Blog | Friday, April 13, 2012

QD: News Every Day--NQF endorses quality measures for renal care, resource use and perinatal care


The National Quality Forum (NQF) approved 12 quality measures on renal care, four measures on health care resource use and costs and 14 quality measures on perinatal care.

The renal measures for chronic kidney disease, end stage renal disease and dialysis treatment. NQF endorsed measures focused on care concerns such as mortality rates for facility dialysis patients and hemoglobin levels in chronic kidney disease patients. NQF also endorsed measures related to vascular access and minimum dose with dialysis treatment and lipid profiles in chronic kidney disease patients.

Endorsed measures include:
Mortality
--0369: Dialysis Facility Risk-adjusted Standardized Mortality Ratio (CMS)

Anemia
--1666: Patients on Erythropoiesis Stimulating Agent (ESA)--Hemoglobin Level>12.0 g/dL (AMA-PCPI)
--1667: (Pediatric) ESRD Patients Receving Dialysis: Hemoglobin Level<10g/dL 13 (AMA-PCPI)

Cardiovascular
--1668: Laboratory Testing (Lipid Profile) (AMA)

Dialysis Adequacy
--0249: Hemodialysis Adequacy Clinical Performance Measure III: Hemodialysis Adequacy--HD Adequacy--Minimum Delivered Hemodialysis Dose (CMS)
--0323: Hemodialysis Adequacy: Solute (AMA-PCPI)
--0318: Peritoneal Dialysis Adequacy Clinical Performance Measure III - Delivered Dose of Peritoneal Dialysis Above Minimum (CMS)
--0321: Peritoneal Dialysis Adequacy: Solute (AMA-PCPI)

Mineral Metabolism
--0255: Measurement of Serum Phosphorus Concentration (CMS)

Vascular Access
--0251: Vascular Access-Functional AVF or AV Graft or Evaluation for Placement (Kidney Care Quality Alliance)
--0256: Hemodialysis Vascular Access- Minimizing use of catheters as Chronic Dialysis Access (CMS)
--0257: Hemodialysis Vascular Access- Maximizing Placement of Arterial Venous Fistula (AVF)

Resource use measures focus on care costs associated with asthma, chronic obstructive pulmonary disease, hip/knee replacement and pneumonia. They include:
--1560: Relative Resource Use for People with Asthma (National Committee for Quality Assurance)
--1561: Relative Resource Use for People with COPD (National Committee for Quality Assurance)
--1609: ETG based hip/knee replacement cost of care (Ingenix)
--1611: ETG based pneumonia cost of care (Ingenix)

The perinatal measures address a wide range of care concerns, including childbirth, pregnancy and post-partum care and newborn care.