Future Directions for the National Healthcare Quality and Disparities Reports
Table D-3: NQF-Endorsed Measures for Health Information Technology (He
Table D-3. NQF-Endorsed Measures for Health Information Technology (Health IT) Adoption and Use
|Measure title||Measure description|
|Adoption of medication e-prescribing||Documents whether provider has adopted a qualified e-prescribing system and the extent of use in the ambulatory setting.|
|Electronic health record (EHR) with electronic data interchange prescribing used in encounters where a prescribing event occurred||Of all patient encounters within the past month that used an EHR with electronic data interchange where a prescribing event occurred, how many used electronic data interchange for the prescribing event.|
|Adoption of health information technology||Documents whether provider has adopted and is using health information technology. To qualify, the provider must have adopted and be using a certified/qualified EHR.|
|The ability for providers with HIT to receive laboratory data electronically directly into their qualified/certified EHR system as discrete searchable data elements||Documents the extent to which a provider uses certified/qualified EHR system that incorporates an electronic data interchange with one or more laboratories allowing for direct electronic transmission of laboratory data into the EHR as discrete searchable data elements.|
|The ability to use health information technology to perform care management at the point of care||
Documents the extent to which a provider uses a certified/qualified EHR system capable of enhancing care management at the point of care. To qualify, the facility must have implemented processes within their EHR for disease management that incorporate the principles of care management at the point of care which include the following:
|Tracking of clinical results between visits||Documentation of the extent to which a provider uses a certified/qualified EHR system to track pending laboratory tests, diagnostic studies (including common preventive screenings) or patient referrals. The EHR includes provider reminders when clinical results are not received within a predefined timeframe.|
|Participation in a practice-based or individual quality database registry with a standard measure set||This registry should be capable of the following:
Participation in a systematic qualified clinical database registry involves the following:
|Participation by a physician or other clinician in systematic clinical database registry that includes consensus endorsed quality measuresa||Participation in a systematic qualified clinical database registry involves:
|Medical Home System Surveyb||Percentage of practices functioning as a patient-centered medical home by providing ongoing, coordinated patient care. Meeting Medical Home System Survey standards demonstrates that practices have physician-led teams that provide patients with:
a This endorsed measure is currently under review by experts to assess the issues raised by a "Request for Ad Hoc Review."
b The Medical Home System Survey was endorsed by NQF as an Health IT measure largely because of components (c, e, and f listed here) that refer to Health IT factors that enable medical home implementation. The specification of standards for medical homes regarding the use of electronic tools and data are listed in the cited report. The survey is also endorsed by NQF as a care coordination measure.
Source: NQF, 2008.