Core Measures: We Have Quality Consensus

Today marks a real step forward in the effort to measure the quality of health care in a coordinated and consistent manner. The Core Quality Measures Collaborative announced that he developed a framework for the future . The group, which includes a number of quality improvement organizations, including NCQA, has established consensus on core sets of measures for some areas of practice – responsible care organizations / PCMH / care primary, cardiology, gastroenterology, HIV / Hepatitis C, Medical Oncology, Obstetrics and Gynecology, and Orthopedics. The effort was initiated by the organization of commerce American Health Insurance Plans ( AHIP) and several of its health care plans. members in conjunction with the Centers for Medicare and Medicaid Services (CMS).

Basic Measurements: Framework for the Future

This agreement sets the table for an aligned future. It's a plan that will help eliminate the individual approaches to data collection and communication that we need to decide where and how we improve health care. Until now, it was a bit of the Wild West with different systems collecting different information and analyzing them differently too. This created chaos across the system by comparing data, identifying problems, and forming a plan for dealing with them.

These agreed metrics will prove more useful and meaningful to consumers, employers, clinicians and people who pay bills – the government and insurers. We will all be singing the same repertoire to better identify opportunities to improve care, to work more effectively and to better satisfy those who depend on the health care system, you the consumer.

Consensus among many

Another good news for consumers is that most insurers have participated in this effort. They account for 70% of the combined population of health plan affiliates and Medicare-paid beneficiaries in the United States. The doctors were not left behind. A number of physician organizations have helped to include:

In addition, organizations of physicians such as the American Academy of Pediatrics work with the Collaborative to develop a set of basic measures in pediatrics.

NCQA leads the way

As an organization, we are also pleased that, in many cases, the Collaborative has followed our example in selecting its basic measures. In the Patient-Centered Medical Home (PCMH) and Organization Responsible Care (ACO) Basic Measures Only, NCQA Managed 17 of the 22 agreed measures. Nine other measures distributed among the six other specialized series were also managed by our team.

This is a start. The coming year will involve more work as Collaborative members begin to put this agreement into action. This will mean looking closely at how the aligned measures are used and can even lead to some modifications. This kind of change often produces unforeseen problems and sometimes unforeseen consequences. After all, the central idea of ​​quality measurement is to continue to improve, is not it?

<img src="" width="100" height="100" alt=" Matt Brock "class =" avatar avatar-100 wp-user-avatar wp-user-avatar-100 picture alignnone "/>

Matt Brock is the Director of Communications at NCQA. After more than two decades in broadcast journalism, Matt now leads NCQA's efforts to develop unique content that engages and informs consumers and suppliers, plans and decision-makers via this blog, our website, and many social media platforms. Matt's goal is to educate consumers and direct them to the best resources when they take into account the quality of their healthcare decisions.


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