Access the Final Report: National Voluntary Consensus Standards for Patient Outcomes 2009
The Opportunity
To achieve quality healthcare across the full continuum, more measures were needed that specifically address various outcomes of care provided in our nation’s healthcare system. Development and endorsement of outcomes measures focused on areas with the greatest potential impact, including common conditions, gaps in measurement of patient-focused outcomes, and transitions across care settings.
About the Project
This project began in August 2009 and encompasses the first and second phases of NQF's 2009-2010 work on patient outcomes measures. It focused on cardiovascular, pulmonary, and bone/joint conditions as well as chronic kidney disease, diabetes, and several types of cancers. The specific lists of conditions for Phase I and Phase II are given below. Phase III of this work were conducted in the project Patient Outcomes Measures: Child Health and Mental Health.
Conditions covered during the phases of the project:
| Phase I Measures related to the following conditions were reviewed in Phase I. |
| | - Acute myocardial infarction
- Asthma
- Atrial fibrillation
- Chronic kidney disease
- Chronic obstructive pulmonary disease (COPD)
| - Congestive heart failure
- Diabetes mellitus
- Ischemic heart disease
- Stroke/transient ischemic attack (TIA)
|
| Phase II Measures related to the following conditions were reviewed in Phase II. |
| | - Biliary and GI conditions
- Breast cancer
- Cataract
- Colorectal cancer
- Endometrial cancer
- Glaucoma
| - Hip fracture
- Lung cancer
- Osteoarthritis and rheumatoid arthritis
- Osteoporosis
- Pneumonia
- Prostate cancer
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Process
Candidate measures were considered for NQF endorsement as voluntary consensus standards. Agreement around the recommendations will be developed through NQF’s Consensus Development Process (CDP, Version 1.8). This project involved the active participation of representatives from across the spectrum of healthcare stakeholders.
The work of Phases I and II was overseen by the main Outcomes Steering Committee. Eight technical advisory panels (TAPs) offered expert review of candidate measures. Each phase had its own call for measures but both phases were open for Public and Member Comment.
Project Funding
This project was funded under NQF's contract with the Department of Health and Human Services, Consensus-based Entities Regarding Healthcare Performance Measurement.
Related NQF Work
Contact Information
For further information, contact NQF at 202-783-1300 or via email at performancemeasures@qualityforum.org.
The first and second phases of the Patient Outcomes Measures work focused on cardiovascular, pulmonary, and bone/joint conditions as well as chronic kidney disease, diabetes, and several types of cancers.
NQF issued a Call for Intent to submit candidate standards for patient outcomes measures across all phases. Notices of intent to submit candidate measures for this project were due by August 19, 2009. See the full Notice of Intent document for additional information.
In response, measure stewards identified 34 measures for potential submission: Patient Outcomes Proposed Measures (PDF).
The initial Call for Nominations for the Steering Committee and Technical Advisory Panels (TAPs) for Patient Outcomes projects closed on September 15, 2009. The Steering Committee has been empanelled. The process for receiving comments on and finalizing the TAP rosters is ongoing.
Steering Committee: Final Roster, Bios (PDF)
NQF issued an additional Call for Nominations to obtain interventional cardiology expertise for the Cardiovascular TAP. Nominations were due by December 21, 2009.
For more information, refer to the Call for Nominations (PDF) document.
NQF issued a call for a Steering Committee and seven condition-specific TAPs. For more information, refer to the Call for Nominations (Word) document.
The 14-day review period on the proposed Steering Committee roster closed on October 15, 2009.
Steering Committee: Final Roster, Bios (PDF)
The 14-day review period on the final Pulmonary TAP roster closed on November 30, 2009.
Final Roster, Bios (PDF)
The 14-day review period for the proposed Bone/Joint TAP roster closed on December 22, 2009.
Final Roster, Bios (PDF)
The Steering Committee and Technical Advisory Panels (TAPs) will meet in person and by phone to review the submitted measures.
The Technical Advisory Panels are listed below in alphabetical order after the Steering Committee. All meetings are listed chronologically by date within their respective grouping.
- Biliary/GI TAP Meeting
- Bone/Joint TAP Meeting
- Cancer TAP Meeting
- Cardiovascular TAP Meeting
- Diabetes/Metabolic TAP Meeting
- Eye Care TAP Meeting
- Infectious Diseases TAP Meeting
- Pulmonary TAP Meeting
- Surgical Technical Advisors Meeting
This Steering Committee meeting was open to NQF Members and public. It was held at the Marriott at Metro Center in Washington, DC.
The Steering Committee met via conference call on February 24, 2010. This meeting was held in conjunction with a webinar on Measure Evaluation Criteria and Risk Adjustment.
The Steering Committee met via conference call on March 17, 2010.
The Steering Committee met via conference call on March 24, 2010.
The Steering Committee met in person on April 20-21, 2010.
The Biliary/GI Technical Advisory Panel met via conference call on March 9, 2010.
This Bone/Joint Technical Advisory Panel meeting was canceled and will be rescheduled at a later date. For more information, please contact Alexis Forman, MPH or Reva Winkler, MD, MPH at 202-783-1300 or via e-mail at outcomes@qualityforum.org.
This Bone/Joint Technical Advisory Panel met via conference call on April 5, 2010.
Agenda (PDF)
Meeting Recording (MP3)
The Cancer Technical Advisory Panel met via conference call on January 26, 2010.
The Cancer Technical Advisory Panel meeting was canceled and will be rescheduled soon.
Agenda (PDF)
The Cancer Technical Advisory Panel met via conference call on March 29, 2010
The Cardiovascular Technical Advisory Panel met on January 19, 2010 at 601 13th Street, NW, Suite 600 South, in Washington, DC.
The Cardiovascular Technical Advisory Panel meeting was held at 601 13th Street, NW, Suite 600 South, in Washington, DC.
Agenda (PDF)
Meeting Recording (MP3)
The Cardiovascular Technical Advisory Panel met via conference call on March 11, 2010.
Agenda (PDF)
Meeting Recording (MP3): Part 1 | Part 2
The Cardiovascular Technical Advisory Panel met via conference call on March 30, 2010.
Agenda (PDF)
Meeting Summary (PDF)
This Eye Care Technical Advisory Panel meeting has been canceled and will be rescheduled at a later date. For more information, please contact Reva Winkler, MD, MPH at 202-783-1300 or via e-mail at outcomes@qualityforum.org.
This Eye Care Technical Advisory Panel met via conference call on March 25, 2010.
The Infectious Diseases Technical Advisory Panel met via conference call on March 23, 2010.
Agenda (PDF)
Meeting Summary (PDF)
The Pulmonary Technical Advisory Panel meeting was held at NQF's offices in Washington, DC.
This subgroup of technical advisors was created from the surgeons on the Technical Advisory Panels of the Patient Outcomes project, specifically to do the preliminary evaluation of the sub-criteria for a single cross-cutting surgery measure.
The surgical technical advisors reviewed the measure on March 31, 2010, so they could provide input at the April 20-21, 2010 meeting.
