CHIPRA Pediatric Quality Measures Program Update
On September 12, 2012, the 2012 Subcommittee on Child Health Quality Measures (SNAC) of the AHRQ National Advisory Council on Healthcare Research and Quality completed its final review of potential measures to be added to the improved core set and for other purposes, according to the CHIPRA legislation. The SNAC recommended 7 of the 63 measures submitted by public nominators and the CHIPRA PQMP Centers of Excellence. Recommended measures covered the topics of HPV vaccine, asthma, harm from imaging, duration and coverage in Medicaid and CHIP, content of prenatal care, and tobacco screening and help with quitting. The Centers for Medicare & Medicaid Services will make a public announcement by the legislative deadline of January 1, 2013. For a timeline of CHIPRA PQMP events and additional information, visit: http://www.ahrq.gov/chipra/#Core2
Improving the Initial Core Set: The CHIPRA Pediatric Quality Measures Program
National Evaluation of the CHIPRA Quality Demonstration Grant Program
Model Children's EHR Format
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:
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's National Advisory Council on Healthcare Research and Quality has appointed a Subcommittee on Quality Measures for Children's Healthcare to review publicly nominated and Centers of Excellence (CoE)-developed children's health care quality measures for potential inclusion in improved core measure sets and for other CHIPRA purposes.
National Evaluation of the CHIPRA Quality Demonstration Grant ProgramIn February 2010, CMS awarded grants to 10 States to identify effective, replicable strategies to enhance quality of care and improve care delivery for children enrolled in Medicaid and CHIP. Through partnerships and collaboration, 18 States are implementing 51 projects in five general categories: the use of quality measures, health information technology applications, provider-based delivery models, use of a model format for pediatric electronic health records, and other innovative approaches to improve quality.
AHRQ is leading the national evaluation of this program. Select for more information about the National Evaluation of the Quality Demonstration Grant Program.
Model Children's EHR FormatExisting electronic health record (EHR) systems often do not optimally facilitate care for children. To address this deficiency, AHRQ and CMS are cosponsoring the development, testing, and dissemination of a model children's EHR format. The model format describes a set of requirements for child-specific items and items of special importance for children that should be included in a pediatric EHR. Several States are planning to field-test a prototype of the model children's EHR format. It is anticipated that the model format could become more widely available for public review in the fall of 2012.
Select for more information about the model pediatric EHR format.
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:
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
Centers for Medicare & Medicaid Services
Current as of September 2012
Children's Health Care Quality: Activities Related to the Children's Health Insurance Program Reauthorization Act (CHIPRA). September 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/chipra/index.html