This is a pre-release version (Ballot 1) of Data Exchange For Quality Measures (DEQM) R1/STU. There is no current official version.
For a full list of available versions, see the Directory of published versions .

DaVinci Data Exchange For Quality Measures HomePage

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v0.1.0: STU 1 Ballot 1) based on FHIR R3. The current version which supercedes this version is 3.1.0. For a full list of available versions, see the Directory of published versions

• Summary
• Background
• How to read this Guide

Summary

The purpose of this implementation guide is to support value based care data exchange in the US Realm. However, this Implementation Guide can be usable for multiple use cases across domains, and much of the content is likely to be usable outside the U.S. Realm.

Interoperability challenges have limited many stakeholders in the healthcare community from achieving better care at lower cost. The dual challenges of data standardization and easy information access are compromising the ability of both payers and providers to create efficient care delivery solutions and effective care management models. To promote interoperability across value-based care stakeholders and to guide the development and deployment of interoperable solutions on a national scale, the industry needs common. This Implementation Guide is the first step in creating these common artifacts.

• Standards (FHIR)
• Implementation guides
• Reference implementations

​This Implementation Guide is based upon the prior work from the US Core, QI Core, and HEDIS Implementation Guides and their artifacts with support from the Da Vinci initiative which is a private effort to accelerate the adoption of HL7 Fast Healthcare Interoperability Resources (HL7® FHIR®) as the standard to support and integrate value-based care (VBC) data exchange across communities. As an HL7 FHIR Implementation Guide, changes to this specification are managed by the sponsoring Clinical Quality Information (CQI) and Clinical Decision Support (CDS) workgroups and are incorporated as part of the standard balloting process.

Background

Clinical quality measures (CQMs) are tools that help measure and track the quality of health care services that eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) provide. Measuring and reporting CQMs helps to ensure that our health care system is delivering effective, safe, efficient, patient-centered, equitable, and timely care. CQMs measure many aspects of patient care, including:¹

• Patient and Family Engagement
• Patient Safety
• Care Coordination
• Population/Public Health
• Efficient Use of Healthcare Resources
• Clinical Process/Effectiveness

Who are all the players in the Quality space?²

• Policy Directions on Quality
  • National Priorities Partnership, National Quality Strategy, CMS, ONC
• Measure Requesters
  • External demands of quality measures for accountability (CMS, NCQA, PCPI, The Joint Commission)
  • Internal demands for quality measures for improvement (quality improvement programs)
• Measure Developers (organizations that define clinical quality measure)
  • National Quality Forum, Measurement Development Partnership, NCQA, The Joint Commission
• Standards Developers
  • HL7, IHE, IHTSDO, Others
• EHR/Tool Developers
  • EHR vendors, quality reporting tool developers
• Measure Reporters and Users
  • Aggregators (organizations that collects measure data): Health Plans, Public Programs, Others
  • Providers: Healthcare organizations

Clinical Quality Measures Ecosystem and The Data Exchange For Quality Measures Implementation Guide

The Data Exchange For Quality Measures Implementation Guide fits into the clinical quality measures ecosystem at the interface between the Measure Reporters and User as illustrated in the figure² below with the red oval:

For further information about the Clinical Quality Framework.

How to read this Guide

This Guide is divided into several pages which are listed at the top of each page in the menu bar.

• Home: The home page provides the introduction and background for the Data Exchange For Quality Measures Implementation Guide.

• Guidelines and Overview: This page provides general guidance on a set of FHIR transactions that provide a general framework to enable the Exchange of Quality Measure Data between Data “Aggregators” (organizations that want to evaluate quality measures) and Providers (organizations that deliver care to patients).

• Use cases:
  • Medication Reconciliation (MRP): This page provides specific guidance on the FHIR API surrounding the process by which a message can be sent from a provider EHR to a Payer attesting that a medication reconciliation post-discharge was performed on a covered member.

• Profiles and Extensions: This page lists the set of Profile and Extension that are used in the DEQM transactions to exchange quality data.

• Operations: This page lists the standard FHIR and DEQM defined Operations that are used in the DEQM transactions to exchange quality data.

• Terminology: This page lists the value sets and code system defined in the DEQM guide and used in the DEQM transactions to exchange quality data.

• Capability statements: This set of pages describes the expected FHIR capabilities of the various DEQM actors.

• Downloads: This page provides links to downloadable artifacts for implementations.

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This Implementation Guide was made possible by the thoughtful contributions of the following people and organizations:

• The twenty-two founding Da Vinci Project member organizations.

• Eric Haas, Health eData Inc
• Bryn Rhodes
• Viet Nguyen, Stratametrics
• Jocelyn Keegan, Point of Care Partners
• Robert Dieterle, EnableCare
• Lloyd Mckenzie, Gevity
• Grahame Grieve

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