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Steering committees have diverse backgrounds and expertise and could benefit from more guidance and support to consistently apply NQF measure evaluation criteria. Both evidence and expert judgment play a role in evaluating measures against criteria. However, judgment can best be applied when Steering Committees have a thorough understanding of the evidence that does or does not exist. Evidence comes in many different forms, is often inconsistent and incomplete, and can be difficult to interpret and reach conclusions about. In October 2009, the Board directed NQF to strengthen its processes for evaluating the synthesis and scoring of evidence and for presenting this information in ways that will be best understood and useful to Steering Committees.