TABLE 2-1Example Measure Set Sponsors and Users for the Four Domains Influencing Health

DomainResponsible Organization (measures/measurement activities)
Healthy People
  • Centers for Disease Control and Prevention (CDC) (e.g., Community Health Status Indicators; National Center for Health Statistics [Health, United States]; Office of Surveillance, Epidemiology, and Laboratory Services; National Health and Nutrition Examination Survey)
  • Census Bureau (American Community Survey)
  • County Health Rankings (with the University of Wisconsin Population Health Institute and the Robert Wood Johnson Foundation [RWJF])
  • National Institutes of Health (NIH) (e.g., Healthy Communities study [collaboration with CDC and RWJF])
  • National Quality Forum (NQF) (e.g., convening of National Priorities Partnership and Measure Applications Partnership, endorsement of population health measures)
  • Private insurers and health plans (e.g., United HealthCare Foundation's America's Health Rankings)
  • State of the USA project (e.g., State of the USA Health Indicators)
  • State and local governments (e.g., data on reportable diseases, vital statistics)
  • United Health Foundation (e.g., America's Health Rankings)
  • U.S. Department of Health and Human Services (HHS) (e.g., Healthy People 2020 and the Healthy People 2020 Leading Health Indicators)
Care Quality
  • Agency for Healthcare Research and Quality (AHRQ) (e.g., National Healthcare Quality Report, National Healthcare Disparities Report, National Quality Measures Clearinghouse, Consumer Assessment of Healthcare Providers and Systems [CAHPS])
  • American Heart Association (AHA) (e.g., Committee on Performance Improvement)
  • American Medical Association (AMA) (e.g., convening of the Physician Consortium for Performance Improvement)
  • Ambulatory Care Quality Alliance (AQA) (e.g., multi-stakeholder collaborative with focus on using measurement to facilitate improvement and promoting best practices in reporting)
  • CDC (e.g., National Healthcare Safety Network)
  • Centers for Medicare & Medicaid Services (CMS) (e.g., Hospital Compare, Physician Compare, Physician Quality Reporting System, Shared Savings Program [accountable care organization] measures, Medicaid/Children's Health Insurance Program [CHIP] Pediatric Health Care Quality Measures)
  • Health Resources and Services Administration (HRSA) (e.g., HRSA Clinical Quality Core Measure Set)
  • Institute for Clinical Systems Improvement (e.g., development of evidence-based guidelines and support for collaborative initiatives for measure development)
  • Joint Commission (e.g., ORYX)
  • Leapfrog Group (e.g., Hospital Safety Score)
  • Minnesota Community Measurement
  • NCQA (e.g., Healthcare Effectiveness Data and Information Set [HEDIS] measures, recognition of patient-centered medical homes, accreditation of accountable care organizations)
  • NIH (e.g., Patient Reported Outcomes Measurement Information System [PROMIS])
  • NQF (e.g., convening of National Priorities Partnership and Measure Applications Partnership, endorsement of quality measures)
  • Occupational Safety and Health Administration (OSHA) (e.g., data on health worker safety, injuries)
  • Office of the National Coordinator for Health Information Technology (ONC) (e.g., meaningful use measures)
  • Pharmacy Quality Alliance (e.g., medication adherence, appropriate use, overuse)
  • Premier (e.g., QUEST collaborative measures)
  • Private insurers and health plans
  • Quality Alliance Steering Committee (e.g., High-Value Health Care Project)
  • Specialty societies and professional societies (e.g., National Surgical Quality Improvement Program, registries)
  • State and local governments
  • Utilization Review Accreditation Committee (e.g., measurement for accreditation programs)
  • Veterans Health Administration (e.g., ASPIRE, Surgical Care Improvement Project, Linking Information, Knowledge and Systems, Medical Home Initiative)
  • Wisconsin Collaborative for Healthcare Quality
Care Costs
  • AHA (Annual Survey of Hospitals with information technology supplement)
  • AHRQ (Healthcare Costs and Utilization Project, Medical Expenditure Panel Survey [in conjunction with Census Bureau and CDC])
  • CDC (National Health Interview Survey [collaboration with Census Bureau], Medical Expenditure Panel Survey [collaboration with Census Bureau and AHRQ])
  • Census Bureau (National Health Interview Survey [collaboration with CDC], Medical Expenditure Panel Survey [collaboration with CDC and AHRQ])
  • CMS (National Health Expenditure Data)
  • NQF (endorsement of resource use and cost-of-care measures)
  • Private insurance and health plans
  • Quality Alliance Steering Committee (High-Value Health Care Project)
Engaged People
  • AHRQ (e.g., CAHPS)
  • HRSA (e.g., Health Center Patient Satisfaction Survey)
  • Universities and academic organizations (e.g., Patient Activation Measure)

SOURCE: Adapted from IOM, 2013a.

From: 2, Health and Health Care Measurement in America

Cover of Vital Signs
Vital Signs: Core Metrics for Health and Health Care Progress.
Committee on Core Metrics for Better Health at Lower Cost; Institute of Medicine; Blumenthal D, Malphrus E, McGinnis JM, editors.
Washington (DC): National Academies Press (US); 2015 Apr 28.
Copyright 2015 by the National Academy of Sciences. All rights reserved.

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