Reports from the States
Contents
- Using the Core Set of Quality Measures
- Promoting Health IT Infrastructures
- Evaluating Provider-Based Models
- Demonstrating the Impact of a Model Pediatric EHR Format
- Other Strategies for Quality Improvement
- Cross-Cutting Initiatives
Note: The following information has been submitted by the CHIPRA Quality Demonstration States and is made available on this Web site as a courtesy. The description of any product, policy, program, or other resource on this Web site does not imply an endorsement by AHRQ, the U.S. Department of Health and Human Services (HHS), or any other Government agency.
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Using the Core Set of Quality Measures
Child Health Quality in Maine: Practice Survey Report 2011–2014
This report summarizes the results of the 2014 survey and also provides a comparison of data from 2011 and 2014 to provide information on how statewide quality improvement has changed in Maine’s child-serving practices. In addition, results are also presented on 2014-only survey questions, which cover Improving Health Outcomes for Children (IHOC) and First STEPS-specific topics.
Massachusetts Findings on Usefulness of Quality Measures for Families and Providers
Massachusetts conducted focus groups with families and interviews with providers to determine if they valued information about quality measures, how and to what extent they would use that information, and how the information should be presented.
Illinois 2013 CHIPRA Data Book
The 2013 CHIPRA Data Book reports on the core measure set of children’s quality measures for the years 2009-2012.
Maine Improving Health Outcomes for Children Bright Futures As-Is Assessment
This report summarizes the findings of a study of how Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) and other clinical data are currently entered, used, and exchanged electronically through information systems at selected pediatric practices and health systems, the State of Maine, and the State’s health information exchange.
This report presents the results of 17 of the CHIPRA Core Measures collected using MaineCare claims or Vital Statistics data and results from the additional child health measures from the IHOC Master List of Pediatric Measures that are not CHIPRA measures for 2009-2012.
Improving Health Outcomes for Children (IHOC) First STEPS Initiative Final Evaluation Reports
Phase I: Improving Immunizations for Children and Adolescents
Phase II: Improving Developmental, Autism, and Lead Screening for Children
Phase III: Improving Oral Health and Healthy Weight in Children
These reports evaluate First STEPS (Strengthening Together Early Preventive Services), an initiative to support measure-driven practice improvement in pediatric and family practices across the State.
Maine Pediatric and Family Practice Survey Chartbook
This report summarizes baseline survey results for more than one-quarter of family practices and nearly two-thirds of all pediatric practices in Maine about how they use data, clinical guidelines, and office systems to monitor and improve children’s health care quality.
Promoting Health IT Infrastructures
Maine Improving Health Outcomes for Children Bright Futures As-Is Assessment
This report summarizes the findings of a study of how Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) and other clinical data are currently entered, used, and exchanged electronically through information systems at selected pediatric practices and health systems, the State of Maine, and the State’s health information exchange.
Improving Health Outcomes for Children (IHOC) First STEPS Initiative Final Evaluation Reports
Phase II: Improving Developmental, Autism, and Lead Screening for Children
This report evaluates the second phase of First STEPS (Strengthening Together Early Preventive Services), an initiative to support measure-driven practice improvement in pediatric and family practices across the State.
Evaluating Provider-Based Models
Florida Pediatric Medical Home Demonstration Project
This Web site highlights the successes, lessons learned and quality improvement outcomes of this demonstration project. It also includes helpful resources, including a video promoting the value and benefits of medical home to patients, families, and health care professionals. The video features interviews with a parent partner and health care professionals who participated in the demonstration project.
Family Engagement Guide: The Role of Family Health Partners in Quality Improvement Within a Pediatric Medical Home
The Massachusetts CHIPRA team produced this guide that will help practices determine if they are ready to work with families as improvement partners, how to recruit and work with Family Health Partners and how to evaluate, sustain and improve the Family Health Partners role and relationship.
NICHQ-NCQA Medical Home Transformation Crosswalk
This tool, developed by the Massachusetts CHIPRA Medical Home team, helps to compare the change concepts in NICHQ’s Pediatric Medical Home Framework to the 2014 NCQA PCMH Standards.
Quality Improvement Collaborative for Care Management Entities
This Web site hosts various resources and information for care management entities (CMEs), based on the experiences of Maryland, Wyoming, and Georgia as part of the CHIPRA quality demonstration.
Massachusetts Findings from Patient Experience Survey
This report summarizes findings from the patient experience survey taken by parents of children enrolled in primary care practices participating in the Medical Home Learning Collaborative. Parents were surveyed at the beginning, middle, and end of the collaborative.
Patient-Centered Medical Home (PCMH) Toolkit
South Carolina created this toolkit to provide guidance and insight into the PCMH certification process. It outlines standards, resources, documentation requirements, and examples to help practices navigate requirements for achieving certification.
Listening and Learning from Families: Crisis Services and the Experiences of Families Caring for Children and Youth with Mental Health Needs
This report summarizes information gained from focus groups with families about their experiences with crisis services and caring for children and youth with mental health needs.
Listening and Learning from Families: The Physical Health and Health Care of Children and Youth Being Served by Care Management Entities in Maryland
This report summarizes information gained from focus groups with families whose children are served by care management entities and explores their physical health and access to and utilization of health and dental care.
Community Care of North Carolina
The North Carolina CHIPRA team created a video series that highlights issues faced by adolescent patients and their providers and offers suggestions for how to address those situations.
The Medical Home Portal, developed by Utah, provides reliable and useful information for professionals and families to help them care and advocate for children with special health care needs (CSHCN) as partners in the Medical Home model.
Youth Engagement with Health Services (YEHS!) Survey
The YEHS! was developed by CHIPRA quality demonstration staff in Colorado to measure adolescents’ experiences with health care in a school-based health center setting. Colorado developed a High School Version and a Middle School Version.
New Mexico School-Based Health Centers Encounter Data Analysis
Medical encounter data were analyzed for adolescents aged 14-19 from 61 school-based health centers in New Mexico for the years 2010-2011 and 2011-2012.
Illinois CHIPRA Medical Home Project Baseline Results
This report presents baseline results for Illinois CHIPRA quality demonstration practices that completed the NCQA self-assessment.
Demonstrating the Impact of a Model Pediatric EHR Format
Currently there are no reports to post from CHIPRA quality demonstration States under Category D. Check back to see when more reports are posted, or sign up to receive email updates when new CHIPRA quality demonstration resources are posted.
Other Strategies for Quality Improvement
Massachusetts Child Health Quality Coalition
Founded with support from the CHIPRA quality demonstration, the MA Child Health Quality Coalition advocated for improved child health care quality and measurement, and to serve as a neutral convener of a broad-based set of stakeholders to facilitate a shared understanding of pediatric health care quality priorities across Massachusetts. Their Web site includes many resources on care coordination, quality measures, and medical homes.
Care Coordination Key Elements Framework
The framework, produced by the Massachusetts Child Health Quality Coalition, identifies important objectives and processes within each domain of care coordination, along with domain-associated measures that can be used to monitor implementation success.
Communication Matters: A Guide for Sharing Information about a Child’s Care
The guide, from the Massachusetts Child Health Quality Coalition, gives tips, tools, forms, and resources for communication among families and youth, primary care providers, behavioral health providers, and schools.
Neonatal Catheter Associated Blood Stream Infection (NCASBI) Quality Improvement Initiative
This presentation, from the Florida Perinatal Quality Collaborative, which is partially supported by the CHIPRA quality demonstration, describes the results of a quality improvement initiative to reduce central line associated infections in newborns.
The National Improvement Partnership Network: State-Based Partnerships That Improve Primary Care Quality
This article in an Academic Pediatrics supplement describes the work of the National Improvement Partnership Network , which is helping 20 States develop sustainable State-level improvement partnerships working to improve child health care quality.
Note: This Web site uses the term "national evaluation" to distinguish this evaluation of the entire demonstration program from evaluations commissioned or undertaken by grantees. The word "national" should not be interpreted to mean that findings are representative of the Nation as a whole.
Cross-Cutting Initiatives
Building on the CHIPRA Grant Experience: Key Focus Areas and Sustainability
A new report from Florida and Illinois, “Building on the CHIPRA Grant Experience to Spread and Sustain Quality Health Care for Children: Key Focus Areas and Sustainability Opportunities of the Florida-Illinois CHIPRA Quality Demonstration Grant ” is now available. It describes opportunities for Federal and State Governments, public and private payers, providers, advocates, and other stakeholders to build on critical areas of the CHIPRA Quality Demonstration Grant Program’s success in the key areas of focus.