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Alliance for Pediatric QualityHIT Program OverviewApril 2009

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Alliance HIT Mission…

Through leadership, alignment, and collaboration…

Ensure that health information technology works for children

by supporting development of standards that incorporate pediatric requirements

and advocating for HIT that enables systematic improvement.

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Alliance Strategy

Work for consensus and speak with one voice for pediatric quality and health information technology.

Endorse and promote projects that advance our objectives for quality and health information technology in children’s health care.

Convene stakeholders in children’s health care on key quality and health information technology issues.

Advocate for policy, standards, systems, and products that will improve the quality of children’s health care.

As a collaborator and consensus-driven organization, the Alliance does not duplicate efforts.  Rather, it convenes all stakeholders in children’s healthcare and speaks with one voice to elevate quality and health information technology issues that affect quality for children. Four key strategies drive its efforts.

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National HIT Emphasis: Why is this important?

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Numerous Initiatives Underway to Support National Goals

for Adoption and Interoperability of EHR Systems

Problem: Children are nearly one third of the population. They receive care through HIT in a variety of settings. National efforts are largely adult-focused; Pediatric efforts for influence are isolated and duplicative.

Opportunity: Work together as pediatric HIT community with one strong voice to influence national initiatives and ensure needs of child healthcare are addressed.

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Alliance forPediatricQuality

Identify Requirements

Influence Adoption

Set National Agenda

HIMSS Pediatric Health Informatics & Technology SIG

eHealth CollaborativeHealth Level Seven (HL7) Child HealthWork Group

AAPCouncil on

Clinical Information

Technology

Adopt Standards

Health InformationTechnology

vendors

Child health practitioners,

cliniciansand hospitals

Desired Outcomes

Reduce system implementation

costs due to duplication and customization

Enable pediatric performance

measurement by improving

interchange of standardized information

Support safe care for children

Support work, convene, build

consensus, endorse and

advocate

HHS: Coordinator

What is the HIT strategy for influence?

Develop and Pilot Standards

HL7, SNOMED…

Nationwide Health Info Networks

Integrating the Healthcare Enterprise

NQF HIT Expert Panel

Vendor Consortia

Certify Products

CCHIT

Harmonize Standards

HIT Standards Panel

NACHRI Pediatric Advisory Council

CHCA CIO and CMIO Forums

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AAP HL7 Child Health HL7 CCHIT

Published EMR Position Papers

Developed Pediatric EHR

Functions

Published Pediatric EHR-

Functional Model

Standard

Influenced EHR Vendor

Certification Criteria

Alliance Coordination, Support and Endorsement

Vendor Compliance & Certification;

Provider Adoption

What is our strategy for influence? An example…

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2009 HIT Program Goals

1. Promote development of data standards2. Influence industry-wide adoption3. Advance use of HIT in supporting

performance improvement

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2009 HIT Program Goals and Objectives

1. Promote development of national data standards Foster development of national community of stakeholders Build pediatric consensus on new data standards2. Influence industry-wide adoption of data standards Engage in national efforts that evaluate vendor adoption of

data standards Encourage vendor/provider adoption of data standards Recognize vendors that adopt data standards3. Advance use of HIT in supporting Improvement

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Background: Activities to influence national HIT

2001: AAP publishes report on pediatric requirements for EHR systems2003: CHCA helps form pediatric data standards work group within HL72003: CHCA provides HL7 co chair and CHCA member volunteer support2004: President goal for most Americans access secure EHRs by 20142005: ONCHIT, AHIC, HITSP, CCHIT and NHIN formed2006: Alliance for Pediatric Quality formed; HIT program emphasis

2007: AAP publishes update to 2001 report on pediatric requirements for EHR systems2007: CHCA supports member volunteers in HL72007: HL7 standards for EHR functionality accepted by ANSI, addresses child health2007: Alliance lobbies CCHIT to form child health work group2007: Alliance HIT director selected as CCHIT child health work group co chair2007: HL7 standards used as baseline for certification criteria2007: NACHRI helps form pediatric group within HIMSS; Provides co chair2007: Alliance study proves feasibility of HL7 standards for reporting quality measures

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Background: Activities to influence national HIT2008: HL7 pediatric group ballots child health standards for EHR systems2008: HL7 child health work accepted by ANSI as national standard2008: Alliance supports 11 pediatric CCHIT volunteers in work groups2008: Child health certification criteria published; 12 EHR vendors certified2008: CHCA supports member volunteers in HL72008: CHCA and NACHRI provide co chairs for HIMSS pediatric group2008: HITSP publishes immunization interoperability standards referencing HL7 work2008: CHCA helps develop HL7 data standard for reporting quality measures (QRDA)2008: NHIN demos QRDA; HITSP recommends

2009: ARRA includes significant appropriations for HIT dev, certification and adoption2009: CHIPRA includes funding to develop model EHR format for children in Medicaid/CHIP2009: NQF to develop standard for computable quality measures; QRDA compatibility2009: CHCA to align with NQF quality data standards work2009: Alliance volunteers complete gap analysis of HL7 and CCHIT certification criteria2009: Alliance works to influence CCHIT roadmap criteria on behalf of pediatrics2009: CHCA supports member volunteers in HL72009: NACHRI forms HIT advisory group

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