Ambulatory Care: Eye Care and Melanoma Measures
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Project Status: Completed
National Voluntary Consensus Standards for Ambulatory Care: Additional Eye Care and Melanoma Measures
Access the Final Report:National Voluntary Consensus Standards for Ambulatory Care — Additional Eye Care and Melanoma Performance Measures 2009: A Consensus Report
The Opportunity
In the past several years NQF has addressed the great interest about the quality of physician performance and clinician-level measurement by endorsing more than 100 clinician-level ambulatory care performance measures in a variety of areas. During the 2007 review, candidate eye care (cataracts) and skin care (melanoma) measures were not endorsed despite the importance and impact of these conditions.
About the Project
NQF's multi-year, multi-phase Ambulatory Care project began in 2004. The Ambulatory Care: Eye Care and Melanoma Measures project began in 2008.
Objectives
To address the lack of measures in the important areas of eye care, particularly cataract surgery, and treatment of melanoma NQF considered ten revised and updated measures as a continuation of the Ambulatory Care project.
Process
The candidate measures were considered for NQF endorsement as voluntary consensus standards by members of the original Ambulatory Care Steering Committee and technical advisors. Agreement around the recommendations were developed through NQF's formal Consensus Development Process (version 1.8). This project, like all NQF activities, involved the active participation of representatives from across the spectrum of healthcare stakeholders and was guided by a steering committee and technical advisors.
Funding
Support for this project was provided by the Robert Wood Johnson Foundation.
Related NQF Work
Contact Information
Reva Winkler, MD, MPH at 202-783-1300 or via e-mail at rwinkler@qualityforum.org
In this project, NQF considered 10 revised or updated measures for eye care and melanoma management as a continuation of the National Voluntary Consensus Standards for Ambulatory Care: Specialty Clinician Performance Measures.
Four revised or updated skin care (melanoma) measures and six eye care measures were submitted to NQF to fill important gaps in the ambulatory care measure set. These 10 measures considered by the Steering Committee were revised and updated versions of measures originally submitted to NQF in 2007 as a part of the Ambulatory Care: Specialty Clinician Performance Measures project.
Table of Candidate Measures
The Steering Committee and Technical Advisors evaluated the 10 candidate measures against NQF's measure evaluation criteria of importance to measure and report; scientific acceptability of the measure properties; usability; and feasibility.
The Steering Committee met via conference call to review and make recommendations for endorsement on the 10 submitted measures by evaluating the measures against NQF's measure evaluation criteria.
The Steering Committee met via conference call to review those measures that were not addressed during the Committee's call on December 9, 2008, due to a shortage of time. By the end of this conference call, the Committee had completed their review of all 10 measures.
The Steering Committee met via conference call to discuss the comments received from NQF members and the public during the commenting period.
The member voting period closed on July 22, 2009.
Additional documents related to this vote, including a list of the comments submitted, the measure evaluation table, and summaries of the steering committee and technical advisory panel meetings, are available in the project details.
After the CSAC meeting, the NQF Board of Directors was notified of the CSAC's decisions. The Board had seven days from notification to ratify any endorsements.
Announcement of Board Endorsement (Word)
The public had 30 days to appeal the decisions made to endorse this voluntary consensus standard. The appeals process closed on December 3, 2009. No appeals were filed.