This appendix includes the range of sentinel measurement initiatives that the Committee considered throughout its deliberations. A list of these measurement initiatives and a chart summarizing their common features are included here. A complete catalog of these measurement initiatives with additional detail is available online at http://www.nap.edu/catalog/19402.*
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* This introductory text was added after the prepublication version of this report to reflect that part of the Appendix is now available only online.
CONTENTS
Summary of Similarities and Differences Among Ongoing Core Metrics Projects
ASPE Health System Measurement Project
Blue Cross Blue Shield of Massachusetts: Alternative Quality Contract
Buying Value Coalition: Buying Value Ambulatory Core Set
Canadian Institute for Health Information: Canadian Health System Performance Measurement
CDC Surveys (e.g., NHANES, NHCS, NHIS, NVSS)
CMS: Health Homes Core Measures
CMS: Medicaid Adult Health Care Quality Core Set
CMS: Medicaid/CHIP Children’s Health Care Quality Measures (2013 Set)
CMS: Medicare Advantage Rating Measures
CMS: NQF Evolving Core Measure Set for Dual Eligible Beneficiaries
CMS: Shared Savings Program (ACOs)
The Commonwealth Fund: Why Not the Best?
Consumer Reports Health: Hospital Quality Measures
CQO Roundtable: Illustrative Set of Quality, Outcome, and Cost Measures
DOD: Military Health Service Strategic Imperatives Scorecard
HHS: Leading Health Indicators for Healthy People 2020
HHS: National Quality Strategy Measures
HRSA: Core Clinical Measures
IHA: P4P California Core Measure Set
IHI: Measures for Triple Aim Communities
Joint Commission: Accountability Measures
Joint Commission Example: Acute Myocardial Infarction Core Measure Set
Leapfrog: Hospital Safety Score Methodology
NCQA: HEDIS Measures (Health Plans, 2013)
ONC: Meaningful Use Clinical Quality Measures for Eligible Hospitals (2014)
ONC: Meaningful Use Clinical Quality Measures for Providers (2014)
Oregon Health Authority: Coordinated Care Organization Core Measures
Patient-Centered Medical Home Evaluators Collaborative
Premier: QUEST Measures
State of California: Let’s Get Healthy California
State of Massachusetts: Standard Quality Measure Set
State of Minnesota: Statewide Quality Reporting and Measurement System
State of the USA Health Indicators
State of Vermont: ACO Core Measure Set
United Health Foundation: America’s Health Rankings
University of Wisconsin: County Health Rankings
Veterans Health Administration: ASPIRE Measure Set
World Health Organization Millennium Development Goal Scorecard
Summary of Similarities and Differences Among Ongoing Core Metrics Projects | ||||||||||||||
Aim | Safety | Other measures of quality | ||||||||||||
Sponsoring organization or program | Core metric initiative | Population health | Health care quality | Cost | Patient engagement | Adverse events/errors | Antibiotic prophylaxis | HC-associated infection | Medication review or reconciliation | Access | Preventive & screening services | EHR use | Care transitions/coordination | Disparities/equity |
ASPE | Health System Monitoring Project | X | X | X | X | X | X | X | X | X | X | X | X | |
Blue Cross/ Blue Shield of Massachusetts | Alternative Quality Contract | X | X | X | X | X | X | X | X | |||||
Buying Value Coalition (employers, purchasers), convened by NQF | Buying Value Core Set | X | X | X | X | X | X | |||||||
Canadian Institute for Health Information | Canadian Health System Performance Measurement | X | X | X | X | X | X | |||||||
CDC | Health surveys (e.g., NHANES, NHCS, NHIS, Vital Statistics) | X | X | X | X | X | X | X | X | X | ||||
CMS | Medicare Advantage Ratings | X | X | X | X | X | X | X |
Summary of Similarities and Differences Among Ongoing Core Metrics Projects | ||||||||||||||
Health outcomes and population health | Patient centeredness | Condition focus | Cost and utilization | |||||||||||
Sponsoring organization or program | Core metric initiative | Mortality (outcome or population) | Health factors/risk/behaviors | Current functioning/quality of life | Patient experience/satisfaction | Shared decision making | Diabetes | Cardiovascular conditions | Respiratory conditions | Cancer care | Mental health | Care utilization | Resource use/health care expenditures | Number of measures |
ASPE | Health System Monitoring Project | X | X | X | X | X | X | X | X | 59 | ||||
Blue Cross/ Blue Shield of Massachusetts | Alternative Quality Contract | X | X | X | X | X | X | X | 80 | |||||
Buying Value Coalition (employers, purchasers), convened by NQF | Buying Value Core Set | X | X | X | X | X | X | X | X | X | 38 | |||
Canadian Institute for Health Information | Canadian Health System Performance Measurement | X | X | X | X | X | 15 | |||||||
CDC | Health surveys (e.g., NHANES, NHCS, NHIS, vital statistics) | X | X | X | X | X | X | |||||||
CMS | Medicare Advantage Ratings | X | X | X | X | X | X | X | 37 |
Summary of Similarities and Differences Among Ongoing Core Metrics Projects | ||||||||||||||
Aim | Safety | Other measures of qulity | ||||||||||||
Sponsoring organization or program | Core metric initiative | Population health | Health care quality | Cost | Patient engagement | Adverse events/errors | Antibiotic prophylaxis | HC-associated infection | Medication review or reconciliation | Access | Preventive & screening services | EHR use | Care transitions/coordination | Disparities/equity |
CMS | Shared Savings Program (ACO) | X | X | X | X | X | X | X | X | |||||
CMS Center for Medicaid | CMS Health Homes Core Measures | X | X | X | X | |||||||||
CMS Center for Medicaid | Medicaid Adult Health Care Quality Measures | X | X | X | X | X | X | |||||||
CMS Center for Medicaid | Medicaid/ CHIP Pediatric Health Care Quality Measures | X | X | X | X | X | X | X | X | |||||
CMS/NQF | Evolving Core Measure Set for Dual Eligible Beneficiaries | X | X | X | X | X | X | |||||||
The Commonwealth Fund | Why Not the Best? | X | X | X | X | X | ||||||||
Consumer Reports | Consumer Reports Health | X | X | X | X |
Summary of Similarities and Differences Among Ongoing Core Metrics Projects | ||||||||||||||
Health outcomes and population health | Patient centeredness | Condition focus | Cost and utilization | |||||||||||
Sponsoring organization or program | Core metric initiative | Mortality (outcome or population) | Health factors/risk/behaviors | Current functioning/quality of life | Patient experience/satisfaction | Shared decision making | Diabetes | Cardiovascular conditions | Respiratory conditions | Cancer care | Mental health | Care utilization | Resource use/health care expenditures | Number of measures |
CMS | Shared Savings Program (ACO) | X | X | X | X | X | X | X | X | 33 | ||||
CMS Center for Medicaid | CMS Health Homes Core Measures | X | X | X | 8 | |||||||||
CMS Center for Medicaid | Medicaid Adult Health Care Quality Measures | X | X | X | X | X | X | X | X | 26 | ||||
CMS Center for Medicaid | Medicaid/ CHIP Pediatric Health Care Quality Measures | X | X | X | X | X | X | 26 | ||||||
CMS/NQF | Evolving Core Measure Set for Dual Eligible Beneficiaries | X | X | X | X | X | X | X | 30 | |||||
The Commonwealth Fund | Why Not the Best? | X | X | X | X | X | 42 | |||||||
Consumer Reports | Consumer Reports Health | X | X | X | X | 17 |
Summary of Similarities and Differences Among Ongoing Core Metrics Projects | ||||||||||||||
Aim | Safety | Other measures of quality | ||||||||||||
Sponsoring organization or program | Core metric initiative | Population health | Health care quality | Cost | Patient engagement | Adverse events/errors | Antibiotic prophylaxis | HC-associated infection | Medication review or reconciliation | Access | Preventive & screening services | EHR use | Care transitions/coordination | Disparities/equity |
Department of Defense | Military Health Services Strategic Imperatives Scorecard | X | X | X | X | X | X | X | X | X | X | |||
Gretzky Coalition | Gretzky Group | X | X | X | X | X | X | |||||||
HHS Health People 2020 Project | Leading Health Indicators for Healthy People | X | X | X | X | |||||||||
HHS in conjunction with the National Priorities Partnership | National Quality Strategy | X | X | X | X | X | X | X | X | |||||
HRSA | HRSA Core Clinical Measures | X | X | X | X | X | ||||||||
IHA | P4P California Core Measure Set | X | X | X | X | X | X | |||||||
IHI | Triple Aim Communities | X | X | X | X | X | X | X |
Summary of Similarities and Differences Among Ongoing Core Metrics Projects | ||||||||||||||
Health outcome and population health | Patient centeredness | Condition focus | Cost and utilization | |||||||||||
Sponsoring organization or program | Core metric initiative | Mortality (outcome or population) | Health factors/risk/behaviors | Current functioning/quality of life | Patient experience/satisfaction | Shared decision making | Diabetes | Cardiovascular conditions | Respiratory conditions | Cancer care | Mental health | Care utilization | Resource use/health care expenditures | Number of measures |
Department of Defense | Military Health Services Strategic Imperatives Scorecard | X | X | X | X | X | X | X | 26 | |||||
Gretzky Coalition | Gretzky Group | X | X | X | X | X | X | X | X | X | NA | |||
HHS Health People 2020 Project | Leading Health Indicators for Healthy People | X | X | X | X | X | X | 26 | ||||||
HHS in conjunction with the National Priorities Partnership | National Quality Strategy | X | X | X | X | X | X | 14 | ||||||
HRSA | HRSA Core Clinical Measures | X | X | X | 12 | |||||||||
IHA | P4P California Core Measure Set | X | X | X | X | X | X | X | 114 | |||||
IHI | Triple Aim Communities | X | X | X | X | X | X | 9 |
Summary of Similarities and Differences Among Ongoing Core Metrics Projects | ||||||||||||||
Aim | Safety | Other measures of quality | ||||||||||||
Sponsoring organization or program | Core metric initiative | Population health | Health care quality | Cost | Patient engagement | Adverse events/errors | Antibiotic prophylaxis | HC-associated infection | Medication review or reconciliation | Access | Preventive & screening services | EHR use | Care transitions/coordination | Disparities/equity |
Joint Commission | Joint Commission Accountability Measures | X | X | X | X | |||||||||
Joint Commission | Joint Commission Core Sets | X | X | X | X | X | ||||||||
Leapfrog | Leapfrog Safety Score Methodology | X | X | X | X | X | ||||||||
Many organizations | CQO Roundtable | X | X | X | X | X | X | X | X | X | X | |||
NCQA | HEDIS Measures | X | X | X | X | X | X | |||||||
ONC | Meaningful Use Clinical Quality Measures for Hospitals | X | X | X | X | X | ||||||||
ONC | Meaningful Use Clinical Quality Measures for Physicians | X | X | X | X |
Summary of Similarities and Differences Among Ongoing Core Metrics Projects | ||||||||||||||
Health outcomes and population health | Patient centeredness | Condition focus | Cost and utilization | |||||||||||
Sponsoring organization or program | Core metric initiative | Mortality (outcome or population) | Health factors/risk/behaviors | Current functioning/quality of life | Patient experience/satisfaction | Shared decision making | Diabetes | Cardiovascular conditions | Respiratory conditions | Cancer care | Mental health | Care utilization | Resource use/health care expenditures | Number of measures |
Joint Commission | Joint Commission Accountability Measures | X | X | X | 43 | |||||||||
Joint Commission | Joint Commission Core Sets | X | X | X | X | 11 | ||||||||
Leapfrog | Leapfrog Safety Score Methodology | 26 | ||||||||||||
Many organizations | CQO Roundtable | X | X | X | X | 13 | ||||||||
NCQA | HEDIS Measures | X | X | X | X | X | X | X | X | X | X | X | 79 | |
ONC | Meaningful Use Clinical Quality Measures for Hospitals | X | X | 30 | ||||||||||
ONC | Meaningful Use Clinical Quality Measures for Physicians | X | X | X | X | X | X | 64 |
Summary of Similarities and Differences Among Ongoing Core Metrics Projects | ||||||||||||||
Aim | Safety | Other measures of quality | ||||||||||||
Sponsoring organization or program | Core metric initiative | Population health | Health care quality | Cost | Patient engagement | Adverse events/errors | Antibiotic prophylaxis | HC-associated infection | Medication review or reconciliation | Access | Preventive & screening services | EHR use | Care transitions/coordination | Disparities/equity |
Oregon Health Authority | Coordinated Care Organization Core Measures | X | X | X | X | X | X | X | X | |||||
Patient-Centered Medical Home Evaluators Collaborative | Patient-Centered Medical Home | X | X | |||||||||||
Premier | QUEST | X | X | X | X | X | X | |||||||
State of California | Let’s Get Healthy California | X | X | X | X | X | X | |||||||
State of Massachusetts | Statewide Quality Advisory Committee (SQAC) | X | X | X | X | X | X | X | X | X | ||||
State of Minnesota | Statewide Quality Reporting and Measurement System (SQRMS) | X | X | X | X | X | X | X | X | X |
Summary of Similarities and Differences Among Ongoing Core Metrics Projects | ||||||||||||||
Health outcomes and population health | Patient centeredness | Condition focus | Cost and utilization | |||||||||||
Sponsoring organization or program | Core metric initiative | Mortality (outcome or population) | Health factors/risk/behaviors | Current functioning/quality of life | Patient experience/satisfaction | Shared decision making | Diabetes | Cardiovascular conditions | Respiratory conditions | Cancer care | Mental health | Care utilization | Resource use/health care expenditures | Number of measures |
Oregon Health Authority | Coordinated Care Organization Core Measures | X | X | X | X | X | X | X | 50 | |||||
Patient-Centered Medical Home Evaluators Collaborative | Patient-Centered Medical Home | X | X | X | X | X | X | 44 | ||||||
Premier | QUEST | X | X | X | X | 40 | ||||||||
State of California | Let’s Get Healthy California | X | X | X | X | X | X | X | X | X | 48 | |||
State of Massachusetts | Statewide Quality Advisory Committee (SQAC) | X | X | X | X | X | X | X | X | 113 | ||||
State of Minnesota | Statewide Quality Reporting and Measurement System (SQRMS) | X | X | X | X | X | X | X | X | 25 |
Summary of Similarities and Differences Among Ongoing Core Metrics Projects | ||||||||||||||
Aim | Safety | Other measures of quality | ||||||||||||
Sponsoring organization or program | Core metric initiative | Population health | Health care quality | Cost | Patient engagement | Adverse events/errors | Antibiotic prophylaxis | HC-associated infection | Medication review or reconciliation | Access | Preventive & screening services | EHR use | Care transitions/coordination | Disparities/equity |
State of the USA project | State of the USA Health Indicators | X | X | X | X | X | X | |||||||
State of Vermont | Vermont ACO Core Measure Set | X | X | X | X | X | X | |||||||
United Health Foundation | America’s Health Rankings | X | X | X | X | X | ||||||||
University of Wisconsin | County Health Rankings | X | X | X | X | |||||||||
Veterans Health Administration | Aspire Measures | X | X | X | X | X | X | X | X | X | ||||
World Health Organization | Millennium Development Goal Scorecard | X | X | X | X | |||||||||
Totals | 25 | 37 | 19 | 21 | 7 | 12 | 9 | 13 | 29 | 32 | 11 | 25 | 8 |
Summary of Similarities and Differences Among O | ngoing Core Metrics Projects | |||||||||||||
Health outcomes and population health | Patient centeredness | Condition focus | Cost and utilization | |||||||||||
Sponsoring organization or program | Core metric initiative | Mortality (outcome or population) | Health factors/risk/behaviors | Current functioning/quality of life | Patient experience/satisfaction | Shared decision making | Diabetes | Cardiovascular conditions | Respiratory conditions | Cancer care | Mental health | Care utilization | Resource use/health care expenditures | Number of measures |
State of the USA project | State of the USA Health Indicators | X | X | X | X | X | X | X | X | X | X | 20 | ||
State of Vermont | Vermont ACO Core Measure Set | X | X | X | X | X | X | X | 32 | |||||
United Health Foundation | America’s Health Rankings | X | X | X | X | X | X | X | X | 48 | ||||
University of Wisconsin | County Health Rankings | X | X | X | X | X | X | X | 29 | |||||
Veterans Health Administration | Aspire Measures | X | X | X | X | X | X | X | X | 68 | ||||
World Health Organization | Millennium Development Goal Scorecard | X | X | 10 | ||||||||||
Totals | 14 | 19 | 14 | 19 | 11 | 24 | 28 | 22 | 18 | 27 | 30 | 15 | 1,369 |