1. Getting to the Results that Matter
Jim Chase, NQF Board Chair
June 2019

2. 400+ 10+ Years Health Equity Experience
What is the National Quality Forum?
Multi-Stakeholder Member Organization Trusted to Drive Measurable Improvements in Every Person’s Health Outcomes
Supporting the Transition to Value Promoting Integrated Care Achieving Health Equity
400+
Members covering all health care constituents
LEFT OUT:
Quality experts clinicians, measurement scientists, and health care quality practitioners
10+ Years Health Equity Experience

3. Measurement’s Impact Performance Improvement Population Health Focus
Increase the Patient’s Voice
Facilitate Payment Reform
Support new innovations
- Centers of Excellence
- Episode based payments
- Advanced primary care
Automation of clinical data

4. Why a National Quality Forum?
Alignment of methods
Trusted source of information
Buy in of users
Multiple voices at the table
Expertise in measurement science

5. Our Mission, Vison, and Values
The trusted voice driving measurable health improvements
VISION
Every person experiences high value care and optimal health outcomes
VALUES
Leadership n Passion n Excellence n Collaboration n Integrity

6. Measure Endorsement Areas
All-Cause Admissions and Readmissions
Behavioral health and Substance Abuse
Cancer
Cardiovascular
Cost and Efficiency
Geriatrics and Palliative Care
Neurology
Patient Experience and Function
Patient Safety
Perinatal and Women’s Health
Prevention and Population Health
Primary Care and Chronic Illness
Renal
Surgery

7. Measure Applications Partnership

8. Measure Applications Partnership Role
Inform the selection of performance measures to achieve the goal of improvement, transparency, and value for all
Provide input during pre-rulemaking on the selection of performance measures for use in public reporting, performance-based payment, and other federal programs
Identify gaps for measure development, testing, and endorsement
Encourage measurement alignment across public and private programs, settings, levels of analysis, and populations

9. Measurement Sets and Systems
Individual Measures
Addresses some aspect of quality or cost of the healthcare system
Measure Sets
Individual measures that are grouped based on intent
Measurement Systems
Purpose-driven
Multiple elements combined in a particular way
Review definitions

10. Quality Improvement
Drawing on extensive experience in healthcare quality improvement and measurement, we lead projects on a variety topics across our major focus areas

11. Quality Improvement Tools
The products we offer highlight best practices and lessons learned on a variety of topics and are meant to help disseminate our work to all stakeholders, including consumers, front-line clinicians and healthcare executives

12. Social Determinants of Health Quality and Payment Innovations
Purpose
Advancing payment’s role in supporting successful innovations in social determinants of health (SDOH)
Goal
Advance the delivery of high-quality healthcare by addressing SDOH through payment
What We Are Doing
Bring together leaders from across the public and private sectors
Develop actionable, scalable recommendations to address
disparities through the integration of quality and
payment programs
Issue a National Call to Action – Fall 2019

13. Amplifying the Patient Voice
Emerging Quality Areas
Quality Gaps
Measure
Development
Quality Improvement
Best Scientific Measures
Founded from Presidential Commission on Consumer Protection and Quality
Capture direct voices with hands-on experience
COPD
Multiple Sclerosis
Lung Cancer
Rheumatoid
Arthritis
PatientsLikeMe®
Measure endorsement Patient and Consumer Advisory Council
National Quality Partners Playbook™: Shared Decision Making
NQF Measure Incubator Patient Reported Outcome Projects

14. National Quality Partners Playbook™: Shared Decision Making (SDM) in Healthcare
Aims to make shared decision making the standard of care for all patients
Provides essential guidance to implement and strengthen SDM
Highlights practical solutions to common barriers to SDM in clinical practice
Includes snapshots that highlight success stories and key resources
Patients and caregivers directly involved

15. the Next Generation of Quality
Driving Value through
the Next Generation of Quality
Identify actionable, compelling opportunities to radically improve alignment throughout the delivery system to achieve profoundly better health outcomes and value for every person.
Technology & Transformation Subcommittee
Payment & Policy Subcommittee
Consumer & Community Driven Care Subcommittee
Clinical & Quality Alignment Subcommittee
March
2019
Nov
Task Force Core Committee
Kick-Off
Analyze and Recommend
Publish and Promote
Promotion & System Change Subcommittee

16. National Quality Task Force
Subcommittees
National Quality Task Force Subcommittees
The Task Force is comprised of five subcommittees overseen by a Core Committee which will develop recommendations by the end of The subcommittees are:
Clinical & Quality Alignment: establishing clinical priorities and aligning measurement, workflow, and improvement efforts to produce better outcomes and reduce burden
Payment & Policy: creating aligned performance incentives and penalties throughout the delivery system and weighing key considerations, e.g. performance reporting, risk, and social determinants
Consumer & Community Driven Care: advancing performance measurement and data (validity, impact, and integration) to systemically promote and benchmark quality of life measures, e.g. person-centered/patient defined outcomes
Technology & Transformation: identifying opportunities to focus advancements in the next generation of healthcare delivery and medical/health technologies including artificial intelligence, robotics, wearables, seamless EHR integration, new pharma, devices
Promotion & System Change: defining critical system changes to support the implementation and uptake of successful population health management capabilities including promoting and embedding structural, cultural and behavioural change necessary to drive an aligned, high-quality learning system

17. NQF Supporting Purchasers
Transition to Value
Employers facing rising health care costs
Value based arrangements becoming more popular
Driving value for employees and members
Addressing health care challenges
Opioid crisis
Health equity – social determinants of health
Patient and caregiver engagements
Preferences of employees and patients
Patient centered care

18. What Can You Do? Be a member/sponsor/participant -local and national
Be a voice for useful transparency and comparison
Support “Pay for Value” and accountability
Encourage collaboration and tools for QI

19. Connect With NQF @NatQualityForum #SupportNQF infol@qualityforum.org