CHIPRA Pediatric Quality Measures Program (PQMP) Health Care Quality Measures Reviewed by SNAC in 2012
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 Name | Measure Submitter |
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Cross-Cutting Category/ Duration of Enrollment | Coverage in Medicaid and CHIP | Children's Hospital of Philadelphia (CHOP) |
Duration of first observed enrollment | Children's Hospital of Philadelphia (CHOP) | |
Duration of newborn's first enrollment | Children's Hospital of Philadelphia (CHOP) | |
Children who had inconsistent health insurance coverage in the past 12 months | Child 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 health | Child and Adolescent Health Measurement Initiative–National Survey of Children´s Health (CAHMI-NSCH) |
Children with a usual source of care when sick | Child 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 child | Child 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 & adolescents | Child and Adolescent Health Measurement Initiative–National Survey of Children´s Health (CAHMI-NSCH) |
CHIPRA Category/ Measure Topic/ Subtopic | Measure Name | Measure Submitter |
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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 care | Child and Adolescent Health Measurement Initiative-Promoting Healthy Development Survey (CAHMI-PHDS) |
Family-centered care (FCC): proportion of children whose parents routinely receive family-centered care | Child and Adolescent Health Measurement Initiative-Promoting Healthy Development Survey (CAHMI-PHDS) | |
Children who receive family-centered care | Child 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 time | Child 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 Name | Measure Submitter |
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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 needed | Child and Adolescent Health Measurement Initiative–National Survey of Children´s Health (CAHMI-NSCH) | |
Children who have problems accessing needed specialist care | Child 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 care | Child 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 needed | Child 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 illness | Child 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 assessment | Pediatric Measurement Center of Excellence (PMCoE) |
Body mass index (BMI) assessment and recommended weight gain | Pediatric Measurement Center of Excellence (PMCoE) |
CHIPRA Category/ Measure Topic/ Subtopic | Measure Name | Measure Submitter |
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Specific Clinical Categories/ Prevention & Health Promotion/ Perinatal | PC-01 Elective delivery | Childbirth Connection |
PC-02 Cesarean section | Childbirth 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 feeding | Childbirth Connection | |
Healthy term newborn | Childbirth Connection | |
Post-partum follow-up and care coordination | Pediatric Measurement Center of Excellence (PMCoE) | |
Specific Clinical Categories/ Prevention & Health Promotion/ Child and Adolescent Immunizations | Human papillomavirus vaccine (HPV) for female adolescents | National Committee for Quality Assurance (NCQA) |
CHIPRA Category/ Measure Topic/ Subtopic | Measure Name | Measure Submitter |
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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 & behavior | Child and Adolescent Health Measurement Initiative-Promoting Healthy Development Survey (CAHMI-PHDS) |
Administration of a standardized, parent-completed developmental & behavioral screening (SDBS) tool | Child and Adolescent Health Measurement Initiative-Promoting Healthy Development Survey (CAHMI-PHDS) | |
Developmental Screening in the First 3 Years of Life | Child 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 delays | Child 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 PHDS | Child 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 plan | Quality Insight PA; TeenScreen |
CHIPRA Category/ Measure Topic/ Subtopic | Measure Name | Measure Submitter |
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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-being | Child 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 safety | Child 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 18 | National Committee for Quality Assurance (NCQA) |
Specific Clinical Categories/ Prevention and Health Promotion/Screening +/- follow-up/ Sexually Transmitted Infections | Sexual activity status among adolescents | National Collaborative for Innovation in Quality Measurement (NCINQ) |
Specific Clinical Categories/ Prevention & Health Promotion/ Dental | Children who received preventive dental care in the prior 12 months | Child and Adolescent Health Measurement Initiative–National Survey of Children´s Health (CAHMI-NSCH) |
CHIPRA Category/ Measure Topic/ Subtopic | Measure Name | Measure Submitter |
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Specific Clinical Categories/ Prevention & Health Promotion/ Other Specific Conditions (Well child care visits [WCVs]) | Children who received preventive medical care in the prior 12 months | Child 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 assessed | Child and Adolescent Health Measurement Initiative-Promoting Healthy Development Survey (CAHMI-PHDS) | |
Health information: proportion of children whose parents received all health information | Child and Adolescent Health Measurement Initiative–Promoting Healthy Development Survey (CAHMI-PHDS) | |
Management of Acute Conditions/ Dental | Children who have dental decay or cavities | Child 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 Name | Measure Submitter |
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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 exams | Washington University |
Management of Chronic Conditions/ Respiratory/Asthma | Asthma admission rate (PDI 14) | Agency for Healthcare Research and Quality (AHRQ) |
Medication management for people with asthma | National Committee for Quality Assurance (NCQA) |
CHIPRA Category/ Measure Topic/ Subtopic | Measure Name | Measure Submitter |
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Management of Chronic Conditions/ Attention Deficit Hyperactivity Disorder | Accurate ADHD diagnosis | Pediatric Measurement Center of Excellence (PMCoE) |
Behavioral therapy as first-line treatment for preschool-aged children | Pediatric Measurement Center of Excellence (PMCoE) | |
Management of Chronic Conditions/ Mental Health | Children who receive needed mental health care | Child 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 adolescents | National 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) |