Management of Acute Conditions

The following list presents children's health care quality measures from the AHRQ-CMS Pediatric Quality Measures Program (PQMP). These measures have been developed by the PQMP Centers of Excellence (COEs). The list includes links to brief measure fact sheets and full reports, as well as technical specifications and other supporting documents as they become available.

Measure Developer: Mount Sinai Collaboration for Advancing Pediatric Quality Measures (CAPQuaM)

Temperatures of Low Birthweight Newborns

Subcategory/Measure Products Measure Technical Specifications and Other Supporting Documents*
Distribution of Temperatures for Low Birthweight Neonates Admitted to Level 2 or Higher Nurseries in the First 24 Hours of Life Fact Sheet (PDF, 406 KB)
Full Report (PDF, 183 KB)
Materials I (PDF, 19 KB)
Materials II (PDF, 71 KB)
Materials III-A (PDF, 60 KB)
MaterialsVI-B (PDF, 9 KB)
Materials VII-C (PDF, 9 KB)
Materials VII-D (PDF, 26 KB)
Materials Written Statement (PDF, 188 KB)
Other Materials (PDF, 2.0 MB)
Thermal Condition for Low Birthweight Neonates Admitted to Level 2 or Higher Nurseries in the First 24 Hours of Life Fact Sheet (PDF, 367 KB)
Full Report (In preparation for posting—available upon request)
In preparation for posting—available upon request.
Timely Temperatures Upon Arrival in Level 2 or Higher Nurseries for Low Birthweight Neonates Full Report (PDF, 179 KB) Section 1, Table 1 (PDF, 33 KB)
Section 2, Technical Specifications (PDF, 65 KB)
Section 3.A, Figures 1 and 2 (PDF, 115 KB)
Section 3.B, Figure A (PDF, 133 KB)
Section 6.B, Tables A and B (PDF, 66 KB)
Section 7.A, Table B (PDF, 53 KB)
Section 7.C, Table 3 (PDF, 17 KB)
Appendix (PDF, 1.9 MB)
Written Statement (PDF, 189 KB)
Timely Temperatures for All Low Birthweight Neonates Full Report (PDF, 173 KB) Materials I (PDF, 37 KB)
Materials II (PDF, 56 KB)
Materials III-B (PDF, 155 KB)
Materials VI-B (PDF, 41 KB)
Materials VII-A (PDF, 19 KB)
Materials VII-C (PDF, 16 KB)
Materials VII-D (PDF, 55 KB)
Materials Written Statement (PDF, 192 KB)
Other Materials (PDF, 3.2 MB)

*Persons using assistive technology may not be able to fully access information in these files. For assistance, please contact Lawrence Kleinman, Collaboration for Advancing Pediatric Quality Measures, at lxk232@case.edu.

Measure Developer: Pediatric Measurement Center of Excellence (PMCoE)

Dental

Subcategory/Measure Products Measure Technical Specifications and Other Supporting Documents
Linkage Between Dental Prevention and Dental Treatment Measures Full Report (PDF, 151 KB) Attachment 2.1, Technical Specifications (PDF, 81 KB)
Attachment 6.1, Table Results (PDF, 681 KB)
Attachment 6.2 Odds Ratios and Confidence Intervals (PDF, 646 KB)
Attachment 10.1, Testing Methodology (PDF, 310 KB)
Attachment 13, Expert Workgroup (PDF, 52 KB)
Written Statement (PDF, 3.10 MB)

Pediatric Intensive Care Unit (PICU)

Subcategory/Measure Products Measure Technical Specifications and Other Supporting Documents
Initial Risk Assessment for Immobility-Related Pressure Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission Fact Sheet (PDF, 408 KB)
Full Report (PDF, 184 KB)
Section 2, Technical Specifications and Chart Abstraction Tool (PDF, 256 KB) 
Section 6-A, CPQSC Participating Hospitals (PDF, 90 KB)
Section 6-B, PMCoE Expert Workgroup Roster and Materials (PDF, 278 KB)
Section 8-A, Data Feasibility Tool and Feasibility Testing Results (PDF, 229 KB)
Written Statement (PDF, 87 KB)
Appropriateness of Red Cell Transfusions in the Pediatric Intensive Care Unit (PICU) Fact Sheet (PDF, 420 KB)
Full Report (In preparation for posting—available upon request)
In preparation for posting—available upon request.
Initial Baseline Screen of Nutritional Status for Every Patient Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission Fact Sheet (PDF, 418 KB)
Full Report (In preparation for posting—available upon request)
In preparation for posting—available upon request.

Persons using assistive technology may not be able to fully access information in these files. For assistance, please contact Ramesh Sachdeva, Pediatric Measurement Center of Excellence, at SachdevR@upstate.edu.

Measure Developer: Children's Hospital Boston Center of Excellence for Pediatric Quality Measurement (CEPQM)

Hospital Readmissions

Subcategory/Measure Products Measure Technical Specifications and Other Supporting Documents
Pediatric All-Condition Readmission Measure (NQF endorsed #2393) Fact Sheet (PDF, 663 KB)
Full Report (PDF, 264 KB)
Reliability Formula (PDF, 36 KB)
References (PDF, 113 KB)
Table 13 (PDF, 158 KB)
Tables 9-11 (PDF, 63 KB)
Table 8 (PDF, 277 KB)
Table 12 (PDF, 27 KB)
Written Statement (PDF, 322 KB)
Measure Technical Specifications (PDF, 9.05 MB)
Lower Respiratory Infection Readmission Measure (NQF endorsed #2414) Fact Sheet (PDF, 668 KB)
Full Report (PDF, 205 KB)
Section 2, Detailed Measure Specifications (15 MB)
Section 5, Tables 8 and 9 (195 KB)
Section 6-A, Reliability Formula (48 KB)
Section 7-A, Tables 10, 11, and 12 (77 KB)
Section 7-C, Table 13 (44 KB)
Section, 7-D, Table 14 (42 KB)
References (PDF, 275 KB)
Written Statement (PDF, 160 KB)

Pediatric Patient Safety

Subcategory/Measure Products Measure Technical Specifications and Other Supporting Documents
Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool Full Report (In preparation for posting—available upon request) In preparation for posting—available upon request.

‡Persons using assistive technology may not be able to fully access information in these files. For assistance, please contact the Pediatric Quality Measure Program at PQMP@ahrq.hhs.gov.

Measure Developer: Quality Measurement, Evaluation, Testing, Review, and Implementation Consortium (Q-METRIC)

Pediatric Sepsis Syndrome

Subcategory/Measure Products Measure Technical Specifications and Other Supporting Documents§
Protocol for Identifying and Treating Children with Sepsis Syndrome in the Emergency Department
Accepted by NQMC.
Full Report (In preparation for posting—available upon request) In preparation for posting—available upon request.
Timely Blood Culture for Children with Sepsis Syndrome
Accepted by NQMC.
Full Report (In preparation for posting—available upon request) In preparation for posting—available upon request.
Timely Antibiotics for Children with Severe Sepsis or Septic Shock
Accepted by NQMC.
Full Report (In preparation for posting—available upon request) In preparation for posting—available upon request.
Timely Fluid Bolus for Children with Severe Sepsis or Septic Shock
Accepted by NQMC.
Full Report (In preparation for posting—available upon request) In preparation for posting—available upon request.
Documentation of Heart Rate During Fluid Resuscitation for Children with Severe Sepsis or Septic Shock
Accepted by NQMC.
Full Report (In preparation for posting—available upon request) In preparation for posting—available upon request.

Overuse of Imaging

Subcategory/Measure Products Measure Technical Specifications and Other Supporting Documents§
Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure Fact Sheet (PDF, 339 KB)
Full Report (In preparation for posting—available upon request)
In preparation for posting—available upon request.
Overuse of Imaging for the Evaluation of Children with Simple Headache Fact Sheet (PDF, 339 KB)
Full Report (In preparation for posting—available upon request)
In preparation for posting—available upon request.
Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache Full Report (In preparation for posting—available upon request) In preparation for posting—available upon request.
Overuse of Imaging: Policy for ALARA Specific to Imaging Children Fact Sheet (PDF, 339 KB)
Full Report (In preparation for posting—available upon request)
In preparation for posting—available upon request.
Ratio of Magnetic Resonance Imaging to Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache Full Report (In preparation for posting—available upon request) In preparation for posting—available upon request.
Ratio of Magnetic Resonance Imaging to Computed Tomography Scans for the Evaluation of Children with Atraumatic Seizure Full Report (In preparation for posting—available upon request) In preparation for posting—available upon request.
Overuse of Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache Full Report (In preparation for posting—available upon request) In preparation for posting—available upon request.
Overuse of Computed Tomography Scans for the Evaluation of Children with First Generalized Afebrile, Atraumatic Seizure Full Report (In preparation for posting—available upon request) In preparation for posting—available upon request.

§Persons using assistive technology may not be able to fully access information in these files. For assistance, please contact the Pediatric Quality Measure Program at PQMP@ahrq.hhs.gov.

Page last reviewed October 2017
Page originally created April 2017
Internet Citation: Management of Acute Conditions. Content last reviewed October 2017. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/pqmp/measures/management-of-acute-conditions.html