Using medicaid and CHIP claims data to support pediatric quality measurement: Lessons from 3 centers of excellence in measure development

Academic Pediatrics

Volumn 14, Issue 5 SUPPL., 2014, Pages

  Gidengil, Courtney ^a,b,c   Mangione Smith, Rita ^d,e   Bailey, L Charles ^f   Cawthon, Mary Lawrence ^g   McGlynn, Elizabeth A ^h   Nakamura, Mari M ^b,c   Schiff, Jeffrey ⁱ   Schuster, Mark A ^b,c   Schneider, Eric C ^a,c,j  

^a RAND CORPORATION   (United States)

^b BOSTON CHILDREN S HOSPITAL   (United States)

^c HARVARD MEDICAL SCHOOL   (United States)

^d SEATTLE CHILDREN S HOSPITAL   (United States)

^e SEATTLE CHILDREN S RESEARCH INSTITUTE   (United States)

^f CHILDREN S HOSPITAL OF PHILADELPHIA   (United States)

^g Research and Data Analysis Division   (United States)

^h KAISER PERMANENTE   (United States)

ⁱ Minnesota Department of Human Services   (United States)

^j BRIGHAM AND WOMEN S HOSPITAL   (United States)

more..

Author keywords

CHIP; Medicaid; quality measurement; value based purchasing

Indexed keywords

ALGORITHM; CHILD; CHILD HEALTH CARE; CHILD WELFARE; HEALTH CARE QUALITY; HEALTH INSURANCE; HUMAN; INSURANCE; LEGISLATION AND JURISPRUDENCE; MEDICAID; PEDIATRICS; PROCEDURES; STANDARDS; UNITED STATES;

ALGORITHMS; CHILD; CHILD HEALTH SERVICES; CHILD WELFARE; HUMANS; INSURANCE CLAIM REVIEW; INSURANCE, HEALTH; MEDICAID; PEDIATRICS; QUALITY ASSURANCE, HEALTH CARE; QUALITY INDICATORS, HEALTH CARE; UNITED STATES;

EID: 84906855262     PISSN: 18762859     EISSN: 18762867     Source Type: Journal    
DOI: 10.1016/j.acap.2014.06.014     Document Type: Article

References (21)

1. Medicaid. Children. Available at: http://www.medicaid.gov/Medicaid-CHIP- Program-Information/By-Topics/Benefit. Accessed July 15, 2014.
2. Medicaid. Early and Periodic Screening, Diagnostic, and Treatment. Available at: http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By- Topics/Benefits/Early-Periodic-Screening-Diagnosis-and-Treatment.html. Accessed July 15, 2014.
3. R. Mangione-Smith, J. Schiff, and D. Dougherty Identifying children's health care quality measures for Medicaid and CHIP: an evidence-informed, publicly transparent expert process Acad Pediatr 11 2011 S11 S21
4. Medicaid Analytic eXtract (MAX) general information. Available at: http://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and- Systems/MedicaidDataSourcesGenInfo/MAXGeneralInformation.html. Accessed July 15, 2014.
5. L. O'Mahony, D.S. O'Mahony, and T.D. Simon et al. Medical complexity and pediatric emergency department and inpatient utilization Pediatrics 131 2013 e559 e565
6. T.D. Simon, J. Berry, and C. Feudtner et al. Children with complex chronic conditions in inpatient hospital settings in the United States Pediatrics 126 2010 647 655
7. J.G. Berry, D.E. Hall, and D.Z. Kuo et al. Hospital utilization and characteristics of patients experiencing recurrent readmissions within children's hospitals JAMA 305 2011 682 690
8. T.D. Simon, M.L. Cawthon, and S. Stanford et al. Pediatric medical complexity algorithm: a new method to stratify children by medical complexity Pediatrics 133 2014 e1647 e1654
9. B.T. Zima, J.M. Murphy, and S.H. Scholle et al. National quality measures for child mental health care: background, progress, and next steps Pediatrics 131 suppl 1 2013 S38 S49
10. E. Hing, D.K. Cherry, and D.A. Woodwell National Ambulatory Medical Care Survey: 2004 summary Adv Data 133 2006 1 33
11. J.A. Finkelstein, J.P. Metlay, and R.L. Davis et al. Antimicrobial use in defined populations of infants and young children Arch Pediatr Adolesc Med 154 2000 395 400
12. T. To, S. Dell, P. Dick, and L. Cicutto The burden of illness experienced by young children associated with asthma: a population-based cohort study J Asthma 45 2008 45 49
13. Strengths and limitations of CMS administrative data in research. Available at: http://www.resdac.org/resconnect/articles/156. Accessed July 15, 2014.
14. Otitis media with effusion (OME): percentage of patients aged 2 months through 12 years with a diagnosis of OME who were not prescribed systemic antimicrobials. Available at: http://www.qualitymeasures.ahrq.gov/content.aspx? id=28018. Accessed July 15, 2014.
15. Institute of Medicine; Committee on Quality of Health Care in America To Err Is Human: Building a Safer Health System 2000 National Academies Press Washington, DC
16. Institute of Medicine; Committee on Identifying Preventing Medication Errors Preventing Medication Errors 2006 National Academies Press Washington, DC
17. M. Shudy, M.L. de Almeida, and S. Ly et al. Impact of pediatric critical illness and injury on families: a systematic literature review Pediatrics 118 suppl 3 2006 S203 S218
18. B. Friedman, and J. Basu The rate and cost of hospital readmissions for preventable conditions Med Care Res Rev 61 2004 225 240
19. Agency for Healthcare Research and Quality. Medicaid medical directors learning network. Available at: http://www.ahrq.gov/policymakers/measurement/ quality-by-state/mmdln.html. Accessed July 15, 2014.
20. MassHealth Quality Exchange (MassQEX). Available at: http://massqex.ehs. state.ma.us/massqex/index/hqi. Accessed July 15, 2014.
21. Bencio D. Medicaid analytic extract provider characteristics (MAXPC) evaluation report, 2010. Final report: Mathematica Policy Research. Available at: http://EconPapers.repec.org/RePEc:mpr:mprres:7875. Accessed July 15, 2014.