Recommendations to Improve Children's Health Care Quality Measures
Background Report on the 2012 Process
This background report describes the process used to identify, evaluate, and select children's health care quality measures to be recommended for addition to the initial core set of 24 measures released by the Secretary, U.S. Department of Health and Human Services, in December 2009.
Table 1. SNAC Scoring Opportunities
Scoring Opportunity | CPCF Section/Desirable Measure Attribute | Instructions for Delphi Scoring |
---|---|---|
1 | II.A. General Importance of the Measure Topic | Please score the general importance of the measure topic (e.g., is the measure topic important to improving care for a condition that is highly prevalent) by taking into consideration the information in CPCF Section III.A. |
2 | III.B. Importance of the Measure to Medicaid and CHIP Topic | Please score the importance of the measure topic to Medicaid and CHIP (i.e., extent to which measure is understood to be sensitive to changes in Medicaid or CHIP policy or quality improvement strategies, and relevance to the Early Periodic Screening, Diagnosis, and Treatment (EPSDT) benefit in Medicaid) by taking into consideration the information in CPCF Section III.B. |
3 | V.A. Research Evidence for the Underlying Focus of the Measure | Please score research evidence for the underlying focus of the measure by taking into consideration the information in CPCF Section V.A. |
4 | V.B. Clinical or Other Rationale Supporting the Focus of the Measure | Please score the clinical or other rationale supporting the focus of the measure by taking into consideration the information in CPCF Section V.B. |
5 | VI.B. Validity | Please score the validity of the measure (i.e., does the measure meaningfully represent the concept being evaluated and its relationship to measuring quality?) by taking into consideration the information in CPCF Section VI.B. |
6 | Section VII: Identification of Disparities | Please score the overall ability of the measure to identify disparities in one or more categories (i.e., through evidence that the measure was tested in a diverse population including these categories) by taking into consideration the information in CPCF Sections VII.A through VII.E. |
7 | Section VIII: Feasibility | Please score the feasibility of implementing the measure now or in the near future by taking into consideration the information in CPCF Sections VIII.A and VIII.B. |
8 | Section X: Understandability | Please score the ability of the measure to help providers and consumers understand the quality of care for children by taking into consideration the information in CPCF Section X. |
9 | Section XI: Health Information Technology | Please score the readiness of the measure to be implemented within health IT systems and the likelihood that use of this measure with health IT could enhance performance on the measure (e.g. through use of clinical decision support), by taking into consideration the information in CPCF Section XI. |
10 | After Section XIII. Summary Rationale "Provide Global or Summary Rating for the Measure" | Please provide your global or summary rating of the measure, considering the aspects in scoring opportunities 1-9. |
11 | Provide Global or Summary Rating for the Measure as Part of the Improved Core Set for Voluntary Use by Medicaid and CHIP | Please rate your level of agreement that the measure should be part of the improved core set for Medicaid and CHIP. |
12 | Provide Global or Summary Rating for Purposes Other than the Improved Core Set (e.g. other public and private purchasers and programs) | Please rate your level of agreement that the measure should be used for purposes other than the improved core set (e.g., other public and private purchasers and programs) |