The National Quality Forum - Annual Meeting 2003

在1998年发表的一份报告中，总统的医疗行业消费者保护和质量咨询委员会建议建立一个自愿的私营部门论坛，以促进医疗机构在衡量和报告医疗质量方面的合作。经过广泛的策划，国家质量论坛(NQF)于1999年成立。在提出建议时，咨询委员会设想了一套国家接受、公开报告的医疗质量核心衡量标准。五年后的今天，委员会的愿景即将成为现实。主要通过全国合格人员联合会的努力，标准化措施正在地方和国家两级都可使用。NQF通过其国家自愿协商一致程序批准的措施和做法现在适用于严重不良事件、患者安全做法、成人糖尿病护理和医院护理。目前正在就护理标准化措施达成自愿共识，其他措施将很快开始协商一致进程。尽管这一进展令人鼓舞，但关键问题是接下来会发生什么？标准化测量和公共报告是如何在医疗保健结构中根深蒂固的？它如何成为决策者(包括消费者)和医疗保健专业人员用来提高国家医疗质量的日常活动的一部分？自成立以来，NQF年会一直是一个培养共同使命感的论坛，并促进医疗保健系统中不同利益相关者之间的质量衡量、报告和改进的共享框架。第四届年会将在以前工作的基础上，通过以下方式开始关注实施战略和实践：1)记录国家质量衡量和报告系统的当前进展；2)让来自医疗保健系统的利益相关者参与制定一个共享的、清晰明了的愿景，以便在医疗保健决策和交付的所有方面采用质量衡量和报告；3)让每个利益相关者对质量管理产生一种责任感，并了解其中所包含的内容；以及4)就监管机构、认证机构和卫生专业教育工作者在支持国家医疗质量改进方面相互关联的角色建立共同的理解和联系。

In a report issued in 1998, the President's Advisory Commission on Consumer Protection and Quality in the Health Care Industry proposed creation of a voluntary, private sector forum to promote collaboration across healthcare organizations in measuring and reporting on healthcare quality. After an extensive planning effort, the National Quality Forum (NQF) was established in 1999. In making their recommendations The Advisory Commission had a vision of a set of nationally accepted, publicly reported core measures of healthcare quality. Now five years later, the Commission's vision is on the verge of becoming reality. Largely through the efforts of NQF, standardized measures are becoming available for use at both the local and national levels. Measures and practices endorsed by NQF through its national voluntary consensus process now exist for serious adverse events, patient safety practices, adult diabetes care, and hospital care. Voluntary consensus on standardized measures for nursing care is underway and other measures will soon begin the consensus process. Although this progress has been encouraging, the critical question is what happens next? How does standardized measurement and public reporting become ingrained in the fabric of healthcare? How does it become part of the everyday activities that decision makers (including consumers) and healthcare professionals use to improve the nation's quality of care? Since its inception, the NQF Annual Meeting has been a forum for nurturing a sense of common purpose and promoting a shared framework for quality measurement, reporting, and improvement across the disparate stakeholders in the healthcare system. This 4th Annual Meeting will build on previous work and will begin to focus on implementation strategy and practice by: 1) documenting the current progress towards a national quality measurement and reporting system; 2) engaging stakeholders from across the healthcare system in the development of a shared, clearly articulated vision for employing quality measurement and reporting on all facets of healthcare decision making and delivery; 3) generating a sense of commitment on the part of each stakeholder towards managing for quality, and an understanding of what entails; and 4) developing a shared understanding and articulation of the interconnected roles of regulators, accreditors, and health professional educators in supporting national healthcare quality improvement.