Harmonization is the standardization of specifications for related measures with the same measure focus (for example, influenza immunization of patients in hospitals or nursing homes); related measures for the same target population (for example, eye exam and HbA1c for patients with diabetes); or definitions applicable to many measures (for example, age designation for children) so that they are uniform or compatible, unless differences are justified (in other words, dictated by the evidence). The dimensions of harmonization can include numerator, denominator, exclusions, calculation, and data source and collection instructions. The extent of harmonization depends on the relationship of the measures, the evidence for the specific measure focus, and differences in data sources. Value sets used in measures (especially eCQMs) should be harmonized when the intended meaning is the same. Harmonization of logic in eCQMs is beneficial when the data source in the EHR is the same. Harmonization can also mean adoption of the same standard(s) for different purposes such as use of standards for eCQMs and clinical decision support (CDS), for example Clinical Quality Language for logic expression in eCQMs and CDS.
Per the Health Information Technology for Economic and Clinical Health Act, the term health information technology (IT) means hardware, software, integrated technologies or related licenses, intellectual property, upgrades, or packaged solutions provided as services that are designed for or support the use by healthcare entities or patients for the electronic creation, maintenance, access, or exchange of health information.
A health IT developer/vendor is an entity that designs, develops, and/or markets health IT software application(s) for use in hospitals, ambulatory care settings, and/or specialty care delivery settings, e.g., EHR developer, EHR vendor, quality reporting software developer, quality reporting software vendor.
Health Level Seven International (HL7) is a standards-developing organization that provides a framework and standards for the exchange, integration, sharing, and retrieval of electronic health information that supports clinical practice and the management, delivery, and evaluation of health services.
A healthcare consumer is an individual who uses the services of a healthcare provider e.g., patient receiving care in a hospital, provider's office, or a client in a community mental health center. Retrieved from the IGI Global webpage on Health consumers.
A healthcare payer is any payer of healthcare services other than the insured person, e.g., insurance company, Health Maintenance Organization, Preferred Provider Organization, or the federal government.
Healthcare Service Location (HSLOC) is a classification of locations and settings where healthcare services are provided which can be used to identify locations within a facility, such as the Emergency Department (ED) and medical intensive care unit (ICU).
A hybrid measure is a quality measure that uses both claims data and clinical data from electronic health records (EHRs) for calculating measure.
Hypertext Markup Language (HTML) is the standard markup language for creating web pages and web applications.