A Standard for Quality Reporting

Several stories in the current print issue describe efforts to streamline data collection and reporting for quality measures. Two touch on the Quality Reporting Document Architecture (QRDA), a Health Level Seven draft standard based on HL7’s approved clinical document architecture (CDA).

The QRDA initiative is developing CDA standards for reporting quality measure data across health IT systems that are EHR-compatible. Currently, the work is published in part as an HL7 draft standard for trial use and is being tested in pilot implementation.

In “Advancing Quality Measures Reporting in HIEs,” Randolph C. Barrows Jr. describes the use of the QRDA in the quality measure use case featured in the NHIN demonstrations earlier this year. The QRDA was used in drafting functional requirements to support the exchange of patient-level quality data from provider systems to quality data measurement and reporting facilities. It also factored in writing functional requirements for the exchange of population-level quality measures results from a measurement and reporting facility to quality data recipients.

In “Mining for Measures,” Ruth Carol profiles the Health Story Project, a consortium of EHR vendors, associations, and providers developing and promoting data standards that support the flow of information between text-based, narrative documents and electronic health records. Also working off the CDA, Health Story standards address consultation notes, history and physical, operative notes, and diagnostic imaging reports.

“The Health Story Project standards help bring important information produced through dictation and often needed for quality measures into the EHR, making that information more accessible and/or available to be included in QRDA reports of quality measure information,” says Joy Kuhl, director of health information technology for the Alliance for Pediatric Quality, a sponsor of the QRDA initiative.

The QRDA initiative is a private collaboration sponsored by the Alliance—a joint effort of the American Academy of Pediatrics, the American Board of Pediatrics, Child Health Corporation of America, and the National Association of Children’s Hospitals and Related Institutions.

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