Table 1. Measures Recommended for Initial Core Set of Children's Health
Selected Findings From the 2009 National Healthcare Quality and Disparities Report
Table 1. Measures Recommended for Initial Core Set of Children's Health Care Quality for Voluntary Reporting by Medicaid and CHIP Programs, Measure Labels by Legislative Category
Legislative Measure | Measure number | Current measure label |
---|---|---|
Prevention and health promotion | ||
Prenatal/Perinatal Care | 1 | Frequency of ongoing prenatal care |
2 | Timeliness of prenatal care—percentage of deliveries that received a prenatal care visit as a member of the organization in the first trimester or within 42 days of enrollment in the organization | |
3 | Percentage of live births weighing less than 2,500 grams | |
4 | Cesarean rate for low-risk first birth women (National Quality Forum [NQF]) | |
Immunizations | 5 | Childhood immunization status (NQF 0038) |
6 | Immunizations for adolescents | |
Screening | 7 | Body mass index documentation for 2- to 18-year-olds (NQF 0024) |
8 | Screening using standardized screening tools for potential delays in social and emotional development—Assuring Better Child Health and Development (ABCD) Initiative measures | |
9 | Chlamydia screening for women (NQF 0033) | |
Well-Child Visits (WCVs) | 10 | WCVs in the first 15 months of life |
11 | WCVs in the third, fourth, fifth, and sixth years of life | |
12 | WCVs for children 12-21 years of age—with primary care physician or obstetrician/gynecologist | |
Dental Care | 13 | Total eligibles receiving preventive dental services (EPSDT measure line 12B) |
Management of acute conditions | ||
Appropriate Use of Antibiotics | 14 | Appropriate testing for children with pharyngitis (NQF 0002) |
15 | Otitis media with effusion—avoidance of inappropriate use of systemic antimicrobials in children ages 2-12 | |
Dental Care | 16 | Total EPSDT eligibles who received dental treatment services (EPSDT CMS Form 416, Line 12C) |
Emergency Care | 17 | Emergency department (ED) utilization—average number of ED visits per member per reporting period |
Inpatient Safety | 18 | Pediatric catheter-associated bloodstream infection rates (pediatric intensive care unit and neonatal intensive care unit (NQF 0139) |
Management of chronic conditions | ||
Asthma | 19 | Annual number of asthma patients (≥1 year old) with one or more asthma-related ED visits (S/AL Medicaid Program) |
Attention Deficit Hyperactivity Disorder | 20 | Followup care for children prescribed attention deficit hyperactivity disorder medication (continuation and maintenance phase) (NQF 0108) |
Mental Health | 21 | Followup after hospitalization for mental illness |
Diabetes | 22 | Annual hemoglobin A1c testing (all children and adolescents diagnosed with diabetes) |
Family experiences of care | ||
23 | CAHPS® Health Plan Survey 4.0, Child Version, including Medicaid and Children With Chronic Conditions supplemental items | |
Availability | ||
24 | Children and adolescents' access to primary care practitioners, by total and age |