AAP keeps children at forefront of dialogue on quality measures
from the AAP Division of Quality
The Academy is working to ensure that quality measures reflect the unique nature of
care for children and demonstrate the value of care provided by pediatricians. To
that end, the Academy has partnered with the National Quality Forum (NQF) to ensure
the interests of children are at the forefront of the national dialogue about quality
The NQF is a nonprofit, nonpartisan membership organization focused on improving health
care. It may be most well-known for its evidence-based measure endorsement, which
is considered the gold standard in health care quality measurement. NQF reviewed and
endorsed many of the measures familiar to pediatricians, including numerous Healthcare
Effectiveness Data and Information Set (HEDIS) measures and most of the measures in
the Children's Health Insurance Program Reauthorization Act (CHIPRA) Core Set. To date, NQF has endorsed over 300 quality measures, which are used in
a variety of federal, state and private quality programs.
To review all measures submitted for consideration, NQF convenes standing committees
to focus on specific topic areas. These committees are comprised of subject matter
experts from a variety of medical, allied health and health policy fields. For the
last four years, Thomas K. McInerny, M.D., FAAP, past AAP president (2012-’13), has
served as co-chair on the NQF Health and Well-Being Project, which reviews, evaluates
and make recommendations regarding endorsement of quality measures that address population
At the end of 2016, the Health and Well-Being Standing Committee completed its review
and recommendations for 23 quality measures. The committee recommended 15 for endorsement,
four of which included or directly impacted pediatric populations:
childhood immunization status,
preventive care and screening: influenza immunization,
influenza vaccination coverage among health care personnel and
preventive care and screening: influenza immunization (e-measure).
As a member of NQF, the Academy participates in public comment opportunities that
include quality measures specific to, or that directly impact, pediatric populations.
The Academy also votes on the standing committees’ final recommendations for endorsement.
As of December 2016, over 30 FAAPs had been appointed to standing committees for about
20 different NQF projects.