Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs

Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary use by Medicaid and CHIP Programs.

Appendix A-9. Measure Summary Template CHIPRA Core Set of Candidate Measures

  1. Control #:
  2. Measure Name:
  3. Measure Definition
    1. Numerator:
    2. Denominator:
  4. Measure Type:
    ____  Process ____  Outcome ____  Structure ____  Efficiency
  5. Measure collected using:
    ____ EMR ____ CPOE ____  Other HIT ____ N/A ____ NR

    VALIDITY

  6. Evidence of measure validity submitted?
    ____ Yes ____ No
  7. Level of evidence supporting the measure (if submitted): (see Oxford University CEBM Levels of Evidence)
    __________________________________________________ 
  8. SPSTF Grade if applicable:
    __________________________________________________ 

    FEASIBILITY

  9. Measure Specifications Submitted?
    ____  Yes ____ No____ Yes, but insufficient detail provided
  10. Data Source:
    ____ Admin____  MR____ Survey____ Other (specify):____ NR
  11. Evidence of measure reliability submitted?
    ____ Yes____ No
  12. List of entity types currently using measure:
    __________________________________________________ 

    IMPORTANCE

  13. Addresses area of care mandated in legislation?
    ____ Yes (specify): __________________________________________________ ____ No
  14. Documented variation in performance (by race/ethnicity, language spoken, insurance type, etc)?
    ____ Yes____ No____ NR
  15. Measure used/data are collected in racial/ethnic populations other than non-Hispanic white?
    ____ Yes____ No____ NR

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Page last reviewed December 2009
Internet Citation: Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs. December 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/policymakers/chipra/overview/background/appendix-a9.html