Child Health Quality Measures 2010
1 - Community-based service systems are organized for ease of useOrganization: Child and Adolescent Health Measurement Initiative
Description: Whether CSHCN's families report difficulties using any of the health related services needed by child during the past 12 months
Type: Process
2 - CSHCN youth receive services needed for transition to adulthoodOrganization: Child and Adolescent Health Measurement Initiative
Description: Whether CSHCN ages 12-17 have doctors who usually/always encourage increasing responsibility for self-care AND (when needed) have discussed transitioning to adult health care, changing health care needs, and how to maintain insurance coverage
Type: Outcome
3 - Developmental riskOrganization: Child and Adolescent Health Measurement Initiative
Description: Whether child is at moderate or severe risk of developmental, social, or behavioral delays (modified version of copyrighted PEDS)
Type: Outcome
4 - Personal doctor or nurseOrganization: Child and Adolescent Health Measurement Initiative
Description: Whether child has one or more doctors, nurses or other healthcare providers who know the child well
Type: Process
5 - Usual source for sick and well careOrganization: Child and Adolescent Health Measurement Initiative
Description: Whether child has a source of care that is known and continuous, both for sick and well care
Type: Process
6 - CSHCN ScreenerOrganization: Child and Adolescent Health Measurement Initiative
Description: Whether a child currently experiences any of five different health consequences, and if so, whether that specific health consequence is due to a medical, behavioral, or other type of health condition that has lasted or is expected to last 12 months or longer.
Type: Outcome
7 - Newborn screening and follow-upOrganization: HRSA- MCHB
Description: Was newborn screening performed?
Was NBS satisfactory or unsatisfactory (valid or invalid)
Was NBS normal or out of range?
If out of range - did appropriate follow-up occur?
Was PCP notified of NBS results?
Was family notified of NBS results?
Type: Process
8 - Intervention no later than 6 months of age (EHDI-4a)Organization: Centers for Disease Control and Prevention (CDC)
Description: This measure assesses the percentage of infants with a permanent hearing loss who have been referred to intervention services no later than age 6 months of age.
Type: Process
9 - Hearing screening prior to hospital discharge (EHDI-1a)Organization: Centers for Disease Control and Prevention (CDC)
Description: This measure assesses the percentage of births that have been screened for hearing loss before hospital discharge.
Type: Process
10 - Hearing Screening refer rate at hospital discharge (EHDI-1b)Organization: Centers for Disease Control and Prevention (CDC)
Description: This measure assesses the percentage of all newborn infants who fail initial screening and fail any subsequent re-screening before hospital discharge.
Type: Process
11 - Infants identified with risk factors and have an audiological diagnosis (EHDI-2b)Organization: Centers for Disease Control and Prevention (CDC)
Description: This measure assesses the percent of young children in a practice that have an identified risk factor for delayed onset or progressive hearing loss and have an audiological diagnosis.
Type: Process
12 - Outpatient hearing screening of infants who did not complete screening before hospital discharge (EHDI-1c)Organization: Centers for Disease Control and Prevention (CDC)
Description: This measure assesses the percent of infants not screened at birth who receive outpatient screening by 30 days of age.
Type: Process
13 - Infants identified with risk factors within the Medical Home (EHDI-2a)Organization: Centers for Disease Control and Prevention (CDC)
Description: This measure assesses the percent of infants in a practice that have completed risk factor analysis for delayed onset or progressive hearing loss within the first year of life.
Type: Process
14 - Referral to intervention within 48 hours (EHDI-4b)Organization: Centers for Disease Control and Prevention (CDC)
Description: This measure assesses the percent of infants and young children referred to intervention within 48 hours of the confirmation of permanent hearing loss.
Type: Process
15 - Audiological Evaluation no later than 3 months of age (EHDI-3)Organization: Centers for Disease Control and Prevention (CDC)
Description: This measure assesses the number of newborns who did not pass hearing screening and have an audiological evaluation no later than age 3 months of age.
Type: Process
16 - OPTIMAL LIFESTYLE — CHILDRENOrganization: HealthPartners
Description: The rates represent the percent of surveyed members who reported compliance with all components of an optimal lifestyle: physical activity, healthy eating and second-hand tobacco exposure during the past year.
Optimal lifestyle is defined as:
• Physical activity for a total of 30 minutes throughout the day for four or more days a week
• Healthy eating of five or more fruits and vegetables in a typical day
• No exposure to second-hand smoke
Type: Process
17 - PREVENTIVE SERVICES — CHILDOrganization: HealthPartners
Description: The rates represent the percent of enrolled members ages 18 and younger by end of measurement period, who are up-to-date (UTD) for all appropriate preventive services and the up-to-date rate by each service type. The measure includes preventive screening appropriate to each member’s age and gender including immunizations and vital statistics.
Type: Process
18 - 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
19 - 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
20 - 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
