Data Intermediary Tiger Team Workplan

March 22, 2013

Framework

PayersClinical Data Sources Intermediaries

Framework

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Agenda for 2013

• Create one or more strawman future state versions of actors and actions that include patients, providers, EHRs, data intermediaries and consumers of quality data (in addition to consumers and providers) such as payers and accreditation organizations.

• Solicit public comment on the strawman versions as a way to try to ensure that we have captured all the appropriate actors and actions.

• Obtain testimony on current state by asking representatives of existing data intermediaries to react to the strawman versions incuding how their current activities differ. An alternative approach, would be to somehow survey existing data intermediaries but these seemed too costly an approach

• Based on the above, develop recommendations for how intermediaries could contribute to improved data quality

• Develop recommendations on how to evolve EHRT certification and data governance to support intermediaries

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Short-term Agenda: AFTA 2012

• Review AFTA 2012 deeming of physician participation in PQRS

• Secretary must recognize physicians that are “satisfactorily participating” in “qualified” clinical data registries for payment programs

• Requires the Secretary to establish how to recognize a registry as qualified and suggests the following attributes:– ‘(I) has mechanisms for the transparency of data elements and specifications, risk

models, and measures; – ‘‘(II) requires the submission of data from participants with respect to multiple payers; – ‘‘(III) provides timely performance reports to participants at the individual participant

level; and – ‘‘(IV) supports quality improvement initiatives for participants.

Contribute recommendations on what additional attributes related to: • 1. Privacy and Security, • 2. Data quality (completeness, timeliness, etc), • 3. CEHRT Standards alignment (consume/produce CCDA or QRDA Level 3), • 4. Business Rules (Do or Do Not Share Data, Do of Do Not Sale Data, etc)