CHIPRA Pediatric Quality Measures Program (PQMP) Health Care Quality Measures Reviewed by SNAC in 2012

Between July and September 2012, the CHIPRA National Advisory Council on Healthcare Research and Quality Subcommittee on Quality Measures for Children's Healthcare (SNAC) reviewed 63 health care quality measures for potential inclusion as Improved Core Measures for voluntary use by Medicaid and CHIP and for other CHIPRA purposes (potential use by other public and private programs, plans, providers, and consumers). Twenty-seven additional measures (not listed) were nominated by the public but not reviewed because insufficient information was provided.

Fifty of the reviewed measures were nominated by the public in response to a public call for measures, and 13 measures were submitted for SNAC review by the CHIPRA PQMP Centers of Excellence. The 63 measures reviewed by SNAC are listed below.


CHIPRA Category/
Measure Topic/
Subtopic
Measure NameMeasure Submitter
Cross-Cutting Category/
Duration of Enrollment
Coverage in Medicaid and CHIPChildren's Hospital of Philadelphia (CHOP)
Duration of first observed enrollmentChildren's Hospital of Philadelphia (CHOP)
Duration of newborn's first enrollmentChildren's Hospital of Philadelphia (CHOP)
Children who had inconsistent health insurance coverage in the past 12 monthsChild and Adolescent Health Measurement Initiative–National Survey of Children´s Health/Children with Special Health Care Needs (CAHMI-NSCH/CSHCN)
Cross-Cutting Category/
Availability of Services
Children who have inadequate insurance for optimal healthChild and Adolescent Health Measurement Initiative–National Survey of Children´s Health (CAHMI-NSCH)
Children with a usual source of care when sickChild and Adolescent Health Measurement Initiative–National Survey of Children´s Health/Children with Special Health Care Needs (CAHMI-NSCH/CSHCN)
Children with special health care needs (CSHCN) with a parent who is usually or always frustrated in their efforts to get services for the childChild and Adolescent Health Measurement Initiative–National Survey of Children with Special Health Care Needs (CAHMI-NSCSHCN)
Cross-Cutting Category/
Most Integrated Health Care Delivery Setting
Measure of medical home for children & adolescentsChild and Adolescent Health Measurement Initiative–National Survey of Children´s Health  (CAHMI-NSCH)


CHIPRA Category/
Measure Topic/
Subtopic
Measure NameMeasure Submitter
Cross-Cutting Category/
Family Experiences of Care
Helpfulness of care provided: proportion of children whose parents reported care provided was helpful or very helpful on core aspects of preventive & developmental health careChild and Adolescent Health Measurement Initiative-Promoting Healthy Development Survey (CAHMI-PHDS)
Family-centered care (FCC): proportion of children whose parents routinely receive family-centered careChild and Adolescent Health Measurement Initiative-Promoting Healthy Development Survey (CAHMI-PHDS)
Children who receive family-centered careChild and Adolescent Health Measurement Initiative–National Survey of Children´s Health/Children with Special Health Care Needs (CAHMI-NSCH/CSHCN)
Communication & experience of care: mean score on seven items asking about helpfulness of office staff, overall rating of care & whether doctor/other providers listen carefully, explain things clearly, respect you, spend enough timeChild and Adolescent Health Measurement Initiative-Promoting Healthy Development Survey (CAHMI-PHDS)
Cross-Cutting Category/
Identification of Children with Special Health Care Needs
Children with Special Care Needs Screener (CSHCN Screener)Child and Adolescent Health Measurement Initiative–National Survey of Children with Special Health Care Needs (CAHMI-NSCSHN)


CHIPRA Category/
Measure Topic/
Subtopic
Measure NameMeasure Submitter
Cross-Cutting Category/
Transitions/
Care Coordination
Care coordination (CC)Child and Adolescent Health Measurement Initiative-Promoting Healthy Development Survey (CAHMI-PHDS)
Children who have problems obtaining referrals when neededChild and Adolescent Health Measurement Initiative–National Survey of Children´s Health (CAHMI-NSCH)
Children who have problems accessing needed specialist careChild and Adolescent Health Measurement Initiative–National Survey of Children´s Health (CAHMI-NSCH)
Children with special health care needs (CSHCN) who receive services needed for transition to adult health careChild and Adolescent Health Measurement Initiative–National Survey of Children with Special Health Care Needs (CAHMI-NSCSHCN)
Children who receive effective care coordination of health care services when neededChild and Adolescent Health Measurement Initiative–National Survey of Children´s Health (CAHMI-NSCH)
Cross-Cutting Category/
Patient-reported Outcomes
Number of school days children miss due to illnessChild and Adolescent Health Measurement Initiative–National Survey of Children´s Health (CAHMI-NSCH)
 Pediatric Global Health Measure (PGHM)Children's Hospital of Philadelphia (CHOP)
Specific Clinical Categories/
Prevention and Health Promotion/Prenatal
 Behavioral health risk assessmentPediatric Measurement Center of Excellence (PMCoE)
Body mass index (BMI) assessment and recommended weight gainPediatric Measurement Center of Excellence (PMCoE)


CHIPRA Category/
Measure Topic/
Subtopic
Measure NameMeasure Submitter
Specific Clinical Categories/
Prevention & Health Promotion/
Perinatal
PC-01 Elective deliveryChildbirth Connection
PC-02 Cesarean sectionChildbirth Connection
Cesarean Delivery for Nulliparous (NTSV) Women (Appropriate Use)Pediatric Measurement Center of Excellence (PMCoE)
Episiotomy (overuse)Pediatric Measurement Center of Excellence (PMCoE)
PC-05 Exclusive breast milk feedingChildbirth Connection
Healthy term newbornChildbirth Connection
 Post-partum follow-up and care coordinationPediatric Measurement Center of Excellence (PMCoE)
Specific Clinical Categories/
Prevention & Health Promotion/
Child and Adolescent Immunizations
Human papillomavirus vaccine (HPV) for female adolescentsNational Committee for Quality Assurance (NCQA)


CHIPRA Category/
Measure Topic/
Subtopic
Measure NameMeasure Submitter
Specific Clinical Categories/
Prevention & Health Promotion/
Screening +/- follow-up (Development and Behavior)
Whether health care providers address parental concerns about their child's learning, development & behaviorChild and Adolescent Health Measurement Initiative-Promoting Healthy Development Survey (CAHMI-PHDS)
Administration of a standardized, parent-completed developmental & behavioral screening (SDBS) toolChild and Adolescent Health Measurement Initiative-Promoting Healthy Development Survey (CAHMI-PHDS)
Developmental Screening in the First 3 Years of LifeChild and Adolescent Health Measurement Initiative (CAHMI)
Developmental screening using a parent completed screening tool (parent report, children 0-5)Child and Adolescent Health Measurement Initiative–National Survey of Children´s Health (CAHMI-NSCH)
Follow-up for children at risk for developmental, behavioral or social delaysChild and Adolescent Health Measurement Initiative-Promoting Healthy Development Survey (CAHMI-PHDS)
Composite measure of preventive & developmental health care for young children: proportion of children who received all care components in the PHDSChild and Adolescent Health Measurement Initiative-Promoting Healthy Development Survey (CAHMI-PHDS)
Specific Clinical Categories/
Prevention & Health Promotion/
Screening +/- follow-up (Mental Health/Depression)
Preventive care & screening: screening for clinical depression & follow-up planQuality Insight PA; TeenScreen


CHIPRA Category/
Measure Topic/
Subtopic
Measure NameMeasure Submitter
Specific Clinical Categories/
Prevention & Health Promotion/
Screening +/- follow-up (Family Psychosocial Well-being)
Assessment of psychosocial well-being of parent(s) in the family: proportion of children whose parents were assessed for onr or more topics related to psychosocial well-beingChild and Adolescent Health Measurement Initiative-Promoting Healthy Development Survey (CAHMI-PHDS)
Specific Clinical Categories/
Prevention & Health Promotion/
Screening +/- follow-up
(Substance Use/Abuse)
Assessment of smoking & substance use in the family: proportion of children whose parents were assessed for one or more topics related to smoking, substance use or safetyChild and Adolescent Health Measurement Initiative-Promoting Healthy Development Survey (CAHMI-PHDS)
Specific Clinical Categories/
Prevention & Health Promotion/
Screening +/- follow-up (Blood Pressure)
Blood pressure screening by age 18National Committee for Quality Assurance (NCQA)
Specific Clinical Categories/
Prevention and Health Promotion/Screening +/- follow-up/
Sexually Transmitted Infections
 Sexual activity status among adolescentsNational Collaborative for Innovation in Quality Measurement (NCINQ)
Specific Clinical Categories/
Prevention & Health Promotion/
Dental
Children who received preventive dental care in the prior 12 monthsChild and Adolescent Health Measurement Initiative–National Survey of Children´s Health (CAHMI-NSCH)


CHIPRA Category/
Measure Topic/
Subtopic
Measure NameMeasure Submitter
Specific Clinical Categories/
Prevention & Health Promotion/
Other Specific Conditions (Well child care visits [WCVs])
Children who received preventive medical care in the prior 12 monthsChild and Adolescent Health Measurement Initiative–National Survey of Children´s Health (CAHMI-NSCH)
Anticipatory guidance & parental education from doctor or other health provider: proportion of children whose parents had their informational needs met on all recommended anticipatory guidance & parental education topics assessedChild and Adolescent Health Measurement Initiative-Promoting Healthy Development Survey (CAHMI-PHDS)
Health information: proportion of children whose parents received all health informationChild and Adolescent Health Measurement Initiative–Promoting Healthy Development Survey (CAHMI-PHDS)
Management of Acute Conditions/
Dental
Children who have dental decay or cavitiesChild and Adolescent Health Measurement Initiative–National Survey of Children´s Health (CAHMI-NSCH)
Management of Acute Conditions/
Emergency Department (inpatient)
Gastroenteritis admission rate (Pediatric Quality Indicator [PDI] 16)Agency for Healthcare Research and Quality (AHRQ)


CHIPRA Category/
Measure Topic/
Subtopic
Measure NameMeasure Submitter
Management of Acute Conditions/
Patient Safety
Foreign body left after procedure (PDI 3)Agency for Healthcare Research and Quality (AHRQ)
Postoperative wound dehiscence (PDI 11)Agency for Healthcare Research and Quality (AHRQ)
Pressure ulcer rate (PDI 2)Agency for Healthcare Research and Quality (AHRQ)
Accidental puncture or laceration (PDI 1)Agency for Healthcare Research and Quality (AHRQ)
Transfusion reaction (PDI 13)Agency for Healthcare Research and Quality (AHRQ)
Neonatal blood stream infection rate (Neonate Quality Indicator [NQI] #3)Agency for Healthcare Research and Quality (AHRQ)
Iatrogenic pneumothorax in neonates (PDI 5) (risk-adjusted)Agency for Healthcare Research and Quality (AHRQ)
Management of Acute Conditions/
Patient Safety
Imaging
Recording radiation exposure from diagnostic computed tomography examsWashington University
Management of Chronic Conditions/
Respiratory/Asthma
Asthma admission rate (PDI 14)Agency for Healthcare Research and Quality (AHRQ)
Medication management for people with asthmaNational Committee for Quality Assurance (NCQA)


CHIPRA Category/
Measure Topic/
Subtopic
Measure NameMeasure Submitter
Management of Chronic Conditions/
Attention Deficit Hyperactivity Disorder
 Accurate ADHD diagnosisPediatric Measurement Center of Excellence (PMCoE)
 Behavioral therapy as first-line treatment for preschool-aged childrenPediatric Measurement Center of Excellence (PMCoE)
Management of Chronic Conditions/
Mental Health
Children who receive needed mental health careChild and Adolescent Health Measurement Initiative–National Survey of Children´s Health (CAHMI-NSCH)
Specific Clinical Categories/
Screening +/- Follow-Up/
Substance Use/Abuse
 Tobacco use and help with quitting among adolescentsNational Collaborative for Innovation in Quality Measurement (NCINQ)
Management of Chronic Conditions/
Other: Heart Conditions
Pediatric heart surgery mortality (PDI 6)Agency for Healthcare Research and Quality (AHRQ)
Pediatric heart surgery volume (PDI 7)Agency for Healthcare Research and Quality (AHRQ)
Current as of August 2012
Internet Citation: CHIPRA Pediatric Quality Measures Program (PQMP) Health Care Quality Measures Reviewed by SNAC in 2012. August 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/policymakers/chipra/chipraarch/pqmpmeasures12.html