Abstract
Keywords
History and Background
The Children's Health Insurance Program Reauthorization Act: Focus on Health Care Quality
Children's Health Insurance Program Reauthorization Act of 2009. Public Law 111–113. Available at: http://www.gpo.gov/fdsys/pkg/PLAW-111publ3/pdf/PLAW-111publ3.pdf. Accessed December 12, 2013.
US Congress, Office of Technology Assessment. Quality of Medical Care: Information for Consumers. Washington, DC: US Government Printing Office. Available at: https://www.princeton.edu/∼ota/disk2/1988/8832/8832.PDF. Accessed April 3, 2014.
US Department of Health and Human Services, Centers for Medicare & Medicaid Services. 2013 Annual Report on the Quality of Care for Children in Medicaid and CHIP. Available at: http://medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Quality-of-Care/Downloads/2013-Ann-Sec-Rept.pdf. Accessed March 31, 2014.
Mirel LB, Carper, K. Trends in health care expenditures for children under age 18: 2001, 2006, and 2011. Statistical Brief #428. January 2014. Agency for Healthcare Research and Quality, Rockville, Md. Available at: http://www.meps.ahrq.gov/mepsweb/data_files/publications/st428/stat428.pdf. Accessed April 4, 2014.
US Department of Health and Human Services, Agency for Healthcare Research and Quality. National quality strategy (NQS). Available at: http://www.ahrq.gov/workingforquality/. Accessed December 12, 2013.
Children's Health Insurance Program Reauthorization Act of 2009. Public Law 111–113. Available at: http://www.gpo.gov/fdsys/pkg/PLAW-111publ3/pdf/PLAW-111publ3.pdf. Accessed December 12, 2013.
Children's Health Insurance Program Reauthorization Act of 2009. Public Law 111–113. Available at: http://www.gpo.gov/fdsys/pkg/PLAW-111publ3/pdf/PLAW-111publ3.pdf. Accessed December 12, 2013.
US Department of Health and Human Services, Agency for Healthcare Research and Quality. Children’s electronic health record format. Available at: http://healthit.ahrq.gov/health-it-tools-and-resources/childrens-electronic-health-record-ehr-format. Accessed December 19, 2013.
PQMP
Children's Health Insurance Program Reauthorization Act of 2009. Public Law 111–113. Available at: http://www.gpo.gov/fdsys/pkg/PLAW-111publ3/pdf/PLAW-111publ3.pdf. Accessed December 12, 2013.

PQMP Goals and Related Activities
Establish a Publicly Available Portfolio of New and Enhanced Evidence-Based Pediatric Quality Measures
Children's Health Insurance Program Reauthorization Act of 2009. Public Law 111–113. Available at: http://www.gpo.gov/fdsys/pkg/PLAW-111publ3/pdf/PLAW-111publ3.pdf. Accessed December 12, 2013.
AHRQ-CMS PQMP COE and Institutional Affiliation | Prevention and Health Promotion Quality Measures | Treatment and Management Quality Measures | Other | ||
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Perinatal/Prenatal | Child Clinical Preventive Services | Management of Acute Conditions | Management of Chronic Conditions | ||
CAPQUAM: Collaboration for Advancing Pediatric Quality Measures Icahn School of Medicine at Mount Sinai |
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CEPQM: Children's Hospital Boston COE for Pediatric Quality Measurement Children's Hospital Boston |
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CHOP: COE at the Children's Hospital of Philadelphia (CHOP)/University of Pennsylvania Children's Hospital of Philadelphia |
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COE4CCN: COE on Quality of Care Measures for Children with Complex Needs Seattle Children's Research Institute |
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NCINQ: National Collaborative for Innovation in Quality Measurement National Committee for Quality Assurance |
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PMCoE: Pediatric Measurement COE Children's Hospital and Health System of Wisconsin |
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Q-METRIC: Quality Measurement, Evaluation, Testing, Review, and Implementation Consortium University of Michigan, Ann Arbor |
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Selection and Assignment of Measure Topics
Children's Health Insurance Program Reauthorization Act of 2009. Public Law 111–113. Available at: http://www.gpo.gov/fdsys/pkg/PLAW-111publ3/pdf/PLAW-111publ3.pdf. Accessed December 12, 2013.
Identification of Criteria for Measure Assessment
Children's Health Insurance Program Reauthorization Act of 2009. Public Law 111–113. Available at: http://www.gpo.gov/fdsys/pkg/PLAW-111publ3/pdf/PLAW-111publ3.pdf. Accessed December 12, 2013.
Children's Health Insurance Program Reauthorization Act of 2009. Public Law 111–113. Available at: http://www.gpo.gov/fdsys/pkg/PLAW-111publ3/pdf/PLAW-111publ3.pdf. Accessed December 12, 2013.
US Department of Health and Human Services, Agency for Healthcare Research and Quality. Candidate Measure Submission Form. CHIPRA Pediatric Quality Measures Program (PQMP). Available at: http://www.ahrq.gov/policymakers/chipra/cpcf-form.html. Accessed December 9, 2013.
Development of PQMP Measures
Improve and Strengthen the Child Core Set of Quality Measures
US Department of Health and Human Services. Centers for Medicare & Medicaid Services. CHIPRA Initial Core Set of Children's Health Care Quality Measures. Available at: http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Quality-of-Care/CHIPRA-Initial-Core-Set-of-Childrens-Health-Care-Quality-Measures.html. Accessed December 9, 2013.
US Department of Health and Human Services. Centers for Medicare & Medicaid Services. State Health Official Letter #13–001. January 2013. Available at: http://www.medicaid.gov/Federal-Policy-Guidance/downloads/SHO-13-001.pdf. Accessed December 12, 2013.
Identification of Additional Measures
US Department of Health and Human Services, Agency for Healthcare Research and Quality. Recommendations to Improve Children’s Health Care Quality Measures- Background Report on the 2012 Process. Available at: http://www.ahrq.gov/policymakers/chipra/pubs/background-2012/backgrnd2012.pdf. Accessed December 19, 2013.
US Department of Health and Human Services, Agency for Healthcare Research and Quality. National Advisory Council for Healthcare Research and Quality. Available at: http://www.ahrq.gov/cpi/about/organization/nac/index.html. Accessed June 20, 2014.
US Department of Health and Human Services, Agency for Healthcare Research and Quality. Recommendations to Improve Children’s Health Care Quality Measures- Background Report on the 2012 Process. Available at: http://www.ahrq.gov/policymakers/chipra/pubs/background-2012/backgrnd2012.pdf. Accessed December 19, 2013.
US Department of Health and Human Services. Centers for Medicare & Medicaid Services. State Health Official Letter #13–001. January 2013. Available at: http://www.medicaid.gov/Federal-Policy-Guidance/downloads/SHO-13-001.pdf. Accessed December 12, 2013.
US Department of Health and Human Services. Centers for Medicare and Medicaid Services. Core Set of Children’s Health Care Quality Measures for Medicaid and CHIP (Child Core Set): Technical Specifications and Resource Manual for Federal Fiscal Year 2013 Reporting. Available at: http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Quality-of-Care/Downloads/Medicaid-and-CHIP-Child-Core-Set-Manual.pdf. Accessed April 3, 2014.
US Department of Health and Human Services. Centers for Medicare & Medicaid Services. State Health Official Letter #13–001. January 2013. Available at: http://www.medicaid.gov/Federal-Policy-Guidance/downloads/SHO-13-001.pdf. Accessed December 12, 2013.
Identification of Measures for Retirement
US Department of Health and Human Services, Centers for Medicare & Medicaid Services. CMCS Informational Bulletin. 2014 Updates to the Child and Adult Core Health Care Quality Measurement Sets. Available at: http://medicaid.gov/Federal-Policy-Guidance/Downloads/CIB-12-19-13.pdf. Accessed April 3, 2014.
US Department of Health and Human Services, Centers for Medicare & Medicaid Services. CMCS Informational Bulletin. 2014 Updates to the Child and Adult Core Health Care Quality Measurement Sets. Available at: http://medicaid.gov/Federal-Policy-Guidance/Downloads/CIB-12-19-13.pdf. Accessed April 3, 2014.
US Department of Health and Human Services. Centers for Medicare and Medicaid Services. Core Set of Children’s Health Care Quality Measures for Medicaid and CHIP (Child Core Set): Technical Specifications and Resource Manual for Federal Fiscal Year 2013 Reporting. Available at: http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Quality-of-Care/Downloads/Medicaid-and-CHIP-Child-Core-Set-Manual.pdf. Accessed April 3, 2014.
Abbreviation | NQF No. | Measure Steward | Measure Name |
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ADD | 0108 | NCQA | Follow-Up Care for Children Prescribed Attention Deficit Hyperactivity Disorder (ADHD) Medication |
AMB | NA | NCQA | Ambulatory Care–Emergency Department (ED) Visits |
AWC | NA | NCQA | Adolescent Well-Care Visit |
BHRA | NA | AMA-PCPI | Behavioral Health Risk Assessment (for Pregnant Women) |
CAP | NA | NCQA | Child and Adolescents' Access to Primary Care Practitioners |
CHL | 0033 | NCQA | Chlamydia Screening in Women |
CIS | 0038 | NCQA | Childhood Immunization Status |
CLABSI | 0139 | CDC | Pediatric Central Line–Associated Bloodstream Infections—Neonatal Intensive Care Unit and Pediatric Intensive Care Unit |
CPC | NA | NCQA | Consumer Assessment of Healthcare Providers and Systems CAHPS 5.0H (Child Version Including Medicaid and Children with Chronic Conditions Supplemental Items) |
PC02 | 0471 | TJC | Cesarean Section for Nulliparous Singleton Vertex |
DEV | 1448 | OHSU | Developmental Screening in the First Three Years of Life |
FPC | 1391 | NCQA | Frequency of Ongoing Prenatal Care |
FUH | 0576 | NCQA | Follow-up After Hospitalization for Mental Illness |
HPV | 1959 | NCQA | Human Papillomavirus (HPV) Vaccine for Female Adolescents |
IMA | 1407 | NCQA | Immunization Status for Adolescents |
LBW | 1382 | CDC | Live Births Weighing Less than 2,500 Grams |
MMA | 1799 | NCQA | Medication Management for People with Asthma |
PDENT | NA | CMS | Percentage of Eligibles That Received Preventive Dental Services |
PPC | 1517 | NCQA | Timeliness of Prenatal Care |
TDENT | NA | CMS | Percentage of Eligibles That Received Dental Treatment Services |
WCC | 0024 | NCQA | Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: Body Mass Index Assessment for Children/Adolescents |
W15 | 1392 | NCQA | Well-Child Visits in the First 15 Months of Life |
W34 | 1516 | NCQA | Well-Child Visits in the 3rd, 4th, 5th, and 6th Years of Life |
Key Challenges and Lessons Learned to Date
US Department of Health and Human Services, Agency for Healthcare Research and Quality. Recommendations to Improve Children’s Health Care Quality Measures- Background Report on the 2012 Process. Available at: http://www.ahrq.gov/policymakers/chipra/pubs/background-2012/backgrnd2012.pdf. Accessed December 19, 2013.
US Department of Health and Human Services. Centers for Medicare and Medicaid Services. EHR Incentives Program- Recommended Measures. Available at: http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/index.html?redirect=/ehrincentiveprograms/. Accessed January 7, 2014.
Conclusion
US Census Bureau. 2012 National Population Projections. Available at: http://www.census.gov/population/projections/data/national/2012.html. Accessed February 9, 2014.
US Department of Health and Human Services, Agency for Healthcare Research and Quality. Children’s electronic health record format. Available at: http://healthit.ahrq.gov/health-it-tools-and-resources/childrens-electronic-health-record-ehr-format. Accessed December 19, 2013.
Supplementary Data
- Supplementary Appendix A
- Supplementary Appendix B
References
Children's Health Insurance Program Reauthorization Act of 2009. Public Law 111–113. Available at: http://www.gpo.gov/fdsys/pkg/PLAW-111publ3/pdf/PLAW-111publ3.pdf. Accessed December 12, 2013.
- The Children's Health Insurance Program Reauthorization Act quality measures initiatives: moving forward to improve measurement, care, and child and adolescent outcomes.Acad Pediatr. 2011; 11: S1-S10
- Review of Access and Quality of Care in SCHIP Using Standardized National Performance Measures.National Health Policy Forum, Washington, DC2007
- Medicare: A Strategy for Quality Assurance.National Academy Press, Washington, DC1990
US Congress, Office of Technology Assessment. Quality of Medical Care: Information for Consumers. Washington, DC: US Government Printing Office. Available at: https://www.princeton.edu/∼ota/disk2/1988/8832/8832.PDF. Accessed April 3, 2014.
US Department of Health and Human Services, Centers for Medicare & Medicaid Services. 2013 Annual Report on the Quality of Care for Children in Medicaid and CHIP. Available at: http://medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Quality-of-Care/Downloads/2013-Ann-Sec-Rept.pdf. Accessed March 31, 2014.
Mirel LB, Carper, K. Trends in health care expenditures for children under age 18: 2001, 2006, and 2011. Statistical Brief #428. January 2014. Agency for Healthcare Research and Quality, Rockville, Md. Available at: http://www.meps.ahrq.gov/mepsweb/data_files/publications/st428/stat428.pdf. Accessed April 4, 2014.
US Department of Health and Human Services, Agency for Healthcare Research and Quality. National quality strategy (NQS). Available at: http://www.ahrq.gov/workingforquality/. Accessed December 12, 2013.
- Child and Adolescent Health and Health Care Quality–Measuring What Matters.National Academy Press, Washington2011
US Department of Health and Human Services, Agency for Healthcare Research and Quality. Children’s electronic health record format. Available at: http://healthit.ahrq.gov/health-it-tools-and-resources/childrens-electronic-health-record-ehr-format. Accessed December 19, 2013.
- Considerations and Evidence for an ADHD Outcome Measure.Acad Pediatr. 2014; 14: S54-S60
- Concept and Measurement of Pediatric Value.Acad Pediatr. 2014; 14: S33-S38
- Initial Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs.Federal Register. 2009; 74: 68846-68849
- Developing Measures for Pediatric Quality: Methods and Experiences of the CHIPRA Pediatric Quality Measures Program Grantees.Acad Pediatr. 2014; 14: S27-S32
US Department of Health and Human Services, Agency for Healthcare Research and Quality. Candidate Measure Submission Form. CHIPRA Pediatric Quality Measures Program (PQMP). Available at: http://www.ahrq.gov/policymakers/chipra/cpcf-form.html. Accessed December 9, 2013.
US Department of Health and Human Services. Centers for Medicare & Medicaid Services. CHIPRA Initial Core Set of Children's Health Care Quality Measures. Available at: http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Quality-of-Care/CHIPRA-Initial-Core-Set-of-Childrens-Health-Care-Quality-Measures.html. Accessed December 9, 2013.
- Identifying children's health care quality measures for Medicaid and CHIP: an evidence-informed, publicly transparent expert process.Acad Pediatr. 2011; 11: S11-S21
US Department of Health and Human Services. Centers for Medicare & Medicaid Services. State Health Official Letter #13–001. January 2013. Available at: http://www.medicaid.gov/Federal-Policy-Guidance/downloads/SHO-13-001.pdf. Accessed December 12, 2013.
- Request for Nominations of Children's Healthcare Quality Measures for Potential Inclusion in the CHIPRA 2013 Improved Core Set of Health Care Quality Measures for Medicaid/CHIP.Federal Register. 2012; 77: 11119-11120
US Department of Health and Human Services, Agency for Healthcare Research and Quality. Recommendations to Improve Children’s Health Care Quality Measures- Background Report on the 2012 Process. Available at: http://www.ahrq.gov/policymakers/chipra/pubs/background-2012/backgrnd2012.pdf. Accessed December 19, 2013.
US Department of Health and Human Services, Agency for Healthcare Research and Quality. National Advisory Council for Healthcare Research and Quality. Available at: http://www.ahrq.gov/cpi/about/organization/nac/index.html. Accessed June 20, 2014.
US Department of Health and Human Services. Centers for Medicare and Medicaid Services. Core Set of Children’s Health Care Quality Measures for Medicaid and CHIP (Child Core Set): Technical Specifications and Resource Manual for Federal Fiscal Year 2013 Reporting. Available at: http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Quality-of-Care/Downloads/Medicaid-and-CHIP-Child-Core-Set-Manual.pdf. Accessed April 3, 2014.
- A Systematic Evidence-Based Quality Measurement Lifecycle Approach To Measure Retirement In CHIPRA.Acad Pediatr. 2014; 14: S97-S104
US Department of Health and Human Services, Centers for Medicare & Medicaid Services. CMCS Informational Bulletin. 2014 Updates to the Child and Adult Core Health Care Quality Measurement Sets. Available at: http://medicaid.gov/Federal-Policy-Guidance/Downloads/CIB-12-19-13.pdf. Accessed April 3, 2014.
- The family centered medical home: specific considerations for child health research and policy.Acad Pediatr. 2010; 10: 211-217
- Quality concerns in antipsychotic prescribing for youth: A review of treatment guidelines.Acad Pediatr. 2014; 14: S68-S75
- Using science to improve the nation’s health system: NIH’s commitment to comparative effectiveness research.JAMA. 2010; 303: 2182-2183
- Patient-Centered Outcomes Research Institute: the intersection of science and health care.Sci Transl Med. 2010; 2: 37cm18
- The Patient-Centered Outcomes Research Institute (PCORI) national priorities for research and initial research agenda.JAMA. 2012; 307: 1583-1584
US Department of Health and Human Services. Centers for Medicare and Medicaid Services. EHR Incentives Program- Recommended Measures. Available at: http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/index.html?redirect=/ehrincentiveprograms/. Accessed January 7, 2014.
- Addressing Electronic Clinical Information in the Construction of Quality Measures.Acad Pediatr. 2014; 14: S82-S89
- Children's Health, the Nation's Wealth: Assessing and Improving Child Health.National Academies Press, Washington, DC2004
US Census Bureau. 2012 National Population Projections. Available at: http://www.census.gov/population/projections/data/national/2012.html. Accessed February 9, 2014.
- Life course health development: past, present, and future.Matern Child Health J. 2014; 18: 344-365
Article Info
Publication History
Footnotes
The authors have no conflicts of interest to disclose.
Publication of this article was supported by the US Department of Health and Human Services and the Agency for Healthcare Research and Quality.
The views expressed in this article are those of the authors and do not necessarily represent the views of the US Department of Health and Human Services, the Agency of Healthcare Research and Quality, or the Center for Medicare and Medicaid Services.
Financial disclosure: The PQMP is funded by CMS .