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151 results
  • The NQF Scientific Methods Panel: Enhancing the Review and Endorsement Process for Performance Measures. [Journal Article]
    Am J Med Qual. 2020 Mar 30 [Online ahead of print]Nerenz DR, Cella D, … Johnson K
  • In the summer of 2017, the National Quality Forum (NQF) announced the formation of a Scientific Methods Panel (hereafter referred to as "the Panel") as part of a redesign of its endorsement process. NQF created the Panel in response to stakeholder request during a Kaizen improvement event held in May 2017. Given the Panel's role in the endorsement of performance measures used in national payment …
  • Effect of the Serious Illness Care Program on Health Care Utilization at the End of Life for Patients with Cancer. [Journal Article]
    J Palliat Med. 2020 Jan 03 [Online ahead of print]Paladino J, Koritsanszky L, … Bernacki R
  • CONCLUSIONS: In this analysis of a secondary outcome from a randomized clinical trial of the Serious Illness Care Program, intervention and control patients had similar end-of-life health care utilization as measured by the mean number of NQF-endorsed indicators. Future research efforts should focus on studying the strategies by which communication about patients' prognosis, values, and goals leads to personalized care plans.
  • Redesigning Primary Care to Improve Diabetes Outcomes (The UNITED Study). [Journal Article]
    Diabetes Care. 2019 Dec 27 [Online ahead of print]Peterson KA, Carlin C, … Eder M
  • CONCLUSIONS: Diabetes care outcomes are better in primary care settings that use a patient-centered approach to systematically engage patients in decision making, remind physicians of age-appropriate risk assessments, and provide checklists for recommended diabetes interventions. Practice size and location are important considerations when redesigning delivery systems to improve performance.
  • StatPearls: National Quality Forum (NQF) [BOOK]
    . StatPearls Publishing: Treasure Island (FL) Namburi Niharika N Indiana University Health Physicians Lee Lawrence L BOOK
  • The National Quality Forum (NQF) is an independent, nonpartisan organization tasked with devising a national strategy to set standards for quality improvement and reporting in the United States healthcare industry. It is the first-ever public service organization explicitly focused on addressing the quality of healthcare. The NQF consists of more than 400 member bodies, including consumer organiz…
  • Recommended quality measures for health-system pharmacy: 2019 update from the Pharmacy Accountability Measures Work Group. [Journal Article]
    Am J Health Syst Pharm. 2019 Jun 03; 76(12):874-887.Andrawis M, Ellison LTCC, … Carmichael J
  • CONCLUSIONS: The National Quality Forum (NQF) Quality Positioning System (QPS) was queried for NQF-endorsed medication-related measures. Included measures were curated into a data set of 6 therapeutic categories: antithrombotic safety, cardiovascular control, glucose control, pain management, behavioral health, and antimicrobial stewardship. Subject matter expert (SME) panels assigned to each area analyzed each measure according to a predetermined ranking system developed by the PAM Work Group. Measures remaining after SME review were disseminated during a public comment period for review and ballot. Over 1,000 measures are captured in the NQF QPS; 656 of the measures were found to be endorsed and medication use related or impacted by medication management services. A single reviewer categorized 140 measures into therapeutic categories for SME review; the remaining measures were unrelated to those clinical domains. The SME groups identified 28 measures for inclusion.An understanding of the endorsed quality measures available for public reporting programs provides an opportunity for pharmacists to demonstrate accountability for performance, thus improving quality and safety and demonstrating value of care provided.
  • Benchmarking HIV Quality Measures Across US Payer Types. [Journal Article]
    Popul Health Manag. 2019 Jul 15 [Online ahead of print]Priest JL, Irwin DE, … Brady BL
  • Despite advances in antiretroviral therapy (ART), human immunodeficiency virus (HIV) remains a significant issue in the United States. Early diagnosis, continuous treatment access/adherence, and long-term care engagement help patients benefit fully from ART; however, a shortfall in care engagement remains, potentially leading to poorer health outcomes. This analysis benchmarks rates of health car…
  • Framework to Advance Oncology-Related Telehealth. [Journal Article]
    JCO Clin Cancer Inform. 2018 12; 2:1-11.Rising KL, Ward MM, … Hollander JE
  • CONCLUSIONS: Overall, there has been a lack of quality measures to assess use of telehealth for the care of oncology patients. Future work should focus on developing measures within each of the NQF-identified domains, with special attention to the financial impact or cost domain.
  • Limitations of Using Pediatric Respiratory Illness Readmissions to Compare Hospital Performance. [Journal Article]
    J Hosp Med. 2018 11; 13(11):737-742.Kaiser SV, Lam R, … Bardach NS
  • CONCLUSIONS: Using a nationally-endorsed quality measure of inpatient pediatric care, we were unable to identify meaningful variation in hospital performance without broadening the metric definition and merging multiple years of data. Utilizers of pediatric-quality measures should consider modifying metrics to better evaluate the quality of pediatric care at low-volume hospitals.
  • StatPearls: Anticoagulation Safety [BOOK]
    . StatPearls Publishing: Treasure Island (FL) Amaraneni Akshay A University of Arizona Chippa Venu V Indiana university Rettew Andrew C. AC University of Arizona BOOK
  • One class of drugs that has been implicated in serious adverse drugs reactions for many decades are oral anticoagulants, especially warfarin. There are countless cases reports indicating the use of oral anticoagulants is more likely to require hospital admission, and prolonged hospital stays from adverse events such as bleeding. The oral anticoagulants have been classified as high alert medicatio…
  • A Quality of Care Framework for Home-Based Medical Care. [Journal Article]
    J Am Med Dir Assoc. 2018 10; 19(10):818-823.Ritchie CS, Leff B, … Harrison KL
  • More than 6 million adults in the United States are homebound or semi-homebound and would benefit from home-based medical care (HBMC). There is currently no nationally recognized quality of care framework for home-based medical care. We sought to capture diverse stakeholder perspectives on the essential aspects of quality HBMC and create a quality of care framework for homebound adults. A qualita…
  • Quality Reporting: Understanding National Priorities, Identifying Local Applicability. [Review]
    Anesthesiol Clin. 2018 Jun; 36(2):201-216.Schmitz D, Popovich MT
  • Since the 1990s, the use of quality measures in healthcare has grown exponentially. Practices must maintain current knowledge of measures that affect their clinicians locally and understand how assessment of these medical professionals affects the priorities and quality activities of practices and facilities. Because quality measures are increasingly used by hospital administrators, health plans,…
  • A proposal for the development of national certification standards for patient decision aids in the US. [Journal Article]
    Health Policy. 2018 07; 122(7):703-706.Elwyn G, Burstin H, … Saigal C
  • Efforts to implement the use of patient decision aids to stimulate shared decision making are gaining prominence. Patient decision aids have been designed to help patients participate in making specific choices among health care options. Because these tools clearly influence decisions, poor quality, inaccurate or unbalanced presentations or misleading tools are a risk to patients. As payer intere…
  • Concordance Between Common Hypertension Control Algorithms in Electronic Medical Record Data. [Journal Article]
    Prev Chronic Dis. 2017 09 14; 14:E80.Nielsen VM, Bettano A, … Ursprung WWS
  • Because quality improvement metrics and treatment guidelines are used to conduct research, evaluate care quality, and assess population health, they should, ideally, align. We used electronic medical record data to analyze variation between blood pressure control estimates calculated by using thresholds derived from National Quality Forum 0018 (NQF 0018) and Joint National Committee (JNC) treatme…
  • National Quality Measures in Perinatal Medicine. [Review]
    Clin Perinatol. 2017 09; 44(3):485-509.Lorch SA
  • There are numerous measures of perinatal quality endorsed by national agencies such as the National Quality Forum (NQF). The sheer number of metrics may lead to confusion about what these measures truly assess, and how to interpret variation in these measures across hospitals, health care systems, and geographic regions. This review presents a conceptual model for the numerous validated measures,…
  • Quality Measures in Orthopaedic Sports Medicine: A Systematic Review. [Review]
    Arthroscopy. 2017 Oct; 33(10):1896-1910.Abrams GD, Greenberg DR, … Kamal RN
  • CONCLUSIONS: There are many existing quality measures relating to the practice of orthopaedic sports medicine. Most quality measures are process measures described within PQRS or AAOS CPGs.Knowledge of quality measures are important as they may be used to improve care, are increasingly being used to determine physician reimbursement, and can inform future quality measure development efforts.
  • National Quality Forum Metrics for Thoracic Surgery. [Review]
    Thorac Surg Clin. 2017 Aug; 27(3):245-249.Cipriano A, Burfeind WR
  • The National Quality Forum (NQF) is a multistakeholder, nonprofit, membership-based organization improving health care through preferential use of valid performance measures. NQF-endorsed measures are considered the gold standard for health care measurement in the United States. The Society of Thoracic Surgeons is the steward of the only six NQF-endorsed general thoracic surgery measures. These m…
  • Health Care Quality: Measuring Obesity in Performance Frameworks. [Review]
    Obesity (Silver Spring). 2017 08; 25(8):1305-1312.Zvenyach T, Pickering MK
  • CONCLUSIONS: Limitations exist with respect to obesity-specific quality metrics. Such gaps provide opportunities for obesity care specialists to engage and offer valuable insights and pragmatic approaches toward quality measurement.
  • New clinical performance measures for contraceptive care: their importance to healthcare quality. [Journal Article]
    Contraception. 2017 Sep; 96(3):149-157.Gavin L, Frederiksen B, … Moskosky S
  • CONCLUSIONS: The new contraceptive care measures meet the NQF criterion for "importance to measure and report." The measures are based on evidence that contraceptive use is associated with reproductive health outcomes, and there is a substantial performance gap in the use of most and moderately effective methods.Using the new contraceptive care measures may motivate providers to increase access to contraceptive care, thereby improving health outcomes.
  • Solving Disparities Through Payment And Delivery System Reform: A Program To Achieve Health Equity. [Journal Article]
    Health Aff (Millwood). 2017 06 01; 36(6):1133-1139.DeMeester RH, Xu LJ, … Chin MH
  • Payment systems generally do not directly encourage or support the reduction of health disparities. In 2013 the Finding Answers: Solving Disparities through Payment and Delivery System Reform program of the Robert Wood Johnson Foundation sought to understand how alternative payment models might intentionally incorporate a disparities-reduction component to promote health equity. A qualitative ana…
  • National Quality Forum Colon Cancer Quality Metric Performance: How Are Hospitals Measuring Up? [Journal Article]
    Ann Surg. 2017 12; 266(6):1013-1020.Mason MC, Chang GJ, … Massarweh NN
  • CONCLUSIONS: Less than half of hospitals perform well on these NQF colon cancer metrics concurrently, and high performance on individual measures is not associated with improved survival. Quality improvement efforts should shift focus from individual measures to defining composite measures encompassing the overall multimodal care pathway and capturing successful transitions from one care modality to another.
  • Transitions of Care in an Era of Healthcare Transformation. [Review]
    J Healthc Manag. 2016 May-Jun; 61(3):230-41.Kessler C, Tsipis NE, … Andolsek K
  • In the practice of modern emergency medicine (EM), transitions of care (TOC) have taken a prominent role, and during this time of healthcare reform, TOC has become a focal point of improvement initiatives across the continuum of care. This review includes a comprehensive examination of various regulatory, accreditation, and policy-based elements with which EM physicians interact in their daily pr…
  • Impact of Risk Adjustment for Socioeconomic Status on Risk-adjusted Surgical Readmission Rates. [Journal Article]
    Ann Surg. 2016 Apr; 263(4):698-704.Glance LG, Kellermann AL, … Dick AW
  • CONCLUSIONS: Differences in surgery readmissions between SNHs and non-SNHs are due to differences in the patient case mix of low-SES patients, and not due to differences in quality. Adjusting readmission measures for SES leads to changes in hospital ranking using the HRRP threshold approach, but not using the CMS Hospital Compare methodology. CMS should consider either adjusting for the effects of SES when calculating readmission thresholds for HRRP, or replace it with the approach used in Hospital Compare.
  • The present and future of quality measures and public reporting in neurosurgery. [Journal Article]
    Neurosurg Focus. 2015 Dec; 39(6):E3.Bekelis K, McGirt MJ, … Asher AL
  • Quality measurement and public reporting are intended to facilitate targeted outcome improvement, practice-based learning, shared decision making, and effective resource utilization. However, regulatory implementation has created a complex network of reporting requirements for physicians and medical practices. These include Medicare's Physician Quality Reporting System, Electronic Health Records …
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