alliance for pediatric quality an overview august 28, 2006
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Alliance for Pediatric QualityAn Overview
August 28, 2006
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A collaboration of four major
national pediatric
organizations formed to
measurably improve
the quality of health care for
America’s children.
What is the Alliance?
HospitalHospitalCommunityCommunity
PhysicianPhysicianCommunityCommunity
Joining to Improve Pediatric Quality
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Every child will have the opportunity to grow up
healthy, supported by a health care system
where care is safe, effective, patient-centered,
timely, efficient, equitable and based on the
best possible science and technology.
Vision
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1. Promote the use of meaningful pediatric measures industry
wide.
The Alliance will accelerate the identification and use of measures by the pediatric community that will best drive change and improvement in the quality of health care for children. It will also define those measures that should emerge as measures of accountability for pediatrics.
2. Make sure health information technology works for kids.
The Alliance will bring together multiple technology organizations and individuals to create one pathway for ensuring the adoption of pediatric data standards that work across all care settings.
Goals
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Strategies
• Work for consensus – speak with one voice on behalf of children
• Endorse and promote projects that advance pediatric quality and health information technology in children’s health care
• Convene stakeholders
• Advocate in media and legislature
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Strong Foundation
Alliance forPediatricQuality Formed
Developed first set of coremeasures
Special Interest Group for pediatric dataStandardsapproved by HL-7
CHCA, NACHRI, MMP work w/JCAHO on pediatricmeasures
Pedi-QSasthma core measure setto JCAHO
NQF endorsesasthma measureset
AMA (CQI) Consortiumreleases acutegastroenteritis, asthma measures
2000 2001 2002 2003 2004 2005 20061990s
2000 2001 2002 2003 2004 2005 20061990s
Convened to
discuss data standards
AAP releases evidence-basedclinicalguidelines(eQUIPP)
AAP starts COCIT
First electronicmedical recordsrequirements forpediatrics
AAP EMRspecs updatedw/ HL7 Sig.input
HL7 Sig.releasespediatric specsfor EMR
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• Asthma measure set endorsed by NQF
• Current work includes:- Additional asthma measures- Neonatal care- Nursing sensitive measures- Pediatric intensive care- Surgical infection prevention identification and use- Analyze national priorities for future measure development- Develop new performance measure sets using Pedi-QS
Accomplishments to Date
Pedi-QS Workgroup Drives Inpatient Measures
Pedi-QS methodology recognized by industry
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Accomplishments to Date
• AAP evidence-based clinical guidelines – ripe for measure development
• AMA Consortium for Physician Performance Improvement (pediatric gastroenteritis and asthma measures)
• Active pediatric representation at AQA, NQF, NCQAand private payor panels
• Ambulatory Pediatric CAHPS survey• Miller et al study (2005) – Build upon findings of
existing/needed quality measures
Physician Community Drives Ambulatory Measures
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• Developed pediatric requirements for EHR specifications
• Developed information flow charts for pediatric immunization; vendor adoption in process
• Submitted to CCHIT inpatient EHR functionality requirements on behalf of Alliance
• HL7 Pediatric Profile creation underway
Accomplishments to Date
Role of Special Interest Group58 organizations, including AAP, CHCA and NACHRI and vendors
Identify critical pediatric-specific data standards for quality and outcomes measurement reporting
Create nomenclature lexicon and required terminology
Seek approval of HL7 for pediatric recommendations
HL7 Special Interest Group Drives Pediatric Data Standards
HL7 Pediatric Data StandardsSpecial Interest Group(HL7 PeDSSIG)
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Council on Clinical InformationTechnology (COCIT)
Representatives at CCHIT, ANSI HITSP, ASTM Committee E31 (CCR)
EHR policy statement published
Inpatient HIT systems policy underway
Strong vendor participation in Pediatric Documentation ChallengeTM
Active EMR review web site
Accomplishments to Date
Sample Ongoing AAP HIT Efforts
Develops and publishes policy documents on pediatric health IT
National advocacy/involvement
Health IT education
Physicians Electronic Health Record Commission (PEHRC)
Evaluation of pediatric electronic medical record vendors at TEPR
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NHIN
How We Work Together
American Health Information Community
COCIT HL7
CHOB Indiana
COCIT HL7
Federally chartered commission makes
recommendations to HHS
HISPC
Addresses business policy and state law affectingprivacy and security
Certification commission uses HL7 standards asbaseline for health IT vendor certification
Standards panel harmonizing
standards forhealth IT vendors
Conducts pilots withhospitals to build
interoperability
Pay for Performance
CCHITHITSP
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National advocacy/involvement with national health IT organizations on behalf of pediatrics
Develop and publish policy documentson pediatric health information IT issues
Educate stakeholders, disseminate, andimplement communication approaches for pediatric IT standards
Educate public about vendor pediatriccapabilities (e.g. through DocumentationChallenge™ and EMR review web site)
Identify critical pediatric-specific data standards for quality and outcomesmeasurement reporting
Develop, propose, and get approval for standards in HL7
Coordinate with other groups interested inusing pediatric data standards, including vendors
Identify required terminology; Create nomenclature lexicon
AAP Council on Clinical Information Technology (COCIT)
HL7 Pediatric Data StandardsSpecial Interest Group (PeDSSIG)
National Policy Makers
Health InformationTechnology Vendors
Pediatric CareProviders
APQTechnology Workgroup
Provide input into areas of focus; Support
through education, advocacy, policy creation
Provide pediatricHL7 standards; Identifycurrent standards thatapply to focus areas
How We Could Work Together
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APQ Information Technology WorkgroupA group of technical experts in the pediatric community who identifies and coordinates opportunities for unified action through the Alliance - providing strength to current pediatric healthcare IT activities through consensus building, advocacy and endorsement
Immediate APQ Activities1. Host regular workgroup calls to review activities underway and
to identify opportunities for unified action2. Coordinate response to HITSP interoperability specifications3. Support representative to HL7 EHR TC4. Support other representatives to national initiatives5. Upon completion, endorse HL7 PeDSSIG pediatric profile and
assistance with market communication and education6. Joint response to CCHIT re. inclusion of growth charts
A Proactive, Unified Approach
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Organizational Structure
Founders/CEOsFounders/CEOs
Executive Committee/VPs
Executive Committee/VPs
Executive DirectorExecutive DirectorAdmin support
Consultants
Pedi-QSWorkgroup
Information TechnologyWorkgroup
Workgroup WorkgroupWorkgroup
Day-to-day activityEx Officio Executive Committee
Manage work groups, consultantsFront-line liaison to stakeholders
Informal coalition
Shared decision-making
In-kind resources
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Year One Focus
• Evaluate and prioritize measures and move them very quickly to the public domain for use in improvement and accountability Endorse a common set of measures Evaluate and accelerate pay for performance strategies for pediatrics Determine opportunities for sharing data
• Concurrently our four organizations are exploring a data sharing initiative; work is independent of the Alliance at this time
• Seek industry-wide adoption of data standards for pediatrics CCHIT integration of HL7 standards Endorse pediatric data standards (as supplied by the Special Interest Group) Support Special Interest Group efforts in embedding pediatric-specific EHR
requirements in vendor systems
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Initial Measures of Success
• The Alliance will conduct an annual evaluation of our accomplishments and develop success metrics
• Some of our success factors follow: JCAHO and industry will widely use pediatric measures recommended by the Alliance CCHIT adopts standards recommended by HL7 Special Interest Group The Alliance will be recognized by national quality organizations as the “go-to”
organizations for pediatric quality
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Support the Alliance
• When you see opportunities to advance quality or health information technology standards at the national level, please contact:
AAP : Ed Zimmerman (847) 434-1917
ABP: Paul Miles (919) 929-0461
CHCA: Donna Payne (913) 262-1436
NACHRI: Mary Gorman (703) 684-1355
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