Pediatric Quality Measures Program
Intended End Users
Measure Implementation Feasibility at State, Health Plan and Health System Levels
About the Measure
Key Driver Diagrams
Lessons Learned in Using TCD Measure at Multiple Levels
Quality Improvement Strategies
Strategic Road Maps
Multi-Stakeholder Approach to SCA Quality Improvement
Michigan and New York Medicaid Program
Collaborating Medicaid Health Plans
Collaborating Health Systems/Sickle Cell Clinics
The Transcranial Doppler Ultrasonography (TCD) Screening among Children with Sickle Cell Anemia (SCA) toolkit is the product of collaboration among academic and research institutions, state and Federal agencies, and private sector stakeholders.
This toolkit was developed by the Quality Measurement, Evaluation, Testing, Review, and Implementation Consortium (QMETRIC) project team from the Susan B. Meister Child Health Evaluation and Research Center (CHEAR) at the University of Michigan, and funded by the Agency for Healthcare Research and Quality (AHRQ) and the Centers for Medicare & Medicaid Services (CMS) under the Pediatric Quality Measures Program (PQMP). The PQMP website is available at https://www.ahrq.gov/pqmp/index.html.
Gary L. Freed, M.D., M.P.H. (PI)
Katherine E. Bates, M.D.
Julie A. McCormick, M.A.
Kevin J. Dombkowski, Dr.PH., M.S.
Sarah L. Reeves, Ph.D., M.P.H.
Brian Madden, M.S.
Erin Bagazinski, M.H.I.
University of Michigan
Many individuals guided and contributed to the content of this toolkit. We are grateful for the time, knowledge, and expertise that they so generously shared. Specifically, the authors thank the patient and family members of the Sickle Cell Disease Trailblazers and our project partners at:
C.S. Mott Children’s Hospital Pediatric Comprehensive Sickle Cell Program, University of Michigan
Hurley Medical Center Sickle Cell Clinic, Flint, MI
Blue Cross Complete of Michigan
Meridian Healthcare Michigan
Michigan Department of Health and Human Services Managed Care Plan Division, Quality Improvement & Program Development Section
We also extend our gratitude to Kamila Mistry, Ph.D., Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services, for her technical guidance and to the L&M Policy Research team for their support developing the toolkit.
This toolkit was funded under the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services Contract Number: HHSA290201400003I;Task Number: 75Q80119F32002. The authors are solely responsible for this document’s contents, findings, and conclusions, which do not necessarily represent the views of AHRQ. Readers should not interpret any statement in this product as an official position of AHRQ or of the U.S. Department of Health and Human Services. None of the authors has any affiliation or financial involvement that conflicts with the material presented in this product.
Public Availability Notice. This product is made publicly available by AHRQ and may be used and reprinted without permission in the United States for noncommercial purposes, unless materials are clearly noted as copyrighted in the document. No one may reproduce copyrighted materials without the permission of the copyright holders. Users outside the United States must get permission from AHRQ to reprint or translate this product. Anyone wanting to reproduce this product for sale must contact AHRQ for permission.