hemoglobin A1c tested, poor hemoglobin A1c control, eye exam performed, lipid profile performed, lipids controlled, monitoring for kidney disease, and blood pressure controlled), six of which will be included in the National Committee for Quality Assurance’s Year 2000 Health Plan Employer Data and Information Set (Health Care Financing Administration, 1999).

The American Medical Association, working with experts from national medical specialty societies and the quality measurement community, has developed measure sets for physician clinical performance in the areas of adult diabetes, prenatal testing, and chronic stable coronary artery disease. The core measure set for adult diabetes, developed with input from the Iowa Foundation for Medical Care, was approved by the American Medical Association in July 2000, while the other two measure sets are undergoing public review and comment (American Medical Association, 2000).

It will be important for the National Quality Forum, a recently created public-private partnership developed to foster collaboration across public and private oversight organizations, to consider carefully how best to align comparative quality reporting with the developing infrastructure in support of evidence-based practice and consumer-centered health care. The National Quality Forum, a not-for-profit organization established in 1999 with the participation of both public and private purchasers, is currently developing a strategic measurement framework to guide the future development of external quality reporting for purposes of accountability and consumer choice (Kizer, 2000). This activity, now under way, presents a unique opportunity to influence the direction of quality measurement.


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——. 2000b. “Evidence-based Practice Centers. Synthesizing Scientific Evidence to Improve Quality and Effectiveness in Clinical Care. AHRQ Publication No. 00-P013.” Online. Available at http://www.ahcpr.gov/clinic/epc/ [accessed Oct. 11, 2000].

Agency for Healthcare Research and Quality, American Medical Association, and American Association of Health Plans. 2000. “National Guideline Clearinghouse.” Online. Available at http://www.guideline.gov [accessed Jan. 2, 2001].

American Medical Association. Adult Diabetes Core Physician Performance Measurement Set. Chicago, IL: American Medical Association, 2000.

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