Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
THE NATIONAL QUALITY FORUM
Employer identification number
52-2175544
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
11,716,718
14,127,738
20,962,589
25,138,722
25,940,132
97,885,899
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
4
Total. Add lines 1 through 3
11,716,718
14,127,738
20,962,589
25,138,722
25,940,132
97,885,899
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
7,825,401
6
Public support. Subtract line 5 from line 4.
90,060,498
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
7
Amounts from line 4..
11,716,718
14,127,738
20,962,589
25,138,722
25,940,132
97,885,899
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
174,027
31,430
16,453
133,817
98,590
454,317
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
3,605
55,059
27,569
11,827
9,457
107,517
11
Total support (Add lines 7 through 10).
98,447,733
12
Gross receipts from related activities, etc. (see instructions)
..................
12
1,926,935
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here........................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
91.480 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
89.543 %
16a
33 1/3% support test—2012.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2011.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2011.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2012.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2011.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2012
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
THE NATIONAL QUALITY FORUM
Employer identification number
52-2175544
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION AND PROGRAM SERVICE ACCOMPLISHMENTS
FORM 990, PART III, LINE 1, 4A & 4B & 4C
LINE 1: THE NATIONAL QUALITY FORUM (NQF) IS A UNIQUE, MULTI-STAKEHOLDER ORGANIZATION INSTRUMENTAL IN ADVANCING EFFORTS TO IMPROVE HEALTHCARE QUALITY THROUGH PERFORMANCE MEASUREMENT AND PUBLIC REPORTING. NQF IS A NOT-FOR-PROFIT MEMBERSHIP ORGANIZATION WITH MORE THAN 400 MEMBERS REPRESENTING VIRTUALLY EVERY SECTOR OF THE HEALTHCARE SYSTEM. NQF OPERATES UNDER A THREE-PART MISSION TO IMPROVE THE QUALITY OF AMERICAN HEALTHCARE BY SETTING NATIONAL PRIORITIES AND GOALS FOR PERFORMANCE IMPROVEMENT, ENDORSING NATIONAL CONSENSUS STANDARDS FOR MEASURING AND PUBLICLY REPORTING ON PERFORMANCE, AND PROMOTING THE ATTAINMENT OF NATIONAL GOALS THROUGH EDUCATION AND OUTREACH PROGRAMS. LINE 4A: STRATEGIC PARTNERSHIPS: NATIONAL PRIORITIES PARTNERSHIP (NPP) - THE NPP IS AN NQF-CONVENED COLLABORATION OF 52 PUBLIC- AND PRIVATE-SECTOR ORGANIZATIONS UNIQUELY QUALIFIED TO REPRESENT THE ARRAY OF STAKEHOLDERS NEEDED TO IMPROVE THE NATION'S HEALTHCARE SYSTEM. IN 2012, NPP FOCUSED ON HOW TO ADVANCE PATIENT SAFETY BY ALIGNING ITS WORK WITH HHS' "PARTNERSHIP FOR PATIENTS" EFFORT. NPP DEVELOPED ACTION PLANS TO FOCUS NATIONAL AND LOCAL ORGANIZATIONS IN DIVERSE SECTORS ON HOW TO ALIGN AROUND TWO GOALS: REDUCING PREVENTABLE READMISSIONS AND IMPROVING MATERNITY CARE BY REDUCING EARLY ELECTIVE DELIVERIES AND CESAREAN SECTION IN LOW-RISK WOMEN. NEARLY 700 INDIVIDUALS PARTICIPATED IN THESE ACTION-ORIENTED ACTIVITIES. NPP ALSO CREATED A WEB-BASED SYSTEM, THE ONLINE ACTION REGISTRY, TO TRACK AND SHARE THESE IMPROVEMENT ACTIVITIES AND TO ENABLE LEARNING ACROSS PARTICIPANTS. ALSO IN SUPPORT OF HHS' PARTNERSHIP FOR PATIENTS INITIATIVE, THE NPP DEVELOPED AND HOSTED THREE PATIENT-SAFETY ORIENTED WEBINARS IN 2012, AS WELL AS FOUR QUARTERLY IN-PERSON MEETINGS FOR A WIDE RANGE OF PARNERSHIP FOR PATIENTS STAKEHOLDERS. MEASURE APPLICATIONS - CONVENED BY NQF IN THE SPRING OF 2011, THE MEASURE APPLICATIONS PARTNERSHIP (MAP) IS A PUBLIC-PRIVATE PARTNERSHIP MADE UP OF 60 ORGANIZATIONS REPRESENTING MAJOR STAKEHOLDER GROUPS, 9 FEDERAL AGENCIES, AND 40 SUBJECT-MATTER EXPERTS. IT WAS ESTABLISHED TO PROVIDE HHS WITH THOUGHTFUL, PRE-RULEMAKING INPUT ABOUT WHICH PERFORMANCE MEASURES TO USE IN PUBLIC REPORTING AND PAYMENT WITHIN AND ACROSS 17 FEDERAL PROGRAMS. SIMULTANEOUSLY, MAP IS INFORMING THE THINKING AND DECISIONS OF PRIVATE-SECTOR LEADERS WITH RESPECT TO THEIR MEASURE-SELECTION STRATEGIES. MAP ENABLES PUBLIC- AND PRIVATE-SECTOR LEADERS TO WORK TOGETHER ON CREATING A MEASUREMENT STRATEGY AND IMPLEMENTATION PLAN THAT IS CROSSCUTTING AND COORDINATED ACROSS SETTINGS OF CARE; FEDERAL, STATE, AND PRIVATE PROGRAMS; LEVELS OF MEASUREMENT ANALYSIS; PAYER TYPE; AND POINTS IN TIME. IN FEBRUARY 2012, MAP SUBMITTED ITS FIRST ANNUAL PRE-RULEMAKING REPORT, PROVIDING PUBLIC/PRIVATE ADVICE TO HHS ABOUT USE OF MEASURES IN 17 DIFFERENT FEDERAL PROGRAMS. THE REPORT RECOMMENDED THAT 40 PERCENT OF THE MEASURES THAT CMS PROPOSED AT THE END OF 2011 MOVE INTO FEDERAL PROGRAMS; EXPRESSED CLEAR PREFERENCE FOR BOTH USING NQF-ENDORSED MEASURES AND FOR DEVELOPING MORE ROBUST FEEDBACK LOOPS; CONSIDERED HOW TO FURTHER ALIGN MEASURES ACROSS PROGRAMS AND WITH THE PRIVATE SECTOR; AND LAID OUT GUIDING PRINCIPLES FOR A THREE- TO FIVE-YEAR MEASUREMENT STRATEGY. THE CENTERS FOR MEDICARE & MEDICAID SERVICES LARGELY HEEDED THIS INPUT, WITH CMS' 2012 FINAL RULES IMPLEMENTING MANY OF THE MEASURES RECOMMENDED BY THE MAP (ON A PROGRAM BASIS, THE AGREEMENT OF RECOMMENDATIONS TO ACTUAL USE RANGED FROM 40 TO 100 PERCENT.) ALSO IN OCTOBER 2012, MAP RELEASED ITS FAMILIES OF MEASURES REPORT THAT DEFINES MEASURE FAMILIES IN FOUR KEY AREAS-SAFETY, CARE COORDINATION, CARDIOVASCULAR, AND DIABETES CARE-WITH THE GOALS OF PROMOTING MORE COHESION AND INTEGRATION OF CARE REGARDLESS OF SETTING, PROVIDER, LEVEL OF INTENSITY, OR TIMING, AS WELL AS REDUCING MEASUREMENT AND REPORTING BURDEN FOR HOSPITALS, PHYSICIANS, AND OTHER PROVIDERS.
ORGANIZATION'S PROGRAM SERVICE ACCOMPLISHMENTS
FORM 990, PART III, LINE 4A CONTINUED & 4B
LINE 4A CONTINUED: ROBERT WOOD JOHNSON FOUNDATION (RWJF) GRANT - THE STRATEGIC PARTNERSHIPS TEAM RELEASED THE QUALITY POSITIONING SYSTEM (QPS) VERSION 1.0, IN OCTOBER 2012. ORIGINALLY LAUNCHED IN BETA FORM IN 2011, QPS IS THE MOST RELIABLE AND COMPREHENSIVE ONLINE SOURCE FOR FINDING ALL NQF-ENDORSED MEASURES. QPS VERSION 1.0 ALLOWED USERS TO SEARCH FOR MEASURES; ORGANIZE MEASURES BY CREATING CUSTOMIZED LISTS OF NQF-ENDORSED MEASURES IN PUBLIC OR PRIVATE 'PORTFOLIOS' TO FIT SPECIFIC INTERESTS OR NEEDS; COMPARE MEASURES OR PORTFOLIOS SIDE-BY-SIDE; AND PRIVATELY SHARE PORTFOLIOS OR MEASURES OF INTEREST WITH OTHERS. SINCE THE BETA LAUNCH IN 2011, THOUSANDS OF USERS HAVE TESTED AND USED THE INTERACTIVE FEATURES. ALSO UNDER THE RWJF GRANT, IN FEBRUARY 2012 NQF RELEASED THE ALIGNMENT TOOL, AN EXCEL SPREADSHEET THAT DISPLAYS THE NQF-ENDORSED MEASURES IN USE BY ONE OR MORE OF THE 16 ALIGNING FORCES FOR QUALITY (AF4Q) ALLIANCES. THE TOOL HAS HELPED COMMUNITIES ALIGN THEIR MEASUREMENT STRATEGIES IN MULTIPLE WAYS: TO WHAT OTHERS ARE DOING, TO THE NATIONAL QUALITY STRATEGY PRIORITIES, AND TO NATIONAL PROGRAMS THAT INVOLVE REPORTING REQUIREMENTS OR PAYMENT INCENTIVES. THE TOOL LINKS TO QPS, WHERE UP-TO-DATE DETAILED MEASURE INFORMATION CAN BE FOUND. LINE 4B: PERFORMANCE MEASURES - THIS PROGRAMMATIC AREA REFERS TO THE TECHNICAL WORK OF EVALUATING PERFORMANCE MEASURES (PM) SUBMITTED FOR NQF-ENDORSEMENT CONSIDERATION. NQF COMPLETED 16 ENDORSEMENT PROJECTS DURING THE COURSE OF 2012, USING BOTH THE NATIONAL QUALITY STRATEGY (NQS) PRIORITIES THAT CROSS CONDITIONS AND LEADING HEALTH CONDITIONS WITH RESPECT TO PREVALENCE AND COST AS A WAY TO PRIORITIZE ITS EFFORTS. IN TOTAL, NQF COMMITTEES EVALUATED 430 SUBMITTED MEASURES AND ENDORSED 301. THESE ENDORSED MEASURES INCLUDE 81 NEW MEASURES AND 220 MEASURES THAT NQF EXPERT COMMITTEES CONCLUDED COULD MAINTAIN THEIR PREVIOUS ENDORSEMENT AFTER BEING REVIEWED AGAINST NQF'S CRITERIA AND COMPARED TO NEW EVIDENCE OR COMPETING MEASURES. OVERALL, MEASURES UNDERGOING MAINTENANCE WERE ENDORSED AT A RATE OF 55 PERCENT, AND NEW MEASURES SUBMITTED FOR ENDORSEMENT WERE ENDORSED AT A RATE OF 89 PERCENT. IN COMPARISON, NQF COMPLETED 11 PROJECTS AND ENDORSED 170 MEASURES IN 2011. THIS INCREASED PRODUCTIVITY CAN BE ATTRIBUTED TO EFFORTS TO MAKE THE REVIEW PROCESS MORE EFFICIENT-THE AVERAGE MEASURE REVIEW TIME DECREASED FROM 12 MONTHS TO 7 MONTHS DURING 2012-AS WELL AS TO OTHER ENHANCEMENTS TO THE ENDORSEMENT PROCESS. SPECIFICALLY, AS PART OF THE CONSENSUS DEVELOPMENT PROCESS PILOT PROGRAM, NQF PROVIDED EARLIER, MORE DETAILED FEEDBACK TO MEASURE DEVELOPERS ABOUT A FIRST-ORDER CRITERION (I.E., IMPORTANCE TO MEASURE) TO FURTHER THE GOAL THAT DEVELOPMENT DOLLARS ARE SPENT ON MEASURES THAT ARE VIEWED AS CONSEQUENTIAL BY THE FIELD. FURTHERMORE, WHEN A MEASURE IS RE-EVALUATED FOR CONTINUED ENDORSEMENT, NQF NOW REQUIRES COMMITTEES TO CONSIDER THE MEASURE'S USE AND WHETHER SUCH USE HAS RESULTED IN IMPROVEMENT OR HAS LED TO UNINTENDED CONSEQUENCES, ENSURING THAT COMMITTEE MEMBERS ARE INFORMED ABOUT THE MEASURE'S IMPACT. IN THE LAST YEAR, CLINICAL PROJECTS WITH A LARGE NUMBER OF PROCESS MEASURES HAD MARKEDLY LOWER ENDORSEMENT RATES FOR MAINTENANCE MEASURES (E.G., PERINATAL CARE, 44 PERCENT; PULMONARY, 44 PERCENT; AND RENAL DISEASE, 36 PERCENT). NEWER MEASUREMENT AREAS THAT ARE HIGHLY VALUED BY CLINICIANS AND PATIENTS HAD HIGHER ENDORSEMENT RATES, INCLUDING DISPARITIES MEASURES AT 75 PERCENT AND PALLIATIVE CARE AT 64 PERCENT. THE DISPARITIES MEASURES WERE PRIMARILY OUTCOME MEASURES, WHILE THE PALLIATIVE MEASURES WERE PRIMARILY PROCESS MEASURES. MEASURE HIGHLIGHTS FROM THE YEAR INCLUDE A FIRST-EVER SET OF RESOURCE USE MEASURES, HARMONIZED BEHAVIORAL HEALTH MEASURES, PATIENT-REPORTED EXPERIENCE MEASURES, READMISSIONS MEASURES THAT CAN HELP THE HEALTHCARE COMMUNITY BETTER UNDERSTAND AND APPROPRIATELY REDUCE READMISSION RATES, AND A MEASUREMENT FRAMEWORK FOR MULTIPLE CHRONIC CONDITIONS.
ORGANIZATION'S PROGRAM SERVICE ACCOMPLISHMENTS
FORM 990, PART III, LINE 4B CONTINUED & 4C & 4D
LINE 4B CONTINUED: IN ADDITION TO THE MEASURES THAT WERE ENDORSED IN 2012, NQF ALSO REMOVED 103 MEASURES FROM ITS PORTFOLIO FOR A VARIETY OF REASONS: MEASURES NO LONGER MET ENDORSEMENT CRITERIA; MEASURES WERE HARMONIZED WITH OTHER SIMILAR, COMPETING MEASURES; OR MEASURE DEVELOPERS CHOSE TO RETIRE MEASURES THEY NO LONGER WISHED TO MAINTAIN. LINE 4C: HEALTH INFORMATION TECHNOLOGY: IN 2012, NQF LAUNCHED A SERIES OF ACTIVITIES DESIGNED TO PROMOTE SHARED UNDERSTANDING AMONG THOSE INVOLVED IN ADVANCING ELECTRONIC MEASUREMENT AND DATA INFRASTRUCTURE. SEVERAL OF NQF'S PROJECTS SOUGHT TO FACILITATE A UNIFIED UNDERSTANDING OF TERMS AND MEASUREMENT APPROACHES USED IN THE HEALTH IT FIELD, SO THAT MEASURE DEVELOPERS AND IMPLEMENTERS, HEALTH IT VENDORS, STANDARDS ORGANIZATIONS, AND OTHER USERS OF EMEASURES AND TOOLS WORK WITH A SIMILAR LEXICON. LINE 4C CONTINUED: E-MEASURES - NQF CONVENED THE EMEASURE LEARNING COLLABORATIVE, A NEW ENVIRONMENT FOR PROMOTING BEST PRACTICES RELATED TO DEVELOPMENT AND IMPLEMENTATION OF MEASURES APPLIED TO ELECTRONIC DATA SOURCES. EMEASURES ARE AN INNOVATION IN ADVANCING QUALITY MEASUREMENT, BUT SIGNIFICANT BARRIERS HAMPER THEIR WIDER SCALE CREATION, ADOPTION, AND USE. THROUGH TWO IN-PERSON MEETINGS AND OTHER VIRTUAL CONVENINGS, NQF BROUGHT TOGETHER HUNDREDS OF STAKEHOLDERS INCLUDING GOVERNMENT REPRESENTATIVES, EHR VENDORS, MEASURE DEVELOPERS, CLINICIANS, AND HOSPITALS-CREATING A UNIQUE FORUM FOR THESE PARTIES TO WORK TOGETHER ON NEW EMEASUREMENT APPROACHES. QUALITY DATA MODEL (QDM) - DEVELOPED BY NQF, THE QUALITY DATA MODEL (QDM) IS AN "INFORMATION MODEL" THAT DEFINES CONCEPTS USED IN QUALITY MEASURES AND CLINICAL CARE IN A WAY THAT ALLOWS THE INFORMATION TO BE COLLECTED AUTOMATICALLY FROM DATA ALREADY STORED IN AN EHR. NQF RELEASED AN UPDATED VERSION OF THE QDM IN DECEMBER 2012, WHICH FOCUSED ON SIMPLIFYING AND STANDARDIZING QDM MEASURE LOGIC TO SUPPORT IMPLEMENTATION OF THE FEDERAL MEANINGFUL USE REGULATIONS. NQF ALSO REGULARLY RECEIVES ONGOING FEEDBACK AND INSIGHTS INTO BEST PRACTICES FROM A USER GROUP OF MEASURE DEVELOPERS, PHYSICIANS, HOSPITALS, AND EHR VENDORS WHO ARE CURRENTLY ACTIVELY INVOLVED IN EMEASURE USE. MEASURE AUTHORING TOOL (MAT) - THIS NON-PROPRIETARY, WEB-BASED TOOL MAKES IT EASIER AND MORE EFFICIENT FOR MEASURE DEVELOPERS TO SPECIFY, SUBMIT, AND MAINTAIN ELECTRONIC MEASURES, OR EMEASURES. AT THE END OF 2012, NQF TRANSITIONED THE DAY-TO-DAY OPERATION OF THE MAT TO HHS, GIVING HHS THE OPPORTUNITY TO BETTER POSITION THE MAT AND EMEASURES IN FEDERAL PROGRAMS USING EHR-BASED PERFORMANCE MEASUREMENT, AND TO SUPPORT THE MAT'S EVOLUTION. CRITICAL PATHS FOR CREATING DATA PLATFORMS PROJECT - COMPLETED IN 2012, THIS EFFORT HELPED ASSESS THE READINESS OF ELECTRONIC DATA TO SUPPORT INNOVATIVE MEASUREMENT CONCEPTS AND RECOMMENDED STEPS TO ADDRESS DATA AND INFRASTRUCTURE GAPS AND BARRIERS IN TWO HIGH-PRIORITY DOMAINS: CARE COORDINATION AND PATIENT SAFETY. THE CARE COORDINATION REPORT FOCUSED ON TRANSITIONS OF CARE AND COMMUNICATION OF THE PATIENT PLAN OF CARE. THE PATIENT SAFETY REPORT FOCUSED ON EFFECTIVE USE OF INFUSION DEVICES (E.G., GIVING MEDICATION THROUGH AN IV) IN ACUTE CARE SETTINGS. THE ABILITY TO CAPTURE DATA ACROSS SETTINGS IS FUNDAMENTAL TO GAUGING, FOR EXAMPLE, THE DEGREE OF CARE COORDINATION IN A HEALTHCARE SYSTEM. THE FINAL REPORTS FROM THESE PROJECTS DELINEATED SPECIFIC STEPS THAT THE GOVERNMENT AND PRIVATE SECTOR CAN TAKE TO ENABLE ELECTRONIC MEASUREMENT IN THESE AREAS. LINE 4D: THE OTHER PROGRAM SERVICES INCLUDE CONFERENCES AND WORKSHOPS HELD BY NATIONAL QUALITY FORUM.
MEMBERS OF ORGANIZATION AND MEMBERS VOTING RESPONSIBILITIES
FORM 990, PART VI, LINE 6 AND LINE 7A
LINE 6 THE NATIONAL QUALITY FORUM HAS OVER 400 MEMBER ORGANIZATIONS. THEY REPRESENT ALL SECTORS IN THE HEALTHCARE QUALITY LANDSCAPE INCLUDING: CONSUMERS; PUBLIC AND PRIVATE PURCHASERS; PHYSICIANS, NURSES, PHARMACISTS, AND OTHER HEALTHCARE PROFESSIONALS; HOSPITALS, NURSING HOMES, AND OTHER PROVIDER ORGANIZATIONS; ACCREDITING AND CERTIFYING BODIES; SUPPORTING INDUSTRIES; AND HEALTHCARE RESEARCH AND QUALITY IMPROVEMENT ORGANIZATIONS. LINE 7A MEMBERS VOTE ON A SLATE OF CANDIDATES TO FILL BOARD OF DIRECTOR VACANCIES.
DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL
FORM 990, PART VI, LINE 7B
THE BOARD RECOMMENDS A SLATE OF CANDIDATES TO FILL BOARD VACANCIES. THIS RECOMMENDATION GOES TO THE GENERAL MEMBERSHIP FOR A VOTE. MEMBERSHIP MUST APPROVE CHANGES TO GOVERNING DOCUMENTS.
FORM 990 REVIEW PROCESS
FORM 990, PART VI, LINE 11A & 11B
THE ORGANIZATION'S FORM 990 UNDERGOES A NUMBER OF INTERNAL AND EXTERNAL REVIEWS BEFORE IT IS FILED WITH THE IRS. THE RETURN IS PREPARED BY THE ORGANIZATION'S PUBLIC ACCOUNTING FIRM, BDO USA, AND IS THEN REVIEWED BY THE ORGANIZATION'S FINANCE AND AUDIT COMMITTEE, A COMMITTEE OF THE BOARD. A FINAL DRAFT OF THE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS AND TO OUTSIDE COUNSEL FOR REVIEW AND COMMENT, BEFORE IT IS FILED WITH THE IRS.
CONFLICTS OF INTEREST
FORM 990, PART VI, LINE 12C
ON AN ANNUAL BASIS, CONFLICT OF INTEREST FORMS ARE SENT TO BOARD MEMBERS AND STAFF TO COMPLETE. THE GENERAL COUNSEL REVIEWS CONFLICT OF INTEREST FORMS SUBMITTED BY BOARD MEMBERS AND BOARD MEMBERS ORALLY DISCLOSE ANY RELAVANT INFORMATION ANNUALLY IN A PUBLIC BOARD SESSION. EMPLOYEE CONFLICT OF INTEREST FORMS ARE SCREENED BY THE HUMAN RESOURCES DEPARTMENT AND ANY DISCLOSURES MADE BY EMPLOYEES ARE REFERRED TO THE GENERAL COUNSEL FOR FOLLOW-UP AND RESOLUTION.
DETERMINING COMPENSATION
FORM 990, PART VI, LINE 15A & 15B
THE COMPENSATION COMMITTEE, COMPRISED OF INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS, DETERMINES THE CEO'S COMPENSATION PACKAGE BY USING COMPARABLE DATA APPROVED BY THE ENTIRE BOARD. CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION IS ALSO MAINTAINED. THE CEO DETERMINES THE SALARIES OF OTHER OFFICERS AND KEY EMPLOYEE BASED ON OUTSIDE COMPARABILITY DATA AND THE RESULTS ARE DOCUMENTED IN PERSONNEL FILES.
AVAILABILITY OF OTHER DOCUMENTS
FORM 990, PART VI, LINE 19
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.