000004031 001__ 4031
000004031 005__ 20250424232917.0
000004031 0247_ $$2DOI$$a10.6083/16VSWP
000004031 037__ $$aETD
000004031 245__ $$aAssessing the benefits and challenges of Clinical Quality Language (CQL): a HL7 specification for representing logic criteria for clinical quality measures and clinical decision support
000004031 260__ $$bOregon Health and Science University
000004031 269__ $$a2018-09-01
000004031 336__ $$aThesis
000004031 502__ $$bM.S.
000004031 520__ $$aU.S. health care costs continue to rise, while the quality of care delivered is worse  than other nations; this has led to several decades of efforts around improving the quality and  value of U.S healthcare.   Historically, electronic clinical quality measures (eCQMs) have had  logic encoded in the Quality Data Model (QDM). Clinical Quality Language (CQL) is a new  HL7 standard for eCQM logic-expression replacing the QDM for 2019 eCQMs. Our objective  was to assess interpretability of human-readable CQL-representations of eCQMs compared to  QDM-representations, using a qualitative approach with a purposive sample of eCQM experts.  We found that individuals may have differing preferences for models of logic-expression that  delineate eCQM criteria, namely those around readability, temporal relations, logical operators,  inclusion of encounter-types, and description of initial patient populations. While there are some  potentially beneficial aspects of CQL specifications (e.g., temporal relations, readability,  abstraction) the rapid shift from HQMF/QDM to CQL presents a paradigm shift in which further  training materials, community forums, and examples may be required around CQL.
000004031 650__ $$aQuality of Health Care$$025031
000004031 650__ $$aQuality Indicators, Health Care$$032041
000004031 650__ $$aDecision Support Systems, Clinical$$032052
000004031 691__ $$aSchool of Medicine$$041369
000004031 692__ $$aDepartment of Medical Informatics and Clinical Epidemiology$$041422
000004031 7001_ $$aCholan, Raja$$uOregon Health and Science University$$041354
000004031 7201_ $$aDorr, David$$uOregon Health and Science University$$041354$$7Personal$$eAdvisor
000004031 8564_ $$952fe7241-f030-4ae3-b666-7bc7c65fff26$$s893669$$uhttps://digitalcollections.ohsu.edu/record/4031/files/cholan.raja.a.2018.pdf$$ePublic$$24c8ca54d3bfe6cc15984ccbcaf2227da$$31
000004031 905__ $$a/rest/prod/15/44/bp/40/1544bp405
000004031 909CO $$ooai:digitalcollections.ohsu.edu:4031$$pstudent-work
000004031 980__ $$aTheses and Dissertations