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 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.

Title IV of the Children's Health Insurance Program Reauthorization Act (CHIPRA; Public Law 111-3) required the Secretary of the U.S. Department of Health and Human Services (HHS) to identify and post for public comment by January 1, 2010, an initial, recommended core set of children's health care quality measures for voluntary use by Medicaid and Children's Health Insurance Programs (CHIP), health insurance issuers and managed care entities that enter into contracts with such programs, and providers of items and services under such programs.

This background paper describes the publicly transparent, multi-stakeholder, evidence-informed process the Secretary used to identify that initial, recommended core set and the results of that process. This background paper also includes detailed information on each of the healthcare measures recommended for the initial core set.

Select to download print version of the Initial Recommended Core Set ( PDF file PDF version - 718.02 KB ).

 

Contents

Executive Summary
Background
   Legislation
   AHRQ-CMS Partnership
Methods
   Creation of the SNAC
   Public Input
   First SNAC Meeting July 22-23, 2009
     Preparation
     SNAC Meeting
        Additional Input: Presentations
        Refinements to Methodology
        Other Steps and Decisions
        Conclusions
   First SNAC Report to the NAC
   Second SNAC Meeting September 17-18, 2009
     Preparation
        Additional Measure Nominations
        Delphi Scoring by the SNAC
     SNAC Discussions
        Electronic Voting Process
        Discussion of Overlapping Measures
     Elimination of Overlapping Measures, Merging of Some Measures, Voting
     Getting to 25 Measures to Recommend to NAC
   Additional Consideration of NAC-Recommended Measures
Results
   Overall Summary
     General Themes
        Importance of all Measures
        Size of the Initial, Recommended Set
        Clear Needs for Technical Assistance and Time for Implementation
        Improvements Needed to Meet Legislative Requirements
        Paucity of Reporting to Identify Disparities
        Duration of Enrollment Considerations
        Need to Specify Accountable Entities
        Need to Develop and Enhance Measures
   Recommended Measures
      Prevention and Health Promotion
      Management of Acute Conditions
      Management of Chronic Conditions
      Family Experiences of Care
      Availability of Services
References

Table
Table 1. Initial, recommended set of children's health care quality measures

Appendixes
Appendix A
   A-1 Acronyms and Abbreviations
   A-2 Title IV of the Children's Health Insurance Program Reauthorization Act (CHIPRA)
   A-3 Agency for Healthcare Research and Quality, National Advisory Council (NAC) Subcommittee on Children's Healthcare Quality Measures for Medicaid and Children's Health Insurance Programs (SNAC)
   A-4 CHIPRA HHS Federal Quality Workgroup
   A-5 Public Commenters
   A-6 Description of the Modified Delphi I Scoring Process
   A-7 Online Measure Nominations Template
   A-8 Description of the Modified Delphi Process to Rate and Select Valid, Feasible, and Important Measures
   A-9 One-Page Measure Summary Template
   A-10 SNAC-Recommended Initial Core Set
Appendix B
   Table 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
   Table B-2: Measures that did not meet the Delphi-2 criteria for discussion and voting at the September 17-18 SNAC meeting

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/index.html