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Appendix B National Organizations Involved in Performance Measurement
Pages 134-143

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From page 134...
... Appendix B TABLE B-1 National Organizations Involved in Performance Measurement Name Primary Role Governance and Major Participants Agency for AHRQ sponsors and A Public Health Service agency in the Healthcare conducts research that U.S. Department of Health and Human Research and provides evidence-based Services (DHHS)
From page 135...
... They measure the outcomes of preventive and outpatient care through analysis of inpatient discharge data. · The Inpatient Quality Indicators*
From page 136...
... The AQA care Quality effort initially convened by consists of a large body of stakeholders Alliance (AQA) AHRQ, the American that represents clinicians, consumers, Academy of Family purchasers, health plans, and others.
From page 137...
... Endorsed a standardized set of 26 measures for physician practices that draws heavily on the 2004 ambulatory care clinical performance measure set released by the AMA Consortium, CMS, and NCQA. Expanding the initial "starter" set of measures to include specialty and subspecialty care measures, efficiency measures and patient experience measures.
From page 138...
... 138 APPENDIX B TABLE B-1 continued Name Primary Role Governance and Major Participants Centers for The federal agency respon- An agency of U.S.
From page 139...
... program, CMS contracts with independent medical organizations to ensure the quality of medical care paid under the Medicare program to Medicare Advantage and fee-for service beneficiaries. · Measure Development: CMS has collaborated with many organizations such as JCAHO, AQA, and HQA to develop measures in nursing homes, home health agencies, hospitals, dialysis facilities, and physician offices.
From page 140...
... (NCQA) levels of the system from health plans to medical Major participants: groups and individual · AHRQ doctors.
From page 141...
... hospital quality and safety practices that are the focus of its health care provider performance comparisons and hospital recognition and reward. All of the practices are endorsed by the National Quality Forum.
From page 142...
... NQF primarily to standardize is governed by a 29-member Board of national performance mea- Directors representing health care sures, quality indicators, and providers, health plans, consumers, similar metrics for health purchasers, accreditors, researchers, and care. It was envisioned to be quality improvement organizations.
From page 143...
... vided in clinical practice guidelines that demonstrate potential Additional positive impact on health outcomes and propose feasible mea- funding for sures for inclusion in a physician performance measurement set. measure All specifications for Consortium measures are available at development www.physicianconsortium.org, including specifications for from contracts electronic health record systems.


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