Damberg Cheryl L, Sorbero Melony E, Lovejoy Susan L, Lauderdale Katharine, Wertheimer Samuel, Smith Amber, Waxman Daniel, Schnyer Christopher
Rand Health Q. 2012 Dec 1;1(4):3. eCollection 2012 Winter.
The National Quality Forum (NQF), a private, nonprofit membership organization committed to improving health care quality performance measurement and reporting, was awarded a contract with the U.S. Department of Health and Human Services (HHS) to establish a portfolio of quality and efficiency measures. The portfolio of measures would allow the federal government to examine how and whether health care spending is achieving the best results for patients and taxpayers. As part of the scope of work under the HHS contract, NQF was required to conduct an independent evaluation of the uses of NQF-endorsed measures for the purposes of accountability (e.g., public reporting, payment, accreditation, certification) and quality improvement. In September 2010, NQF entered into a contract with the RAND Corporation for RAND to serve as the independent evaluator. This article presents the results of the evaluation study. It describes how performance measures are being used by a wide array of organizations and the types of measures being used for different purposes, summarizes key barriers and facilitators to the use of measures, and identifies opportunities for easing the use of performance measures moving forward.
美国国家质量论坛（NQF）是一家致力于改善医疗质量绩效评估和报告的私立非营利性会员组织，它与美国卫生与公众服务部（HHS）签订了一份合同，以建立一套质量和效率衡量指标体系。该指标体系将使联邦政府能够考察医疗支出如何以及是否为患者和纳税人带来了最佳效果。作为HHS合同工作范围的一部分，NQF被要求对NQF认可的指标在问责（如公开报告、支付、认证、资格鉴定）和质量改进方面的用途进行独立评估。2010年9月，NQF与兰德公司签订合同，由兰德公司担任独立评估机构。本文介绍了评估研究的结果。它描述了各种组织如何使用绩效指标以及用于不同目的的指标类型，总结了使用指标的主要障碍和促进因素，并确定了未来简化绩效指标使用的机会。
