Welcome to Lesson 1 of 4 of this learning activity titled Mastering Performance Composite Measures. The content in this lesson was developed by Shelly Conine. I am Kate Malish and I will be narrating this lesson. During the four-part series of Mastering the Performance Composite Measures, the following lessons will be discussed. Describe the importance of performance composite measures. Define the performance composite measures and describe individual performance measure calculations. Define and explain the different calculations of eligible care and the all-or-nothing care measurement methodologies. Apply a systematic approach in identifying areas of process improvement and tangible evidence of excellent care provided. The objectives for Lesson 1 NCDR Overview of Mastering Performance Composite Measures include describe the importance of performance composite measures. ACC's suite of cardiovascular data registries are helping hospitals and private practices measure and improve the quality of care they provide. The Chest Pain MI Registry is the largest, most authoritative quality improvement registry and its performance composite measures provides tangible evidence of adherence to the guidelines. The American College of Cardiology and American Heart Association are one united task force and serve as an instrument to accelerate translation of scientific evidence into clinical practice for treatment of the cardiology patient and process. The measure sets are intended to provide practitioners and institutions that deliver cardiovascular services with tools to measure the quality of care provided and identify opportunities for improvement. The information in this course will focus exclusively on performance measures within the performance composite measures. Performance measures are distinguished from quality or test measures and are used for public reporting or pay for performance programs. Performance composite measures aggregate individual performance measures into an overall summary score providing a clear summary of performance. The NCDR benchmarks individual facilities performance with the U.S. national aggregate. This at-a-glance picture of performance summarizes overall quality of care by identifying specific areas for process improvement and tangible evidence of excellent care provided. Overall defect-free care, STEMI performance composite, and the NSTEMI performance composite measures are extremely important. The NSTEMI composite is evaluated for the Performance Achievement Award Program. The STEMI composite is evaluated for the Performance Achievement Award Program and publicly reported. Overall defect-free care composite is NQF endorsed, evaluated for the Performance Achievement Award Program, and publicly reported. What does it mean to have an NQF endorsement? The National Quality Forum constitutes a composite measure for the purposes of NQF endorsement must meet the criteria of reliability, feasibility in use and evaluation, and validity. NQF's careful review and assessment gathers input and feedback from stakeholders across the entire healthcare enterprise to include patients, physicians, and payers. The consensus among those stakeholders indicate which measures for an endorsement as the best in class. NQF uses four criteria to assess a measure for endorsement. Important to measure and report on priority areas where measurement can have a positive impact on healthcare quality. Scientifically acceptable and will produce consistent, reliable, and credible results regarding the quality of care. Usable and relevant to ensure consumers, purchasers, providers, and policymakers can easily understand the results of the measure and are likely to find them useful for quality improvement and decision-making. Available to collect with data that can be readily available for measurement and retrievable without undue burden. ACC's public reporting efforts help institutions bridge gaps between science and practice to improve the quality of cardiovascular care delivery. The ACC's public reporting offers to monitor the quality of cardiovascular patient care being provided in a transparent manner, ensure reporting is based on data that is of high quality, is administered with minimal collection burden, and employs clinically valid and methodologically sound measures. Provide measures that are actionable and consistent with the triple aim of better outcomes, better care, and lower costs without causing unintended consequences in access to care for any population. Focus on measures that include aspects of care where the patient can be engaged as part of the solution or patient understanding where there is clear evidence that individual patient risk factors will have an effect on the care being provided. Monitor relationships of trust through collaboration between patients and their cardiovascular care team by presenting information that is credible, understandable, and actionable. Empower broader discussions at the community level in improving not only the overall care being provided to individual patients, but the health and well-being of populations. Enable patients and cardiovascular professionals to advocate for policies at the federal and state level that support achieving the triple aim. Public reporting is optional, and hospitals that chose to publicly report their data are publicly showcasing their commitment to continuous quality improvement and lead the way toward a more transparent health care system. Both metric 2, overall defect-free care, or all heart attack care, and metric 3, STEMI performance or urgent heart attack care, are available for publicly reporting. The Performance Achievement Award provides hospitals with tangible evidence of their team's hard work and commitment to delivering the highest quality in cardiovascular care to transform heart health by their sustained top-level quality and adherence to patient care guidelines. This concludes Lesson 1 of 4, Mastering Performance Composite Measures. Thank you for your participation.

Mastering Performance Composite Measures

healthcare performance measures

NCDR Overview

ACC cardiovascular data registries

quality of care

Performance Composite Measures

Healthcare Quality

NQF Endorsement

Public Reporting

Cardiovascular Care