Appendix 3: Online Measure Nominations Template

SNAC-recommended Initial Core Set, September 18, 2009

This measure nominations template was created and used by SNAC members, Federal Quality Workgroup (FQW) members and others (via AHRQ staff) in August 2009 in order to collect a standardized set of information on all measures nominated for potential inclusion in the core set.

Select to access the  Slides (PPT) [ Microsoft PowerPoint file - 984 KB]

Web Version

Slide 1

CHIPRA Login

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Screenshot shows the login page for the CHIPRA Initial Core Measurement Set test Web site.

Slide 2

Welcome to the CHIPRA Initial Core Measurement Set

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Screenshot shows the welcome page. The text on the page reads:

This template has 5 sections for completion:
  1. Measure overview
  2. Measure definition
  3. Use(s) of measure
  4. Validity and
  5. Rationale for nomination
Please complete as many section as possible. If you are unable to find the information by the deadline for submission, please leave the relevant field blank. To be considered for the Initial Core Measurement Set, the template must be submitted by midnight EDST Monday, August 24, 2009.

Slide 3

Section I, Measure Overview

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Screenshot shows blank fields to enter the measure name and steward as well as information about the measure nominator.

Slide 4

Section II, Measure Definition: Test Measure

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Screenshot shows blank fields to enter the measure definition as well as detailed measure specifications.

Slide 5

Section III A, Use(s) of Measure

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Screenshot shows blank fields to enter information on the type of entity, name, location, and population concerning the proposed measure.

Slide 6

Section III B, Use(s) of Measure

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Screenshot shows blank fields to enter information on the payer groups(s) and programs concerning the proposed measure.

Slide 7

Section III C, Use(s) of Measure

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Screenshot shows blank fields to enter information on the availability of socioeconomic and demographic data and on data source(s) for the proposed measure.

Slide 8

Section III D, Use(s) of Measure

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Screenshot shows blank fields to enter information on the health information technology, performance data, and feasibility issues concerning the proposed measure.

Slide 9

Section IV, Validity

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Screenshot shows fields to enter information regarding the underlying scientific soundness of the proposed measure as well as reliability and validity of the measure properties.

Slide 10

Section V, Rationale for Nomination

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Screenshot contains a request to provide a brief and succinct rationale for nominating the proposed measure.

Page last reviewed January 2010
Internet Citation: Appendix 3: Online Measure Nominations Template: SNAC-recommended Initial Core Set, September 18, 2009. January 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/policymakers/chipra/coreset/coresetap3.html