The American Medical Association House of Delegates voted at its annual meeting to let the National Quality Forum know it was keeping an eye on it.
Specifically, AMA delegates voted to oppose any effort to expand the NQFs mission to include performance-measure development or any action that the NQF might take that would limit or eliminate the role of the AMA-convened Physician Consortium for Performance Improvement in the healthcare quality-measurement movement.
Currently, the consortium develops quality measures that the NQF reviews. Measures that win the NQFs endorsement are then used by the CMS, private health plans and others for pay-for-performance programs or quality-improvement strategies.
AMA Trustee James Rohack, a Temple, Texas, cardiologist, said the AMAs relationship with the NQF has been collegial, but efforts are being made to provide federal funding for the NQFs performance-measure endorsement activities, and this has raised some concerns.
We want to continue that collegiate interaction with NQF, but we just dont want something that usurps the consortiums authority as a measure developer, Rohack said. Sometimes when you go to Congress looking for more money, mysterious things can happen.
Delegates recognized the recent restructuring of the NQFs governing board to include more physicians and withdrew an item in the original resolution that called for the AMA to actively pursue changes to the NQFs board. Added to the resolution, however, was a call for the AMA board of trustees to issue a report on NQF activities for consideration at the AMA interim meeting scheduled for Nov. 10-13 in Honolulu. -- by Andis Robeznieks