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Table D-3: NQF-Endorsed Measures for Health Information Technology (He

Future Directions for the National Healthcare Quality and Disparities

Table D-3. NQF-Endorsed Measures for Health Information Technology (Health IT) Adoption and Use

Measure titleMeasure description
Adoption of medication e-prescribingDocuments 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 occurredOf 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 technologyDocuments 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 elementsDocuments 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:

  1. The ability to identify specific patients by diagnosis or medication use.
  2. The capacity to present alerts to the clinician for disease management, preventive services and wellness.
  3. The ability to provide support for standard care plans, practice guidelines, and protocol.
Tracking of clinical results between visitsDocumentation 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 setThis registry should be capable of the following:
  1. Generating population based reports relating to published guideline goals or benchmarking data.
  2. Providing comparisons to the practitioner.
  3. Providing feedback that is related to guideline goals.
  4. Capturing data for one or more chronic disease conditions (i.e., diabetes) or preventive care measures (i.e., U.S. Preventive Services Task Force recommendations) for all patients eligible for the measures.

Participation in a systematic qualified clinical database registry involves the following:

  1. Physician or other clinician submits standardized data elements to registry.
  2. Data elements are applicable to consensus endorsed quality measures.
  3. Registry measures shall include at least two representative NQF consensus endorsed measures for registry's clinical topic(s) and report on all patients eligible for the selected measures.
  4. Registry provides calculated measures results, benchmarking, and quality improvement information to individual physicians and clinicians.
  5. Registry must receive data from more than five separate practices and may not be located (warehoused) at an individual group's practice. Participation in a national or statewide registry is encouraged for this measure.
  6. Registry may provide feedback directly to the provider's local registry if one exists.
Participation by a physician or other clinician in systematic clinical database registry that includes consensus endorsed quality measuresaParticipation in a systematic qualified clinical database registry involves:
  1. Physician or other clinician submits standardized data elements to registry.
  2. Data elements are applicable to consensus endorsed quality measures.
  3. Registry measures shall include at least two representative NQF consensus endorsed measures for registry's clinical topic(s) and report on all patients eligible for the selected measures.
  4. Registry provides calculated measures results, benchmarking, and quality improvement information to individual physicians and clinicians.
  5. Registry must receive data from more than 5 separate practices and may not be located (warehoused) at an individual group's practice. Participation in a national or state-wide registry is encouraged for this measure.
  6. Registry may provide feedback directly to the provider's local registry if one exists.b
Medical Home System SurveybPercentage 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:
  1. Improved access and communication.
  2. Care management using evidence-based guidelines.
  3. Patient tracking and registry functions.
  4. Support for patient self-management.
  5. Test and referral tracking.
  6. Practice performance and improvement functions.

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.

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Page last reviewed December 2010
Internet Citation: Table D-3: NQF-Endorsed Measures for Health Information Technology (He: Future Directions for the National Healthcare Quality and Disparities . December 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/final-reports/iomqrdrreport/futureqrdrapdtab3.html