This chart cross-references CHIPRA topics and measures from the initial core set of children's health care quality measures with the first set of priorities identified for the Pediatric Quality Measures Program and the lead Center of Excellence and principal investigator that will be addressing each topic/measure.
| CHIPRA
Topic |
Initial Core
Set |
PQMP First Set
of Priorities |
Lead COE
PI/Organization |
Cross-cutting
topics |
| Duration
of enrollment and coverage |
None met
criteria |
Two
approaches: Stand alone measure (for
quality of health care system) and case-mix adjustment (to use with other
measures) |
Silber, CHOP |
| Availability of services |
Child
and adolescent access to primary care practitioners |
Availability
of services (focus on subspecialty care, mental health, high-risk OB, dental) |
Freed,
U MI (excluding high-risk OB); Kleinman (high-risk OB) |
| Most integrated health care delivery setting |
None
met criteria |
Care
coordination within the context of a medical home |
Mangione-Smith,
UW-Seattle |
| Outcomes |
See
below for condition-specific outcome measures and FEC as outcome measure |
Outcome
measures TBD |
Silber,
CHOP |
| Disparities identification of children with special health care
needs |
Stratifier
and potential case-mix adjuster—not in use by measures in initial core set |
Identification
of children with special health care needs |
Mangione-Smith,
UW-Seattle |
| Disparities identification by race and ethnicity |
Stratifier
and potential case-mix adjuster—not in use by measures in initial core set |
Identification
of approaches to identify disparities by race and ethnicity |
All |
| |
Framework
for aggregation of measures by various levels of accountability and
improvement (e.g., provider, plan, State) medicaid and CHIP programs) |
All |
| |
e-measurement |
All |
| Preventive
services |
| Prenatal
care |
Frequency of
ongoing prenatal care |
Content of
prenatal care |
Sachdeva/UW-Milwaukee |
| Timeliness
of prenatal care |
Content
of prenatal care |
| Percent
of live births weighing less than 2500 grams |
|
N/A |
| Cesarean
rate for nulliparous singleton women |
|
N/A |
| Immunizations |
Childhood
immunization status |
|
N/A |
| Immunizations
for adolescents |
|
N/A |
| Other preventive services |
Cross-cutting |
Content of
well-child and well-adolescent care |
Scholle/NCQA |
| Weight
assessment |
BMI
assessment followup |
Freed,
U MI |
| Developmental
screening in the first 3 years of life |
|
N/A |
| Chlamydia
screening |
|
N/A |
| Well-child
visits in the first 15 months of life |
Content
of well-child care |
N/A |
| Well
child visits in the 3d, 4th, 5th, and 6th years of life |
Content
of well-child care |
Scholle/NCQA |
| Adolescent
well care visit |
Content
of well-adolescent care |
Scholle/NCQA |
| Total
eligibles who received preventive dental services as a % of eligibles |
|
N/A |
| |
Adolescent
depression screening and followup |
Scholle/NCQA |
| |
Vision
screening and followup |
N/A |
| Acute
care |
| |
Appropriate
testing for children with pharyngitis |
|
N/A |
| |
Otitis
media with effusion—avoidance of inappropriate use of systemic
antimicrobials in children—ages 2 through 12 |
|
N/A |
| |
Total
eligibles who received dental treatment services |
Dental
treatment |
Sachdeva/UW-Milwaukee |
| |
Ambulatory
care: emergency department visits |
|
N/A |
| |
Pediatric
central-line-associated blood stream infections—NICU and PICU |
|
N/A |
| |
|
Clinical
subspecialty care—sickle cell disease |
Freed/U
MI |
| | |
Inpatient
—neonatal care |
Kleinman/MSSM |
| | |
Hospital
readmissions |
Schuster/CHB |
| Chronic
care |
| |
Annual number
of asthma patients 2 through 20 years old with one or more asthma-related
emergency room visits |
ED visits for
asthma care |
Kleinman/MSSM |
| |
Followup
care for children prescribed ADHD medication |
ADHD
diagnosis and followup |
Sachdeva/UW-Milwaukee |
| |
Annual
hemoglobin A1C testing of children with diabetes |
|
N/A |
| |
Followup
after hospitalization for mental disorders |
|
N/A |
| Family experiences of care |
|
|
N/A |
| |
CAHPS®
4.0 with Medicaid and CCC supplements applied to all children |
Inpatient
FEC |
Schuster/CHB |
| Abbreviation |
Full Term |
| ADHD = |
Attention-deficit
hyperactivity disorder |
| BMI = |
Body
mass index |
| CAHPS® = |
Consumer
Assessment of Healthcare Providers and Systems |
| CCC = |
Children
with chronic conditions |
| CHB = |
Children's
Hospital of Boston |
| CHIPRA = |
Children's
Health Insurance Program Reauthorization Act of 2009 (PL 111-3) |
| CHOP = |
Children's
Hospital of Philadelphia |
| COE = |
Center(s)
of Excellence |
| ED = |
Emergency
department |
| FEC = |
Family
experiences of care |
| MSSM = |
Mount
Sinai School of Medicine |
| NICU = |
Neonatal
intensive care unit |
| NCQA = |
National
Committee for Quality Assurance |
| PI = |
Principal
investigator |
| PICU = |
Pediatric
intensive care unit |
| PQMP = |
Pediatric
Quality Measures Program |
| OB = |
Obstetric |
| TBD = |
To
be determined |
| U MI = |
University
of Michigan |
| UW-Milwaukee = |
University
of Wisconsin, Milwaukee |
| UW-Seattle = |
University
of Washington, Seattle |
540 Gaither Road Rockville, MD 20850 