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Groups reach consensus on quality improvement priorities

Quality Improvement Monitor, January 6, 2005

A coalition of more than 250 consumer, healthcare provider, payer, and research organizations on December 21 announced that it has reached consensus on priorities for improving American healthcare. This coalition-the National Quality Forum (NQF)-includes the American Medical Association, American Hospital Association, AARP, General Motors, March of Dimes, Kaiser Permanente, American Nurses Association, and the Leapfrog Group, along with many federal agencies.

The consensus on national priorities for healthcare quality improvement is grounded in a 2003 Institute of Medicine (IOM) report, Priority Areas for National Action: Transforming Health Care Quality, which proposed 20 clinical conditions and healthcare topics around which quality improvement activities could focus. The NQF-endorsed set of priority areas expands on these by adding two infrastructure priorities, information technology and patient safety.

The NQF also identifies one overarching priority as the most critical need: focusing on vulnerable populations to reduce disparities in health and healthcare. This priority was endorsed as being an essential component in each of the specific areas. Given the national crisis in disparities of care-that many inner city and rural areas continue to be medically underserved, and that up to 90 million Americans are estimated to be "health illiterate"-the coalition determined that focusing efforts in this area would lead to healthcare quality improvement across domains.

Go to www.qualityforum.org to see the executive summary of the NQF report National Priorities for Healthcare Quality Measurement and Reporting.

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