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 B

Appendix B-1. Measures that met the Delphi-2 criteria for discussion at the September 17-18 SNAC meeting but were not part of the SNAC's top 25 initial, core recommended set

Control NumberMeasure LabelDELPHI II SCORES
Median VIQRNMedian FIQRNMedian IIQRN
PREVENTION AND HEALTH PROMOTION
Prenatal/Perinatal
PHP-3Smoking Cessation and Prevention: Pregnant women75-71864-61875-818
PHP-26BHRSA MCH Health Status Indicator #01B—% of live singleton births weighing less than 2,500 gms76-71776-71775-717
PHP-26CHRSA MCH Health Status #02A—% of live births weighing less than 1,500 gms75-71775-71765-717
PHP-26DHRSA MCH Health status #02B—% of live singleton births weighing lt 1,500 gms;76-71775-71765-717
PHP-27Postpartum care visit NCQA measure65-71875-71865-718
PHP-31MCHB National performance measure #8—the rate of birth (per 1,000) for teenagers aged 15-17 years77-71875-81875-818
PHP-32Proportion of infants 22-29 weeks gestation treated with surfactant who are treated within 2 hours of birth76-81863-71876-818
PHP-34Health systems capacity indicator #04—% of women 15-44 with a live birth during the year whose observed to expected prenatal visits are greater than or equal to 80% on the Kotelchuck Index76-71865-71876-818
PHP-36ARate of elective delivery prior to 39 completed weeks gestation  75-71864-71864-718
Immunizations
PHP-5BTwo-year-old Immunization Measure—Assessing immunizations by timeliness and the ACIP/AAP/CDC schedule versus HEDIS dose counting (OR)87-81965-81977-919
General Screening
PHP-17Newborn Hearing screening75-81576-81576-915
PHP-18Vision screening—use MEPS description and performance data 76-81975-71977-819
Social/Behavioral Health Screening
PHP-33AAdministration of SDBS (Standardized screening tools social and emotional (CMWF/CAHMI)75-71964-71976-819
Dental/Oral Health
PHP-42Total eligibles receiving any dental services  (EPSDT measure Line 12A)75-81777-81777-817
PHP-43AHRSA Oral Health Measures WG Measure—% of children age 12-72 mos with 1 or more fluoride varnish app documented 75.5-71675.5-7.51676-816
MANAGEMENT OF ACUTE CONDITIONS
Acute Upper Respiratory Tract Illness
AC-1Upper respiratory infection—appropriate treatment 87-81976-81975-819
Acute Otitis Externa
AC-11Acute Otitis Externa—Topical therapy76-81965-71953-519
AC-13Acute Otitis Externa—avoidance of inappropriate use of systemic antimicrobial therapy76-81965-71965-719
Otitis Media with Effusion
AC-14Otitis Media with Effusion—Diagnostic evaluation - assessment of tympanic membrane mobility75-71955-61955-719
AC-18Otitis Media with Effusion—avoidance of inappropriate use of systemic corticosteriods76-81965-71954-619
Dental
PHP-35HRSA oral health measure—percentage of all dental patients with a comprehensive or periodic recall oral exam within a 12-month period6.56-71876-81876-818
Inpatient Care
AC-5Foreign body left after procedure (PDI 3)76-81965-71963-819
AC-6Iatrogenic pneumothorax in non-neonates (PDI)75-81965-71974-719
AC-20Care transitions—transition record with specified elements received by discharged patients - Inpatient 74-71953-61976-819
AC-23Central line associated bloodstream infection (PDI 12) 76-81965-71976-819
AC-24Accidental puncture and laceration75-71955-61963-719
AC-25Decubitus ulcer  74-71965-71975-819
AC-26AHRQ Pediatric Quality Indicator Composite Measure (Patient Safety Composite) 87-81977-81975-719
ED Care
 
MANAGEMENT OF CHRONIC CONDITIONS
Mental and Behavioral Health/Substance Use
ADHD Care
CC-1Follow-up care for children prescribed attention-deficit/hyperactivity disorder—(ADHD) medication (Initiation Phase (NCQA measure) 75-81976-71976-719
HIV
CC-23HIV AIDS Bureau Measure—% of clients with HIV infection who had 2 or more CD4 T-cell counts performed in the measurement year77-81865-71865-718
CC-24HRSA HIV/AIDS quality performance measure % of clients with HIV who had 2 or more medical visits in an HIV setting in the measurement year 76-81765-61775-817
CC-8AHRSA HIV/AIDS Bureau quality performance measure—% AIDS who are prescribed HAART77-81765-71775-817
Asthma
CC-10Asthma—appropriate medications 87-91886-81887-918
CC-10BUse of Appropriate Medications for People 5-20 years of age with Asthma—Average number of member controller months7.56-81876-81875-818
CC-18Annual influenza vaccination (all children and adolescents diagnosed with asthma)77-81776-81787-817
CC-20Annual number of asthma patients (> 1 year-old) with > 1 asthma-related hospitalization76-81977-81987-819
Diabetes
CC-14Annual lipid profile (adolescents with diabetes > 16 years old)75-71965-71965-719
CC-16Annual eye examination (adolescents with diabetes > 16 years old)76-81976-71976-819
CC-17Annual influenza vaccination (all children and adolescents diagnosed with diabetes)75-71976-71976-819
End Stage Renal Disease
CC-33Pediatric End-Stage Renal Disease—Plan of care for inadequate hemodialysis76-71865-71865-718
CC-34Pediatric End-Stage Renal Disease—influenza immunization76-71876-71875-818
DURATION OF ENROLLMENT/COVERAGE
D-2Retrospective duration measure 75-71875-81875-818

Key:
V = Validity
F = Feasibility
I = Importance
IQR = Inter-Quartile Range
N = Number of Subcommittee members rating measure

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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-b1.html