Child Health Quality Measures 2010
1 - Adolescent Preventive CareOrganization: New York State Department of Health
Description: Adolescent preventive care measures address risk behaviors most commonly associated with morbidity and mortality for adolescents and young adults. The provision of preventive care involving these areas is recommended for all adolescents. The adolescent preventive care measures reflect the rates at which adolescents are interacting with health care providers regarding the topics during visits.
The percentage of adolescents ages 12 to 17 who had at least one had an outpatient visit with a PCP or OB/GYN practitioner during the measurement year, receiving the following components of care during the measurement year:
1. Assessment or counseling or education on risk behaviors and preventive actions associated with sexual activity,
2. Assessment or counseling or education for depression,
3. Assessment or counseling or education about the risks of tobacco usage, and
4. Assessment or counseling or education about the risks of substance use (including alcohol and excluding tobacco).
The four components are reported separately as individual rates for the components.
Type: Process
2 - Risky Behavior ScreeningOrganization: National Committee for Quality Assurance
Description: The percentage of adolescents who turned 18 years old during the measurement year and who had a risky behavior screening and proper follow-up performed during the two years prior to the child's 18th birthday.
Type: Process
3 - Oral Health AccessOrganization: National Committee for Quality Assurance
Description: The percentage of children who had an oral health exam and proper follow-up performed. Four rates are reported:
1. By 2 years of age
2. By 6 years of age
3. By 13 years of age
4. By 18 years of age
Type: Process
4 - Vision ScreeningOrganization: National Committee for Quality Assurance
Description: The percentage of children who had a vision screening and proper follow-up. Three rates are reported:
1. By age 6 years
2. By age 13 years
3. By age 18 years
Type: Process
5 - Adolescent ImmunizationOrganization: National Committee for Quality Assurance
Description: The percentage of adolescents who had proper immunizations. Two rates are reported:
1. By age 13 years
2. By age 18 years
Type: Process
6 - Healthy Physical Development (BMI & Lifestyle Counseling)Organization: National Committee for Quality Assurance
Description: The percentage of children who had a BMI assessment and counseling for physical activity, nutrition, and screen time. Three rates are reported:
1. By age 6 years
2. By age 13 years
3. By age 18 years
Type: Process
7 - Lead ScreeningOrganization: National Committee for Quality Assurance
Description: The percentage of children 2 years of age who had one or more venous lead blood test for lead poisoning by their second birthday.
Type: Process
8 - Comprehensive Well Care for Children by Age 6 MonthsOrganization: National Committee for Quality Assurance
Description: The percentage of children who turned 6 months old during the measurement year and who had the following indicators of comprehensive well care documented between birth and six months of life.
Seven rates across three domains are reported.
Protection of Health
1. Newborn Hearing Screening
2. Newborn Metabolic or Other Screening
Healthy Cognitive, Social-Emotional, Behavioral and Physical Development
3. Breastfeeding Counseling
4. Physical Growth Assessment
5. Maternal Depression Screening
Protection of Health Through a Safe Environment
6. Sudden Infant Death Syndrome Counseling
7. Environmental Tobacco Counseling
Type: Process
9 - Comprehensive Well Care for Children by Age 2 YearsOrganization: National Committee for Quality Assurance
Description: The percentage of children who turned two years old during the measurement year and who had the following indicators of comprehensive well care documented between 6 months and 2 years of life.
Eight rates across three domains are reported:
Protection of Health
1. Immunizations
2. Iron Deficiency Assessment and Supplementation
3. Oral Health Access
4. Lead Screening
Healthy Cognitive, Social-Emotional, Behavioral and Physical Development
5. Developmental Screening
6. Autism Screening
7. Physical Growth Assessment
Protection of Health Through a Safe Environment
8. Environmental Tobacco Counseling
Type: Process
10 - Comprehensive Well Care for Children by Age 6 YearsOrganization: National Committee for Quality Assurance
Description: The percentage of children who turned six years old during the measurement year and who had the following indicators of comprehensive well care documented in the two years prior to the child’s sixth birthday.
Seven rates across three domains are reported.
Protection of Health
1. Immunizations
2. Vision Screening
3. Oral Health Access
4. Blood Pressure Screening
Healthy Cognitive, Social-Emotional, Behavioral and Physical Development
5. Healthy Physical Development
6. Mental Health Screening
Protection of Health Through a Safe Environment
7. Environmental Tobacco Counseling
Type: Process
11 - Comprehensive Well Care for Children by Age 13 YearsOrganization: National Committee for Quality Assurance
Description: The percentage of children who turned 13 years old during the measurement year and who had the following indicators of comprehensive well care documented two years prior to the child’s thirteenth birthday.
Seven rates across two domains are reported.
Protection of Health
1. Immunizations
2. Vision Screening
3. Oral Health Access
4. Blood Pressure Screening
Healthy Cognitive, Social-Emotional, Behavioral and Physical Development
5. Risky Behavior Screening
6. Healthy Physical Development
7. Depression Screening
Type: Process
12 - Comprehensive Well Care for Children by Age 18 YearsOrganization: National Committee for Quality Assurance
Description: The percentage of children who turned 18 years old during the measurement year and who had the following indicators of comprehensive well care documented in the two years prior to the child’s eighteenth birthday.
Eight rates across two domains are reported.
Protection of Health
1. Immunizations
2. Oral Health Access
3. Vision Screening
4. Blood Pressure Screening
5. Chlamydia Screening
Healthy Cognitive, Social-Emotional, Behavioral and Physical Development
6. Risky Behavior Screening
7. Healthy Physical Development
8. Depression Screening
Type: Process
13 - Depression ScreeningOrganization: National Committee for Quality Assurance
Description: The percentage of adolescents who had a depression screening and proper follow-up. Two rates are reported:
1. By age 13 years
2. By age 18 years
Type: Process
14 - Annual Dental VisitOrganization: National Committee for Quality Assurance
Description: The percentage of members 2–21 years of age who had at least one dental visit during the measurement year.
Type: Process
15 - Adolescent Well-Care VisitsOrganization: National Committee for Quality Assurance
Description: The percentage of enrolled members 12–21 years of age who had at least one comprehensive well-care visit with a PCP or an OB/GYN practitioner during the measurement year.
Type: Process
16 - Child and Adolescents’ Access to Primary Care PractitionersOrganization: National Committee for Quality Assurance
Description: The percentage of members 12 months–19 years of age who had a visit with a PCP. The organization reports four separate percentages for each product line.
- Children 12–24 months who had a visit with a PCP during the measurement year
- Children 25 months–6 years who had a visit with a PCP during the measurement year
- Children 7–11 years who had a visit with a PCP during the measurement year or the year prior to the measurement year
- Adolescents 12–19 years who had a visit with a PCP during the measurement year or the year prior to the measurement year
Type: Process
17 - Frequency of Ongoing Prenatal CareOrganization: National Committee for Quality Assurance
Description: The percentage of Medicaid deliveries between November 6 of the year prior to the measurement year and November 5 of the measurement year that received the following number of expected prenatal visits.
•<21 percent of expected visits
•21 percent–40 percent of expected visits
•41 percent–60 percent of expected visits
•61 percent–80 percent of expected visits
•=81 percent of expected visits
This measure uses the same denominator as the Prenatal and Postpartum Care measure.
Type: Process
18 - Prenatal & Postpartum CareOrganization: National Committee for Quality Assurance
Description: The percentage of deliveries of live births between November 6 of the year prior to the measurement year and November 5 of the measurement year. For these women, the measure assesses the following facets of prenatal and postpartum care.
•Timeliness of Prenatal Care. The percentage of deliveries that received a prenatal care visit as a member of the organization in the first trimester or within 42 days of enrollment in the organization.
•Postpartum Care. The percentage of deliveries that had a postpartum visit on or between 21 and 56 days after delivery.
Type: Process
19 - Well-Child Visits in the First 15 Months of LifeOrganization: National Committee for Quality Assurance
Description: The percentage of members who turned 15 months old during the measurement year and who had the following number of well-child visits with a PCP during their first 15 months of life.
•No well-child visits
•One well-child visit
•Two well-child visits
•Three well-child visits
•Four well-child visits
•Five well-child visits
•Six or more well-child visits
Type: Process
20 - Well-Child Visits in the Third, Fourth, Fifth, and Sixth Years of LifeOrganization: National Committee for Quality Assurance
Description: The percentage of members 3–6 years of age who received one or more well-child visits with a PCP during the measurement year.
Type: Process
