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Federal Register / Vol. 86, No. 164 / Friday, August 27, 2021 / Notices
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diagnostic accuracy, and follow-up. Use cases also include snapshots of case exemplars to demonstrate how the specific solutions can be implemented In practice. The case exemplars range across settings and populations. Each use case concludes with a description of the impact of the Identified solutions on patient safety, as well as a section on measurement approaches and measure concepts.
The Committee also identified a series of comprehensive, broad-scope, actionable, and specific recommendations for applying the Diagnostic Process and Outcomes domain of the 2017 Measurement Framework and for measuring and reducing diagnostic error. Recommendations for applying the Diagnostic Process and Outcomes domain highlight Implementing quality Improvement activities to Identify and reduce errors to prevent them from occurring, Including specific recommendations related to engaging patients, educating cllniclans, developing, and deploying clinical protocols, leveraging technology, supporting a culture of teamwork, and improving Information sharing. Each recommendation for applying the 2017 Measurement Framework aligns with a specific recommendation for measuring and reducing diagnostic error. These measurement-focused recommendations are centered around using patient-reported measures; assessing, providing, and obtaining feedback on cllnlclan diagnostic performance and adherence to diagnostic protocols;
evaluating the Impact of technology and leveraging technology to reduce errors; measuring communication and teamwork; assessing the appropriate use of laboratory testing and radiology; and measuring the total cost, time, and Impacts of diagnostic odysseys. Each recommendation has related actions for diverse stakeholders to measure and evaluate current processes and outcomes, Including the Identification of prioritized measure concepts.
In October 2020, NQF delivered the final report for this project, which Includes the Committees recommendations for the practical application of the Diagnostic Process and Outcomes domain of the 2017 Diagnostic Quality and Safety Measurement Framework, measuring and reducing diagnostic error, and measuring and Improving patient safety. The final report Incorporates feedback received from the public during the 30-day public commenting period that occurred from July to August 2020. Diverse stakeholders e.g., healthcare organizations, cllnlclans, patients, payers, measure developers, EHR
vendors, policymakers, and others can use the practical guidance and recommendations In the report to reduce diagnostic errors. Stakeholders can use existing measures and measurement concepts, as well as the future measurement approaches, to identify specific opportunities for reducing diagnostic error and improving patient safety. The Implementation strategies and solutions within the report can subsequently be used to drive Improvement in diagnostic processes and outcomes. Organizations and stakeholders can also use existing measures, measure concepts, and future measurement approaches to measure the effectiveness of the Interventions and solutions. Diverse stakeholders can Implement the broad-scope, comprehensive recommendations Included In the report to applythe 2017 Measurement Framework, and to measure and reduce diagnostic error, ultimately Improving patient safety.

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Now more than ever, national health priorities continue to highlight the need for Improvement of quallty measurement. Promoting effective communication, prevention, and treatment of chronic disease, working with communities to promote best practices of healthy llvlng, and making care affordable are all still at the forefront when drMng to deliver better health and healthcare outcomes.