A Federal Government Web site managed by the Agency for Healthcare Research and Quality
The National Quality Strategy was first published in March 2011 as the National Strategy for Quality Improvement in Health Care, and is led by the Agency for Healthcare Research and Quality on behalf of the U.S. Department of Health and Human Services (HHS).
Mandated by the Patient Protection and Affordable Care Act, the National Quality Strategy was developed through a transparent and collaborative process with input from a range of stakeholders. More than 300 groups, organizations, and individuals, representing all sectors of the health care industry and the general public, provided comments. Based on this input, the National Quality Strategy established a set of three overarching aims that builds on the Institute for Healthcare Improvement's Triple Aim®, supported by six priorities that address the most common health concerns that Americans face. To align with National Quality Strategy, stakeholders can use nine levers to align their core business or organizational functions to drive improvement on the aims and priorities.
Improving health and health care quality can occur only if all sectors, individuals, family members, payers, providers, employers, and communities, make it their mission. Members of the health care community can align to the National Quality Strategy by doing the following:
Adopt the three aims to provide better, more affordable care for the individual and the community.
Focus on the six priorities to guide efforts to improve health and health care quality.
Use one or more of the nine levers to identify core business functions, resources, and/or actions that may serve as means for achieving improved health and health care quality.
To learn more about the National Quality Strategy's impact on the nation's health and health care, review the 2014 Annual Progress Report, visit the Priorities in Action section, or view a past webinar for examples of quality improvement efforts that align to the NQS.
The National Quality Strategy also provides a focus for addressing the abundance of clinical quality measures currently used in national programs. The goal is to get to measures that matter and minimize provider burden. The HHS Measurement Policy Council was convened in early 2012 to begin the work of aligning measures across HHS. Composed of senior-level representatives from Agencies and operating divisions across HHS, the group also addresses new measure development and implementation, and measurement policy. The Council has so far reviewed nine topics to date: hypertension control, hospital-acquired conditions/patient safety, HCAHPs, smoking cessation, depression screening and care coordination, HIV/AIDS, perinatal, and obesity/BMI. The core measure sets that the Measurement Policy Council developed for each topic can be viewed here: (PDF File, 257 KB; PDF Help).
While these measures are used for Federal programs, the Measurement Policy Council supports State and private-sector efforts to adopt core measure sets for further harmonization and alignment across the health and health care community.
The National Quality Strategy pursues three broad aims. These aims will be used to guide and assess local, State, and national efforts to improve health and the quality of health care.
To advance these aims, the National Quality Strategy focuses on six priorities:
Each of the nine National Quality Strategy levers represents a core business function, resource, and/or action that stakeholders can use to align to the Strategy. In many cases, stakeholders may already be using these levers but haven't connected these activities to National Quality Strategy alignment.