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obesity. These gaps spurred the NQF and STOP Obesity Alliance to convene a roundtable discussion

(2016) and subsequent strategy session (2017) to discuss, identify, and refine obesity measure concepts.

The timeline for these activities is shown in the Appendix Figure 1. The measure concepts that emerged

from the roundtable and strategy session were documentation of obesity diagnosis, weight change over

time, evidence-based treatment for obesity, and obesity quality of life patient-reported outcome

performance measure (PRO-PM) (NQF, Obesity Measures, 2019). These measures were proposed to

move away from purely process measures and move toward outcome measures that incentivize

standards in obesity clinical care.

The American Medical Group Association (AMGA) was a member on the expert panel that

participated in the NQF and STOP Obesity Alliance convenings. In the next project for obesity quality

measure development, AMGA took the refined measure concepts, identified other measure concepts,

defined technical details and specifications, and then conducted measure testing as part of the AMGA

Obesity Care Model Collaborative (OCMC). The OCMC was a 3-year collaborative to define, pilot, and

evaluate a framework to address obesity in medical groups and health systems (AMGA, 2020). The

OCMC tested seven measures, which included assessment for obesity-related complications,

documentation of obesity diagnosis, percent weight change over 9-15 months, prescriptions for anti

obesity medications, number of patient-reported outcome measure (PROM) surveys completed, and

change in score in PROM surveys (Appendix Table 3). AMGA found that all measures were feasible to

collect, provided value to the participating healthcare organizations, and demonstrated variation and

ability to detect differences over time (Ciemins, et al., 2020).

Building upon the work of AMGA’s Obesity Care Model Collaborative, the MN Community

Measurement (MNCM) and the Endocrine Society (ES) partnered to further test and develop obesity

quality measures. Together with another panel of experts, they developed a suite of new measures with

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