administration. (3/16/2011)

Public Policy Fact Sheets and Responses:

CMS EHR Incentive Program Stage 2 and ONC Certification Specification Notice of Proposed Rulemakings Patient Safety and Meaningful Use (5/24/2012)

Overview of Meaningful Use – Medicare and Medicaid EHR Incentive Program – Stage 2 (5/24/2012)

CMS EHR Incentive Program Stage 2 Notice of Proposed Rulemaking Eligible Professionals Clinical Quality Measures and Reporting (5/24/2012)

CMS EHR Incentive Program Stage 2 Notice of Proposed Rulemaking Eligible Hospital and Critical Access Hospital Clinical Quality Measures and Reporting (5/24/2012)

HIMSS Letter to HHS on eMeasures Development (1/12/2012)

IOM Report Health IT and Patient Safety Building Safer Systems for Better Care Fact Sheet (11/11/2011)

The Basics:

The fundamentals of how health information technology (HIT) is leveraged to impact quality. A resource list is also provided.

Quality – The Basics (3/17/2011)

Transforming Patient Care (3/17/2011)

Quality: Glossary of Terms and Definitions (3/17/2011)

The Metrics of Quality and Their Limitations (8/31/2010)

Crossing the Quality Chasm: The IOM Health Care Quality Initiative (8/31/2010)

Quality Measures and Legislation (8/31/2010)

Quality Improvement:

Connecting the dots between tracking quality throu

Quality Improvement Resources list (3/17/2011)

Quality Improvement – Tip Sheet (3/17/2011)

Quality Measurement – Tip Sheet 11 (3/17/2011)

Key Industry Players:

The various organizations responsible for measure development and measure endorsement featuring the Quality Alliance Steering Committee’s “Road Map Organizational Wheel”, or what HIMSS deems “the quality wheel” with expanded descriptions, and case study examples of quality reporting.

Case Study: Citizens Memorial Healthcare – PQRI (4/4/2011)

QASQ Road Map Organizational Wheel (3/17/2011)

A Selective Quick Start Guide Resources (3/17/2011)

National Quality Hub (3/17/2011)

Quality Measurement Dimensions (3/17/2011)

Quality Measures:

Clinical quality measures tip sheets and other educational resources, to better understand the impact of health IT related to clinical measures.

Measure Endorsement – Tip Sheet (3/17/2011)

Measure Testing and Implementation – Tip Sheet (3/17/2011)

Clinical Performance Measures – Tip Sheet (3/17/2011)

Clinical Practice Guidelines – Tip Sheet (3/17/2011)

Retooling and the 'eMeasure': The Next Frontier? (iHealthbeat) (3/17/2011)

Quality Measure Electronic Specifications for Electronic Health Records: A CMS Perspective (3/17/2011)

ABCs of Measurement PDF from the webinar (3/17/2011)

Performance Improvement:

Understand how outcomes can be impacted as a result of tracking quality measures and applying specific changes to improve performance, with an emphasis on the Patient Centered Medical Home. A resource list is also provided.

Ambulatory Quality: Physician Consortium for Performance Improvement (PCPI) Care Data Transition Set: One Practice's Method/tutorial on How To Interactively Incorporate these Data Elements Into the Care Process. (3/17/2011)

The Patient Centered Medical Home – Case Study Series | Medical Home – Plan of Care and Treatment Plan (3/17/2011)

The Patient Centered Medical Home – Case Study Series | Medical Home – How One Clinic Began the Process (3/17/2011)

Comparison of Selected Meaningful Use Requirements and Selected Medical Home Requirements: If a practice achieves Level III Patient-Centered Medical Home recognition, how closely aligned is it to Stage 1 Meaningful Use criteria? (3/17/2011)

Patient-Centered Medical Homes (Health Affairs) (3/17/2011)

HIMSS/NCQA Patient–Centered Medical Homes (3/17/2011)

Stories of Success! — The Stories Of Success project is designed to solicit case studies describing the actual use of HIT (3/17/2011)

Quality & Meaningful Use:

On February 17, 2009, President Barack Obama signed the American Recovery and Reinvestment Act (ARRA). Title XIII of ARRA, called the Health IT for Economic and Clinical Health Act (HITECH), allocated $19.2 billion toward health IT. This act seeks to bolster health IT to improve the delivery of healthcare in the United States. With various provisions and regulations, the Act provides assistance, tools, and resources to providers to allow for implementation and utilization of EHRs.

Stories of Success Meaningful Use Case Studies: Greater Rochester Independent Physicians Association (3/21/2011)

Stories of Success Meaningful Use Case Studies: Texas Health Resources (3/21/2011)

Davies Award Meaningful Use Case Studies: Sentara (3/21/2011)

Davies Award Meaningful Use Case Studies: Citizens Memorial Healthcare (3/21/2011)

Davies Award and Stories of Success Case Studies: Southeast Texas Medical Associates (3/21/2011)

Davies Award and Stories of Success Case Studies: Eastern Maine Medical Center (3/21/2011)

Case Studies of the use of Meaningful Use health IT | Cardiology Consultants of Philadelphia – 2008 Davies Award. A high level summary of how a single specialty cardiology practice uses its EHR to report health care quality measures (3/17/2011)

Case Studies of the use of Meaningful Use health IT | Virginia Women's Center – 2009 Davies Award. A high level summary of how this mid-level women's healthcare practice uses its EHR CPOE functionality (3/17/2011)

HIT Policy Committee Meetings | Quality Work Group Powerpoint Slides (3/17/2011)

HIT Policy Committee Meetings | Transcript of 10/20/2010 Meeting (3/17/2011)

Final Rule: Quality Eligible Hospital (EH) Overview (3/17/2011)

Final Rule: Quality Eligible Provider (EP) Overview (3/17/2011)

HIMSS Offers Comments on HHS National Health Care Quality Strategy and Plan (3/17/2011)

On The Road to Meaningful Use Webinar Series (3/17/2011)

HIMSS Topical Review on Medicare and Medicaid Programs; Electronic Health Record Incentive Program Final Rule: Quality Metrics Overview (8/13/2010)

Meaningful Use Final Rule Safety and Quality of Care (HIMSS PowerPoint) (8/4/2010)

Public Reporting:

Guidance related to capturing quality for the purposes of reporting it publicly for various purposes. A resource list is also provided.

Lessons Learned in Public Reporting: Deciding What to Report (4/15/2011)

Public reporting | Background information about the Physician Quality Reporting Initiative (PQRI) and a case example of capturing PQRI data via an EHR. (3/17/2011)

Real-time public reporting by providers | A real-world case study of one practice's process of capturing and reporting its data (3/17/2011)

Quality: Major Public Reporting (3/17/2011)

Accountable Care Organizations (ACO):

Quality Measurement Reporting and Performance Improvement Requirements For Accountable Care Organizations Participating in the Medicare Shared Savings Program (10/27/2011)

Quality/Cost Relationship:

Resources that connect the relationship between cost and quality.

o Leveraging Health Information Technology in Achieving Price and Quality Reporting White Paper (3/17/2011)

AHRQ: Health Care Cost – Fact Sheet (3/17/2011)

Clinical Decision Support:

Fundamental explanations of clinical decision support.

Clinical Decision Support (CDS): The Positive Impact of Health IT to Improve Care of Patients with Diabetes (6/20/2011)

Clinical Decision Support & Meaningful Use FAQ's (3/17/2011)

o CDS 101 – Three scenarios describing examples of CDS, and a list of CDS resources (3/17/2011)

Clinical Decision Support (CDS) at the Point of Care – Primary Care Case Study (3/17/2011)

Clinical Decision Support (CDS) at the Point of Care – Diabetes Prevention Program (3/17/2011)

Quality Tools: Clinical Decision Support (3/17/2011)

HIMSS CDS Wiki (10/20/2010)

Driving Quality and Performance Measurement – A Foundation for Clinical Decision Support (10/19/2010)

Articles of Interest:

Various summaries of quality focused articles from literature and industry conferences.

The Long Term Effect of Premier Pay for Performance on Patient Outcomes (5/14/2012)

Summary – NEJM The Relationship between Hospital Admission Rates and Rehospitalizations (3/16/2012)

The Relationship between Hospital Admission Rates and Rehospitalizations (3/12/2012)

Today’s ‘Meaningful Use’ Standard For Medication Orders By Hospitals May Save Few Lives; Later Stages May Do More (10/24/2011)

Patient-Reported Adverse Events: What Are We Waiting For? (10/24/2011)

Clinical Decision Support and Malpractice Risk (8/15/2011)

Application of EHRs to TJC NPSG’s (8/15/2011)

SETMA COGNOS Case Study (3/17/2011)

SETMA: Learn How a Multi-Specialty Group Practice Is Using BI to Transform Healthcare (3/17/2011)

Editorial/Review Process:

Contributors (3/17/2011)

Contributors submit new content to HIMSS staff, which is then sent to the Quality 101 Review Body, and reviewed for, timeliness, relevancy and redundancy. Content is subject to editorial changes prior to posting. (3/17/2011)

Quality & Mobile Technology:

Patient Safety and Mobile Technology Fact Sheet (6/21/2011)