The Quality Measurement, Evaluation, Testing, Review and Implementation Consortiu

描述(由申请人提供)：提高美国所有儿童的护理质量是国家的优先事项。虽然已经为解决这一问题作出了初步努力，但在发展界定质量的手段和努力将现有的质量措施付诸实施方面，仍有许多工作要做。为了响应为合作研究示范和传播项目征求建议书的呼吁，我们提出了一个有组织但灵活的研究能力和计划，即质量测量、评估、测试、审查和实施联盟(Q-METRY)。拟议的计划将在医疗保健质量和研究机构(AHRQ)的指导下，对质量措施的开发、评估、改进和测试进行研究。这些研究将侧重于儿童保健的高质量措施，包括预防性卫生服务、急症卫生保健、慢性卫生保健和卫生服务，以改善身心状况的影响，并帮助婴儿、幼儿、学龄儿童和青少年，包括有特殊卫生保健需要的人的生长和发育。拟议的研究小组拥有广泛的经验、专业知识、数据资源、临床资源、IT基础设施，并有能力有效和高效地组织这些资源，以便在合作协议的框架内发挥作用。来自家庭和公共团体的意见也包括在研究计划中。拟议的研究联盟(Q-METRUE)将通过在广泛的方法学、分析和测量测试场景中创造协同效应的能力，为分配的质量衡量带来显著的创新。一旦AHRQ分配了一项任务，财团参与者和顾问将举行一系列刻意和连续的会议，以便进行任何可能的请求。最初，联合体委员会的一次会议将确定每个联合体成员完成所分配任务的能力和资源。随后将举行执行委员会会议，确定哪些财团组成部分最符合任务的需要。然后，执行委员会将指定特定于项目的工作组，该工作组将完成所分配的任务。工作组将负责实际执行AHRQ指派的任务，并将由具备资源的成员组成。每个具体项目工作组的组成对于AHRQ分配的每项任务都是独一无二的。具体项目工作组将由具有适合所分配任务的方法专长的经验丰富的研究人员领导。 与公共卫生相关：改善向所有美国儿童提供的护理质量的目标是国家优先事项。拟议的计划将在医疗保健质量和研究机构(AHRQ)的指导下，对质量措施的开发、评估、改进和测试进行研究。

DESCRIPTION (provided by applicant): The goal of improving the quality of care provided to all children in the United States is a national priority. Although nascent attempts have been made to address this issue, much work remains to be done in both developing the means to define quality, and also in efforts to implement into practice those quality measures which do exist. In response to the call for proposals for the Cooperative Research Demonstration and Dissemination Projects, we present a structured yet flexible capacity and program of research, the Quality Measurement, Evaluation, Testing, Review and Implementation Consortium (Q-METRIC). The proposed program will conduct studies on the development, assessment, refinement and testing of quality measures as directed by the Agency for HealthCare Quality and Research (AHRQ). These studies will focus on quality measures for children's healthcare, including preventive health services, healthcare for acute conditions, chronic health care and health services to ameliorate the effects of physical and mental conditions and to aid in growth and development of infants, young children, school-age children, and adolescents, including those with special health care needs. The proposed research team has extensive experience, expertise, data resources, clinical resources, IT infrastructure and the ability to marshal those resources effectively and efficiently to function within the framework of a cooperative agreement. Input from families and public groups is also included in the research plan. The proposed research consortium (Q-METRIC) will bring remarkable innovation to the quality measures assigned through the capacity to create synergy across a wide range of methodologic, analytic and measurement testing scenarios. Once a task is assigned by the AHRQ, a series of deliberate and sequential meetings of consortium participants and consultants will take place that will allow for the conduct of any potential request. Initially, a meeting of the Consortium Committee will determine the capacity and resources of each consortium member for the assigned task. This will be followed by a meeting of the Executive Committee which will determine which consortium components best fit the needs of the task. The executive committee will then name the Project-Specific Working Group which will complete the assigned tasks. The working groups will have the responsibility to actually conduct the task assigned by AHRQ and will be comprised of members with the resources available to do so. The composition of each Project-Specific Working Group will be unique for each task assigned by AHRQ. The Project-Specific Working Groups will be led by experienced researchers with methodologic expertise appropriate to the task assigned. PUBLIC HEALTH RELEVANCE: The goal of improving the quality of care provided to all U.S. children is a national priority. The proposed program will conduct studies on the development, assessment, refinement and testing of quality measures as directed by the Agency for HealthCare Quality and Research (AHRQ).