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Health Care Quality: Measuring Obesity in Performance Frameworks
Tracy Zvenyach1, Matthew K Pickering2
1Novo Nordisk, Inc, Washington, DC, USA.
Obesity (Silver Spring, Md.)
|June 25, 2017
Summary
The evaluation identified only eleven obesity-specific quality measures for adults, with significant gaps in National Quality Forum (NQF) endorsement and Centers for Medicare and Medicaid Services (CMS) program implementation. This highlights a need for improved quality metrics in obesity care.
Area of Science:
- Public Health
- Health Services Research
- Obesity Medicine
Background:
- Obesity impacts over one-third of Americans, contributing to chronic diseases and high healthcare costs.
- The shift to value-based care necessitates addressing the US obesity epidemic through improved quality metrics.
- A comprehensive evaluation of existing obesity-specific quality measures is crucial.
Purpose of the Study:
- To evaluate the current landscape of obesity-specific quality measures.
- To identify measures endorsed by the National Quality Forum (NQF) and utilized by the Centers for Medicare and Medicaid Services (CMS).
Main Methods:
- Searched seven quality measure databases and nine professional societies.
- Applied inclusion and exclusion criteria for measure selection.
- Classified identified measures by domain and national public program implementation.
Main Results:
- Identified eleven obesity-specific quality measures for adults (nine process, two outcome).
- Three measures received NQF endorsement.
- Only one measure was both NQF-endorsed and actively used by CMS programs.
Conclusions:
- Significant limitations exist in current obesity-specific quality metrics.
- Gaps in quality measurement present opportunities for obesity care specialists to contribute.
- Development of pragmatic approaches toward quality measurement is needed.
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