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NQF Guidance: Designing Measure Sets and Systems

A new report from the National Quality Forum (NQF) provides insight on how quality measures can be combined in a system to improve health outcomes and drive high-value care for all. The ultimate goal is to make sure measure sets and systems consistently produce measurable impacts.

The report on measure sets and measurement systems comes from a 25-person technical expert panel (TEP) representing patients, purchasers, public and private payers, clinicians, provider groups, measure developers and implementers, statisticians, and health services researchers. The TEP examined elements of measure sets and measurement systems, as well as data challenges, alignment considerations, and unintended consequences.

The TEP provides guidance on measure selection, data, and implementation. Further, the report touches on measure grouping, scoring approaches, risk adjustment, and usability. Overall, the recommendations build on the use of individual measures to assess quality, safety, and person-centered care; emphasize goals; ensure sets and systems are sound and aligned; and engage diverse stakeholders in the discussion to make sure measurement systems provide accurate data about quality of care.

Contact Senior Director of Policy Erin O’Malley at or 202.585.0127 with questions.


About the Author

Abigail Painchaud is a policy associate at America's Essential Hospitals.

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