“We'd like to shift the conversation away from a set of quality measures” and move instead to a focus on ways to improve the quality of care, Reider said. “This is going to take us a while to make this turn, but it is a very important turn.”
During a question and answer session that followed, Reider was asked how ONC was considering driving the change.
“We'd like to hear from you all; where do you measure things that aren't part of any federal program?” he said.
The Stage 1 criteria under the federal EHR incentive payment program, which includes a menu of clinical quality measures providers had to meet to achieve meaningful use and qualify for federal electronic health-record incentive payments were “put together very quickly with the best of intentions,” Reider said.
But the government is aware of complaints from providers and EHR system developers—including two delivered to him from the audience at the event—that meeting the incentive payment program's meaningful-use requirements is drawing time and energy away from their other IT system and quality-of-care improvement efforts.
The meaningful-use program had 816 discrete data elements that need to be collected, he said, but even so, “Some would argue that we're looking for our car keys under the streetlight” by limiting the measures that count for meaningful use to a specified list.
Going forward, ONC's role will be to “empower others to develop great measures,” he said. Disruption to provider workflows from gathering data for and reporting on those measures should be minimized.
How that policy shift will be implemented remains an ONC work in progress, Reider said.
Follow Joseph Conn on Twitter: @MHJConn