June 30, 2017

NQF Seeks Comments on Diagnostic Quality and Safety Metrics

The National Quality Forum (NQF) seeks comments on a draft framework to measure diagnostic quality and safety. The framework is outlined in a report titled “Improving Diagnostic Quality and Safety.” The comment period ends July 12.

See the NQF framework and comment.

Send comments directly to the NQF team.

A multi-stakeholder expert committee developed the framework. American College of Radiology (ACR) Metrics Committee Chair David Seidenwurm, MD, FACR, is a member of this committee. He offered and guided radiology input.

The committee offered feedback to emphasize:

  • Outcome and patient reported outcome (PRO) measures related to diagnostic quality and safety
  • Diagnostic error and harm, highlighting, common causes of harm in diagnostic error
  • Interoperability, intraoperability and cooperation among non-economically linked entities
  • Possible links between pay-for-performance and diagnostic quality and safety measures

The NQF’s work is partially in response to a 2015 study of the National Academies of Sciences, Engineering and Medicine (NASEM), "Improving Diagnosis in Health Care." It uncovered a lack of effective measurement relating to the diagnostic process and diagnostic outcomes.

As a NASEM report sponsor, the ACR submitted extensive comments on that process. Former ACR Board of Chancellors (BOC) Chair Bibb Allen, MD, FACR, made a presentation to NASEM.*

He stressed ACR related tools and resources. These included the Imaging Value Chain framework and the ACR Imaging 3.0 initiative.

ACR comments on the NASEM framework process were published in the Journal of the Society to Improve Diagnosis in Medicine.

*NASEM was previously known as the Institute of Medicine (IOM).