NQF Measures

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The assessment of the quality of care provided by medical practitioners is enhanced through the creation and implementation of performance measures. The National Quality Forum (NQF) has served as a major vehicle for the creation of performance measures. To date, in the discipline of critical care medicine, few performance measures have been implemented. This “measures gap” became a focus of the efforts of the Critical Care Societies Collaborative (CCSC).

In response to the perceived measures gap in critical care medicine, in 2011, the CCSC appointed a Quality Improvement Task Force, consisting of members from all four societies. The CCSC Quality Improvement Task Force subsequently met via teleconference in order to create a framework for the generation of several potential critical care performance measures to address the performance measures gap. The methodology and the results of this effort were provided to NQF.

The CCSC Quality Improvement Task Force understands that the topics provided only serve as a starting point for the generation of performance measures. The potential measure gaps should serve only as a guide for where potential measures may exist and not as a statement of where measures should exist. Indeed, many of the gap areas noted may not make good quality measures. The Task Force acknowledges the principles required by the NQF for performance measures: importance, scientific acceptability, usability, and feasibility, may not all be met by the proposed topics1, must be fully realized in order to proceed with any recommendation for a performance measure in critical care medicine. The Task Force recognizes much additional work is required. Yet, we are confident meaningful and widely accepted performance measures in the area of critical care medicine can be generated.

The Task Force identified performance measure gaps in the following critical care areas.  They are presented in order of suggested priority based on voting of the task force.

• Management of Sepsis
• Overuse in Blood Transfusions
• Ventilator‐Associated Pneumonia and Mechanical Ventilation
• Risk Adjusted ICU Outcome
• Therapeutic Hypothermia
• Daily Chest Radiographs in ICU Patients
• Screening of Acute Lung Injury (ALI)/ARDS