AHRQ Seeks Submission of Measures of Children’s Health Care Quality for CHIPRA 2013
AHRQ is soliciting measures of children’s health care quality for potential inclusion in the Children’s Health Insurance Program Reauthorization Act (CHIPRA) 2013. These measures could become part of an Improved Core Set of Health Care Quality Measures for potential voluntary use by State Medicaid and Children’s Health Insurance Programs, or be used for other potential purposes under CHIPRA. Deadline for submissions is April 24 to Denise Dougherty, Ph.D. at firstname.lastname@example.org or by mail to 540 Gaither Rd, Rockville, MD 20850. Select for more information on the CHIPRA Pediatric Quality Measures Program. Select to access the Federal Register notice.►
CHIPRA Children's Health Care Quality Measurement and Improvement ActivitiesThe Children's Health Insurance Program Reauthorization Act (CHIPRA) of 2009 was signed into law by President Obama in January 2009. Since that time, the Agency for Healthcare Research and Quality (AHRQ) and the Centers for Medicare & Medicaid Services (CMS) have been working together with the CHIPRA Federal Quality Workgroup to implement selected provisions of the legislation related to children's health care quality.
Title IV of CHIPRA promises a new day for children's health care quality, especially for those 39 million children covered by Medicaid and CHIP programs. We are pleased to share the latest information about how our work is progressing and to provide key stakeholders an opportunity to share their views on this critical endeavor.
Please send comments to CHIPRAqualitymeasures@ahrq.hhs.gov.
Improving the Initial Core Set: The CHIPRA Pediatric Quality Measures Program
Institute of Medicine Report
Identification of the Initial Core Set of Children's Health Care Quality Measures
More AHRQ Resources
Centers for Medicare & Medicaid Services
OverviewThe Agency for Healthcare Research and Quality (AHRQ) is working in collaboration with CMS, the CHIPRA Federal Quality Workgroup, and external experts to fulfill a number of requirements under Title IV of CHIPRA:
- Identify an initial core set of children's health care quality measures for voluntary use by Medicaid and CHIP programs (select for a list of final, posted measures and archived materials).
- Implement the CHIPRA Pediatric Quality Measures Program using grants and contracts. The PQMP will contribute to the CHIPRA-required identification of improved core children's health care quality measures for use by Medicaid and CHIP and other public and private programs, providers, plans, and patients.
- Evaluate CMS's Quality Demonstration project awards and create a Model Children's Electronic Health Record Format.
Improving the Initial Core Set: The CHIPRA Pediatric Quality Measures ProgramAs a followup to identifying the initial core measure set of children's health care quality measures, CHIPRA required establishment of a Pediatric Quality Measures Program (PQMP) of grants and contracts. Results of the PQMP are to be used to develop future enhanced and improved core sets of measures and provide for development of new measures as needed. To meet these requirements, AHRQ has awarded grants for the CHIPRA Pediatric Healthcare Quality Measures Program Centers of Excellence and a contract for a Coordinating and Technical Assistance Center.
AHRQ and CMS have appointed the 2011 Expert Panel on Assessing Healthcare Quality Measures for CHIPRA Improved Core Sets. The 2011 Expert Panel met on September 18, 2011, in Bethesda, MD to provide input on the criteria by which new or enhanced CHIPRA quality measures will be assessed by future expert panels.
AHRQ is soliciting the submission of measures of children's health care quality for potential inclusion in the CHIPRA 2013 Improved Core Set of Health Care Quality Measures for potential voluntary use by State Medicaid and Children's Health Insurance Programs, and other potential purposes under CHIPRA. Submissions are due within 60 days of February 24, 2012. The Federal Register notice is available at http://www.gpo.gov/fdsys/pkg/FR-2012-02-24/html/2012-4267.htm (PDF File, Plugin Software Help).
Select for more information about the PQMP.
Institute of Medicine ReportThe CHIPRA legislation called for the Institute of Medicine (IOM) to study and prepare a report on efforts to measure child health status and the quality of health care for children across the pediatric age span. The report is available at http://iom.edu/Reports/2011/Child-and-Adolescent-Health-and-Health-Care-Quality.aspx.
Identification of the Initial Core Set of Children's Health Care Quality MeasuresCHIPRA required that an initial core set of children's health care quality measures for voluntary use by Medicaid and CHIP programs be posted for public comment by January 1, 2010. The legislation required that the measure set:
- Be drawn from measures already in use to measure children's health care quality.
- A full array of health care quality domains.
- A broad array of health care services affecting children.
- Children of all ages, all children's health care settings and providers.
- Be evidence-based.
- Be understandable to families.
- Allow identification of disparities by race, ethnicity, socioeconomic status, and special health care need status.
AHRQ organized a publicly transparent, evidence-informed process to identify the initial core set of measures for consideration by CMS and the Secretary of HHS. The SNAC submitted a report to AHRQ (select for the SNAC Report detailing their work). The measure set was posted for public comment by the legislative deadline. In February 2011, CMS posted technical specifications for the measures to be used by State programs (http://www.cms.gov/MedicaidCHIPQualPrac/Downloads/CHIPRACoreSetTechManual.pdf; Plugin Software Help).
At AHRQ's request, SNAC Co-Chair Rita Mangione-Smith prepared a thoughtful overview and evaluation of the Subcommittee's work in identifying the initial core set of quality measures, including a number of "lessons learned" along the way that could benefit similar future endeavors. The report, Lessons Learned from the Process Used to Identify an Initial Core Quality Measure Set for Children's Health Care in Medicaid and CHIP, is now available.
Additional reports, meeting transcripts, and other documents pertaining to the SNAC and the process of identifying the initial core set of measures are available. (Select Archived Materials.)
More AHRQ Resources
Child Health Care Quality, Medicaid, and CHIP
- Child & Adolescent Health
- Child Health Insurance Research Initiative (CHIRI™)
- National Healthcare Quality Report and National Healthcare Disparities Report, 2010
- Selected findings on child and adolescent health care from the 2010 National Healthcare Quality and Disparities Reports
- National Quality Measures Clearinghouse (NQMC)
- Pediatric Quality Indicators
- Consumer Assessment of Healthcare Providers and Systems (CAHPS®)
- Technical Assistance for Health Information Technology and Health Information Exchange in Medicaid and CHIP
- MEPS Topics: Children's Health; reports and data files from AHRQ's Medical Expenditure Panel Survey
Centers for Medicare & Medicaid Services
- CMS CHIPRA Web site
- Second Annual Multi-State Health IT Collaborative for E-Health Conference, February 8-9, 2010
Handouts and an audio recording of the HITECH conference call are available for download at http://www.cms.gov/EHRIncentivePrograms/ under "Related Links Inside CMS."
- CMS Technical Specifications
http://www.cms.gov/MedicaidCHIPQualPrac/Downloads/CHIPRACoreSetTechManual.pdf; Plugin Software Help
- CMS Technical Assistance
http://www.cms.gov/CHIPRA/17_TechnicalAssistance.asp#TopOfPage; Plugin Software Help
Current as of March 2012
Children's Health Care Quality: Activities Related to the Children's Health Insurance Program Reauthorization Act (CHIPRA). March 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/chipra/index.html
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