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Driving Improvements Together with the National Quality Forum

by | Apr 22, 2022 | Facility, Provider

Plan, Do, Study, Act

National Quality Forum (NQF) measures and standards serve as a critically important foundation for initiatives to enhance healthcare value, make patient care safer, and achieve better outcomes. Created in 1999, NQF is the only consensus-based healthcare organization in the nation as defined by the Office of Management and Budget. This status allows the federal government to rely on NQF-defined measures or healthcare practices as the best, evidence-based approaches to improving care. The federal government, states, and private-sector organizations use NQF’s endorsed measures, which must meet rigorous criteria, to evaluate performance and share information with patients and their families. Have you considered membership or assigned participation aligned with a role within your organization? We, at PCLLC, look to them and aligning with a non-bias delivery of information for you to consider as the plan, do, study or act upon approach.

Learn more about the overview and goals within their  Strategic Plan for Achieving the Care We NeedTheir Five Year Strategic Plan speaks to the “Healthcare Ecosystem” and the health that encompasses their mission, organization and people. The goals align with what many facilities and providers face. Work with the NQF helps define roles and those affects on one another.

Additionally, National Quality Forum (NQF) uses its formal Consensus Development Process (CDP) to evaluate and endorse measures. The CDP is designed to allow input and discussion from stakeholder groups across the healthcare industry.

The CDP or measure endorsement process, including maintenance of previously endorsed measures, is standardized in a regular cycle of topic-based measure evaluation across 15 areas, such as cardiology, primary care and chronic illness, cancer, and prevention and population health. As the need arises, these topic areas are updated to account for measures that may require a new or more appropriate topic area.

NQF-endorsed measures support the National Quality Strategy (NQS). NQS serves as the overarching framework for guiding and aligning public and private efforts across all levels (local, state, and national) to improve the quality of healthcare in the U.S. The NQS establishes the “triple aim” of better care, affordable care, and healthy people/communities, focusing on six priorities to achieve those aims: Safety, Person- and Family- Centered Care, Communication and Care Coordination, Effective Prevention and Treatment of Illness, Best Practices for Healthy Living, and Affordable Care.

Over the past 15 years, NQF’s CDP has evolved to ensure that evaluation of candidate consensus standards (measures) continues to follow best practices in performance measurement and standards-setting. NQF is committed to examining the timeliness, efficiency, and effectiveness of the CDP with a view toward identifying opportunities to improve and further streamline the CDP.

NQF’s CDP involves six principal steps, including:

  1. Intent to Submit
  2. Call for Nominations
  3. Measure Review
  4. Public Commenting with Member Support
  5. Measure Endorsement
  6. Measure Appeals

NQF is a voluntary consensus standards body as defined by the Office of Management and Budget (OMB) Circular A-119.

Funding for this work is supported under a contract provided by the Department of Health and Human Services. For information about the availability of auxiliary aids and services for NQF’s federally funded projects, please visit: http://www.medicare.gov/about-us/nondiscrimination/nondiscrimination-notice.html.

 

Free Government Educational Services

Self-Help, Healthcare, Social and Cultural Education

Take action to improve your learning.

Learn what AHRQ and CMS do and how they can help!

Education For You

TeamSTEPPS® stands for Team Strategies and Tools to Enhance Performance and Patient Safety.

TeamSTEPPS® is:

  • an evidence-based framework aimed at optimizing patient and/​or resident care by improving communication and teamwork skills in healthcare settings;
  • another component to help support and enhance person-centered care by promoting the delivery of quality and safe care;
  • part of the ongoing patient safety movement which includes those receiving care across healthcare settings, including those living in nursing homes; and
  • focused on specific skills supporting team performance principles and concepts, and provides specific tools and strategies for improving communication and teamwork, reducing chance of error, and providing safer care.
covid-prevention

Training Focused for Facilities:

 COVID-19 StAT Learning Series for Hospitals

The Centers for Medicare & Medicaid Services (CMS), with input from the Centers for Disease Control and Prevention (CDC) and other stakeholders, has developed the COVID-19 StAT Learning Series for Hospitals. StAT stands for Standards, Approaches and Tactics for COVID-19 Infection Control & Prevention. This online, mobile-friendly, self-paced training is intended for hospital infection control leaders, frontline hospital staff and hospital administrators.

With the COVID-19 StAT Learning Series for Hospitals, you will find the latest tools and techniques, along with refreshed best practices for a new era of infection prevention and control.

Each self-paced learning module is approximately 15 minutes long. Take the COVID-19 StAT Self-Assessment to determine which trainings are right for you.

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Review Your QPP Registration and Data

Be ready! If you are already registered have the security Official/Staff person log-in. If you aren’t sure who has access, create a system for your office so the following information is handy; gather the following:

  • Tax ID Number (TIN)
  • NPI (individual or all in the group)
  • Medicare PECOS PAC ID (numbers of members in the group)
  • PECOS Enrollment ID

It’s handy to have the Provider Enumeration Date and the last Update. As a member, you have access to an EXCEL workbook, ASK Us!

Connect to an Organization (practice) and Select a Role

This site outlines the steps to connect an Organization (like a practice, QCDR/Registry, or an APM Entity) and how to get the Security Official or Staff User role you need, and sign In.  If you have never registered, start here, a User Guide will be the tool needed. Once you are registered you will be redirected to HARP (this can take up to 15 min.)

QPP

Resources that speak to Timelines and Important Deadlines

 

Facilities and LTC

See how your facility will compare with other nursing homes!

Long Term Care – The Skilled Nursing Facility Value-Based Purchasing Program (SNF VBP)

Just as LTC learned where and how to access information and tools, CMS retired the site in Dec. 2020.  The new site, walks the user through the steps in retrieving data sets for specific data collection periods.

It’s handy to have tools! Visit our Education and Tools section or let us know how we can help!

As a Long-Term Care Facility (LTC) or Nursing Home 

  • CMS mandates are aligned to performance indicators related to the Healthcare Reform Act. The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children’s Health Insurance (CHIP), and health insurance portability standards.
  • Are you a Nursing Home or a facility that has beds for Rehab patients? Purposeful Concepts LLC offers the right level of leadership to guide your team with "role-based" strategies to best understand desired performance outcomes and pinpoint the change in a workflow that can make the difference. With LTC facilities now facing CMS mandates from both a federal and state standards align with components of care which are listed on a “LTC-Rule Job Aid” with measures or “F-tag” focus areas. CMS F-tags are used by each state department of Health and Centers for Medicare and Medicaid Services to survey quality of care provided to residents in facilities.  We have a custom tool available that correlates to the current available F-tags that focus on the survey process.  Join us, we offer different levels of service to best fit the needs of your facility.
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