Figure 4-3: Examples of how measures fitting two different priority ar

Future Directions for the National Healthcare Quality and Disparities

Figure 4-3. Examples of how measures fitting two different priority areas might ultimately be ranked (Text Description)

Figure 4.3a. Priority Area: Safety

In Figure 4.3a, there are three potential measures available:

• Safety Measure #1
• Safety Measure #2
• Safety Measure #3

Arrows point from all three measures to the framework component "Safety" among a group of other framework components (Efficiency, Access, Patient/family-centeredness, Timeliness, and Effectiveness). Three arrows then point away from "Safety" to the following options:

Safety Measure #1:

• Yes, has the potential to increase value (Criterion D)
• Yes, documents population inequities (Criterion E)
• Yes, documents geographic variation (Criterion F)

Select for reporting in NHQR/NHDR.

Safety Measure #2:

• Yes, has the potential to increase value (Criterion D)
• No, does not document population inequities (Criterion E)
• Yes, documents geographic variation (Criterion F)

Ranks higher than other measures fitting the safety component, so report in NHQR/NHDR.

Safety Measure #3:

• Yes, has the potential to increase value (Criterion D)
• No, does not document population inequities (Criterion E)
• Yes, documents geographic variation (Criterion F)

Ranks lower than other measures fitting the safety component, so do not report in NHQR/NHDR.

Figure 4.3b. Priority Area: Population Health

In Figure 4.3b, there are three potential measures available:

• Population Health Measure #1
• Population Health Measure #2
• Population Health Measure #3

Arrows point from all three measures to framework component among a group (Efficiency, Access, Patient/family-centeredness, Timeliness, Safety, and Effectiveness). Population Health Measure #1's arrow points to Access. Population Health Measure #2's arrow points to Patient/family-centeredness. Population Health Measure #3's arrow points to Timeliness. Three arrows then point away from each of these components to the following options:

Population Health Measure #1 (Access):

• Yes, has the potential to increase value (Criterion D)
• Yes, documents population inequities (Criterion E)
• Yes, documents geographic variation (Criterion F)

Select for reporting in NHQR/NHDR.

Population Health Measure #2 (Patient-centeredness):

• Yes, has the potential to increase value (Criterion D)
• No, does not document population inequities (Criterion E)
• Yes, documents geographic variation (Criterion F)

Ranks higher than other measures fitting the patient/family-centeredness component, so report in NHQR/NHDR.

Population Health Measure #3 (Timeliness):

• Yes, has the potential to increase value (Criterion D)
• No, does not document population inequities (Criterion E)
• Yes, documents geographic variation (Criterion F)

Ranks lower than other measures fitting the timeliness component, so do not report in NHQR/NHDR.

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