sábado, 3 de julio de 2010

Findings on Children's Health Care Quality and Disparities


Findings on Children's Health Care Quality and Disparities
Fact Sheet

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This fact sheet presents information drawn from the 2009 National Healthcare Quality Report and National Healthcare Disparities Report for selected health care quality measures related to children. It complements work being carried out as a result of the Children's Health Insurance Program Reauthorization Act of 2009.


Select for print version (PDF File, 265 KB; PDF Help).
http://www.ahrq.gov/qual/nhqrdr09/nhqrdrchild09.pdf

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Contents
Introduction
Children's Clinical Preventive Services
Access to Care
Behavioral Health
Management of Chronic Conditions
Family Experiences of Care
Most Integrated Health Care Settings

Introduction
In early 2009, Congress passed and the President signed the Children's Health Insurance Program Reauthorization Act (CHIPRA; Public Law 111-3). CHIPRA presents an unprecedented opportunity to improve health care quality measurement and health care quality and outcomes for the Nation's 75 million children, beginning with the 38 million enrolled in Medicaid and CHIP.

As a first step, a set of 24 initial recommended evidence-informed and feasible measures were posted for public comment. The Centers for Medicare & Medicaid Services (CMS) will work with State Medicaid and CHIP programs as the programs consider whether to voluntarily report these measures. The Agency for Healthcare Research and Quality has posted a funding announcement for work to improve the initial core set to measure the quality of both public and private children's health care services.

CHIPRA requires identification of a comprehensive set of measures, across the spectrum of health care services, settings, and providers that work to improve children's health and health care. In addition, CHIPRA requires that the core measure set be able to identify differences in care by race, ethnicity, socioeconomic status, and special health care needs.

This fact sheet complements the CHIPRA work by providing information from the 2009 National Healthcare Quality Report (NHQR) and National Healthcare Disparities Report (NHDR) for selected measures related to children. Included in this fact sheet are data from measures relevant to childhood immunizations, obesity and overweight prevention, dental care, quality of care for asthma, and care for children with depression. Data on race, ethnicity, insurance, income, and special health care need status are reported as available.i This information can help maintain momentum for action to improve children's health care quality across the country.

Table 1 lists the initial, recommended core set of CHIPRA measures as posted for public comment. Box 1 lists all the children's health care quality measures included in the NHQR and NHDR.

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Findings on Children's Health Care Quality and Disparities

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