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Committee Detail

Hide Section - GENERAL INFORMATION

GENERAL INFORMATION

Committee NameNational Advisory Council for Healthcare Research and QualityAgency NameDepartment of Health and Human Services
Fiscal Year2018Committee Number942
Original Establishment Date12/19/1989Committee StatusChartered
Actual Termination Date Committee URLhttp://www.ahrq.gov/cpi/about/organization/nac/...
New Committee This FYNoPresidential Appointments*No
Terminated This FYNoMax Number of Members*Unlimited
Current Charter Date3/22/1990Designated Fed Officer Position Title*Designated Federal Official
Date Of Renewal Charter Designated Federal Officer Prefix
Projected Termination Date Designated Federal Officer First Name*Jaime
Exempt From Renewal*YesDesignated Federal Officer Middle Name
Specific Termination AuthorityDesignated Federal Officer Last Name*Zimmerman
Establishment Authority*Statutory (Congress Created)Designated Federal Officer Suffix
Specific Establishment Authority*41 U.S.C. 299cDesignated Federal Officer Phone*(301) 427-1456
Effective Date Of Authority*11/3/2000Designated Federal Officer Fax*301-427-1210
Committee Type*ContinuingDesignated Federal Officer Email*jaime.zimmerman@ahrq.hhs.gov
Presidential*No
Committee Function*National Policy Issue Advisory Board
Hide Section - RECOMMENDATION/JUSTIFICATIONS

RECOMMENDATION/JUSTIFICATIONS

Agency Recommendation*Continue
Legislation to Terminate RequiredNo
Legislation StatusNot Applicable
How does cmte accomplish its purpose?*The Charter of the National Advisory Council for Healthcare Research and Quality, as provided for under P.L. 92-463, Section 921 establishes two functions: 1) the Council shall advise the Secretary and the Director with respect to activities to carry out the purpose of the Agency under section 901(b); and make recommendations to the Secretary of HHS and the Director on matters related to actions of the Agency to enhance the quality, improve the outcomes, and reduce the costs of health care services, as well as improve access to such services, through scientific research and the promotion of improvements in clinical practice and in the organization, financing, and delivery of health care services 2) the Council shall advise the Secretary and Director through recommendations regarding priorities for a national agenda and strategy for: priorities regarding health care research , especially studies related to quality, outcomes, cost and utilization of, and access to, health care services; the field of health care research and related disciplines, especially issues related to training needs,, and dissemination of information pertaining to health care quality; and the appropriate role of the Agency in each of these areas in light of private sector activity and identification of opportunities for public-private partnerships.
How is membership balanced?*The Council shall consist of 21 appropriately qualified individuals from non-federal government organizations. Additionally, a number of ex-officio members are also part of the Council. At least 17 members of the Advisory Council shall be representatives of the public who are not officers or employees of the United States and at least 1 member who shall be a specialist in the rural aspects of 1 or more of the following professions or fields. Of such members: 3 shall be individuals distinguished in the conduct of research, demonstration projects, and evaluations with respect to health care; 3 shall be individuals distinguished in the fields of health care quality research or health care improvement; 3 shall be individuals distinguished in the practice of medicine of whom at least one shall be a primary care practitioner; 3 shall be individuals distinguished in the other health professions; 3 shall be individuals either representing the private health care sector, including health plans, providers, and purchasers or individuals distinguished as administrators of health care delivery systems; 3 shall be individuals distinguished in the fields of health care economics, information systems, law, ethics, business, or public policy; and 3 shall be individuals representing the interests of patients and consumers of health care.The Council also shall include Federal officials as ex officio members. The Secretary shall designate as ex officio members of the Advisory Council: the Assistant Secretary for Health, the Director of the National Institutes of Health, the Director of the Centers for Disease Control and Prevention, the Administrator of the CMS, the Commissioner of the Food and Drug Administration, the Director of the Office of Personnel Management, the Assistant Secretary of Defense (Health Affairs), and the Under Secretary for Health of the Department of Veterans Affairs. Such other Federal officials as the Secretary may consider appropriate may also be appointed.
How frequent & relevant are cmte mtgs?*The National Advisory Council for Healthcare Research and Quality meets 3 times during each fiscal year.The Council provides valuable recommendations to the Director on policy issues and priorities for improving the quality, appropriateness, and effectiveness of health care provided in the nation. It does so by recommending topics and issues on which the Agency should focus its limited resources to provide the most benefit to the public, health care industry, and clinicians. The Council helps AHRQ identify other government and private sector organizations with similar interests that might partner with the Agency in developing the knowledge base and the methods to achieve goals of mutual interest.
Why advice can't be obtained elsewhere?*This Council was established by Congress in recognition of the absence of such a formal body of advisors to the Secretary, HHS and Director, AHRQ on matters related to AHRQ. It is the Agency's responsibility, under law, to enhance the quality, appropriateness, and effectiveness of health care services and access to such services through scientific research and the promotion of improvements in clinical practice, organization, financing, and delivery of health care services. The currently serving Council members represent expertise in a variety of areas such as managed care, health services research, direct care delivery, consumer health and law, health economics, and health benefits. It is the intent of the Congress that advice and assistance in this area be provided by a broadbased representative group of distinguished individuals. The Council is governed by provisions of P.L. 92-463 (5 U.S.C. Appendix 2), which sets forth standards for the formation and use of advisory committees.
Why close or partially close meetings?Meetings are not closed.
Recommendation RemarksPerformance measures did not change.
Hide Section - PERFORMANCE MEASURES

PERFORMANCE MEASURES

Outcome Improvement To Health Or Safety*YesAction Reorganize Priorities*Yes
Outcome Trust In GovernmentYesAction Reallocate ResourcesNo
Outcome Major Policy ChangesNoAction Issued New RegulationsNo
Outcome Advance In Scientific ResearchYesAction Proposed LegislationNo
Outcome Effective Grant MakingNoAction Approved Grants Or Other PaymentsNo
Outcome Improved Service DeliveryYesAction OtherNo
Outcome Increased Customer SatisfactionYesAction CommentNA
Outcome Implement Laws/Reg RequirementsNoGrants Review*No
Outcome OtherNoNumber Of Grants Reviewed0
Outcome CommentNANumber Of Grants Recommended0
Cost Savings*NoneDollar Value Of Grants Recommended$0.00
Cost Savings CommentNAGrants Review CommentNA
Number Of Recommendations*57Access Contact Designated Fed. Officer*No
Number Of Recommendations CommentThe National Advisory Council for Healthcare Research and Quality (NAC) was established in accordance with Section 921 (now Section 941) of the Public Health Service Act ( 42 U.S.c. 299 c). In accordance with its statutory mandate, the Council is to advise the Secretary of the Department of Health and Human Services and the Director, Agency for Healthcare Research and Quality (AHRQ), on matters related to actions of the Agency to enhance the quality, improve the outcomes, reduce the costs of health care services, improve access to such series through scientific research and promote improvements in clinical practice and in the organization, financing, and delivery of health care services. The Council is composed of members of the public, appointed by the Secretary, and Federal ex-officio members. The Council is composed of a wide variety of individuals and organizations that provide unparalleled guidance and expertise in helping AHRQ shape its goals and priorities. In addition, a portion of the meeting is devoted to comments from the public to solicit input and comments to help shape the AHRQ research agenda. Occasionally, new legislation and/or important issues to the Secretary of Health and Human Services, or the Director of AHRQ warrant the formation of a Subcommittee to the NAC (called SNACs) make formal recommendations. While all SNACs make comments and provide advice that influence decisions at AHRQ, formal recommendations have been made by the SNAC addressing the Children’s Health Insurance Program Reauthorization (CHIPRA) and the SNAC to identify quality measures for Medicaid-eligible adults.There were no new recommendations for FY2017. 2009 SNAC. Title IV of the Children's Health Insurance Program Reauthorization Act (CHIPRA; Public Law 111-3) required the Secretary of the U.S. Department of Health and Human Services (HHS) to identify and post for public comment by January 1, 2010, an initial, recommended core set of children's health care quality measures for voluntary use by Medicaid and Children's Health Insurance Programs (CHIP), health insurance issuers and managed care entities that enter into contracts with such programs, and providers of items and services under such programs. In collaboration with CMS, AHRQ sought external advice from a 2009 Subcommittee on Child Health Quality Measures for Medicaid and CHIP (SNAC) of AHRQ’s National Advisory Council (NAC) to identify such measures. The SNAC met twice during 2009; its charter expired in December 2009. The CHIPRA SNAC recommended to the NAC 25 children’s health care quality measures for the initial core set: http://www.ahrq.gov/chipra/coreset/coreset2.htm#second. Subsequently, the Secretary posted for public comment 24 children’s healthcare quality measures for the initial core set for voluntary use by Medicaid and CHIP programs. As reported in the Secretary’s annual report to Congress, States have been reporting on most of these measures. http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Quality-of-Care/CHIPRA-Initial-Core-Set-of-Childrens-Health-Care-Quality-Measures.htmlAdult core set. The Affordable Care Act requires the Secretary of the Department of Health and Human Services (HHS) to identify and publish a core set of health quality measures for Medicaid-eligible adults. To help facilitate an evidence-based and transparent process for prioritizing measures, the National Advisory Council of the Agency for Healthcare Research and Quality (AHRQ) created this Subcommittee for identifying quality measures for Medicaid-eligible adults that could be used for State level quality improvement and voluntary reporting about the care adults eligible for Medicaid receive. The Medicaid SNAC recommended 26 measures2012 CHIPRA SNAC. Title IV of the Children's Health Insurance Program Reauthorization Act (CHIPRA; Public Law 111-3) also required the Secretary of the U.S. Department of Health and Human Services (HHS) to establish a Pediatric Quality Measures Program for the following purposes:1. Improve and strengthen the initial core set of measures of health care quality established under CHIPRA 2. Expand on existing pediatric quality measures used by public and private health care purchasers, and 3. Increase the portfolio of evidence-based consensus pediatric quality measures available to public and private purchasers of children’s health care services, providers, and consumers.AHRQ funded 7 Centers of Excellence in Pediatric Quality Measurement (COEs) to develop and enhance children’s healthcare quality measures; topic priorities were set by the Centers for Medicare and Medicaid Services. In addition, a call for public nominations was issued in early 2012 to satisfy in part the CHIPRA legislation requirement for extensive stakeholder involvement in the PQMP. The NAC appointed a new Subcommittee charged with assessing COE-developed and publicly nominated measures. Between July and September 2012, the Subcommittee used a modified Delphi process to assess measures on a set of desirable measure attributes; the Subcommittee’s work in 2012 culminated in a recommendation of 5 measures to be added to the initial core set and 2 for use by other public and private health care purchasers, providers, and consumers, as specified above.Access Agency WebsiteYes
% of Recs Fully Implemented*93.00%Access Committee WebsiteNo
% of Recs Fully Implemented CommentThere were no new recommendations for FY 2018. 2009 SNAC Recommendations. 22 of the 25 SNAC recommendations were fully implemented by the Agency. SNAC-recommended measures not implemented by HHS were those for suicide screening and the CAHPS Clinician and Group Survey; in addition, HHS separated the 3 SNAC well child care visit measures (which SNAC recommended as one measure) into 3 separate measures. As a result, the Secretary HHS posted 24 measures for States to voluntarily report to CMS on December 29, 2009. In September 2011, the Secretary reported the number of States that reported on each of the measures. http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Quality-of-Care/Downloads/2011_StateReporttoCongress.pdf. CMS is working with States to provide technical assistance to increase State reporting levels. Adult Medicaid SNAC. The adult Medicaid SNAC recommendations are 100% implemented. The Adult Medicaid SNAC recommended 26 measures and all were accepted and published. CMS and AHRQ embraced the recommendations 100% and are working to assist States with 100% implementation. The agencies are doing this by working collaboratively to further refine and standardize data elements for the measures and test them in States and by working to identify ways to facilitate State voluntary reporting through alignment with other HHS quality reporting initiatives; coordinate quality measurement efforts with payment reform strategies, health information technology, and electronic health record initiatives; and identify priority areas for the development of new measures.2012 CHIPRA SNAC recommendations (or child Medicaid and CHIP recommendations). As of mid-October 2012, CMS had not yet made its recommendations to State Medicaid and CHIP programs. These recommendations are due by January 1, 2013. According to CMS staff, CMS plans to recommend only 3 of the 7 measures to Medicaid and CHIP programs for voluntary reporting to CMS and subsequent reporting by the Secretary to Congress.Access GSA FACA WebsiteYes
% of Recs Partially Implemented*93.00%Access PublicationsNo
% of Recs Partially Implemented CommentThis is based on the assumption that CMS will adopt 3 of the 7 recommendations making a total of 53 fully implemented out of a possible 57.Access OtherNo
Agency Feedback*YesAccess CommentN/A
Agency Feedback CommentThe Agency provides feedback to the committee by distributing follow-up white papers and the Director's update to reports to the members. Also, Agency staff meet with NAC members.Narrative Description*The National Advisory Council (NAC) provides advice to the Secretary of DHHS and the Director, Agency for Healthcare Research and Quality (AHRQ) on matters related to AHRQ activities to improve the quality, safety, efficiency, and effectiveness of healthcare for all Americans. As a result of the Agency's increased emphasis on strategic planning, the Agency has shifted from a focus on output and process measurement to a focus on outcome measures. The NAC has been extremely helpful in working through this process and new focus through in depth discussions at meetings held throughout the year. Individual NAC members also work with Agency staff on an ongoing basis throughout the year needed.
Hide Section - COSTS

COSTS

Payments to Non-Federal Members*$8,375.00Est Payments to Non-Fed Members Next FY*$17,043.00
Payments to Federal Members*$0.00Est. Payments to Fed Members Next FY*$0.00
Payments to Federal Staff*$57,982.00Estimated Payments to Federal Staff*$59,141.00
Payments to Consultants*$0.00Est. Payments to Consultants Next FY*$0.00
Travel Reimb. For Non-Federal Members*$17,572.00Est Travel Reimb Non-Fed Members nextFY*$28,476.00
Travel Reimb. For Federal Members*$0.00Est Travel Reimb For Fed Members*$0.00
Travel Reimb. For Federal Staff*$0.00Est. Travel Reimb to Fed Staff Next FY*$0.00
Travel Reimb. For Consultants*$0.00Est Travel Reimb to Consultants Next FY*$0.00
Other Costs$106,242.00Est. Other Costs Next FY*$111,554.00
Total Costs$190,171.00Est. Total Next FY*$216,214.00
Federal Staff Support (FTE)*0.30Est. Fed Staff Support Next FY*0.30
Hide Section - MEMBERS,MEETINGS AND ADVISORY REPORTS

MEMBERS,MEETINGS AND ADVISORY REPORTS

To View all the members, meetings and advisory reports for this committee please click here
Hide Section - CHARTERS AND RELATED DOCS

CHARTERS AND RELATED DOCS

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Hide Section - DATA FROM PREVIOUS YEARS

DATA FROM PREVIOUS YEARS

Committee

Data from Previous Years

  
ActionCommittee System IDCommittee NameFiscal Year
 COM-002024National Advisory Council for Healthcare Research and Quality2017
 COM-002286National Advisory Council for Healthcare Research and Quality2016
 COM-003748National Advisory Council for Healthcare Research and Quality2015
 COM-004402National Advisory Council for Healthcare Research and Quality2014
 COM-006121National Advisory Council for Healthcare Research and Quality2013
 COM-006883National Advisory Council for Healthcare Research and Quality2012
 COM-008348National Advisory Council for Healthcare Research and Quality2011
 COM-009044National Advisory Council for Healthcare Research and Quality2010
 COM-010220National Advisory Council for Healthcare Research and Quality2009
 COM-010987National Advisory Council for Healthcare Research and Quality2008
 COM-012247National Advisory Council for Healthcare Research and Quality2007
 COM-012584National Advisory Council for Healthcare Research and Quality2006
 COM-013741National Advisory Council for Healthcare Research and Quality2005
 COM-014425National Advisory Council for Healthcare Research and Quality2004
 COM-015974National Advisory Council for Healthcare Research and Quality2003
 COM-016454National Advisory Council for Healthcare Research and Quality2002
 COM-017942National Advisory Council for Healthcare Research and Quality2001
 COM-018396National Advisory Council for Health Care Policy, Research, and Evaluation2000
 COM-019812National Advisory Council for Health Care Policy, Research, and Evaluation1999
 COM-020351National Advisory Council for Health Care Policy, Research, and Evaluation1998
 COM-021552National Advisory Council for Health Care Policy, Research, and Evaluation1997