The National Quality Forum

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Achieving National Performance Goals The
Critical Role of HIT

Janet M. Corrigan, PhD President and CEO National
Quality Forum
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Session Objectives

• NQFs Role on the Quality Landscape
• National Priorities Partnership
• Performance Measurement Reporting Requirements
  
• Where are we headed?
• Building EHRs/PHRs to Support Performance
  Improvement
• Role of HITEP

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National Quality Forum Mission

• improve the quality of American healthcare by
  setting national priorities and goals for
  performance improvement
• endorse national consensus standards for
  measuring and publicly reporting on performance
• promote the attainment of national goals through
  education and outreach programs

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NQF Membership

• A private, non-profit voluntary consensus
  standards-setting organization
• Broad membership (350 members) organized into 8
  Councils that
• Provide stakeholder perspectives to all NQF
  deliberations
• Enable various groups within a council to
  convene, identify issues and relay information in
  a unified voice and
• Promote collaboration among different groups
  within a stakeholder perspective.
• Councils
• Consumers
• Health Care Professionals
• Health Plans
• Provider Organizations
• Public/Community Health Agencies
• Purchasers
• Research and Quality Improvement Organizations
• Supplier Industry

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NQFs Role on the Quality Landscape
evaluate health care
national priorities
NQF
Measure Developers
improve quality
create measures
incentive policies
endorse measures
implementation strategies
public reports
implement, test and aggregate results
Adapted from Quality Alliance Steering Committee
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National Priorities for Performance Improvement

• Establish national priorities and goals for
  performance measurement and public reporting
• High ROI
• Drive fundamental delivery system change
• Focus measurement and align improvement efforts
  on achievement of these goals

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National Priorities Partnership

• 27 multi-stakeholder organizations
• Consumers
• Purchasers
• Quality alliances
• Health professionals/providers
• Public sector CMS, NGA, CDC, AHRQ, NIH
• Accreditation/certification groups
• Health plans
• Co-Chairs
• Donald Berwick
• Institute for Healthcare Improvement
• Margaret O'Kane National Committee for Quality
  Assurance

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The Partners 28 Major Organizations

• CONSUMERS
• National Partnership for Women and Families
• Consumers Union
• AARP
• AFL-CIO

• PUBLIC SECTOR
• Centers for Disease Control and Prevention
• Centers for Medicare and Medicaid Services
• Agency for Healthcare Research and Quality
• National Institutes of Health
• National Governors Association

• PURCHASERS
• National Business Group on Health
• The Leapfrog Group
• Pacific Business Group on Health
• Chamber of Commerce

• ACCREDITATION/CERTIFICATION
• American Board of Medical Specialties
• The Joint Commission
• National Committee for Quality Assurance
• Certification Commission for Healthcare
  Information Technology

• HEALTH PROFESSIONALS/PROVIDERS
• PCPI convened by the AMA
• American Nurses Association
• National Association of Community Health Centers

• QUALITY ALLIANCES
• AQA
• Hospital Quality Alliance
• Quality Alliance Steering Committee
• Alliance for Pediatric Quality

• OTHERS
• Americas Health Insurance Plans
• Institute for Healthcare Improvement
• Institute of Medicine
• National Quality Forum

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Content NQF National Priority Partners
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Content NQF National Priority Partners
High Impact Areas

• Patient and family engagement
• Population health
• Safety
• Care coordination
• Palliative care
• Overuse

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Translate Priorities into Performance Measurement
and Reporting Requirements
evaluate health care
national priorities
NQF
Measure Developers
improve quality
create measures
incentive policies
endorse measures
implementation strategies
public reports
implement, test and aggregate results
Adapted from Quality Alliance Steering Committee
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Portfolio of NQF-endorsed Measures
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MeasurementWhere are we headed?

• High system performance
• Composite measurement
• Outcomes
• Disparities
• Structural measures

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Patient-Focused Episode Framework
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Also Endorsing Structural Measures

• e-prescribing
• decision support (including stand-alone/non-EHR
  applications)
• in EHR
• EHR interoperability
• adoption of CCHIT or core-functional EHR
• receive labs electronically
• care management
• _at_ point of care
• between visits
• quality reporting registry
• local
• national
• medical home

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Building EHRs to Support Quality
Acknowledgement Paul Tang, MD
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Building EHRs to Support Quality

• Health Information Technology Expert Panel
  (HITEP)
• Recommended by AHIC Quality Workgroup supported
  by AHRQ
• Need a Quality Data Set that provides the core
  data elements needed for quality measurement and
  clinical decision support
• Chair Paul Tang, MD

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Data Types Needed for Quality Measures
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• Acknowledgements
• Daniel Rosenthal, MD MSc MPH
• Program Director, Health Information Technology
• drosenthal_at_qualityforum.org
• Karen Adams, PhD
• Vice President, National Priorities
• kadams_at_qualityforum.org
• Floyd Eisenberg, MD
• SVP, Health Information Technology
• feisenberg_at_qualityforum.org
• For More Information
• www.qualityforum.org