Review of quality measures of the most integrated health care settings for children and the need for improved measures: Recommendations for initial core measurement set for CHIPRA

Academic Pediatrics

Volumn 11, Issue 3 SUPPL., 2011, Pages

  Sternberg, Scot B ^a   Co, John Patrick T ^b   Homer, Charles J ^a  

^a National Initiative for Children's Healthcare Quality   (United States)

^b MASSACHUSETTS GENERAL HOSPITAL   (United States)

Author keywords

integrated health care; medical home

Indexed keywords

CHILD HEALTH CARE; CONCEPTUAL FRAMEWORK; HEALTH CARE QUALITY; HEALTH SURVEY; HOME CARE; REVIEW;

EID: 79955934642     PISSN: 18762859     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.acap.2011.02.006     Document Type: Article

References (46)

1. Public Law 111-3. Children's Health Insurance Program Reauthorization Act of 2009, Title IV, Sec 401. Available at: http://frwebgate.access.gpo.gov/cgi- bin/getdoc.cgi?dbname=111-cong-public-laws&docid=f:publ003.111.pdf%20%C2%A0. Accessed March 1, 2010.
2. Institute of Medicine. Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press; 2001.
3. Shih A, Davis K, Schoenbaum S, et al. Organizing the US Health Care Delivery System for High Performance. New York, NY: The Commonwealth Fund; August 2008.
4. National Priorities Partnership. National Priorities and Goals: Aligning Our Efforts to Transform America's Healthcare. Washington, DC: National Quality Forum. Available at: http://www.nationalprioritiespartnership.org/ShowContent. aspx?id=886; 2008. Accessed January 2, 2010.
5. Maternal and Child Health Bureau. Achieving and Measuring Success: A National Agenda for Children With Special Health Care Needs. Available at: http://mchb.hrsa.gov/programs/specialneeds/measuresuccess.htm. Accessed March 1, 2010.
6. Dictionary.com. Integration. Available at: http://dictionary.reference. com. Accessed January 1, 2010.
7. Merriam-Webster.com. Coordination. Available at: http://www. merriamwebster.com/dictionary/coordination. Accessed January 28, 2011.
8. Burns LR, Pauly MV. Integrated delivery networks: A detour on the road to integrated health care? Health Aff. 2002;21:128-143.
9. Burns LR, Muller RW. Hospital-physician collaboration: landscape of economic integration and impact on clinical integration. Milbank Q. 2008;86:375-434.
10. Kautz CM, Gitell JH, Weinberg DB, et al. Patient benefits from participating in an integrated delivery system: impact on coordination of care. Health Care Manage Rev. 2007;32:284-294. (Pubitemid 47220584)
11. Institute of Medicine. In: Donaldson M, Yordy K, Vanselow N, eds. Defining Primary Care: An Interim Report. Washington, DC: National Academies Press; 1994.
12. Policy Statement. American Academy of Pediatrics. The medical home. Pediatrics. 2002;110:184-186.
13. American Academy of Pediatrics. AAP publications reaffirmed and retired, February and May 2008. Pediatrics. 2008;122:450.
14. American Academy of Family Physicians (AAFP), American Academy of Pediatrics (AAP), American College of Physicians (ACP), and American Osteopathic Association (AOA). Joint principles of the patient-centered medical home. March 2007. Available at: http://www.medicalhomeinfo.org/joint%20Statement.pdf. Accessed August 16, 2009.
15. Solberg LI, Asche SE, Shortell SM, et al. Is integration in large medical groups associated with quality? Am J Manage Care. 2009;15:e34-e41.
16. Appendix A-8. Description of the Second Modified Delphi Process to Rate and Select Valid, Feasible, and Important Quality Measures. In 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. Rockville, Md: Agency for Healthcare Research and Quality. Available at: http://www.ahrq.gov/chipra/corebackground/corebackapa8. htm. Accessed January 28, 2011.
17. National Committee for Quality Assurance. Standards and guidelines for physician practice connections-patient-centered medical home (PPC-PCMH). 2008. Available at: http://www.ncqa.org/tabid/631/Default.aspx. Accessed March 1, 2010.
18. National Quality Forum. Medical Home System Survey. NQF endorsed standards. Available at: http://www.qualityforum.org/Measures-List.aspx#k= Medical%2520home&e=1&st=&sd=&s=&p=1. Accessed June 3, 2010.
19. Ginsburg P, Pham HH, O'Malley M, et al. Making medical homes work: moving from concept to practice. Center for Studying Health System Change. Policy Perspective. 2008;(1):1-20.
20. National Committee for Quality Assurance. Planned evolution of PPC-PCMH requirements. 2009. Available at: http://www.ncqa.org/tabid/631/Default.aspx. Accessed March 1, 2010.
21. Scholle SH, Pawlson LG, Solberg LI, et al. Measuring practice systems for chronic illness care: accuracy of self-reports from clinical personnel. Jt Comm J Qual Patient Saf. 2008;34:407-416.
22. Bailit M, Hughes C. The Patient Centered Medical Home: A Purchasers Guide. Washington, DC: Patient Centered Primary Care Collabrative; 2008.
23. Kaye N, Takach M. Building Medical Homes in State Medicaid and CHIP Programs. National Academy for State Health Policy. New York, NY: The Commonwealth Fund; June 2009.
24. Cooley WC, McAllister JW, Sherrieb K, Clark RE. The Medical Home Index: development and validation of a new practice-level measure of implementation of the medical home model. Ambul Pediatr. 2003;3:173-180. (Pubitemid 36949753)
25. Cooley WC, McAllister JW. Building medical homes: improvement strategies in primary care for children with special health care needs. Pediatrics. 2004;113:1499-1506. (Pubitemid 38580671)
26. Cooley WC, McAllister JW, Sherrieb K, Kuhlthau K. Improved outcomes associated with medical home implementation in pediatric primary care. Pediatrics. 2009;124:358-364.
27. McAllister JW, Sherrieb K, Cooley WC. Improvement in the family centered medical home enhances outcomes for children and youth with special healthcare needs. J Ambul Care Manage. 2009;32:188-196.
28. Institute of Medicine. Committee on Quality of Health Care in America. Envisioning the National Health Care Quality Report. Washington, DC: National Academies Press; 2003.
29. Bethell CD, Read D, Brockwood K. Using existing population-based data sets to measure the American Academy of Pediatrics definition of medical home for all children and children with special health care needs. Pediatrics. 2004;113:1529-1537. (Pubitemid 38580674)
30. Child and Adolescent Health Measurement Initiative. Measuring medical home: using data elements from the National Survey of Children With Special Health Care Needs or the National Survey of Children's Health. 2008. Available at: http://www.childhealthdata.org. Accessed March 1, 2010.
31. National Quality Forum. Measure of medical home for children and adolescents. Available at: http://www.qualityforum.org/MeasureDetails.aspx? SubmissionId=84#k=Medical%2520home&e=1&st=&sd=&s=n&so= a&P=1&mt=&cs=. Accessed February 1, 2011.
32. CAHPS surveys and tools to advance patient-centered care. Available at: https://www.cahps.ahrq.gov/default.asp. Accessed March 1, 2010.
33. Co JP, Sternberg SB, Homer CJ. Measuring patient and family experiences of health care for children. Acad Pediatr. 2011;11(suppl 3):S59-S67.
34. Cassady CE, Starfield B, Hurtado MP, et al. Measuring consumer experiences with primary care. Pediatrics. 2000;105(4 pt 2):998-1003. (Pubitemid 30198743)
35. Starfield B, Shi L. Manual for the Primary Care Assessment Tools. Baltimore, Md: John Hopkins University; 2009.
36. Seid M, Varni JW, Bermudez LO, et al. Parents' perceptions of primary care: measuring parents' experiences of pediatric primary care quality. Pediatrics. 2001;108:264-270. (Pubitemid 32747333)
37. Consumer Assessment of Healthcare Providers and Systems. CAHPS Patient-Centered Medical Home Survey. Available at: https://www.cahps.ahrq.gov/ content/products/CG/PROD-CG-PCMH.asp?P=1021&s=213. Accessed February 8, 2011.
38. National Committee for Quality Assurance. NCQA 2009 programs and initiatives: case statement. Available at: http://www.ncqa.org/Portals/0/ Sponsor/2009-Case-Statement.pdf. Accessed March 1, 2010.
39. Scholle SH, Sampsel SL, Davis NEP, Schor EL. Quality of Child Health Care: Expanding the Scope and Flexibility of Measurement Approaches. New York, NY: The Commonwealth Fund; May 2009.
40. National Quality Forum. Endorsing preferred practices and performance measures for measuring and reporting care coordination. Available at: http://www.qualityforum.org/projects/care-coordination.aspx#t=1&s=&p=. Accessed March 1, 2010.
41. National Quality Forum. Children who receive effective care coordination of healthcare services when needed. Available at: http://www.qualityforum.org/ MeasureDetails.aspx?SubmissionId=116#k=care+coordination. Accessed February 8, 2011.
42. Grumbach K, Grundy P. Outcomes of Implementing Patient Centered Medical Home Interventions: A Review of the Evidence from Prospective Evaluation Studies in the United States. Washington, DC: Patient Centered Primary Care Collabrative; 2010.
43. Child and Adolescent Health Measurement Initiative. National Survey of Children's Health Data Resource Center. Available at: http://nschdata.org/ DataQuery/DataQueryResultsAllStates.aspx?q=502&r1=999&r2=-1. Accessed March 1, 2010.
44. CAHPS Health Plan Survey database - survey respondents and health plan samples by state. Available at: https://www.cahps.ahrq.gov/CAHPSIDB/Public/ Files/Doc3-Health-Plan-Samples-by-State-2009.pdf. Accessed March 1, 2010.
45. The CAHPS Health Plan Survey database compared to NCQA Quality Compass. CAHPS Health Plan Survey Database - methodology. Available at: https://www.cahps.ahrq.gov/CAHPSIDB/Public/Files/Doc4-CAHPSHP-Methodology-Sep09. pdf. Accessed March 1, 2010.
46. Homer CJ, Klatka K, Romm D, et al. A review of the evidence for the medical home for children with special health care needs. Pediatrics. 2008;122:e922-e937.