Children's Health Care Quality
Activities Related to the Children's Health Insurance Program Reauthorization Act (CHIPRA)
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In January 2009, President Obama signed Public Law 111-3, the Children's Health Insurance Program Reauthorization Act (CHIPRA). Title IV of that act promised a new day for children's health care quality, especially for those 36 million children covered by Medicaid and CHIP programs.
The Agency for Healthcare Research and Quality (AHRQ) is very excited to be working with the Centers for Medicare & Medicaid Services (CMS) to implement the quality provisions of CHIPRA. We are pleased to share the following information about how our work is progressing and to provide an opportunity for key stakeholders to share their views; E-mail CHIPRAqualitymeasures@ahrq.hhs.gov.
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Contents:
- CHIPRA Quality Implementation Plan—Quality Measures Identification and Development
Other CHIPRA Activities
- AHRQ Resources on Children's Health Care Quality, Medicaid, and CHIP Centers for Medicare & Medicaid Services CHIPRA Web site
- CHIPRA Quality Implementation Plan—Quality Measures Identification and Development
- AHRQ and CMS have agreed to work collaboratively to ensure timely and smooth implementation of CHIPRA quality initiatives.
- The first task around quality measures is the identification of an initial core quality measurement set for voluntary use by Medicaid and CHIP programs. The initial core quality measurement set is to be posted for general comment by January 1, 2010.
- To help us identify and prioritize the core quality measurement set, we will be seeking the advice of AHRQ's National Advisory Council on Healthcare Research and Quality (NAC). The NAC has created the Subcommittee on Quality Measures for Children's Healthcare in Medicaid and CHIP. The first subcommittee meeting will be held July 22-23, 2009. Watch this space for the subcommittee meeting agenda, meeting location, member list, and background materials.
Other CHIPRA Activities
. CHIPRA also called for the Institute of Medicine (IOM) to study and report on the quality of efforts to measure child health status and the quality of health care for children across the pediatric age span in relation to preventive care, treatments for acute conditions, and treatment aimed at ameliorating or correcting physical, mental, and developmental conditions in children. The report will consider all major national population-based reporting systems that are sponsored by the Federal Government, investigate knowledge gaps, and make recommendations to improve the timeliness, quality, transparency, and accessibility of information about child health and health care quality. The report is due to Congress by July 2010. A link to the study will be provide on this page.
.. AHRQ's health information technology (health IT) team will be working to develop an electronic health record format for children. Watch this space for more information on that work, which is to be initiated by January 1, 2010.
... AHRQ also will create a program that uses grants and contracts to develop, validate, and improve pediatric quality measures. That program is to be in place by January 1, 2011 and completed by January 1, 2013, in time to produce a final core quality measurement set. More information will appear here as it becomes available.
.... Finally, AHRQ has been asked to provide technical consultation to CMS as it reports on quality measures and recommendations for legislative changes, provides content for best practices related to implementation of core measures, and prepares an evaluation of outcomes of demonstration projects to improve the quality of health care for children.
..... To ensure that the expertise of key Department of Health and Human Services (HHS) entities is brought to bear on this opportunity to improve quality measurement and quality health care for all children—and thus to improve their health and well-being—the Secretary of HHS has created a Federal Quality Workgroup of the CHIPRA Steering Committee. In addition to AHRQ and CMS, members come from HHS's Office of the Assistant Secretary for Planning and Evaluation (ASPE), Centers for Disease Control and Prevention (CDC), Health Resources and Services Administration (HRSA), Substance Abuse and Mental Health Services Administration (SAMSHA), and the Office of the National Coordinator for Health Information Technology (ONC).
- AHRQ Resources on Children's Health Care Quality, Medicaid, and CHIP
- Child Health Research Initiative (CHIRI™) http://www.ahrq.gov/chiri/
- Child Health Research Findings (Program Brief) http://www.ahrq.gov/child/highlts/chhigh1.htm
- AHRQ-Funded Research Projects (Fact Sheets) http://www.ahrq.gov/child/fundprj.htm
- National Healthcare Quality Report, 2008 and National Healthcare Disparities Report, 2008
http://www.ahrq.gov/qual/qrdr08.htm
- Selected findings on child and adolescent health care from the 2007 National Healthcare Quality and Disparities Reports http://www.ahrq.gov/qual/nhqrdr07/nhqrdrchild07.htm
- National Quality Measures Clearinghouse (NQMC) http://www.qualitymeasures.ahrq.gov/
- Pediatric Quality Indicators http://www.qualityindicators.ahrq.gov/pdi_overview.htm
- Consumer Assessment of Healthcare Providers and Systems (CAHPS®)
https://www.cahps.ahrq.gov/default.asp
- Technical Assistance for Health Information Technology and Health Information Exchange in Medicaid and CHIP
http://healthit.ahrq.gov/portal/server.pt?open=512&objID=654&&PageID=14760&mode=2
-- Centers for Medicare & Medicaid Services CHIPRA Web site
CMS CHIPRA Web site http://www.cms.hhs.gov/CHIPRA/
Current as of June 2009
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Internet Citation:
Children's Health Care Quality: Activities Related to the Children's Health Insurance Program Reauthorization Act (CHIPRA). June 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/chip/chipraact.htm
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Children's Health Care Quality: Activities Related to the Children's Health Insurance Program Reauthorization Act (CHIPRA)
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