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NQF National Priorities Partnership: Leveraging Our Collective Efforts to Improve Safety

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To improve the quality of American healthcare by. setting national priorities and goals for performance ... End of life/palliative care - Chris Cassell (ABIM) ... – PowerPoint PPT presentation

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Title: NQF National Priorities Partnership: Leveraging Our Collective Efforts to Improve Safety


1
NQF National Priorities Partnership
Leveraging Our Collective Efforts to Improve
Safety Quality
  • Janet M. Corrigan, PhD, MBA
  • President and CEO
  • National Quality Forum

2
NQF Mission Statement
  • To improve the quality of American healthcare by
  • setting national priorities and goals for
    performance improvement,
  • endorsing national consensus standards for
    measuring and publicly reporting on performance,
    and
  • promoting the attainment of national goals
    through education and outreach programs.

3
Measure Endorsement
  • Private sector standard-setting body
  • Endorse serious reportable events, preferred/safe
    practices, and performance measures
  • Recognized under NTTAA
  • Voluntary consensus development process
  • Measure evaluation criteria
  • Expert panels
  • Member comment and voting
  • Consensus Standards Approval Committee
  • Benefits of standardized measures
  • Allow for fair comparisons across organizations
    for public reporting
  • Source of best in class measures for internal
    quality improvement

4
Growth in the Number of Endorsed Measures
5
Growth of NQF Endorsed Measures
  • Expanded library of endorsed measures
  • Measures at the individual clinician level
  • Ambulatory care measures
  • Disparities-sensitive measures
  • Measures of patient experience in multiple
    settings
  • Cross-cutting areas (e.g., medication management,
    healthcare associated infections)
  • High risk conditions (e.g., CHF, ESRD)

6
Progress is Slow
  • 1999 - IOM To Err is Human
  • 2007 AHRQ National Healthcare Quality Report
    measures of safety and quality showed an average
    annual improvement of just 1 percent

6
7
Why set national priorities?
  • FOCUS High-leverage, High ROI in terms of
    health and health care
  • ALIGN Harmonize efforts of multiple groups
    around common goals for improvement
  • ACCELERATE Drive fundamental change in delivery
    system

8
NQF National Priorities Partnership Leveraging
Our Collective Efforts
  • 27 national organizations (list attached)
  • Co-chaired
  • Don Berwick, IHI
  • Margaret OKane, NCQA

9
Strategic Issues
  • Raise the bar of expectations
  • Focus on value best outcomes at least cost
  • System-wide performance (i.e., composite
    measures)
  • Disparities in everything we do

10
Preliminary Priority Areas
  • HAIs Peter Lee (PBGH)
  • System level measure of infection rates in high
    risk areas
  • Population health George Isham (HealthPartners)
  • Index of key preventive services
  • Overuse Bernie Rosof (PCPI)
  • Engage specialty societies and focus on a process
    for identifying overuse across all specialties.
  • Avoidable Harms
  • Hospital-level mortality rates Carolyn Clancy
    (AHRQ)
  • Serious adverse events Helen Darling (NBGH)

11
Preliminary Priority Areas
  • Continuity of Care
  • Care coordination and linkages - David Stevens
    (NACHC)
  • Medication reconciliation Linda Stierle (ANA)
  • Patient/family engagement Debra Ness (NPWF)
  • Shared decision-making
  • Patient activation
  • End of life/palliative care - Chris Cassell
    (ABIM)
  • Cancer care beyond (i.e. multiple chronic
    conditions)
  • Reliable and effective care management of
    chronic/acute episodes
  • Focus initially on AMI, LBP, Cancer, and Diabetes
    from NQF Pilots

12
Medication Management Framework
  • Therapeutic decision-making
  • Safe medication use
  • Medication adherence and education
  • Efficiency
  • System coordination and communication

13
Episode Framework AppliedLow Back Pain Episode
  • Trajectory 1 (T1) Returning back to work
    assuming normal activities of daily living
  • Focus on
  • Quality of Life
  • Functional Status
  • Patient-generated goals
  • Education prevention of future episodes

Diagnosis Initial Management
14
Next Steps Priority Partners
  • January 2008 NPP convened for first time
  • March 2008 Starter list of priority areas sent
    out for public comment
  • June 2008 NPP finalizes priorities and goals
  • July/August 2008
  • Workgroups identify measures and practices needed
    for priority area toolkits
  • Public comment period
  • Development of action plans
  • Sept/Oct 2008 NPP and NQF Board approval
  • Nov 2008 Public roll out

15
For more information
  • For More Information
  • Janet Corrigan, PhD, President and CEO
  • corrigan_at_qualityforum.org
  • Karen Adams, PhD, Vice-president, National
    Priorities
  • kadams_at_qualityforum.org
  • Helen Burstin, MD, Senior VP Performance
    Measures
  • hburstin_at_qualityfroum.org
  • www.qualityforum.org

16
NATIONAL PRIORITIES PARTNERS
  • PARTICIPATING ORGANIZATIONS

17
CONSUMERS
  • National Partnership for Women and Families
  • Consumers Union
  • AARP
  • AFL-CIO

18
PURCHASERS
  • National Business Group on Health
  • The Leapfrog Group
  • Pacific Business Group on Health
  • Chamber of Commerce

19
QUALITY ALLIANCES
  • AQA
  • Hospital Quality Alliance
  • Quality Alliance Steering Committee
  • Alliance for Pediatric Quality

20
HEALTH PROFESSIONALS/PROVIDERS
  • AMAs Physician Consortium for Performance
    Improvement
  • American Nurses Association
  • American Board of Medical Specialties
  • National Association of Community Health Centers

21
ACCREDITATION/CERTIFICATION
  • Joint Commission
  • National Committee for Quality Assurance
  • Certification Commission for Healthcare
    Information Technology

22
PUBLIC SECTOR ORGANIZATIONS
  • 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

23
INSURERS OTHER PRIVATE SECTOR
  • Americas Health Insurance Plans
  • Institute for Healthcare Improvement
  • Institute of Medicine
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