Child Health Quality Measures 2010

1 - Promoting Healthy Development Survey (PHDS)
Organization: Child and Adolescent Health Measurement Initiative
Description: 43-item survey given to parents of children ages 3 to 48 months that assesses parent’s experience with care for the provision of preventive and developmental services consistent with American Academy of Pediatrics and Bright Futures practice guidelines.

Intend to re-submit under "child health quality measures" rubric
Type: Process
2 - Young Adult Health Care Survey (YAHCS)
Organization: Child and Adolescent Health Measurement Initiative
Description: 54-item survey given to teenagers that assesses whether young adults (age 14 and older) are receiving nationally-recommended preventive services.

Intend to re-submit under "child health quality measures" rubric
Type: Process
3 - Family-centered care
Organization: Child and Adolescent Health Measurement Initiative
Description: A composite measure designed to assess the family-centeredness of care delivery along several dimension: whether doctor partners with family in care, whether the doctor listens to patient/parent carefully etc.
Type: Process
4 - Adolescent Preventive Care
Organization: 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
5 - Parent report of BMI status
Organization: Child and Adolescent Health Measurement Initiative
Description: Age and gender specific calculation of BMI based on parent reported height and weight of child
Type: Outcome
6 - Children with ongoing behavioral, emotional, or developmental special health needs
Organization: Child and Adolescent Health Measurement Initiative
Description: Assesses how many children have ongoing behavioral, emotional or developmental special health needs
Type: Outcome
7 - Preventive medical visits
Organization: Child and Adolescent Health Measurement Initiative
Description: Assesses how many medical preventive visits in a 12 month period (does not include visits related to specific illnesses)
Type: Outcome
8 - Preventive dental visits
Organization: Child and Adolescent Health Measurement Initiative
Description: Assesses how many preventive dental visits in a 12 month period (does not include visits related to specific dental issues)
Type: Outcome
9 - Decay or cavities
Organization: Child and Adolescent Health Measurement Initiative
Description: Assesses if children have had tooth decay or cavities in the past 6 months (only children with natural teeth, age 1-17 years)
Type: Outcome
10 - Use of mental health services
Organization: Child and Adolescent Health Measurement Initiative
Description: Assesses if children have received any treatment or counseling from a mental health professional in the past 12 months
Type: Outcome
11 - Provider engages parent around developmental health concerns
Organization: Child and Adolescent Health Measurement Initiative
Description: Assesses quality of care by asking parents if their doctor specifically asked of any concerns they have with their child's (age 0-5 years) development
Type: Process
12 - CSHCN who are screened early and continuously for emerging conditions
Organization: Child and Adolescent Health Measurement Initiative
Description: CSHCN receiving both preventive medical and dental care during the past 12 months
Type: Process
13 - Exposure to secondhand smoke inside home
Organization: Child and Adolescent Health Measurement Initiative
Description: Determines if child lives with a smoker and if that smoker smokes inside the child's house
Type: Outcome
14 - Care provided by family
Organization: Child and Adolescent Health Measurement Initiative
Description: Measure to assess the number of hours that family provides or coordinates care due to child's condition. Proxy measure of health care needs not being met by system
Type: Process
15 - Unmet needs for specialist care
Organization: Child and Adolescent Health Measurement Initiative
Description: Measures how many children needed to see a specialist but did not receive specialist care in the past 12 months
Type: Outcome
16 - Child physical activity
Organization: Child and Adolescent Health Measurement Initiative
Description: Measures how many times per week child exercises vigorously (based on AAP and CDC recommendations)
Type: Outcome
17 - Emergency room visits
Organization: Child and Adolescent Health Measurement Initiative
Description: Measures the number of times a child visited the emergency room in the past 12 months
Type: Outcome
18 - Gaps in health insurance coverage
Organization: Child and Adolescent Health Measurement Initiative
Description: Measures whether children are uninsured at the time of the survey or if currently insured children experienced periods of no insurance during past 12 months
Type: Outcome
19 - Shared decision making
Organization: Child and Adolescent Health Measurement Initiative
Description: Measures whether parent is actively engaged as a partner in child's care (satisfaction with care and engagement in decision-making)
Type: Process
20 - Child and Adolescent Major Depressive Disorder Measure #2: Diagnostic Evaluation
Organization: American Medical Association
Description: Patients with documented evidence that they met the DSM-IV criteria [at least 5 elements with symptom duration of two weeks or longer, including 1) depressed mood (can be irritable mood in children and adolescents) or 2) loss of interest or pleasure] during the visit in which the new diagnosis or recurrent episode was identified
Type: Process