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Driving Quality and Performance Measurement - A Foundation for Clinical Decision Support - NQF

Driving Quality and Performance Measurement - A Foundation for Clinical Decision Support - NQF

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Published by Rich Elmore

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Published by: Rich Elmore on Jan 07, 2011
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02/01/2014

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Driving Quality and PerormanceMeasurement—A Foundation orClinical Decision Support
A CONSENSUS REPORT
 
The National Quality Forum (NQF) operates under a three-part mission to improve thequality o American healthcare by:
•
building consensus on national priorities and goals or perormance improvementand working in partnership to achieve them;
•
endorsing national consensus standards or measuring and publicly reporting onperormance; and
•
promoting the attainment o national goals through education and outreach programs.
This work was partially supported by the Department o Health and Human Services.Recommended Citation: National Quality Forum (NQF),
Driving Quality and Perormance Measurement—A Foundation or Clinical Decision Support: A Consensus Report,
 
Washington, DC: NQF; 2010.© 2010.
National Quality Forum
All rights reservedISBN 978-0-9828421-2-6No part o this report may be reproduced, stored in a retrieval system, or transmitted, inany orm or by any means electronic, mechanical, photocopying, recording, or otherwise,without prior permission o the National Quality Forum. Requests or permission to reprintor make copies should be directed to:PermissionsNational Quality Forum601 13th Street NWSuite 500 NorthWashington, DC 20005Fax 202-783-3434
 www.qualityorum.org
National Quality Forum
 
Driving Quality and Performance Measurement—
 A Foundation for Clinical Decision Support: A Consensus Report
i National Quality Forum
Foreword
INCREASING DEPLOYMENT, ADOPTION, AND MEANINGFUL
use o electronichealth records (EHRs) and health IT systems in the United States oers great potential to im-prove the quality, saety, and eectiveness o healthcare. An important means to advancethis goal is to measure perormance, ensuring that relevant clinical knowledge is availableat the point o care and implemented in a manner that promotes optimal care delivery. Todo so, EHRs must, at a minimum, capture and make available essential inormation tradi-tionally ound in paper medical records and then match patient inormationwith relevantclinical knowledge, thereby helping users incorporate that knowledge into decisionmaking.Clinical decision support (CDS) is an essential capability in health IT systems that makesthis possible. However, achieving this goal requires that CDS users dene and understanddecision support in the same way, that is, share a common description o CDS. A commondescription, classication, or “taxonomy” o CDS should assist health IT system developers,system implementers, and the quality improvement community to develop tools, content,and procedures that are compatible and enable comprehensive use o CDS, therebyimproving delivery o appropriate, evidenced-based care.In November, 2009, the National Quality Forum (NQF) convened the CDS Expert Panel,with broad representation rom the healthcare community, to develop a taxonomy or CDS.The CDS Expert Panel builds on the work o NQF’s Health Inormation Technology ExpertPanel (HITEP), which developed the Quality Data Set (QDS). The QDS is an inormation
model that lays the oundation or automatic, patient-centric, longitudinal quality measurement.
 This document describes the development o the NQF CDS Taxonomy, the relationshipbetween quality measurement and CDS, and the mapping o the Taxonomy to the QDSModel.NQF thanks the CDS Expert Panel, the Expert Panel’s Chair, Michael Krall, MD, andVice Chair, Jane Metzger, and NQF members or their contributions to the development oa CDS taxonomy that builds a relationship between quality measurement and clinicaldecision support.
 Janet M. Corrigan, PhD, MBAPresident and Chie Executive Ofcer

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