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

项目摘要 在美国，提高向所有儿童提供的护理质量的目标是国家优先事项。 虽然为解决这一问题作出了初步尝试，但在这两个方面仍有许多工作要做。 发展定义质量的方法，并努力将这些质量措施付诸实践 它们确实存在。为响应合作研究示范和 传播项目，我们提出了一个结构化而灵活的能力和研究计划，质量 测量、评估、测试、审查和实施联合会（Q-METRIC）。拟议 该计划将对质量措施的开发、评估、改进和测试进行研究， 由卫生保健质量和研究机构（AHRQ）指导。这些研究将侧重于质量 儿童保健措施，包括预防性保健服务、急性病保健， 慢性病保健和保健服务，以减轻身心状况的影响， 婴儿、幼儿、学龄儿童和青少年的生长和发育，包括患有 特殊的保健需求。拟议的研究团队拥有丰富的经验，专业知识，数据资源， 临床资源、IT基础设施以及有效和高效地整合这些资源的能力， 在合作协议的框架内运作。家庭和公共团体的投入也是 列入研究计划。拟议的研究联盟（Q-METRIC）将带来显着的 创新的质量措施，通过能力，创造协同作用，在广泛的 方法论、分析和测量测试场景。一旦AHRQ分配了一项任务， 将举行联合体参与者和顾问的慎重和连续会议， 任何潜在请求的处理。最初，联合体委员会会议将确定 联合体各成员完成所分配任务的能力和资源。随后将举行一次会议 执行委员会将决定哪些联合体组成部分最适合这项任务的需要。 然后，执行委员会将指定项目特定工作组，该工作组将完成指定的 任务各工作组将负责实际执行人权咨委分配的任务， 由拥有资源的成员组成。每个项目的组成 对于AHRQ分配的每项任务，工作组将是唯一的。具体项目工作组将 由经验丰富的研究人员领导，具有适合所分配任务的方法学专业知识。

PROJECT SUMMARY 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.