Vital Signs: Core Metrics for Health and Health Care Progress (2015)
Chapter: Appendix D: Existing Infrastructure
Visit
NAP.edu/10766
to get more information about this book, to buy it in print, or to
download it as a free PDF.
Previous Chapter:
Appendix C: Existing Data Sources
Next Chapter: Appendix E: Biosketches of Committee Members and Staff
Suggested Citation:
"Appendix D: Existing Infrastructure." Institute of Medicine. 2015. Vital Signs: Core Metrics for Health and Health Care Progress. Washington, DC: The National Academies Press.
doi: 10.17226/19402.
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.*
_______________
* This introductory text was added after the prepublication version of this report to reflect that part of the Appendix is now available only online.
Suggested Citation:
"Appendix D: Existing Infrastructure." Institute of Medicine. 2015. Vital Signs: Core Metrics for Health and Health Care Progress. Washington, DC: The National Academies Press.
doi: 10.17226/19402.
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
Suggested Citation:
"Appendix D: Existing Infrastructure." Institute of Medicine. 2015. Vital Signs: Core Metrics for Health and Health Care Progress. Washington, DC: The National Academies Press.
doi: 10.17226/19402.
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
Suggested Citation:
"Appendix D: Existing Infrastructure." Institute of Medicine. 2015. Vital Signs: Core Metrics for Health and Health Care Progress. Washington, DC: The National Academies Press.
doi: 10.17226/19402.
| 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 | ||||||
Suggested Citation:
"Appendix D: Existing Infrastructure." Institute of Medicine. 2015. Vital Signs: Core Metrics for Health and Health Care Progress. Washington, DC: The National Academies Press.
doi: 10.17226/19402.
| 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 | |||||
Suggested Citation:
"Appendix D: Existing Infrastructure." Institute of Medicine. 2015. Vital Signs: Core Metrics for Health and Health Care Progress. Washington, DC: The National Academies Press.
doi: 10.17226/19402.
| 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 | |||||||||
Suggested Citation:
"Appendix D: Existing Infrastructure." Institute of Medicine. 2015. Vital Signs: Core Metrics for Health and Health Care Progress. Washington, DC: The National Academies Press.
doi: 10.17226/19402.
| 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 | ||||||||
Suggested Citation:
"Appendix D: Existing Infrastructure." Institute of Medicine. 2015. Vital Signs: Core Metrics for Health and Health Care Progress. Washington, DC: The National Academies Press.
doi: 10.17226/19402.
| 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 | ||||||
Suggested Citation:
"Appendix D: Existing Infrastructure." Institute of Medicine. 2015. Vital Signs: Core Metrics for Health and Health Care Progress. Washington, DC: The National Academies Press.
doi: 10.17226/19402.
| 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 | ||||||
Suggested Citation:
"Appendix D: Existing Infrastructure." Institute of Medicine. 2015. Vital Signs: Core Metrics for Health and Health Care Progress. Washington, DC: The National Academies Press.
doi: 10.17226/19402.
| 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 | |||||||||
Suggested Citation:
"Appendix D: Existing Infrastructure." Institute of Medicine. 2015. Vital Signs: Core Metrics for Health and Health Care Progress. Washington, DC: The National Academies Press.
doi: 10.17226/19402.
| 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 | ||||||
Suggested Citation:
"Appendix D: Existing Infrastructure." Institute of Medicine. 2015. Vital Signs: Core Metrics for Health and Health Care Progress. Washington, DC: The National Academies Press.
doi: 10.17226/19402.
| 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 | ||||
Suggested Citation:
"Appendix D: Existing Infrastructure." Institute of Medicine. 2015. Vital Signs: Core Metrics for Health and Health Care Progress. Washington, DC: The National Academies Press.
doi: 10.17226/19402.
| 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 | ||||
Suggested Citation:
"Appendix D: Existing Infrastructure." Institute of Medicine. 2015. Vital Signs: Core Metrics for Health and Health Care Progress. Washington, DC: The National Academies Press.
doi: 10.17226/19402.
| 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 | |
Suggested Citation:
"Appendix D: Existing Infrastructure." Institute of Medicine. 2015. Vital Signs: Core Metrics for Health and Health Care Progress. Washington, DC: The National Academies Press.
doi: 10.17226/19402.
| 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 | |
Subscribe to Emails from the National Academies
Stay up to date on activities, publications, and events by subscribing to email updates.