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<span>Respecifying Registry Measures to Electronic Clinical Quality Measures (eCQMs)</span>
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<span>Encoding Clinical Information</span>
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<span>Define Key Terms, Data Elements, Codes, and Code Systems</span>
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<span>Describe Level of Measurement &amp; Sampling</span>
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<span>Determine Risk Adjustment</span>
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<span>Measure Harmonization</span>
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<div property="schema:text" class="field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>When respecifying a measure for use in a new domain (e.g., new setting or <abbr tabindex="0" title="&lt;p&gt;The &lt;span class=&quot;glossify-exclude&quot;&gt;population&lt;/span&gt; is the total group of people of interest for a quality measure, sometimes called the target/initial &lt;span class=&quot;glossify-exclude&quot;&gt;population&lt;/span&gt;. The measure &lt;span class=&quot;glossify-exclude&quot;&gt;population&lt;/span&gt; is a defined subset appropriate to the measure set not excluded from the individual measure.&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">population</abbr>) or using a different <abbr tabindex="0" title="&lt;p&gt;&lt;span class=&quot;glossify-exclude&quot;&gt;Data sources&lt;/span&gt; are the primary source document(s) used for data collection (e.g., billing or administrative data, encounter form, enrollment form, patient medical record).&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">data source</abbr> (e.g., <abbr tabindex="0" title="&lt;p&gt;The &lt;span class=&quot;glossify-exclude&quot;&gt;electronic health record&lt;/span&gt; is also known as the electronic patient record, electronic medical record, or computerized patient record. As defined by the International Social Security Association, an &lt;span class=&quot;glossify-exclude&quot;&gt;EHR&lt;/span&gt; is a “longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting. Included in this information are patient demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data, diagnoses and treatment, medications, allergies, immunizations as well as radiology images and laboratory results.” International Social Security Association. (n.d.). &lt;em&gt;Information and communication technology - Guideline 91. electronic health record system&lt;/em&gt;. Retrieved November 1, 2023, from&amp;nbsp;&lt;a href=&quot;https://ww1.issa.int/guidelines/ict/180156&quot;&gt;https://ww1.issa.int/guidelines/ict/180156&lt;/a&gt;&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">electronic health record</abbr> [EHR] data), the measure developer should construct the <abbr tabindex="0" title="&lt;p&gt;&lt;span class=&quot;glossify-exclude&quot;&gt;Measure testing&lt;/span&gt; is the empirical analysis to demonstrate the reliability and validity of the measure as specified, including analysis of issues posing threats to the validity of conclusions about quality of care such as exclusions, risk adjustment/stratification for outcome and resource use measures, methods to identify differences in performance, and comparability of data sources/methods.&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">measure testing</abbr> to detect important changes in the functionality or properties of the measure. As applicable, review changes in</p><ul><li>relative frequency of critical conditions used in the existing measure <abbr tabindex="0" title="&lt;p&gt;&lt;span class=&quot;glossify-exclude&quot;&gt;Specifications&lt;/span&gt; are measure instructions addressing data elements, data sources, point of data collection, timing and frequency of data collection and reporting, specific instruments used (if appropriate), and implementation strategies.&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">specifications</abbr> when applied to a new setting/population, e.g., dramatic increase in the occurrence of exclusionary conditions</li><li><abbr tabindex="0" title="&lt;p&gt;The importance criterion is the extent to which the specific measure focus is important to making significant gains in health care quality (e.g., safety, timeliness, effectiveness, efficiency, equity, patient centeredness) and improving health outcomes for a specific high-impact aspect of health care where there is variation in or overall poor performance.&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">importance</abbr> of the existing measure in a new setting, e.g., an existing measure addressing a highly prevalent condition may not show the same prevalence in a new setting, or evidence large disparities or suboptimal care found using the existing measures setting/population may not exist in the new setting/population</li><li>location of data or the likelihood data are missing, e.g., an existing outpatient measure using an claims data source for medications in the <abbr tabindex="0" title="&lt;p&gt;A criterion is an accepted standard, principle, or rule used to make a decision or to inform an evaluators judgment.&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">criteria</abbr> specification, when applied to Medicare patients in an inpatient setting, the measure developer may need modify to use patient record abstraction because Medicare Part A claims do not contain medication information due to bundling</li><li>frequency of codes observed in stratified groups when applying the measure to a new setting or subpopulation</li><li><abbr tabindex="0" title="&lt;p&gt;&lt;span class=&quot;glossify-exclude&quot;&gt;Risk adjustment&lt;/span&gt; is a mathematical model applied to a quality measure correcting for differing characteristics within a population, such as patient health status. Its purpose is a fairer and more accurate comparison of outcomes of care across health care organizations or clinicians. Measure developers usually apply &lt;span class=&quot;glossify-exclude&quot;&gt;risk adjustment&lt;/span&gt; models to outcome and cost/resource use measures.&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">risk adjustment</abbr> model or changes that make the previous risk adjustment model inappropriate in the new setting/population</li></ul><p>Specific to respecified <abbr tabindex="0" title="&lt;p&gt;An electronic clinical quality measure (eCQM) is a measure specified in a standard electronic format that uses data electronically extracted from electronic health records and/or health information technology systems to measure the quality of health care provided. Electronic Clinical Quality Improvement Resource Center. (n.d.) &lt;em&gt;Glossary&lt;/em&gt;. Retrieved May 22, 2024, from&amp;nbsp;https://ecqi.healthit.gov/glossary&lt;/p&gt;" class="glossify-tooltip-tip" lang="en">electronic clinical quality measures</abbr> (eCQMs), initial <abbr tabindex="0" title="&lt;p&gt;&lt;span class=&quot;glossify-exclude&quot;&gt;Feasibility criteria&lt;/span&gt; is the extent to which the specifications, including measure logic, require data that are readily available or easily captured without undue burden and implemented for performance measurement.&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">feasibility</abbr> analysis findings are typically more qualitative, and the measure developer must confirm them by more detailed quantitative analysis and testing. Initial feasibility analysis may uncover significant industry readiness, workflow, burden, or standards constraints requiring mitigation and/or rethinking the viability of moving forward with respecification. The measure developer can complete initial feasibility assessments using the <a href="https://p4qm.org/sites/default/files/2024-07/eCQM-Feasibility-Scorecard-v2.xlsx">eCQM Feasibility Scorecard</a>. Use the Feasibility Scorecard to assess&nbsp;</p><ul><li>the availability of the <abbr tabindex="0" title="&lt;p&gt;A data element is a basic unit of information with a unique meaning and subcategories (data items) of distinct value. National Institute of Standards and Technology. (n.d.). &lt;em&gt;Data element&lt;/em&gt;. Computer Security Resource Center. Retrieved November 1, 2023, from&amp;nbsp;&lt;a href=&quot;https://csrc.nist.gov/glossary/term/data_element&quot;&gt;https://csrc.nist.gov/glossary/term/data_element&lt;/a&gt;&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">data element</abbr> in the EHR in a structured format</li><li>the accuracy of the data element</li><li>if the measure developer coded the data element using recommended standards</li><li>the impact of capturing the data element in the workflow</li></ul><p>The components of the Scorecard assess current state data element feasibility but will not inherently provide an assessment of future data element feasibility. For example, workflow or technology changes could make data elements feasible to support respecifying registry measures to eCQMs. Therefore, the measure developer should ensure that, in cases where a respecified data element is currently not feasible, they include qualitative information about the near-term potential and level of effort to improve feasibility.</p><p>Confirming collection and storage of required data elements by the EHR reduces the risk of rework and course correction during measure respecification, which may delay the completion of the eCQM. The decision tree may be helpful in determining which data elements are critical to the eCQM. Identifying the most appropriate data elements is critical to ensure the measures intent does not change. If the measure developer cannot substitute <abbr tabindex="0" title="&lt;p&gt;A &lt;span class=&quot;glossify-exclude&quot;&gt;critical data element&lt;/span&gt; is an element contributing most to the computed measure score, meaning it accounts for identifying the greatest proportion of the target condition, event, or outcome being measured (numerator); the target population (denominator); population excluded (exclusion); and when applicable, risk factors with largest contribution to variability in outcome.&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">critical data elements</abbr> or substitution will change the intent of the measure, then developing a de novo eCQM may be the only option.</p></div>
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<figcaption><em>Decision Tree to Assist in Determining <abbr tabindex="0" title="&lt;p&gt;A data element is a basic unit of information with a unique meaning and subcategories (data items) of distinct value. National Institute of Standards and Technology. (n.d.). &lt;em&gt;Data element&lt;/em&gt;. Computer Security Resource Center. Retrieved November 1, 2023, from&amp;nbsp;&lt;a href=&quot;https://csrc.nist.gov/glossary/term/data_element&quot;&gt;https://csrc.nist.gov/glossary/term/data_element&lt;/a&gt;&lt;/p&gt; " class="glossify-tooltip-tip" lang="en">Data Element</abbr> Criticality</em></figcaption>
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