When a person is licensed in a health care profession, this means that he or she

Quality Measures & You: Clinicians

Whether you are an individual or a member of a professional group or association, there are many ways in which you can get involved throughout the lifecycle of quality measure development. It is CMS’ responsibility to ensure that meaningful robust clinical quality measures (CQMs) are available for determination of quality and value of clinical care across all settings. Physicians and their care teams are the most vital resource a patient has. As CMS develops clinical quality measures, CMS cannot do it without making a sustained, long-term commitment to take a holistic view on the demands on the physician and clinician workforce. To fully support and help realize the intent of the CMS Quality Strategy, it is critical to ensure that the measures developed are meaningful to patients and the providers who serve them, represent opportunities for improvement in care quality, and differentiate quality in a meaningful and valid way.

Defining Clinicians:

The term clinician refers to a healthcare professional qualified in the clinical practice of medicine. Clinicians are those who provide: principal care for a patient where there is no planned endpoint of the relationship; expertise needed for the ongoing management of a chronic disease or condition; care during a defined period and circumstance, such as hospitalization; or care as ordered by another clinician. Clinicians may be physicians, nurses, pharmacists, or other allied health professionals.

Why You Should Get Involved:

Clinician input is key to ensure that measures developed and maintained are effective for accountability, for quality improvement, and are useful to healthcare providers. It is also critical that the value added by the measure outweighs the burdens of collecting and reporting the data. Clinician input will help ensure that data collection and reporting for measures can be incorporated into daily practices and workflow to decrease burden. 

Ways to Get Involved:

There are many ways to get involved. The first is to take steps to increase your own knowledge and understanding of clinical quality measures: what they are, how they work, how they impact healthcare. That information can all be found on this website for you to explore.

Another way is to be a member of the Technical Expert Panel, or TEP, for a specific measure. A TEP is a group of stakeholders and experts, including healthcare providers, who provide input to measure developers. TEP members are chosen based on their expertise, personal experience, diversity of perspectives, background, and training. You can see what panels are now being formed on the TEP webpage.

You can also participate in the public comment period for a proposed measure. The public comment period provides an opportunity for interested parties to provide input on the measures under development and to provide critical suggestions not previously considered by the measure developer or by the TEP.

You can attend the CMS Open Door Forums designed to address the concerns and issues of Medicare and Medicaid physicians, non-physician practitioners, nurses, and other allied health care professionals. You will find additional resources for providers on the CMS site here.

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Transforming and Scaling Up Health Professionals' Education and Training: World Health Organization Guidelines 2013. Geneva: World Health Organization; 2013.

When a person is licensed in a health care profession, this means that he or she

Transforming and Scaling Up Health Professionals' Education and Training: World Health Organization Guidelines 2013.

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Annex 1Definition and list of health professionals

Health professionals maintain health in humans through the application of the principles and procedures of evidence-based medicine and caring. Health professionals study, diagnose, treat and prevent human illness, injury and other physical and mental impairments in accordance with the needs of the populations they serve. They advise on or apply preventive and curative measures, and promote health with the ultimate goal of meeting the health needs and expectations of individuals and populations, and improving population health outcomes. They also conduct research and improve or develop concepts, theories and operational methods to advance evidence-based health care. Their duties may include the supervision of other health workers (adapted from ILO 2008; WHO 2010; Gupta 2011).

List of health professionals considered within the literature review

Occupations in this sub-major group are classified into several minor groups. To facilitate the development of the WHO guidelines for transforming and scaling up health professionals' education and training, the literature review will focus on the following list of health professionals, as defined by the International Standard Classification of Occupations (ISCO) (ILO 2008; WHO 2010).

Medical Doctors – both Generalist and Specialist Practitioners, including Public Health Doctors (ISCO-08 minor group 221).

Nursing Professionals, including Public Health Nurses (ISCO-08 minor group 222, unit 2221).

Midwifery Professionals, including Public Health Midwives (ISCO-08 minor group 222, unit 2222).

Dentists (ISCO-08 minor group 226, unit 2261).

Pharmacists (ISCO-08 minor group 226, unit 2262).

To simplify and streamline the literature review, this list excludes several groups under the ISCO-08 definition of health professionals, such as traditional and complementary medicine professionals (ISCO-08 minor group 223) , paramedical practitioners (ISCO-08 minor group 224), dieticians and nutritionists (ISCO-08 minor group 226, unit 2265), physiotherapists (ISCO-08 minor group 226, unit 2264), and several other therapy-related occupations.

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