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Quality Measures
The Centers for Medicare & Medicaid Services (CMS) and their partners (listed below) discussed the
following standardized clinical measures with representatives from various electronic health record (EHR)
vendor companies at a meeting in Chicago in October 2003. At this meeting, it was determined that technical
specifications would be defined so that vendors could enable their EHR systems to provide data necessary
to calculate these measures to a national data warehouse. Using the data collected in this way, Quality
Improvement Organizations will assist physician practices in identifying areas where the management of
patients and specific diseases, in particular chronic care conditions and preventive measures, can be
improved through more effective use of the systems and practice redesign techniques to enhance healthcare
quality and practice efficiency. The set of healthcare quality measures that will be used to track progress
in achieving the goals of the DOQ-IT project are:
Coronary Artery Disease (CAD)
Diabetes Mellitus (DM)
Heart Failure (HF)
Hypertension (HTN)
Preventive Care (PC)
View/download all measures in a single file.
Quality measures were developed by CMS and several partners including:
- American Medical Association (AMA) Physician Consortium for Performance Improvement—The Consortium includes
methodological experts, clinical experts representing more than 60 national medical specialty and state societies, the Agency
for Healthcare Research and Quality, & the Centers for Medicare & Medicaid Services.
- National Diabetes Quality Improvement Alliance (Alliance)—The Alliance is a “project-by-project” partnership
of independent diabetes organizations throughout United States which govern themselves independent of a higher governance.
- National Committee for Quality Assurance (NCQA)—NCQA is a national non-profit organization that evaluates healthcare
through accreditation, the Health Plan Employer Data and Information Set (HEDIS), and a comprehensive member satisfaction survey.
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