Health Information Management

National Quality Forum makes recommendations regarding EHR quality measures

HIM-HIPAA Insider, June 23, 2009

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The Health Information Technology Expert Panel (HITEP) established by the National Quality Forum (NQF) has made nine recommendations for standardized EHR data measures, according to an HITEP report announced June 9. Two of the recommendations include creating a measure-authoring tool for quality measure developers and establishing a timeline for implementing the quality data set. Click here to read more about the other recommendations.

HITEP has also created two workgroups—the quality data set (QDS) group and the dataflow group. The QDS group standardized data elements and developed a framework to consistently use standard code sets and code lists. The framework includes three levels of information: 

  • Standard elements (i.e., those that represent the atomic unit of data identified by a data element name, a code set, and a code list comprised of one or more enumerated values)
  • Quality data elements (i.e., pieces of information used in quality measures to describe part of the clinical care process)
  • Dataflow attributes (i.e., those that describe the authoritative source for the information required to represent any given quality data element)

HITEP also presents two example measures with suggestions regarding retooling modifications from the requirement for abstracting to an electronic format:

  • Antiplatelet therapy for coronary artery disease (in the ambulatory setting)
  • Venous thromboembolism prophylaxis (in the inpatient setting)

The NQF encourages members of the pubic to submit comments no later than June 30, 2009 at 6 p.m. EST. NQF members have until 6 p.m. EST July 7, 2009 to submit comments. Commentors may respond via e-mail to and include ‘QDS Dataflow’ in the subject line. Commentors should also include their contact information in the body of the e-mail.

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