Track 3: Patient-Centered Outcomes

Patient-Centered Outcomes: Integrating Social Determinants, Patient Experience and Patient-Reported Outcomes into Quality Measurement

About This Track

Designed for participants from all backgrounds and stakeholder partners, this track examines innovative approaches to measuring patient outcomes, investigating health equity from the patient perspective and using FHIR for patient-reported outcome data.

How the new digital measure specification formats can create opportunities for addressing patient-centered quality. This track will examine the implications for Community Healthcare Centers (CHC) and the special considerations of CHC populations in a digital quality reporting world.

Special focus on PRO data collection for:

  • Depression
  • Oncology
  • Orthopedics
  • Rheumatoid arthritis

Track Leads

Julia Skapik, MD

Julia Skapik, MD, MPH, FAMIA is a board-certified Internist and Clinical Informaticist serving as the Medical Director of Informatics at the National Association of Community Health Centers. Currently, she is working with the CDC on a health center-based approach to COVID-19 and other emerging threats that can be launched and integrated into community health settings and IT systems to respond as effectively as possible using human-centered technology solutions.

Julia completed more than 6 years of federal service as a Senior Medical Informatics Officer at the Office of the National Coordinator for Health Information Technology (ONC), where she facilitated electronic clinical quality measure (eCQM) development and testing, led ONC’s role in the creation of the Value Set Authority Center at the National Library of Medicine, acted as the lead technical/clinical advisor on ONC certification and policy on quality measures and transitions of care, and ran the ONC-CMS Tacoma contract to harmonize data elements, models and expression language standards across clinical decision support and eCQMs. Before she came to NACHC, she was the CMIO for Cognitive Medical Systems, a health IT startup where she aided the company’s entry into the HHS market.

Julia completed her M.D. and M.P.H. in Epidemiology and Biostatistics at the Johns Hopkins University, her residency in general internal medicine at the University of Pittsburgh Medical Center, and currently moonlights at Inova Mount Vernon Hospital in Alexandria, Virginia as a hospitalist. She was recently selected as a fellow of the American Medical Informatics Association.

Carol Macumber, MS, PMP, FAMIA

Carol Macumber, Clinical Architecture’s EVP of Client Services, brings over 15 years of experience spanning across project management, enterprise software development and maintenance, and consulting. She has a Master’s degree in biomedical engineering and Project Management Professional (PMP) designation. Her experience includes implementing value set authoring best practices for quality measurement authors including NCQA and PCPI, deploying terminology authoring tools at Canada Health Infoway, Canada’s National Release Center for SNOMED CT, and Terminology Asset Management capacity building for the Philippine Department of Health. Carol is well respected in the health IT community and was the elected Affiliate Forum representative to the IHTSDO Technical Committee, is the Vice-chair of the HL7 Terminology Authority, a Co-Chair of the HL7 Vocabulary Working Group and a Fellow of the American Medical Informatics Association (FAMIA).

Track Faculty

Chris Dymek, EdD

Chris Dymek, EdD leads the work of the Division of Digital Healthcare Research within the Agency for Healthcare Research and Quality’s (AHRQ’s) Center for Evidence and Practice Improvement. She is a computer scientist and health services researcher who is dedicated to advancing the productive use of digital technologies within healthcare.

Prior to joining AHRQ, Chris was a program manager in the HHS Office of the Assistant Secretary for Planning and Evaluation where she led the HHS effort, supported by the Patient-centered Outcomes Research Trust Fund, to build data capacity for patient-centered outcomes research. Chris has also held senior researcher positions within the Westat Center for Health Information Technology (IT) and the National Opinion Research Center (NORC) at the University of Chicago. Preceding her work at Westat and NORC, she led an electronic medical record implementation for five Adventist Healthcare facilities. She also served as Chief Technology Officer and Product Development Executive at the Commission on the Accreditation of Rehabilitation Facilities.

In addition to her work in the health and human services sector, Chris has directed large scale IT implementations as well as re-engineering and organization effectiveness efforts for the electric utility industry.

Michael Klotz

Michael is a Healthcare IT entrepreneur, consultant and expert in the flow of data between patients, providers and payers (the healthcare data ecosystem), healthcare interoperability, digital quality and digital prescriptions. He applies his understanding of technology and standards, including HL7 FHIR, the regulatory environment, NCQA’s quality measures, the emerging digital quality standards (QDM-CQL, FHIR-CQL) and NCPDP standards to simplifying and automating secure data exchanges between patients, providers and payers.

Michael has built three successful companies, brought the first SaaS platforms for Medical Records Review to market and has been delivering strategic solutions for 120+ consulting clients for over 20 years.

Anne Smith, MHSA, RN, BSN

Anne Smith is the Assistant Vice President in Performance Measurement at the National Committee for Quality Assurance (NCQA).  Her areas of responsibility include HEDIS publications and working with the digital measure authors.

Prior to joining NCQA, Anne was Project Analyst at UnitedHealthCare where she worked to ensure data validity as a liaison between research sponsors and programming staff. Research projects included a Stroke PORT for the AHCPR, “Evaluation of Treatment Outcome for Children with Acute Otitis Media Using an HMO Claims Database” with the Center for Disease Control, and a clinical profiling pilot project.  Eventually, Anne focused on managing the integration of data and production of HEDIS reports for UnitedHealthCare health plans.

In addition, she participated in several NCQA committees, including the Technical Advisory Group and the Audit Methodology Panel.  Anne holds a Bachelor of Science in Nursing from St. Olaf College and a Masters in Health Services Administration with an emphasis on Health Information Sciences from the University of Phoenix.

Lisa Anderson, MSN, RN-BC

Lisa Anderson is currently an Assistant Director, eCQM Validation, in the Department of Measure Certification at the National Committee for Quality Assurance (NCQA). In this role, she manages NCQA’s eCQM certification program for Promoting Interoperability measures. Ms. Anderson also collaborates with peers in the development of emerging standards for quality measurement and interoperability by representing NCQA on the HL7 Clinical Quality Information and Structured Documents Work Groups, and representing NCQA at LOINC Committee meetings, in which she serves as the co-chair for the Nursing Subcommittee.

Ms. Anderson is a member of the CMS eCQM Governance Group. She is contracted through Mathematica Policy Research to support both the maintenance of inpatient hospital eCQMs, and the development and testing of new measures under the CMS Measure Instrument Development and Support (MIDS) contract.

Prior to joining The Joint Commission, Ms. Anderson served in a variety of positions in the Chicago area including a project director at The Joint Commission, clinical informatics specialist, a clinical systems analyst-specialist, an informatics nurse educator, a pediatric intensive care unit/staff nurse, and an adult critical care/staff nurse.

Ms. Anderson is a member of Healthcare Information Management Systems Society (HIMSS). She has Yellow Belt and Change Agent certifications from The Joint Commission, and Nursing Informatics RN-BC certification from the American Nurses Credentialing Center (ANCC).

Ms. Anderson received a Master of Science in Nursing, Health Systems Management from the Marcella Niehoff School of Nursing at Loyola University Chicago, and a Bachelor of Science in Nursing from Purdue University Calumet, Hammond, IN. She also holds a certificate in Healthcare Informatics from Loyola University Chicago.

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