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Alternative Measures

QECP Alternative Measures



What If the Measures My Organization Wishes to Use Are Not "Standard"?

Qualified entities generally must use standard measures for evaluating the performance of providers unless the use of alternative measures would be more valid, reliable, responsive to consumer preferences, cost-effective, or relevant to dimensions of quality and resource use not addressed by standard measures. If a standard measure exists for the clinical or topic area addressed by the alternative measure, the entity must provide detailed scientific justification for using the alternative measure instead of the standard measure.

What Is the Process for Alternative Measure Approval?

To obtain approval of an alternative measure by demonstrating stakeholder consultation approval, the following information must be provided for each alternative measure:
  • A description of the process by which the entity notified stakeholders in the geographic region it serves of its intent to seek approval of an alternative measure;
  • A list of stakeholders from whom feedback was solicited, including the stakeholders’ names and roles in the community;
  • A description of the discussion about the proposed alternative measure, including a summary of all pertinent arguments supporting and opposing the measure; and
  • An explanation backed by scientific evidence that demonstrates that the measure is more valid, reliable, responsive to consumer preferences, cost-effective, or relevant to dimensions of quality and resource use than the standard measure.

Stakeholders must include a valid cross-representation of providers, payers, employers, and consumers within the QE’s community and public reporting area.

What Alternative Measures Have Been Publicly Reported by QEs?

A list of alternative measures that have been publicly reported by QEs is available here. Please keep in mind that this list is dynamic, because measures continually undergo QECP review. The QECP team will update the list of alternative measures in January and July of each year.