Patient Outcomes Measures: Child Health and Mental Health (Phase III)
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Project Status: Completed
National Voluntary Consensus Standards for Patient Outcomes Measures: Child and Mental Health (Phase III)
Access the Final Report: National Voluntary Consensus Standards for Patient Outcomes 2009
The Opportunity
To achieve quality healthcare across the full continuum, more measures were needed that specifically address various outcomes of care provided in our nation’s healthcare system. Development and endorsement of outcomes measures focus on areas with the greatest potential impact, including common conditions, gaps in measurement of patient-focused outcomes, and transitions across care settings.
About the Project
This project began in August 2009 and encompassed Phase III of NQF's 2009-2010 work on patient outcomes measures. It focused on child health and mental health outcomes as indicated below. The project began with the general Patient Outcome Measures Notice of Intent to Call for Measures, issued in August 2009. The first and second phases of this work were conducted in the project Patient Outcomes Measures: Phases I and II, which focused on measures in 21 condition-specific areas.
Phase III Focus Areas:
- Child Health: Cross-cutting and condition-specific outcomes
- Mental Health: Depression; Alzheimer’s Disease; serious mental illness
Process
Candidate measures were considered for NQF endorsement as voluntary consensus standards. Agreement around the recommendations were developed through NQF’s Consensus Development Process (CDP, Version 1.8). This project involved the active participation of representatives from across the spectrum of healthcare stakeholders. The work of Phase III was overseen by two Steering Committees, one focused on child health and the other on mental health.
Funding
This project was funded under NQF's contract with the Department of Health and Human Services, Consensus-based Entities Regarding Healthcare Performance Measurement.
Related NQF Work
Contact Information
For further information, contact NQF at 202-783-1300 or via email at performancemeasures@qualityforum.org.
This third phase of the Patient Outcomes Measures work focused on child health and mental health outcomes.
NQF issued a Call for Intent to submit candidate standards for all phases. For additional information, see the full Call for Intent document.
The Call for Nominations for Patient Outcomes Phase III is now closed. For more information, please refer to the Call for Nominations document (Word).
The 14-day comment period for submitted nominees closed on November 10, 2009
The Steering Committee met in person and by phone to review the submitted candidate measures. Meeting agendas and dial-in information were posted as available.
The Child Health Steering Committee met in person on November 12-13, 2009.
The meeting of the Mental Health Steering Committee was open to NQF Members and public. It was held at the Hyatt Regency Washington in Washington, DC.
The Mental Health Steering Committee meeting was open to NQF Members and the public. It was held at 601 13th Street, NW, in Washington, DC.
The Child Health Steering Committee met via conference call on April 12, 2010.
The Child Health Steering Committee met in person on May 5-6, 2010.
The Child Health Steering Committee met via conference call on June 24, 2010.
Agenda (PDF)
Meeting Summary (PDF)
NQF Members had the the opportunity to vote on the candidate consensus standards recommended by the Steering Committee for endorsement.
The draft report was revised based on the comments received during the Public and Member Comment and consultation with the Steering Committee. Member voting closed on September 14, 2010.
—Measures—
If you have any questions about member voting, please send an e-mail to outcomes@qualityforum.org.
The draft report has been revised based on the comments received during the Public and Member Comment and consultation with the Steering Committee. Member voting closed on October 26, 2010.
Measures
- OT3-027-10: Ventriculoperitoneal (VP) shunt malfunction rate in children
- OT3-028-10: Standardized mortality ratio for neonates undergoing non-cardiac surgery
- OT3-029-10: Standardized adverse event ratio for children < 18 years of age undergoing cardiac catherization
- OT3-031-10: Healthy term newborn
- OT3-032-10: Number of school days children miss due to illness
- OT3-036-10: Children who have problems obtaining referrals when needed
- OT3-038-10: (a) Children who did not receive sufficient care coordination services when needed & (b) Children who did not receive satisfactory communication among providers when needed.
- OT3-039-10: Children who live in communities perceived as safe
- OT3-041-10: Children who attend schools perceived as safe
- OT3-043-10: Pediatric Symptom Checklist (PSC)
- OT3-044-10: Children who have inadequate insurance coverage for optimal health
- OT3-046-10: Validated family-centered survey questionnaire for parents’ and patients’ experiences during inpatient pediatric hospital stay
- OT3-045-10: Measure of medical home for children and adolescents
- OT3-055-10: Gastroenteritis admission rate (pediatric)
- OT3-057-10: Asthma admission rate (pediatric)
If you have any questions about member voting, please e-mail outcomes@qualityforum.org.
Recommended candidate standards for Mental Health and Child Health will be reviewed by the Consensus Standards Approval Committee (CSAC) in two separate meetings. Information about the CSAC meetings will be posted when it is available.
CSAC met on October 14, 2010 to consider endorsement of 4 measures for Patient Outcomes: Mental Health.
The CSAC met in person on November 3-4, 2010 to consider endorsement of 15 measures for Patient Outcomes: Child Health.
CSAC Memo (PDF)
After the CSAC makes its decision regarding both sets of measures, the NQF Board has seven days to ratify any endorsements. Any information pertaining to the Board’s deliberations will be posted when available. The Board will be deliberating on the Mental Health and Child Health measures in separate meetings.
The NQF Board met on January 17, 2011 and chose to endorse the Patient Outcomes: Mental Health measures.
Announcement
The NQF Board met on January 17, 2011 and chose to endorse the Patient Outcomes: Child Health measures.
Announcement
The public had 30 days to appeal the final decision made to endorse this voluntary consensus standard. For both the Mental Health and Child Health Projects, the appeals process closed on February 24, 2011. No appeals were filed during this time.
The appeals process for the Mental Health measures closed on February 24, 2011. No appeals were filed during this time.
The appeals process for the Child Health measures closed on February 24, 2011. No appeals were filed during this time.
