NQF Endorses Pulmonary and Critical Care Measures – National Quality Forum [US] – 31 July 2012

Posted on August 2, 2012. Filed under: Clin Governance / Risk Mgmt / Quality, Intensive Care, Respiratory Medicine | Tags: , , , , , |

NQF Endorses Pulmonary and Critical Care Measures – National Quality Forum [US] – 31 July 2012

“Washington, DC – the National Quality Forum (NQF) Board of Directors has endorsed 19 measures related to pulmonary conditions and the critical care setting. The measures focus on treatment processes and outcomes for asthma, chronic obstructive pulmonary disease (COPD), and pneumonia.”

“The measures include those that have been endorsed for at least three years and are now undergoing NQF endorsement maintenance. The ongoing evaluation and updating of endorsed measures ensures they are current and relevant to NQF’s pulmonary/critical care portfolio. In all, 35 measures were evaluated against NQF’s endorsement criteria; 19 received endorsement status. Three were new measures and 16 were maintenance measures. Further harmonization efforts are underway for a sub-set of measures. Three measures are still under review.”

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NQF Endorses Renal Measures – National Quality Forum [US] – 2 April 2012

Posted on April 10, 2012. Filed under: Nephrology | Tags: |

NQF Endorses Renal Measures – National Quality Forum [US] – 2 April 2012

…”the National Quality Forum (NQF) Board of Directors has approved for endorsement 12 quality measures on renal care. The measures address a range of care concerns, for chronic kidney disease, end stage renal disease, and dialysis treatment.

For this project, NQF endorsed measures focused on care concerns such as mortality rates for facility dialysis patients, and hemoglobin levels in chronic kidney disease patients. NQF also endorsed measures related to vascular access and minimum dose with dialysis treatment and lipid profiles in chronic kidney disease patients. In all, 33 measures were evaluated against NQF’s endorsement criteria by a panel of providers, measurement experts, and consumer representatives; 12 measures were endorsed.”

Endorsed Measures

Mortality
0369: Dialysis Facility Risk-adjusted Standardized Mortality Ratio (CMS)

Anemia
1666: Patients on Erythropoiesis Stimulating Agent (ESA)–Hemoglobin Level>12.0 g/dL (AMA-PCPI)
1667: (Pediatric) ESRD Patients Receving Dialysis: Hemoglobin Level<10g/dL 13 (AMA-PCPI)

Cardiovascular
1668: Laboratory Testing (Lipid Profile) (AMA)

Dialysis Adequacy
0249: Hemodialysis Adequacy Clinical Performance Measure III: Hemodialysis Adequacy–HD Adequacy–Minimum Delivered Hemodialysis Dose (CMS)
0323: Hemodialysis Adequacy: Solute (AMA-PCPI)
0318: Peritoneal Dialysis Adequacy Clinical Performance Measure III – Delivered Dose of Peritoneal Dialysis Above Minimum (CMS)
0321: Peritoneal Dialysis Adequacy: Solute (AMA-PCPI)

Mineral Metabolism
0255: Measurement of Serum Phosphorus Concentration (CMS)

Vascular Access
0251: Vascular Access—Functional AVF or AV Graft or Evaluation for Placement (Kidney Care Quality Alliance)
0256: Hemodialysis Vascular Access- Minimizing use of catheters as Chronic Dialysis Access (CMS)
0257: Hemodialysis Vascular Access- Maximizing Placement of Arterial Venous Fistula (AVF)

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NQF Endorses Perinatal Measures – National Quality Forum [US] – 2 April 2012

Posted on April 10, 2012. Filed under: Clin Governance / Risk Mgmt / Quality, Obstetrics | Tags: |

NQF Endorses Perinatal Measures – National Quality Forum [US] – 2 April 2012

…”the National Quality Forum (NQF) Board of Directors has approved for endorsement 14 quality measures on perinatal care. The measures address a wide range of care concerns, including childbirth, pregnancy and post-partum care, and newborn care.”

For this project, NQF endorsed measures related to elective delivery, episiotomy, and caesarean section rates, as well as prophylactic antibiotic rates for women undergoing cesarean sections. NQF also endorsed measures dealing with hepatitis B vaccination rates for newborns, neonatal bloodstream infection rates, and exclusive breastfeeding rates during hospitalization. In all, 22 measures were evaluated against NQF’s endorsement criteria by a panel of providers, measurement experts, and consumer representatives; 14 measures were endorsed.”

Endorsed Measures

0469: PC-01 Elective Delivery (Joint Commission)
0470: Incidence of Episiotomy (Christiana Care Health System)
0471: PC-02 Cesarean Section (Joint Commission)
0472: Appropriate Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision– Cesarean Section (Massachusetts General Hospital/Partners Health Care System)
0473: Appropriate DVT Prophylaxis in Women Undergoing Cesarean Delivery (Hospital Corporation of America)
0475: Hepatitis B Vaccine Coverage Among All Live Newborn Infants Prior to Hospital or Birthing Facility Discharge (Centers for Disease Control and Prevention)
0476: PC-03 Antenatal Steroids (Joint Commission)
1746: Intrapartum Antibiotic Prophylaxis for Group B Streptococcus (GBS) (Massachusetts General Hospital)
0477: Under 1500g infant Not Delivered at Appropriate Level of Care (California Maternal Quality Care Collaborative)
0478: Neonatal Blood Stream Infection Rate (NQI #3) (Agency for Healthcare Research and Quality)
1731: Health Care-Associated Bloodstream Infections in Newborns (Joint Commission)
0304: Late Sepsis or Meningitis in Very Low Birth Weight (VLBW) Neonates (risk-adjusted) (Vermont Oxford Network)
0480: PC-05 Exclusive Breast Milk Feeding (Joint Commission)
0483: Proportion of Infants 22 to 29 Weeks Gestation Screened for Retinopathy of Prematurity (Vermont Oxford Network)

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Healthcare resource use and costs, asthma, COPD, hip / knee replacement, pneumonia – National Quality Forum [US] – 2 April 2012

Posted on April 10, 2012. Filed under: Health Economics | Tags: |

Healthcare resource use and costs, asthma, COPD, hip / knee replacement, pneumonia – National Quality Forum [US] – 2 April 2012

…”the National Quality Forum (NQF) Board of Directors has approved for endorsement four additional measures on healthcare resource use and costs. The measures – focusing on care costs associated with asthma, chronic obstructive pulmonary disease, hip/knee replacement, and pneumonia – will provide vital data on how resources are used in these areas of care. Such data will help create a more efficient, less wasteful healthcare system.

Resource use measures as defined by NQF are comparable measures of actual dollars or standardized units of resources applied to the care given to a specific population or event, such as a specific diagnosis or procedure. NQF previously endorsed a first set of resource use measures in January 2012.”

Endorsed Measures:

1560: Relative Resource Use for People with Asthma (National Committee for Quality Assurance)
1561: Relative Resource Use for People with COPD (National Committee for Quality Assurance)
1609: ETG based hip/knee replacement cost of care (Ingenix)
1611: ETG based pneumonia cost of care (Ingenix)

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National Voluntary Consensus Standards for Patient Safety: A Consensus Report – National Quality Forum [US] – March 2012

Posted on April 10, 2012. Filed under: Patient Safety | Tags: |

National Voluntary Consensus Standards for Patient Safety: A Consensus Report – National Quality Forum [US] – March 2012

“Americans are exposed to more preventable medical errors than patients in industrialized nations; medical errors within the United States healthcare system occur every day in the tens of thousands and potentially hundreds of thousands. These errors cause injuries in as many as one out of every 25 hospital patients and lead to an estimated 44,000-98,000 patient deaths annually. In January 2012, NQF endorsed six patient safety measures that can have broad, far-reaching impact in reducing mortality and mitigating severe harm.”  69p.

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Regionalized Emergency Medical Care Services: Phase 1 2012 Final Report – National Quality Forum [US] – April 2012

Posted on April 10, 2012. Filed under: Emergency Medicine | Tags: |

Regionalized Emergency Medical Care Services: Phase 1 2012 Final Report  – National Quality Forum [US] – April 2012

“The concept of “regionalization” has been identified as a potential method for improving emergency medical care through efficient resource utilization. NQF convened a workgroup, including a Steering Committee of national experts, staff from the U.S. Department of Health and Human Services, and a team from the University of North Carolina at Chapel Hill, to develop a framework to guide measurement of regionalized emergency care systems (REMCS).”   44 p.

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Health care quality measurement: HHS should address contractor performance and plan for needed measures – GAO – US Government Accountability Office – January 2012

Posted on January 23, 2012. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , |

Health care quality measurement: HHS should address contractor performance and plan for needed measures – GAO – US Government Accountability Office – January 2012

“What GAO Found
National Quality Forum (NQF) has made progress on projects under its contract activities, as of August 2011. Specifically, NQF has completed or made progress on 60 of 63 projects. For example, NQF has completed projects to endorse measures related to various topics, including nursing homes. However, for more than half of the projects, NQF did not meet or did not expect to meet the initial time frames approved by HHS.”  … continues

“GAO recommends HHS: (1) use all monitoring tools required under the contract to help address NQF’s performance, (2) complete testing of retooled measures, and (3) comprehensively plan for its quality measurement needs. HHS neither agreed nor disagreed with these recommendations.”

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An Evaluation of the Use of Performance Measures in Health Care – RAND Health Technical Report – 2011

Posted on December 12, 2011. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , , , |

An Evaluation of the Use of Performance Measures in Health Care – RAND Health Technical Report – 2011

“NQF [National Quality Forum] engaged the RAND Corporation to conduct an independent examination of the use of performance measures, with particular interest in the use of NQF-endorsed measures. The goal was to better understand
• the current state of performance measure use across the broad spectrum of end-user types
• areas in which gaps in measures exist that hinder the end users’ ability to apply measures to support the achievement of their desired goals
• how the larger measurement enterprise (i.e., measure developers, measure endorsers, foundations and government agencies that support measure development and implementation) might better support the use of performance measures.”

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NQF Posts Specifications for Electronic Measures that will Reward Meaningful Use of HIT – 15 February 2011

Posted on February 16, 2011. Filed under: Health Informatics | Tags: , |

NQF Posts Specifications for Electronic Measures that will Reward Meaningful Use of HIT

“Washington, DC – The National Quality Forum (NQF) announces the conversion of 113 NQF-endorsed measures from a paper-based format to an electronic “eMeasure” format. The conversion, requested by the Department of Health and Human Services (HHS) in compliance with the Health Information Technology for Economic and Clinical Health (HITECH) Act, will allow the measures to be more easily readable by electronic health record (EHR) systems. The converted measures will be available for public and member comment through April 1, 2011.

The use of eMeasures offers many benefits and efficiencies including: greater consistency in measure development and in measuring and comparing performance results; providing more exact requirements or “specifications” about where information should be collected; greater standardization across the measures; and greater confidence in comparing outcomes and provider performance. This conversion should ensure that performance measure data are consistently defined, implemented, and usable in the context of an EHR and support the meaningful use requirements.” …continues on the site

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Driving Quality and Performance Measurement – A Foundation for Clinical Decision Support – National Quality Forum – December 2010

Posted on January 20, 2011. Filed under: Clin Governance / Risk Mgmt / Quality, Health Informatics | Tags: , , , , |

Driving Quality and Performance Measurement – A Foundation for Clinical Decision Support – National Quality Forum – December 2010
Page Count: 58

Abstract

“Increasing deployment, adoption, and meaningful use of electronic health records (EHRs) and health IT systems in the United States offers great potential to im¬prove the healthcare system. An important means to advance this goal is to measure performance, ensuring that relevant clinical knowledge is available at the point of care and implemented in a manner that promotes optimal care delivery. Properly positioned, clinical decision support (CDS) tools can play an important role. This report describes the development of the NQF CDS Taxonomy, the relationship between quality measurement and CDS, and the mapping of the Taxonomy to the QDS Model—an information model that lays the foundation for automatic, patient-centric, longitudinal quality measurement. The CDS Taxonomy should assist health IT system developers, system implementers, and the quality improvement community to develop tools, content, and procedures that are compatible and enable comprehensive use of CDS, thereby improving delivery of appropriate, evidenced-based care.”

ISBN 978-0-9828421-2-6

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Driving Quality – A Health IT Assessment Framework for Measurement – National Quality Forum (US) – December 2010

Posted on January 20, 2011. Filed under: Clin Governance / Risk Mgmt / Quality, Health Informatics | Tags: , |

Driving Quality – A Health IT Assessment Framework for Measurement – National Quality Forum (US) – December 2010
65 p.

Abstract

“Health information technology (health IT) offers great promise to improve health­care quality, safety, and affordability, and the health of the population. Passage of the recent Health Information Technology for Economic and Clinical Health Act (HITECH) in the American Recovery and Reinvestment Act (ARRA) is expected to significantly drive increased adoption of health IT systems. This report examines, defines, and organizes the data needed to measure effective health IT use to better understand how health IT tools can improve healthcare delivery. The Health IT Utilization Assessment Framework is designed to define a method for expressing data that can be captured by health IT systems to understand and measure their effectiveness. Health IT use assessment can provide valuable information for most healthcare stakeholders, including the quality improvement community, the health IT vendor community, providers, payers, purchasers, and policymakers.”

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The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care – [US] National Quality Forum – June 2010

Posted on July 8, 2010. Filed under: Clin Governance / Risk Mgmt / Quality, Patient Safety | Tags: , |

The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care – [US] National Quality Forum – June 2010

Free full text (PDF) 
 
“The landmark Institute of Medicine (IOM) report, To Err Is Human, called for states to publicly report never events—medical errors that resulted in death or severe disability. This National Quality Forum publication evaluates the current status of state reporting systems 10 years after the IOM report, and summarizes the strengths and limitations of current public reporting initiatives. To date, 28 states maintain some type of reporting system, primarily tracking never events and health care–associated infections. However, states vary significantly in their implementation of these systems, requirements for reporting errors, and regulations regarding analysis and follow-up of errors, limiting the effect of reporting systems on improving patient safety. An AHRQ WebM&M perspective discusses the challenges and opportunities faced by current state reporting systems.”

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Measurement Framework: Evaluating Efficiency Across Patient-Focused Episodes of Care – National Quality Forum [US] – January 2010

Posted on March 8, 2010. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: |

Measurement Framework: Evaluating Efficiency Across Patient-Focused Episodes of Care 
National Quality Forum [US]
 
Date of Publication: JAN, 2010
Page Count: 50
Publication Type: Consensus Reports

“Although healthcare spending per capita in the United States is more than double that of other industrialized nations, the United States ranks comparatively low on key indicators of the quality of care and population health status. Inefficiencies such as duplicate tests and widespread regional practice variations plague the system. Performance measurement is essential to system transformation. To provide guidance to key stakeholder groups in accelerating toward a high-performing, high-value healthcare system, the National Quality Forum (NQF) convened a Steering Committee to develop a framework for evaluating the efficiency of care over time, including clear definitions and a shared vision of what can be achieved around quality, cost, and value, serving as a foundation for the work of larger performance improvement efforts. This report presents the NQF-endorsed® measurement framework for assessing efficiency, and ultimately value, associated with the care over the course of an episode of illness and sets forth a vision to guide ongoing and future efforts.”

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National Quality Forum [US] – Quality data set

Posted on November 17, 2009. Filed under: Clin Governance / Risk Mgmt / Quality, Health Informatics | Tags: |

NQF Helps Ensure Health IT Captures Information to Drive Quality Improvement – National Quality Forum
November 12, 2009

“Washington, D.C. (November 12, 2009) – The National Quality Forum (NQF) announced today the release of the Quality Data Set (QDS), a common technological framework for defining clinical data necessary to measure performance and accelerate improvement in patients’ quality of care. The QDS framework provides a standardized set of data that should be captured in patients’ electronic health records and is applicable to all care settings a patient is likely to use in his or her lifetime.” … continues on the webiste

The Quality Data Set

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Endorsing Preferred Practices and Performance Measures for Measuring and Reporting Care Coordination

Posted on November 17, 2009. Filed under: Chronic Disease Mgmt, Clin Governance / Risk Mgmt / Quality | Tags: |

Endorsing Preferred Practices and Performance Measures for Measuring and Reporting Care Coordination – [US] National Quality Forum

“The Opportunity

Care coordination helps ensure a patient’s needs and preferences for care are understood, and that those needs and preferences are shared between providers, patients, and families as a patient moves from one healthcare setting to another. Care among many different providers must be well-coordinated to avoid waste, over-, under-, or misuse of prescribed medications, and conflicting plans of care.1

A portfolio of care coordination preferred practices and performance measures would include structure, process, and outcome measures to evaluate physician office capacity for access, continuity, communication, and tracking of patients across providers and settings. Given the high-risk nature of transitions in care, this work would build on ongoing efforts among the medical and surgical specialty societies to establish principles for effective patient hand-offs across clinicians and providers.” … continues on the website  ”

“Objectives

This project seeks to endorse a set of preferred practices and performance measures in care coordination that are applicable across all settings of care.” … continues on the website

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