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21247421 20472158 775263 775263 21281791 34370 34370 21247421 21247421 20506528 34370 34370 20472158 20472158 FIN 48 FOOTNOTE FORM 990, SCHEDULE D, PART X, LINE 2 In accordance with authoritative guidance issued by the FASB, NQF recognizes tax liabilities when, despite the management's belief that tax return positions are supportable, NQF believes that certain positions may not be fully sustained upon review by tax authorities. Benefits from tax positions are measured at the largest amount of benefit that is greater than 50% likely of being realized upon settlement. To the extent that the final tax outcome of these matters is different than the amounts recorded, such differences impact income tax expense in the period in which such determination is made. Interest and penalties, if any, related to accrued liabilities for potential tax assessments are included in income tax expense. With few exceptions, NQF is no longer subject to income tax examinations by the U.S. federal, state or local tax authorities for years ended December 31, 2006 and prior. Management has evaluated NQF's tax positions and has concluded that NQF has taken no material uncertain tax positions that require adjustment to the financial statements to comply with the provisions of this guidance. X X X X X false false false false false false false false false JANET M CORRIGAN 405009 0 80000 0 3605 0 19834 0 3202 0 511650 0 ANN HAMMERSMITH 175816 0 254 0 0 0 7500 0 6159 0 189729 0 LAURA MILLER 305269 0 21549 0 0 0 13770 0 2732 0 343320 0 HELEN BURSTIN 302600 0 21674 0 0 0 15288 0 14955 0 354517 0 FLOYD P EISENBERG 271769 0 14004 0 0 0 13023 0 10400 0 309196 0 THOMAS VALUCK 309104 0 26097 0 0 0 15194 0 12156 0 362551 0 KAREN ADAMS 168361 0 10253 0 0 0 8306 0 11976 0 198896 0 MARYBETH A FAQUHAR 174717 0 251 0 0 0 6902 0 1528 0 183398 0 BRUCE F PELLEU 168314 0 0 0 0 0 7861 0 5892 0 182067 0 PETER ANGOOD 197044 0 254 0 0 0 8333 0 13542 0 219173 0 Bonnie Zell 197835 0 254 0 0 0 10073 0 12163 0 220325 0 Sheera Rosenfeld 182470 0 5254 0 0 0 7137 0 14618 0 209479 0 DANIEL ROSENTHAL 185756 0 254 0 0 0 9438 0 15785 0 211233 0 ORGANIZATION'S MISSION AND PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 1 AND 4A - 4B LINE 1: THE NATIONAL QUALITY FORUM (NQF) IS A UNIQUE, MULTI-STAKEHOLDER ORGANIZATION INSTRUMENTAL IN ADVANCING EFFORTS TO IMPROVE 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 AND THROUGH EDUCATION AND OUTREACH PROGRAMS. LINE 4A: PERFORMANCE MEASURES: OUR PERFORMANCE MEASURES PROGRAMMATIC AREA IS WHERE WE DO THE IMPORTANT, HIGHLY TECHNICAL WORK OF EVALUATING PERFORMANCE MEASURES SUBMITTED FOR NQF-ENDORSEMENT CONSIDERATION - A MARK THAT CARRIES MUCH WEIGHT IN THE MARKETPLACE AS WE STRIVE TO CREATE A MORE STANDARDIZED WAY TO EVALUATE IF OUR HEALTH CARE SYSTEM IS PERFORMING AT ITS BEST TO GENERATE HIGH QUALITY, SAFE CARE. IN 2010, OUR PERFORMANCE MEASURES GROUP - WORKING WITH COUNTLESS NATIONAL SUBJECT MATTER EXPERTS, NQF MEMBER VOLUNTEERS, AND OTHER CONTRIBUTORS - UNDERTOOK A NUMBER OF DIVERSE, COMPLEX PROJECTS, FREQUENTLY UNDER TIGHT TIMELINES, AS WELL AS ADDRESSED SOME FOUNDATIONAL WORK IN SUPPORT OF ENSURING A RIGOROUS AND EFFICIENT CONSENSUS DEVELOPMENT PROCESS (CDP). CONSENSUS DEVELOPMENT PROCESS NQF TAKES VERY SERIOUSLY THE RIGOR OF OUR ENDORSEMENT PROCESS. IN 2010, WE CONVENED TWO TASK FORCES TO UPDATE CRITICAL EVALUATION CRITERIA FOR MEASURES' EVIDENCE AND THEIR TESTING REQUIREMENTS. WE ALSO CREATED AND PUT IN PLACE A NEW 'ENDORSEMENT MAINTENANCE' PROCESS, WHICH WILL HELP LEAD US TO A PLACE WHERE WE CAN COMPARE SIMILAR MEASURES AND ATTEMPT TO HARMONIZE MULTIPLE MEASURES OF SELECTING "BEST IN CLASS" MEASURES. NQF ALSO EXPANDED ITS COMMUNICATION WITH THE MEASURE DEVELOPER COMMUNITY AND ITS SET OF PLANNING TOOLS DEVELOPED TO ASSIST MEASURE DEVELOPERS IN THEIR QUEST FOR ENDORSEMENT. FINALLY, WE DEVELOPED AN EXPEDITED REVIEW PROCESS FOR NEW MEASURES REQUIRED UNDER A LEGISLATIVE MANDATE, SO THAT NQF IS POISED TO BE AS RESPONSIVE AS POSSIBLE TO NEW PERFORMANCE MEASURE NEEDS CREATED AS A BY-PRODUCT OF NEWLY ENACTED LEGISLATION. ENDORSEMENT OF PERFORMANCE STANDARDS IN 2010, NQF ACCOMPLISHED SIGNIFICANT WORK ON SEVERAL ENDORSEMENT PROJECTS. IMPORTANTLY, THIS WORK ADDRESSES CERTAIN VULNERABLE POPULATIONS, SUCH AS CHILDREN AND THE ELDERLY; ISSUES THAT HARM PEOPLE OR DRIVE WASTE IN THE HEALTHCARE SYSTEM, SUCH AS PATIENT SAFETY, OVERUSE, AND CARE COORDINATION ("HAND OFFS" BETWEEN ONE SETTING OF CARE TO ANOTHER); AND COSTLY AND PREVALENT CONDITIONS SUCH AS MENTAL HEALTH AND CARDIAC CARE. 1) PROJECTS IN RADIOLOGY AND CARDIAC IMAGING FILLED GAPS FOR PERFORMANCE MEASURES RELATED TO NATIONAL PRIORITIES AND GOALS IN CARE COORDINATION, PATIENT SAFETY, AND OVERUSE. 2) WE COMPLETED A MULTI-PHASE PROJECT THAT FOCUSED ON CONDITION-SPECIFIC AND CROSS-CUTTING OUTCOMES FOR ADULTS, CHILD HEALTH, AND MENTAL HEALTH OUTCOMES AND GAP AREAS IN CONDITION-SPECIFIC OUTCOMES. 3) WE COMPLETED THE NECESSARY FOUNDATIONAL WORK TO SUPPORT SUBMISSION OF RESOURCE USE MEASURES IN 2011. 4) WE UPDATED OUR PATIENT SAFETY PORTFOLIO INCLUDING AN UPDATED PUBLICATION OF ENDORSED SAFETY SAFE PRACTICES, DEVELOPMENT OF AN ENDORSED FRAMEWORK FOR SAFETY REPORTING, AND ONGOING REASSESSMENT OF THE LIST OF SERIOUS REPORTABLE EVENTS. 5) WE EXPANDED THE PORTFOLIO OF CULTURAL COMPETENCY PRACTICES AND WE BEGAN THE WORK TO DEVELOP AN ASSESSMENT TOOL FOR CULTURAL COMPETENCY PRACTICES. LINE 4B: STRATEGIC PARTNERSHIPS: NATIONAL PRIORITIES PARTNERSHIP - THE STRATEGIC PARTNERSHIPS PROGRAMMATIC AREA, IN RESPONSE TO THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, DELIVERED A REPORT FROM THE NATIONAL PRIORITIES PARTNERSHIP (NPP) PROVIDING RECOMMENDATIONS FOR PRIORITIES AND GOALS FOR THE SECRETARY'S NATIONAL QUALITY STRATEGY. IN ADDITION, OVER 200 STAKEHOLDERS REPRESENTING MULTIPLE ASPECTS OF THE HEALTHCARE ENTERPRISE ENGAGED IN DEVELOPING ACTION PLANS FOR THE ORIGINAL SIX NPP PRIORITY AREAS: PATIENT AND FAMILY ENGAGEMENT, POPULATION HEALTH, SAFETY, CARE COORDINATION, PALLIATIVE CARE/END OF LIFE CARE, AND OVERUSE. THIS REPORT PROVED TO BE AN EXTREMELY FORMATIVE DOCUMENT RELATIVE TO SHAPING OUR FIRST EVER NATIONAL QUALITY STRATEGY, RELEASED IN MARCH 2011. MEASURE GAP ANALYSIS - AS THE FIELD OF PERFORMANCE MEASUREMENT ADVANCES TO ADDRESS CHANGES IN HEALTHCARE, NQF IS ALWAYS EVALUATING TO SEE WHERE THERE MIGHT BE GAPS - THUS INFORMING NEW OPPORTUNITIES FOR NEW MEASURE DEVELOPMENT. TO ASSIST IN FUTURE MEASUREMENT REQUIREMENTS, NQF CONSTRUCTED A CONSENSUS MEASURE DEVELOPMENT AND ENDORSEMENT AGENDA THAT IDENTIFIES HIGH-LEVERAGE MEASURE GAP AREAS THAT MAP TO THE NPP PRIORITIES, ADDRESS THE NEEDS OF DIVERSE POPULATIONS, AND PROVIDE A MECHANISM FOR PLANNING AND ONGOING MONITORING OF PROGRESS. MEASURE APPLICATIONS - IN ANTICIPATION OF REQUIREMENTS OF THE ACCOUNTABLE CARE ACT, NQF NEARLY COMPLETED THE APPOINTMENT PROCESS FOR THE MEASURE APPLICATIONS PARTNERSHIP (MAP), A NEW ENTITY BEING FORMED IN RESPONSE TO STATUTORY DEVELOPMENTS. BY LAUNCHING THE APPOINTMENT PROCESS IN 2010, NQF STANDS POISED TO QUICKLY ACTIVATE THE PARTNERSHIP UPON REQUEST OF HHS FOR INPUT ON THE SELECTION OF MEASURES FOR FEDERAL PUBLIC REPORTING AND PAYMENT PROGRAMS. TO INFORM THE WORK OF THE MAP, WHICH WILL START IN 2011, WE COMPLETED A FOUNDATIONAL REPORT THAT CATALOGS PAYMENT REFORM MODELS AND ANALYZES THE MEASURE IMPLICATIONS. COMMUNITY ALLIANCES - NQF IS VERY COMMITTED TO WORKING WITH STATES, LOCAL COMMUNITIES, AND REGIONAL GROUPS HOW TO ON SELECT AND APPLY PERFORMANCE MEASURES TO IMPROVE HEALTH AND HEALTHCARE. THESE COMMUNITIES ARE WHERE THE RUBBER OFTEN MEETS THE ROAD, AND WHERE THERE IS MUCH ENERGY AND CREATIVITY BEING APPLIED TO IMPROVING THE QUALITY OF CARE. NQF LAUNCHED A NEW INITIATIVE TO HELP THESE COMMUNITIES -- COMMUNITY ALLIANCES - AND STARTED WORK ON DEVELOPING NEW WEB-BASED TOOLS SPECIFICALLY DESIGNED TO HELP MEET THESE COMMUNITIES' NEEDS. ORGANIZATION'S PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4C - 4D LINE 4C: HEALTH INFORMATION TECHNOLOGY: AS OUR COUNTRY MOVES CLOSER TO ACHIEVING THE GOAL OF A MORE ELECTRONICALLY-DRIVEN HEALTH CARE ENVIRONMENT, SUCH AS ELECTRONIC HEALTH RECORDS, NQF HAS INVESTED CONSIDERABLE RESOURCES IN OUR HEALTH INFORMATION TECHNOLOGY WORK. IN THE CURRENT WORLD, PERFORMANCE MEASUREMENT RELIES ON PAPER RECORDS SUCH AS MEDICAL CLAIMS AND PATIENT CHARTS. IN THE FUTURE, AS MORE PROVIDERS AND PATIENTS ADAPT TO AN ELECTRONIC PLATFORM, WE MUST MOVE THE WORLD OF PERFORMANCE MEASUREMENT INTO THAT ELECTRONIC PLATFORM. OUR WORK IN 2010 WAS FOUNDATIONAL TOWARD ACHIEVING THAT GOAL. QUALITY DATA MODEL - THE LACK OF A SET OF PRECISELY DEFINED, UNIVERSALLY ADOPTED ELECTRONIC QUALITY MEASURES IS AN OBSTACLE TO AUTOMATING MEASUREMENT AND TO COMPARING AND IMPROVING QUALITY USING ELECTRONIC HEALTH INFORMATION. THE QUALITY DATA MODEL (QDM) IS AN "INFORMATION MODEL" THAT DEFINES AND DESCRIBES CLINICAL CONCEPTS IN A STANDARDIZED FORMAT SO INDIVIDUALS MONITORING CLINICAL PERFORMANCE AND OUTCOMES CAN COMMUNICATE NECESSARY INFORMATION CLEARLY AND CONCISELY. IN RESPONSE TO EVOLVING QUALITY MEASUREMENT, ELECTRONIC HEALTH RECORD (EHR), AND QUALITY IMPROVEMENT NEEDS, NQF MADE SIGNIFICANT ENHANCEMENTS TO THE QDM AND SOUGHT PUBLIC COMMENTS. BI-ANNUAL UPDATES ARE PLANNED FOR THE FORESEEABLE FUTURE. EMEASURE DEVELOPMENT AND REVIEW - NQF DEVELOPED THE HEALTH QUALITY MEASURE FORMAT, A STANDARDIZED FORMAT AND METHOD OF DEVELOPING ESPECIFICATIONS FOR PERFORMANCE MEASURES THAT ARE CONSISTENT WITH THE QDM INFORMATION MODEL. USING THIS NEW STANDARDIZED FORMAT, EXISTING PAPER-BASED MEASURES CAN BE CONVERTED INTO AN ELECTRONIC FORMAT-REFERRED TO AS AN "EMEASURE"-FOR AUTOMATIC USE IN EHRS. AT THE DIRECTION OF THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES, NQF IS WORKING IN CONJUNCTION WITH MEASURE STEWARDS TO RETOOL A LARGE SET OF MEASURES THAT WERE PUBLISHED IN THE CENTERS FOR MEDICARE & MEDICAID SERVICES' NOTICE OF PROPOSED RULE MAKING REGARDING MEANINGFUL USE. THE FIRST 44 MEASURES WERE COMPLETED IN JUNE AND REFERENCED IN THE CMS FINAL RULE FOR MEANINGFUL USE PUBLISHED IN JULY. A SECOND GROUP OF 69 MEASURES (FOR A TOTAL OF 113 RETOOLED MEASURES) WERE COMPLETED IN DECEMBER 2010. NQF ALSO ESTABLISHED A PROCESS AND CONVENED THE EMEASURE FORMAT REVIEW PANEL TO EVALUATE THE SPECIFICATIONS (STRUCTURE) AND INTENT (CONTENT) OF RETOOLED MEASURES. THIS EVALUATION ENSURES THAT A MEASURE'S INTENT REMAINS INTACT FOR CONTINUED NQF ENDORSEMENT. IN THE FUTURE, EMEASURES WILL BE PART OF NQF'S MEASURE SUBMISSION, ENDORSEMENT, AND MAINTENANCE REQUIREMENTS. MEASURE AUTHORING TOOL - THE DEVELOPMENT OF EMEASURES REQUIRES A USER-FRIENDLY METHOD FOR MEASURE DEVELOPERS TO PRODUCE THEIR MEASURE IN A HIGHLY STRUCTURED FORMAT. NQF IS SPONSORING THE DEVELOPMENT OF A SOFTWARE TOOL THAT MEASURE DEVELOPERS WILL USE TO CREATE THE EMEASURE. THE TOOL WILL CREATE A COMPUTER READABLE VERSION OF A MEASURE IN XML AND A HUMAN READABLE VERSION. NQF ADVANCED THIS PROJECT IN 2010 BY HIRING A DEVELOPMENT CONTRACTOR AND DEVELOPING THE REQUIREMENTS NEEDED TO BUILD THE TOOL. HEALTH IT UTILIZATION - HEALTH IT ALSO CAN HAVE UNINTENDED CONSEQUENCES AND INTRODUCE SAFETY HAZARDS. NQF CONVENED THE HEALTH IT UTILIZATION EXPERT PANEL TO ESTABLISH A MODEL OF DATA TYPES IN PERFORMANCE MEASURES THAT MIGHT BE DEVELOPED TO ASSESS WHETHER CLINICIANS AND OTHERS ARE USING HEALTH IT PROPERLY, INCLUDING ASSESSING WHETHER DECISION SUPPORT TOOLS AND METHODS OF DETECTING HAZARDS ARE BEING USED EFFECTIVELY. CLINICAL DECISION SUPPORT - TO IMPROVE QUALITY, CLINICIANS MUST RECEIVE FEEDBACK IN REAL TIME AT THE POINT OF CARE. USING THE QDM AS A FOUNDATION, NQF CONVENED A PANEL OF CLINICAL DECISION SUPPORT (CDS) EXPERTS AND DEVELOPED A CLASSIFICATION SYSTEM FOR THE INFORMATION NECESSARY TO ENSURE "CRITICAL EVENTS" (E.G., REQUISITE SCREENINGS, CONTRAINDICATIONS) ARE TRACKED AND ACTED UPON BY THE PROVIDER. THE CDS TAXONOMY ALSO WILL SERVE AS A FRAMEWORK OF REQUIREMENTS FOR CDS TO FUNCTION EFFECTIVELY WITHIN AN EHR OR OTHER ELECTRONIC SYSTEMS. 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 THE FINANCE AND AUDIT COMMITTEE, A COMMITTEE OF THE BOARD, REVIEWS AND APPROVES THE FORM 990 AFTER WHICH IT IS SENT TO ALL MEMBERS OF THE BOARD OF DIRECTORS, ALL PRIOR TO FILING. 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 SUBMISSIONS ARE REVIEWED. DETERMINING COMPENSATION FORM 990, PART VI, LINE 15A 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. THERE WAS CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE CEO DETERMINES THE SALARIES OF OTHER OFFICERS AND KEY EMPLOYEE BASED ON OUTSIDE COMPARABILITY DATA. 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.