Candidate Measure Submission Form (CPCF)

CHIPRA Pediatric Quality Measures Program (PQMP)

The CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) was approved by the Office of Management and Budget (OMB) in accordance with the Paperwork Reduction Act.  The OMB Control Number is 0935-0205 and the Expiration Date is December 31, 2015.

Section IX. Levels of Aggregation

CHIPRA states that data used in quality measures must be collected and reported in a standard format that permits comparison (at minimum) at State, health plan, and provider levels.  Use the following table to provide information about this measure’s use for reporting at the levels of aggregation in the table. 

For the purpose of this section, please refer to the definitions for provider, practice site, medical group, and network in Section XV. Glossary of Terms.

If there is no information about whether the measure could be meaningfully reported at a specific level of aggregation, please write "Not available" in the text field before progressing to the next section.  Table IX-1 shows the questions (in columns) about the measure"s use at different levels of aggregation for quality reporting (in rows) included in the CPCF.

Character limit for each free text response: 1000

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Table IX-1.  Questions about the measure's use at different levels of aggregation for quality reporting

Level of Aggregation (Unit) for reporting on the quality of care for children covered by Medicaid/CHIPaIntended Use: Is measure intended to support meaningful comparisons at this level? (Yes/No)Data Sources: Are data sources available to support reporting at this level?Sample Size: What is the typical sample size available for each unit at this level? What proportion of units at this level of aggregation can achieve an acceptable minimum sample size?In Use: Have measure results been reported at this level previously?Reliability & Validity: Is there published evidence about the reliability and validity of the measure when reported at this level of aggregation?Unintended Consequences: What are the potential unintended consequences of reporting at this level of aggregation?
State levelb: Can compare States___ Yes
___ No
Enter Response Here.Enter Response Here.Enter Response Here.Enter Response Here.Enter Response Here.
Other geographic level: Can compare other geographic regions (e.g., MSA, HRR)___ Yes
___ No
Enter Response Here.Enter Response Here.Enter Response Here.Enter Response Here.Enter Response Here.
Medicaid or CHIP Payment model: Can compare payment models (e.g., managed care, primary care case management, FFS, and other models)___ Yes
___ No
Enter Response Here.Enter Response Here.Enter Response Here.Enter Response Here.Enter Response Here.
Health planb: Can compare quality of care among health plans.___ Yes
___ No
Enter Response Here.Enter Response Here.Enter Response Here.Enter Response Here.Enter Response Here.

Provider-levelb:

Individual practitioner: Can compare individual health care professionals

___ Yes
___ No
Enter Response Here.Enter Response Here.Enter Response Here.Enter Response Here.Enter Response Here.
Hospital: Can compare hospitals___ Yes
___ No
Enter Response Here.Enter Response Here.Enter Response Here.Enter Response Here.Enter Response Here.
Practice, group, or facilityc: Can compare: (i) practice sites; (ii) medical or other professional groups; or (iii) integrated or other delivery networks___ Yes
___ No
Enter Response Here.Enter Response Here.Enter Response Here.Enter Response Here.Enter Response Here.

a. There could be other levels of reporting that could be of interest to Medicaid agencies such as markets and referral regions.
b. Required in CHIPRA legislation.
c. There is no implication that measures that are applicable at one level are automatically applicable at all three of the levels listed in this row.

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Page last reviewed December 2013
Internet Citation: Candidate Measure Submission Form (CPCF): CHIPRA Pediatric Quality Measures Program (PQMP). December 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/policymakers/chipra/cpcf-form9.html