Identifying children's health care quality measures for medicaid and CHIP: An evidence-informed, publicly transparent expert process

Academic Pediatrics

Volumn 11, Issue 3 SUPPL., 2011, Pages

  Mangione Smith, Rita ^a   Schiff, Jeffrey ^b   Dougherty, Denise ^c  

^a UNIVERSITY OF WASHINGTON   (United States)

^b Minnesota Department of Human Services   (United States)

^c AGENCY FOR HEALTHCARE RESEARCH AND QUALITY   (United States)

Author keywords

children's health care quality measurement; CHIP; CHIPRA; Medicaid

Indexed keywords

ASTHMA; ATTENTION DEFICIT DISORDER; BLOODSTREAM INFECTION; CHILD CARE; CHILD HEALTH CARE; CHILDREN HEALTH INSURANCE PROGRAM REAUTHORIZATION ACT; DENTAL CARE; DEVELOPMENTAL DISORDER; DIABETES MELLITUS; EMERGENCY WARD; EVIDENCE BASED MEDICINE; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; HEALTH PROGRAM; HEALTH PROMOTION; HEALTH SERVICE; IMMUNIZATION; MEDICAID; MEDICAL DECISION MAKING; MEDICAL SOCIETY; OBESITY; PERINATAL CARE; PREVENTIVE MEDICINE; PRIMARY HEALTH CARE; REVIEW; SCREENING; SEXUALLY TRANSMITTED DISEASE; UPPER RESPIRATORY TRACT INFECTION;

EID: 79955935533     PISSN: 18762859     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.acap.2010.11.003     Document Type: Article

References (36)

1. Ryan J. The Children's Health Insurance Program (CHIP): the fundamentals. National Health Policy Forum. Background paper no. 68. April 2009.
2. deLone SE, Hess CA. Medicaid and CHIP Children's Health Care Quality Measures: What States Use and What They Want. Acad Pediatr. 2011;11:S68-S76.
3. First annual report on the quality of care for children in Medicaid and CHIP. Available at: http://www.cms.gov/MedicaidCHIPQualPrac/02-Spotlight.asp. Accessed October 25, 2010.
4. Public Law 111-3. See Title IV for quality provisions. Available at: http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=111-cong-public- laws&docid=f:publ003.111. Accessed October 15, 2010.
5. CHIPRA HHS Federal Quality Workgroup by operating division/staff division. Available at: http://www.ahrq.gov/chipra/corebackground/corebackapa4. htm. Accessed October 15, 2010.
6. National Advisory Council Subcommittee on Quality Measures for Children's Healthcare in Medicaid and the Children's Health Insurance Program (SNAC) member list. Available at: http://www.ahrq.gov/chipra/chipralist.htm. Accessed October 15, 2010.
7. Background report for the request for public comment on the initial, recommended core set of children's healthcare quality measures for voluntary use by Medicaid and CHIP. Available at: http://www.ahrq.gov/chipra/corebackgrnd. htm. Accessed October 15, 2010.
8. Brook RH. The RAND/UCLA appropriateness method. In: McCormick KA, Moore SR, Siegel RA, eds. Clinical Practice Guidelines Development: Methodology Perspectives. Rockville, Md: Agency for Health Care Policy and Research; 1994.
9. Hemingway H, Crook A, Feder G, et al. Underuse of coronary revascularization procedures in patients considered appropriate candidates for revascularization. N Engl J Med. 2001;344:645-654. (Pubitemid 32183581)
10. Kravitz RL, Park RE, Kahan JP. Measuring the clinical consistency of panelists' appropriateness ratings: the case of coronary artery bypass surgery. Health Policy. 1997;42:135-143. (Pubitemid 27469542)
11. Shekelle PG, Chassin MR, Park RE. Assessing the predictive ability of the RAND/UCLA appropriateness method criteria for performing carotid endarterectomy. Int J Technol Assess Health Care. 1998;14:707-727. (Pubitemid 29029300)
12. Clancy C. Introductory remarks and charge to the Subcommittee. Available at: http://www.ahrq.gov/chipra/slides/chipra072209/clancyslides-contents.htm. Accessed October 15, 2010.
13. Mann C, Dailey B. Overview of the Centers for Medicare &Medicaid Services (CMS) and Agency for Healthcare Research and Quality (AHRQ) partnership for improving the quality of health care for children in Medicaid and Children's Health Insurance Program (CHIP). Available at: http://www.ahrq.gov/ chipra/slides/chipra072209/mann/mannslides-contents.htm. Accessed October 15, 2010.
14. Evaluation criteria and instructions for Delphi, round II. Available at: http://www.ahrq.gov/chipra/corebackground/corebackapa8.htm. Accessed October 15, 2010.
15. National Survey on Children's Health 2007. Available at: http://cahmi.org/pages/Home.aspx. Accessed October 15, 2010.
16. Webcast. Available at: http://www.connectlive.com/events/ahrq2009/. Accessed October 15, 2010.
17. Measure nomination template. Available at: http://www.ahrq.gov/chipra/ corebackground/corebackapa7.htm. Accessed October 15, 2010.
18. One-page summary sheet. Available at: http://www.ahrq.gov/chipra/ corebackground/corebackapa9.htm. Accessed October 15, 2010.
19. Measures that met the Delphi II criteria for discussion at the September 17-18 SNAC meeting but were not part of the SNAC's top 25 initial, core recommended set. Available at: http://www.ahrq.gov/chipra/corebackground/ corebackapb.htm. Accessed October 15, 2010.
20. Measures that did not meet the Delphi II criteria for discussion and voting at the September 17-18 SNAC meeting. Available at: http://www.ahrq.gov/ chipra/corebackground/corebackapb2.htm. Accessed October 15, 2010.
21. McGlynn EA, Kosecoff J, Brook RH. Format and conduct of consensus development conferences: a multi-nation comparison. In: Goodman C, Baratz S, eds. Improving Consensus Development for Health Technology Assessment. Washington, DC: National Academy Press; 1990.
22. SNAC-recommended initial core set of children's healthcare quality measures, in priority order by number of SNAC votes, September 17-18, 2009. Available at: http://www.ahrq.gov/chipra/listtable.htm. Accessed October 15, 2010.
23. Agency for Healthcare Research and Quality. Activities related to the Children's Health Insurance Program Reauthorization Act (CHIPRA) Web site. Available at: http://www.ahrq.gov/chipra. Accessed October 27, 2010.
24. Carlucci C. AMA PCPI measures to be considered for SNAC deliberations. In: American Medical Association, ed. The Physicians Consortium for Practice Improvement. Chicago, Ill: AMA PCPI; 2009:351.
25. Kaiser Commission on Medicaid and the Uninsured. State fiscal conditions and Medicaid. Medicaid facts. Menlo Park, Calif: The Henry J. Kaiser Family Foundation. September 2009. Available at: http://www.kff.org/medicaid/7580.cfm. Accessed October 25, 2010.
26. Centers for Medicare & Medicaid Services. Enrollment by delivery type, Medicaid and CHIP children, 2008. Excel spreadsheet provided in personal communication via e-mail from CMS staff Lekisha Daniel-Robinson to AHRQ staff Denise Dougherty, January 2009.
27. United States: People in Poverty-Poverty Rate by Age, States (2007-2008), US (2008). Menlo Park, Calif: The Henry J. Kaiser Family Foundation. Available at: http://www.statehealthfacts.org/profileind.jsp?cat=1&sub=2&rgn=1. Accessed October 25, 2010.
28. United States: Population Distribution of Children by Race/Ethnicity, States (2007-2008), US (2008). Menlo Park, Calif: The Henry J. Kaiser Family Foundation. Available at: http://www.statehealthfacts.org/profileind.jsp?ind= 7&rgn=1&cat=1. Accessed October 25, 2010.
29. Berwick D. A user's manual for the IOM's "Quality Chasm" Report. Health Affairs. May/June 2002;21:80-90.
30. Centers for Medicare & Medicaid Services. Invitation to apply for FY2010 CHIPRA Quality Demonstration Grants (CFDA 93.767). September 30, 2009. Available at: http://www.cms.hhs.gov/CHIPRA/Downloads/CHIPRA-Quality-Demo.pdf. Accessed October 25, 2010.
31. Fairbrother G, Simpson L. Measuring and Reporting Quality of Health Care for Children: CHIPRA Beyond. Acad Pediatrics. 2011; 11:S77-S84.
32. Smith VK, Edwards JN, Reagan E, Roberts D. Medicaid and CHIP Strategies for Improving Child Health. New York, NY: The Commonwealth Fund; July 2009.
33. Rosenbach M, Irvin C, Merrill A, et al. National Evaluation of the State Children's Health Insurance Program: A Decade of Expanding Coverage and Improving Access. Washington, DC: Mathematica Policy Research; September 2007.
34. Partridge L. Review of Access and Quality of Care in SCHIP Using Standardized National Performance Measures. Washington, DC: George Washington University; April 4, 2007.
35. National Quality Forum. Child Healthcare Quality Measurement and Reporting: Workshop Proceedings. 2004. Available at: http://www.qualityforum. org/Publications/2004/07/Child-Healthcare-Quality-Measurement-and-Reporting. aspx. Accessed October 27, 2010.
36. Simpson L, Dougherty D, Krause D, et al. Measuring children's health care quality. Am J Med Qual. 2007;22:80-84.