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 Existing Child-Related Quality Measurement Efforts

What Are States Currently Doing? 

  • Using existing Medicaid quality measures in SCHIP programs.
  • Developing performance measures for separate programs.
    • Participant satisfaction.
    • Access to translators and specialty care.
    • Quality assessments of prenatal care and immunization services.
Quality Indicator Planning to Collect Provide to Health Plans Provide to Enrollees Target for Improvement
Satisfaction 82 79 38 43
Access Translators
Specialty Care

62
77

32
35

29
18

10
13
Quality
Prenatal Care
Immunizations

91
100

68
80

21
18

53
67

What Is Available Nationally?

  • The Health Plan Employer Data and Information Set (HEDIS) utilizes several measures directly related to children and adolescents including:
    • Childhood immunizations.
    • Adolescent immunizations.
    • Well-child visits in 15th month.
    • Well-child visits in 3rd to 6th year.
    • Adolescent well care.

Related Questions

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What led to this?

What other methodological issues are discussed?

Who presented this material?

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