The project was started by a coalition that included the American Diabetes Association, the Foundation for Accountability
, the Health Care Financing Administration, and the National Committee for Quality Assurance (NCQA).
One of the most notable was the formation of the Foundation for Accountability
(FACCT) in 1995.
Some survey instruments are available from organizations such as the Health Institute at the New England Medical Center in Boston, MA, and the Foundation for Accountability
in Portland, OR.
 And there is a proliferation of consumer advocacy think tanks and educational groups, such as The Foundation for Accountability
, whose purpose is to develop measures of performance that are relevant to consumers and to educate them about how to use this information.
The demand for value drives the direction of measurement and reporting requirements from both the National Committee for Quality Assurance (NCQA) and the Foundation for Accountability