United States Health Information Knowledgebase

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Slide 1

United States Health Information Knowledgebase

AHRQ Conference 2012
09/10/2012

Slide 2

USHIK and Meaningful Use

The Meaningful Use portal allows a user to:

• View "at a glance requirements" for meeting Meaningful Use Stage 1 or Stage 2.
• Displays the tables from the Final Rule including links to the measure details.
• Search for measures, key words, and quality data elements throughout the MU portal.
• Provides links to the Centers for Medicare > Medicaid Services (CMS) and Office of the National Coordinator for Health Information Technology (ONC) to receive more detailed information regarding Meaningful Use including the Final Rule.
• FAQ for multiple topics of MU.

Slide 3

View "snapshot requirements" for meeting Meaningful Use Stage 1

Image: A screenshot of the USHIK site shows the requirements and objectives, the quality measures, and the final rules published in the Federal Register for Meaningful Use, Stage 1.

Slide 4

View "snapshot requirements" for meeting Meaningful Use Stage 2

Image: A screenshot of the USHIK site shows the requirements and objectives, the quality measures, and the regulations published in the Federal Register for Meaningful Use, Stage 2.

Slide 5

USHIK and Meaningful Use

The Meaningful Use portal allows a user to:

• View the MU Stage 1 and Stage 2 (TBD) Clinical Quality Measures and the associated NQF Quality Data Elements.
• View the MU Stage 1 and Stage 2 Core and Menu Measures.
• Compare Clinical Quality Measures side-by-side for similarities and differences (compare the July and October versions of the same measure or view and compare multiple measures).
• Export measure details in xml, Excel or pdf formats.
• Click on ICD-9, LOINC and SNOMED-CT codes to receive the NLM description of the code.

Slide 6

Image: A screenshot shows a sample comparison report for Meaningful Use.

Slide 7

APCDs are databases that collect health care claims data from a variety of payer sources. These databases typically created by a state mandate, include data from medical claims, pharmacy claims, eligibility files, provider (physician and facility) files, and dental claims from private and public payers.

• Payers include insurance carriers, third party administrators (TPAs), pharmacy benefit managers (PBMs), dental benefit administrators, Medicaid, Children's Health Insurance Program (CHIP), Medicare, Medicare Part D, Federal Employees Health Benefits (FEHB), and TRICARE.

Images: A color-coded map of the United States shows which States have existing All-Payer Claims Databases (APCDs), which are in the process of implementation, which have a strong interest, and which have no current activity. A screenshot in the upper left corner of the slide shows the logo for the APCD Council under AHRQ's banner.

Slide 8

• View screen capture comparing state data admission type.

Image: A screenshot shows two sample data tables comparing admission type by identifying and definitional attributes and relational and representational attributes.

Slide 9

• Identify harmonized data between States and Standards.

Images: Two screenshots shown color-coded maps of the United States. Next to the smaller map, in the upper left corner of the screen, is a list of all the States; most of the State names are on buttons with a white background, but the States that have existing APCDs are on a dark blue background to match the States' color on the map. Each dark blue button also has an arrow pointing down before the State name. The second, larger map is the same, but on the list of States, Maine and Tennessee are highlighted in green. These two States are also colored green on the map.

Slide 10

Image: A screenshot shows a sample data table presenting information about Maine and Tennessee; small green circles represent harmonized data elements.

Slide 11

S&I Framework

• The Standards and Interoperability (S&I) Framework is an investment by the country in a set of harmonized interoperability specifications to support national health outcomes and healthcare priorities, including Meaningful Use, the Nationwide Health Information Network, and the ongoing mission to create better care, better population health and cost reduction through delivery improvements.
• The S&I Framework is a collaborative community of volunteers from the public and private sectors who are focused on providing the tools, services.
• And guidance to facilitate the functional exchange of health information.

Image: The logo of the S&I Framework is shown.

Slide 12

USHIK S&I Framework Portal captured the artifacts of the work groups and initiatives in order that they may be harmonized, reused and/or repurposed toward interoperable exchange in a standardized manner.

Image: A screenshot of the USHIK site shows the S&I Information Model. At the side of the screen is a text note:

• Information Model Navigation.
• Left Panel Navigation.

Slide 13

• View snap shot Core Matrix drill down to inputs and outputs via User Stories and Scenarios.
• Includes not only data elements, but actors and actions.

Image: A screenshot shows a sample data table captioned "Informational Model."

Slide 14

• View "screen capture" Data objects used in Use Cases mapped to Meaningful Use Measures.

Image: A screenshot shows a sample Diagnosis page that displays information about identifying and definitional attributes, administrative attributes, and data elements related to diagnosis.