Table 1. SNAC-Recommended Initial Core Set of Children's Healthcare Quality Measures, SNAC Priority Score
Rank by SNAC Priority Score, and, By Legislative Measurement Category, September 17-18, 2009
Internal AHRQ/SN AC Control # | Legislative Topic Area / Subtopic/Brief Measure Label | SNAC Priority Score* | Ranking by SNAC priority score* |
---|---|---|---|
Prevention And Health Promotion | |||
Prenatal/Perinatal | |||
PHP-2 | Frequency of ongoing prenatal care (NCQA measure) | 54 | 2 |
PHP-1 | Timeliness of prenatal care (NCQA measure) | 43 | 9 |
PHP-26A | % of live births weighing less than 2,500 grams | 43 | 10 |
PHP-38 | Cesarean Rate for Low-risk First Birth Women | 28 | 16 |
Immunizations | |||
PHP-5 | Immunizations for 2 year-olds (NCQA measure) | 63 | 1 |
PHP-6 | Adolescent immunization (NCQA revised for 2010) | 45 | 7 |
Screening | |||
PHP-19A | Body Mass Index (BMI) documentation 2 - 18 year olds (NCQA measure) | 52 | 4 |
PHP-33 | Rates of screening using standardized screening tools for potential delays in social and emotional development | 43 | 11 |
PHP-12 | Chlamydia screening 16-20 year-old females (NCQA measure) | 30 | 14 |
Well-Child Care | |||
PHP-9 | Well-Child Visits (WCV)-three NCQA measures: 1) WCVs in the First 15 months of life; 2) WCVs in the third, fourth, fifth and sixth years of life; 3) Adolescent WCV | 50 | 5 |
Dental | |||
PHP-43 | Total eligibles receiving preventive dental services (EPSDT measure Line 12B) | 49 | 6 |
Management Of Acute Conditions | |||
Upper Respiratory -- Appropriate Use of Antibiotics | |||
AC-2 | Pharyngitis - appropriate testing (NCQA measure) | 20 | 18 |
AC-17 | Otitis Media with Effusion - avoidance of inappropriate use of systemic antimicrobials | 20 | 18 |
Dental | |||
AC-3 | Total EPSDT eligibles who received dental treatment services (EPSDT CMS Form 416 Line 12C) | 26 | 17 |
ED | |||
AC-10 | Emergency Department Utilization - Average number of emergency room visits per member per reporting period | 54 | 2 |
Inpatient | |||
AC-4 | Pediatric catheter associated blood stream infection rates (PICU and NICU) | 26 | 17 |
Management Of Chronic Conditions | |||
Asthma | |||
CC-19 | Annual number of asthma patients (> 1 year-old) with > 1 asthma related ER visit (S/AL Medicaid Program) | 53 | 3 |
ADHD | |||
CC-2 | Follow-up care for children prescribed attention-deficit/hyperactivity disorder (ADHD) (Medication Continuation and Maintenance Phase – NCQA measure) | 39 | 12 |
Mental Health | |||
CC-29 | Child and adolescent Major Depressive Disorder (MDD) - suicide risk assessmen | 36 | 13 |
CC-5 | Follow up after hospitalization for mental illness (NCQA measure) | 33 | 14 |
Diabetes | |||
CC-13 | Annual hemoglobin A1C testing (all children and adolescents diagnosed with diabetes) | 36 | 13 |
Family Experiences Of Care | |||
FEC-5 &1 | HEDIS CAHPS 4.0 including supplements for children with chronic conditions and Medicaid Plans | 44 | 8 |
FEC-6 | Use of Clinician & Group primary care CAHPS survey for practitioners participating in Medicaid and CHIP (CAHPS family of measures) | 28 | 16 |
Availability Of Services | |||
AS-2 (new label) | Annual dental visit (NCQA measure) | 36 | 13 |
AS-1 | Access to primary care practitioners, by age and total | 28 | 16 |
* SNAC Voting and Calculation of Priority Scores: After deliberations and voting on day one of the September meeting, 31 measures remained under consideration. On day two, there were three rounds of voting where SNAC members could vote for their top 20 measures out of the 31 that remained. In round one, SNAC members voted for their top 10 measures; in round two their next 5 measures; and in round three their last 5 measures respectively. Measures voted for in the first round received 3 points per vote, measures voted for in the second round received 2 points per vote, and measures voted for in the third round received 1 point per vote. The Priority Score represents the total points assigned to that measure by SNAC members after three rounds of voting.