Getting to the Results that Matter Jim Chase, NQF Board Chair June 2019

400+ 10+ Years Health Equity Experience What is the National Quality Forum? Multi-Stakeholder Member Organization Trusted to Drive Measurable Improvements in Every Person’s Health Outcomes Supporting the Transition to Value Promoting Integrated Care Achieving Health Equity 400+ Members covering all health care constituents LEFT OUT: Quality experts clinicians, measurement scientists, and health care quality practitioners 10+ Years Health Equity Experience

Measurement’s Impact Performance Improvement Population Health Focus Increase the Patient’s Voice Facilitate Payment Reform Support new innovations - Centers of Excellence - Episode based payments - Advanced primary care Automation of clinical data

Why a National Quality Forum? Alignment of methods Trusted source of information Buy in of users Multiple voices at the table Expertise in measurement science

Our Mission, Vison, and Values The trusted voice driving measurable health improvements VISION Every person experiences high value care and optimal health outcomes VALUES Leadership n Passion n Excellence n Collaboration n Integrity

Measure Endorsement Areas All-Cause Admissions and Readmissions Behavioral health and Substance Abuse Cancer Cardiovascular Cost and Efficiency Geriatrics and Palliative Care Neurology Patient Experience and Function Patient Safety Perinatal and Women’s Health Prevention and Population Health Primary Care and Chronic Illness Renal Surgery

Measure Applications Partnership

Measure Applications Partnership Role Inform the selection of performance measures to achieve the goal of improvement, transparency, and value for all Provide input during pre-rulemaking on the selection of performance measures for use in public reporting, performance-based payment, and other federal programs Identify gaps for measure development, testing, and endorsement Encourage measurement alignment across public and private programs, settings, levels of analysis, and populations

Measurement Sets and Systems Individual Measures Addresses some aspect of quality or cost of the healthcare system Measure Sets Individual measures that are grouped based on intent Measurement Systems Purpose-driven Multiple elements combined in a particular way Review definitions

Quality Improvement Drawing on extensive experience in healthcare quality improvement and measurement, we lead projects on a variety topics across our major focus areas

Quality Improvement Tools The products we offer highlight best practices and lessons learned on a variety of topics and are meant to help disseminate our work to all stakeholders, including consumers, front-line clinicians and healthcare executives

Social Determinants of Health Quality and Payment Innovations Purpose Advancing payment’s role in supporting successful innovations in social determinants of health (SDOH) Goal Advance the delivery of high-quality healthcare by addressing SDOH through payment What We Are Doing Bring together leaders from across the public and private sectors Develop actionable, scalable recommendations to address disparities through the integration of quality and payment programs Issue a National Call to Action – Fall 2019

Amplifying the Patient Voice Emerging Quality Areas Quality Gaps Measure Development Quality Improvement Best Scientific Measures Founded from Presidential Commission on Consumer Protection and Quality Capture direct voices with hands-on experience COPD Multiple Sclerosis Lung Cancer Rheumatoid Arthritis PatientsLikeMe® Measure endorsement Patient and Consumer Advisory Council National Quality Partners Playbook™: Shared Decision Making NQF Measure Incubator Patient Reported Outcome Projects

National Quality Partners Playbook™: Shared Decision Making (SDM) in Healthcare Aims to make shared decision making the standard of care for all patients Provides essential guidance to implement and strengthen SDM Highlights practical solutions to common barriers to SDM in clinical practice Includes snapshots that highlight success stories and key resources Patients and caregivers directly involved

the Next Generation of Quality Driving Value through the Next Generation of Quality Identify actionable, compelling opportunities to radically improve alignment throughout the delivery system to achieve profoundly better health outcomes and value for every person. Technology & Transformation Subcommittee Payment & Policy Subcommittee Consumer & Community Driven Care Subcommittee Clinical & Quality Alignment Subcommittee March 2019 Nov Task Force Core Committee Kick-Off Analyze and Recommend Publish and Promote Promotion & System Change Subcommittee

National Quality Task Force Subcommittees National Quality Task Force Subcommittees The Task Force is comprised of five subcommittees overseen by a Core Committee which will develop recommendations by the end of 2019. The subcommittees are: Clinical & Quality Alignment: establishing clinical priorities and aligning measurement, workflow, and improvement efforts to produce better outcomes and reduce burden Payment & Policy: creating aligned performance incentives and penalties throughout the delivery system and weighing key considerations, e.g. performance reporting, risk, and social determinants Consumer & Community Driven Care: advancing performance measurement and data (validity, impact, and integration) to systemically promote and benchmark quality of life measures, e.g. person-centered/patient defined outcomes Technology & Transformation: identifying opportunities to focus advancements in the next generation of healthcare delivery and medical/health technologies including artificial intelligence, robotics, wearables, seamless EHR integration, new pharma, devices Promotion & System Change: defining critical system changes to support the implementation and uptake of successful population health management capabilities including promoting and embedding structural, cultural and behavioural change necessary to drive an aligned, high-quality learning system

NQF Supporting Purchasers Transition to Value Employers facing rising health care costs Value based arrangements becoming more popular Driving value for employees and members Addressing health care challenges Opioid crisis Health equity – social determinants of health Patient and caregiver engagements Preferences of employees and patients Patient centered care

What Can You Do? Be a member/sponsor/participant -local and national Be a voice for useful transparency and comparison Support “Pay for Value” and accountability Encourage collaboration and tools for QI

Connect With NQF @NatQualityForum #SupportNQF infol@qualityforum.org 202-783-1300