Pediatric Quality Measures Program
Quality Measures Full Reports
The following two tables list children's health care quality measures from the AHRQ-CMS Pediatric Quality Measures Program (PQMP). Table 1 lists available measures that have been developed by PQMP grantees. The list includes links to full reports as they become available. Table 2 lists measure topics for measures in development by PQMP Centers of Excellence grantees.
For more information on any of the measures, contact AHRQChipraqualitymeasures@ahrq.hhs.gov, or you may send an email to the grantee contact noted on the topic fact sheet.
Table 1. Available Measures Developed by PQMP Grantees
Measures Directory:
- Perinatal Care (Services for Delivery of Healthy Newborns)
- Child Clinical Preventive Services
- Management of Acute Conditions
- Management of Chronic Conditions
- Patient Reported Outcomes (Health Outcomes and Patent Experiences of Care)
- Duration of Enrollment and Coverage (Continuity of Coverage)
- Availability of Services
- Medication Reconciliation
Measure Category / Measure Developer / Brief Measure Label | Full Report | Supporting Documents |
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Perinatal Care (Services for Delivery of Healthy Newborns) | ||
PMCoE | ||
Episiotomy (overuse) | Select PDF File (136KB) for the full report for this measure. | Persons using assistive technology may not be able to fully access information in these files. For assistance, please contact Ramesh Sachdeva, Pediatric Measurement Center of Excellence (PMCoE), at 414-266-3022, or rsachdeva@chw.org. |
Select PDF File (352KB) for the full report for this measure. | Persons using assistive technology may not be able to fully access information in these files. For assistance, please contact Ramesh Sachdeva, Pediatric Measurement Center of Excellence (PMCoE), at 414-266-3022, or rsachdeva@chw.org. | |
BMI assessment and recommended weight gain | Select PDF File (157KB) for the full report for this measure. | Persons using assistive technology may not be able to fully access information in these files. For assistance, please contact Ramesh Sachdeva, Pediatric Measurement Center of Excellence (PMCoE), at 414-266-3022, or rsachdeva@chw.org. |
Cesarean delivery for nulliparous women (appropriate use) | Select PDF File (136KB) for the full report for this measure. | Persons using assistive technology may not be able to fully access information in these files. For assistance, please contact Ramesh Sachdeva, Pediatric Measurement Center of Excellence (PMCoE), at 414-266-3022, or rsachdeva@chw.org. |
Postpartum followup and care coordination | Select PDF File (162KB) for the full report for this measure. | Persons using assistive technology may not be able to fully access information in these files. For assistance, please contact Ramesh Sachdeva, Pediatric Measurement Center of Excellence (PMCoE), at 414-266-3022, or rsachdeva@chw.org. |
Child Clinical Preventive Services | ||
NCINQ | ||
Tobacco use and help quitting among adolescents | ||
Sexual activity status among adolescents | ||
PMCoE—Developmental Screening Followup | ||
Follow-up with patient's family after developmental screening | ||
Follow-up referral after positive developmental screen OR an indication from the family that there is a developmental concern. | ||
Follow-up referral tracking | ||
Management of Acute Conditions | ||
CAPQuaM—Temperatures of LBW Newborns | ||
Distribution of temperatures for LBW admitted to level 2 or higher nurseries in first 24 hours of life. | ||
Thermal condition for LBW neonates admitted to level 2 of higher nurseries in first 24 hours of life. | ||
Timely temperatures upon arrival in level 2 or higher nurseries for LBW neonates | ||
Timely temperature for all low birthweight neonates | ||
PMCoE—Dental | ||
Linkage between dental prevention and dental treatment measures | ||
CEPQM—Hospital Readmissions | ||
Pediatric all-condition readmission measure pediatric (NQF endorsed #2393) | Select PDF File (264KB) for the full report for this measure. | Persons using assistive technology may not be able to fully access information in these files. For assistance, please contact Kamila Mistry, Agency for Healthcare Quality Research (AHRQ), at CHIPRAqualitymeasures@ahrq.hhs.gov. |
Lower respiratory infection readmission measure (NQF endorsed #2414) | ||
Q-METRIC—Pediatric Sepsis Syndrome | ||
Protocol for identifying and treating children with sepsis syndrome in the emergency department Accepted by NQMC. |
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Timely blood culture for children with sepsis syndrome Accepted by NQMC. |
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Timely antibiotics for children with severe sepsis or septic shock Accepted by NQMC. |
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Timely fluid bolus for children with severe sepsis or septic shock Accepted by NQMC. |
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Documentation of heart rate during fluid resuscitation for children with severe sepsis or septic shock Accepted by NQMC. |
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Q-METRIC Overuse of Imaging | ||
Overuse of Imaging: Policy for "as low as reasonably achievable" (ALARA) specific to children. Accepted by NQMC. |
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Management of Chronic Conditions | ||
CAPQUAM | ||
Mental Health Followup Measures I: Timeliness of followup visits following hospital discharge of children with a primary mental health diagnosis | ||
COE4CCN | ||
Pediatric Medical Complexity Algorithm | ||
Family Experiences with Coordination of Care measurement set (FECC) |
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PMCOE—ADHD Care | ||
ADHD followup care | ||
Accurate ADHD diagnosis | ||
Behavior therapy as first-line treatment for preschool-aged children with ADHD | ||
CAPQUAM—Emergency Room Use by Children with Asthma | ||
CAPQuaM PQMP Asthma I: Rate of emergency department visit use for children managed for persistent asthma | ||
CAPQuaM PQMP Asthma II: Distribution of emergency department visit use for children managed for persistent asthma | ||
CAPQuaM PQMP Asthma III: Primary care connection prior to emergency department visits for children with identifiable asthma | ||
CAPQuaM PQMP Asthma IV: Primary care connection after emergency department visits for asthma | ||
CAPQuaM PQMP Asthma V: Appropriateness of emergency department visits for children and adolescents with identifiable asthma | ||
NCINQ—Use of antipsychotics | ||
Use of first-line psychosocial care for children and adolescents on antipsychotics | ||
Followup visit for children and adolescents on antipsychotics | ||
Metabolic screening for children and adolescents newly on antipsychotics | ||
Metabolic monitoring for children and adolescents on antipsychotics | ||
Use of multiple concurrent antipsychotics in children and adolescents | ||
Safe and judicious antipsychotic use in children and adolescents | ||
Use of antipsychotic medications in very young children | ||
Use of higher-than-recommended doses of antipsychotics in children and adolescents | ||
Q-METRIC—Sickle Cell Treatment | ||
Appropriate outpatient blood testing. Accepted by NQMC. |
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Anticipatory guidance for pain management. Accepted by NQMC. |
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Anticipatory guidance for prevention of severe fever and infection. Accepted by NQMC. |
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Anticipatory guidance for the prevention of stroke. Accepted by NQMC. |
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Anticipatory guidance regarding school attendance. Accepted by NQMC. |
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Anticipatory guidance for prevention of splenic complications. Accepted by NQMC. |
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Anticipatory guidance regarding hydroxyurea treatment. Accepted by NQMC. |
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HgB S monitoring at time of transfusion (chronic transfusion). Accepted by NQMC. |
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Appropriate ED blood testing. Accepted by NQMC. |
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Appropriate ED fever management. Accepted by NQMC. |
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Appropriate ED pain assessment. Accepted by NQMC. |
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Appropriate ED pain management. Accepted by NQMC. |
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Satisfaction with hematologist care. Accepted by NQMC. |
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Satisfaction with ED care. Accepted by NQMC. |
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Timeliness of confirmatory testing for sickle cell disease. Accepted by NQMC. |
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Timeliness of antibiotic (penicillin) prophylaxis for children with SCD Accepted by NQMC. |
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Appropriate antibiotic prophylaxis for children with sickle cell disease. Accepted by NQMC. |
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Transcranial doppler ultrasonography screening for children with sickle cell disease. Accepted by NQMC. |
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Patient Reported Outcomes (Health Outcomes and Patent Experiences of Care) | ||
CHOP | ||
Pediatric global health | ||
CEPQM | ||
Adolescent Assessment of Preparation for Transition (ADAPT) to Adult-focused health care | ||
Consumer Assessment of Healthcare Providers and Systems Hospital Survey—Child Version (Child HCAHPS) (NQF endorsed #2548) | ||
Duration of Enrollment and Coverage (Continuity of Coverage) | ||
CHOP | ||
Informed coverage (IC) | ||
Coverage presumed ineligible (Coverage PI) | ||
Coverage presumed eligible (Coverage PE) | ||
Coverage in Medicaid and CHIP | ||
Duration of first observed enrollment | ||
Duration of newborn's first enrollment | ||
Availability of Services | ||
CAPQUAM | ||
Assessing the availability of the preconception component of high-risk obstetrical services by estimating the use of teratogenic medications before and during pregnancy | ||
High-risk deliveries at facilities with 24/7 in-house physician capable of safely managing labor and delivery, and performing a cesarean section, including an emergent cesarean section | ||
High-risk deliveries at facilities with 24/7 in-house physician coverage dedicated to the obstetrical service by a qualified anesthesiologist | ||
High-risk deliveries at facilities with 24/7 in-house blood banking / transfusion services available | ||
High-risk deliveries at facilities with level 3 or higher NICU services | ||
Availability of OPD maternal fetal medicine and specialty care for women with high-risk pregnancies | ||
Availability of multidisciplinary OPD care for women with high-risk pregnancies | ||
QMETRIC—Availability of specialty services for children | ||
Reporting of CAHPS Data regarding availability of specialty care for children on Medicaid for whom the family made specialist appointments for their child | ||
Reporting of supplemental CAHPS data regarding availability of treatment or counseling services for children on Medicaid for whom the family sought treatment or counseling for an emotional, developmental, or behavioral problem | ||
Medication Reconciliation | ||
CAPQUAM | ||
Medication reconciliation Set 1: Desirable attributes of medication reconciliation by organizational self-report and attestation (10 measuresi) |
Note: The PMCOE testing population for this measure. was Medicaid enrollees. However, we were not able to apply eligibility for EPSDT services to our feasibility testing using MarketScan Medicaid database.
This work was funded by the Agency for Healthcare Research and Quality (AHRQ) and the Centers for Medicare & Medicaid Services (CMS) under the CHIPRA Pediatric Quality Measures Program Centers of Excellence grants. The measure(s) noted in the table, while copyrighted, can be reproduced and distributed, without modification, for noncommercial purposes (e.g., for use by health care providers in connection with their practices). Commercial use of the measures requires a license agreement between the user and copyright owner(s). Neither copyright owner(s) nor their members shall be responsible for any use of the measures.
LEGEND: ADHD = attention deficit/hyperactivity disorder; BMI = body mass index; CAPQuaM = Mount Sinai Collaboration for Advancing Pediatric Quality Measures; CEPQM = Children's Hospital Boston Center of Excellence for Pediatric Quality Measurement; CHIPRA = Children's Health Insurance Program Reauthorization Act; CHOP = Center of Excellence at the Children's Hospital of Philadelphia/University of Pennsylvania; CPT = current procedure terminology; DRG = diagnosis-related group; DSM-IV-TR = Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision; ED = emergency department; EMR = Electronic Medical Record; HCAHPS = Consumer Assessment of Healthcare Providers and Systems Hospital Survey; ICD-9 = International Classification of Diseases, Ninth Revision; LBW = low birthweight; LRI = lower respiratory infection; M-CHIP = Medicaid/Children's Health Insurance Program; MS/DRG = measure of severity/diagnosis-related group; NCINQ = National Collaborative for Innovation in Quality Measurement; NICU = neonatal intensive care unit; OPD = outpatient department; NQMC = National Quality Measures ClearinghouseTM (http://www.qualitymeasures.ahrq.gov); PGHM = pediatric global health measure; PMCoE = Pediatric Measurement Center of Excellence; PQMP = Pediatric Quality Measures Program; Q-METRC = Quality Measurement, Evaluation, Testing, Review, and Implementation Consortium; SCD = sickle cell disease; STI = sexually transmitted infection; TCD = transcranial Doppler.
i Measure foci are: IT infrastructure for medication reconciliation; policy infrastructure for medication reconciliation; medication-related communications with families; medication-related communications with clinicians; medication reconciliation procedures (extent to which reported practices achieve desirable attributes on practices such as medication history, sharing of information; frequency of medication reconciliation; content and comprehensiveness of medication reconciliation; involvement of pharmacists; use of medication reconciliation (extent to which medication reconciliation processes are audited and incorporated into organizational reporting and improvement activities); privacy score; medication reconciliation assessment performance score (an overall performance score that is algorithmically determined to incorporate multiple categories).