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-2. Measures that did not meet the Delphi-2 criteria for discussion and voting at the September 17-18 SNAC meeting

Control NumberMeasure LabelDELPHI II SCORES 
Median VIQRNMedian FIQRNMedian IIQRN
PREVENTION AND HEALTH PROMOTION
Prenatal/Perinatal
PHP-1AHRSA MCH MPR #18—% of infants born to pregnant women receiving prenatal care beginning in the first trimester (data source—nvss—differs from NCQA; Medicaid/CHIP specific not available from NVSS. 55-71755-71765-817
PHP-26Percentage of low birth weight (PDI—hospital discharge data)6.55-71876-81876-718
 
PHP-30MCHB National performance measure #17—percent of VLBW infants delivered at facilities for high-risk deliveries and neonates64.5-71665-71555-715
PHP-30AUnder 1500g infant Not Delivered at Appropriate Level of Care53-51853-51855-718
PHP-36Elective delivery prior to 39 weeks gestation64-71465-71454-714
PHP-40HRSA MCH NPR MEASURE #11—% of mothers who breastfeed their infants at 6 mos of age 65-61854-61866-718
PHP-41HRSA MCH NPR #15—% of women who smoke in the last 3 months of pregnancy 65-71654-61665-716
Immunizations
PHP-8Immunization reporting (provider registry)54.5-61653.5-71653.5-716
Well Child Care (ages birth-6 years)
             No Measures Not Meeting All Criteria 
Adolescent Preventive Services
PHP-15Adolescent receipt of the following seven components of care during the measurement year: BMI percentile, assessment/counseling/education on nutrition, physical activity, risk behaviors associated with sexual health/activity/preventive actions, depression screening55-71753-61776-717
PHP-16Smoking Cessation and Prevention: adolescent tobacco users 55-71854-51865-818
General Screening
PHP-19Weight Assessment and Counseling for Nutrition and Physical Activity for children and adolescents 65-71365-71377-813
PHP-19BNutrition counseling—NCQA 65-71954-71975-719
PHP  19CPhysical Activity Counseling (NQCA)65-71455-71465-714
PHP-29Lead screening rate (NCQA—1st year measure—see confidential data); note USPSTF recommendation65-71765-71764-717
PHP-29ALead screening 2nd year—% of members who turned age 2 during the reporting period and received a lead test (data from MaineCare claims and the Maine CDC)54.5-61654.5-71654-6.516
PHP-29BLead screening 1st year—% of members who turned age 1 during the reporting period and received a lead test (data from MaineCare Claims and Maine CDC)54.5-61654.5-71654-6.516
PHP-29CHRSA Lead screening in children by 2 years of age (data source differs from NCQA) 64-71564-71564-715
PHP-39EPSDT—Percentage of members 0-20 years old who had one or more EPSDT procedure(s) during the reporting period43-61753-71753-717
Social/Behavioral Health Screening
PHP-37Percent of members under age 21 with a WCC visit by any provider during the measurement period who had a BH screen.64-71953-61966-719
Dental/Oral Health
PHP-22AHRSA oral health measure—the percentage of patients who had at least one dental visit during the measurement year (differs from NCQA—data source is CHCs; broader age range)6.56-71876-81877-818
MANAGEMENT OF ACUTE CONDITIONS
Acute Upper Respiratory Tract Illness
             No Failed Measures
Acute Otitis Externa
AC-12Acute Otitis Externa—Pain Assessment 65-71955-61953-519
Otitis Media with Effusion
AC-15Otitis Media with Effusion—Hearing testing 66-71965-71965-719
Dental
AC-8HRSA oral health measure—percentage of all dental patients for whom the Phase I treatment plan is completed within a 12-month period54-61853-61865-618
AC-9HRSA oral health performance measure—percentage of all dental patients with a comprehensive or periodic recall oral exam, for whom the Phase I treatment plan is documented54-61942-61954-719
Inpatient Care
AC-7PICU pain assessment on admission43-61943-61953-719
AC-19Care transitions—reconciled medication list received by discharged patients65-71943-51976-819
AC-22Care transitions—timely transmission of transition record (from input)64-71854-61865-718
ED Care
AC-21Care transition—transition record with specified elements received by discharged patients-ED 54-71953-61976-719
MANAGEMENT OF CHRONIC CONDITIONS
Mental and Behavioral Health/Substance Use
ADHD Care
CC-6Diagnosis of ADHD in primary care for school age children and adolescents (using DSM)65-71854-61865-718
Depression Care 
CC-27Child and adolescent Major Depressive Disorder  (MDD)—interview of adolescent or child65-71754-61766-817
CC-28Child and adolescent Major Depressive Disorder  (MDD)—diagnostic evaluation65-71864-71875-718
CC-30Child and adolescent Major Depressive Disorder (MDD)—psychotherapy65-71864-71876-718
CC-32Child and adolescent Major Depressive Disorder (MDD)—follow-up care64-71853-71876-718
Other Mental Health/Behavioral Care
CC-4Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (ages 3-17 and 18+)66-71965-71976-719
CC-35Medication adherence as measured by maximal gaps in days during a calendar year for ADHD and anti-psychotics medication in children 65-71764-71764-717
Children with Special Health Care Needs
CC-37CSHCN number of missed school days due to illness or injury 43-61732-61764-717
HIV
CC-8Highly active anti-retroviral treatment6.56-81854-61865-818
Asthma
CC-25Percentage of patients for whom there is documentation that a written asthma management plan was provided to the patient or the patient's caregiver OR at minimum instructions on under what conditions the patient's doctor should be contacted or the patient should go to the emergency room.
 
65-71754-61765-717
Chronic Disease Identified through Newborn Screening
CC-12Timely follow-up of positive newborn screens65-71854-61877-818
Diabetes
CC-15Annual urine protein screening (adolescents with diabetes > 16 years-old)65-71976-71966-719
CC-21Hemoglobin A1c test for pediatric patients63-71374-81364-815
End-Stage Renal Disease
             No Failed Measures
FAMILY EXPERIENCES WITH CARE
HEDIS CAHPS® for Children Without Chronic Conditions
             No Failed Measures
HEDIS CAHPS® for Children with Chronic Conditions 
             No Failed Measures
Other Family/Patient Experiences of Care Measures 
FEC-2Helpfulness of counseling (adolescent reported)53-61953-61954-719
FEC-3Communication and experience of care (adolescent reported)54-61953-61954-719
FEC-4Dental CAHPS® (overall ratings of dentist, dental plan, dental care, office staff)64-71954-71965-719
MOST INTEGRATED HEALTHCARE SYSTEMS
MIH-2Medical home measure using subset of HEDIS CAHPS® MEDICAID 4.0 survey items54-71654-6.51675-8.516
AVAILABILITY OF SERVICES
AV-1Unduplicated members served per provider 42-51842-71852-618
Use of Services
US-1Utilization of ambulatory services 4.53-6.51676-7.51663-716
US-2Outpatient drug utilization—per member per year average number of prescriptions 42-51576-71553-715
US-3Utilization of inpatient care 42.5-6.51676-81663-616
Access to Services 
HEALTH STATUS
HS-2PROMIS Pediatric item Banks: physical function, emotional distress, social role relationship, fatigue, pain, and asthma63-71853-61865-618
DURATION OF ENROLLMENT
D-1Prospective duration measure6.55-81865-81865-718

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

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Current as of 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/chipra/corebackgrnd.htm


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-b2.html