Table 1. Phases and steps in the development and testing of indicators for colorectal cancer care.

Phases	Steps
Planning	1. Scoping workshop
	- Collecting existing knowledge and practice
	2. Structured search
	- Structured literature search using a predefined search model
	- Structured search in indicator agencies
	3. Organization of the assessment panel
	- 11 multidisciplinary experts and 2patient representatives
	4. Preparation of quality indicators for the panel assessment
	- Defining of the indicator (numerator, denominator)
	- Inclusion and exclusion criteria
	- Target levels or standards
	- Type (process, outcome, intermediate outcome, structure)
	- Sources
	- Evidence
Rating	5. Preliminary meting
	- Overview about the development procedures
	- Providing of indicator templates
	6. Rating rounds
	- Validity – postal and meeting
	- Feasibility – postal and meeting
Operationalizing	7. Specification of measures
	- Unit of analysis (patient, hospital, provider)
	- Data sources (administrative data, medical record data, survey)
	- Risk adjustment
	- Responsibility for indicator results
	- Data sources
	- Data collection procedures
	- Analytical plan
	- Feedback strategies
Approval	8. Approval of the final report by the G-BA
Piloting	9. Feasibility test
	10. Field testing