Child Health Quality Measures 2010
1 - Optimal Asthma CareOrganization: MN Community Measurement
Description: The Optimal Asthma Care measure is a composite measure. The measure reflects the percentage of pediatric patients (ages 5 and older) who have optimally managed asthma as defined as: a) Asthma is well-controlled; b) Patient is not at increased risk of exacerbations; and c) Patient has been educated and has a current, written asthma action/management plan.
Asthma control is assessed using one of three validated asthma control tools. Asthma risk of exacerbations is assessed by asking the patient about emergency department visits and hospitalizations due to asthma in the past 12 months. Asthma education with a current, written asthma management/action plan is completed using an asthma action plan that contains information on: medication doses and purposes, how to recognize and what to do during an exacerbation, and the patient's triggers.
Type: Outcome
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 - Preventive dental visitsOrganization: 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
4 - Decay or cavitiesOrganization: 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
5 - Exposure to secondhand smoke inside homeOrganization: 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
6 - Children with ongoing behavioral, emotional, or developmental special health needsOrganization: Child and Adolescent Health Measurement Initiative
Description: Assesses how many children have ongoing behavioral, emotional or developmental special health needs
Type: Outcome
7 - Use of mental health servicesOrganization: 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
8 - Child physical activityOrganization: Child and Adolescent Health Measurement Initiative
Description: Measures how many times per week child exercises vigorously (based on AAP and CDC recommendations)
Type: Outcome
9 - Parent report of BMI statusOrganization: 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
10 - Emergency room visitsOrganization: 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
11 - Unmet needs for specialist careOrganization: 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
12 - Gaps in health insurance coverageOrganization: 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
13 - Preventive medical visitsOrganization: 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
14 - 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
15 - 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
16 - Family-centered careOrganization: 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
17 - Shared decision makingOrganization: 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
18 - Provider engages parent around developmental health concernsOrganization: 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
19 - CSHCN who are screened early and continuously for emerging conditionsOrganization: Child and Adolescent Health Measurement Initiative
Description: CSHCN receiving both preventive medical and dental care during the past 12 months
Type: Process
20 - 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
