Children's Health Insurance Program Reauthorization Act (CHIPRA) Archive
Identification of the Initial Quality Measures
Creation and Process of the AHRQ National Advisory Council Subcommittee on Children's Healthcare Quality Measures for Medicaid and CHIP Programs
As part of their effort to use a transparent and evidence-based process for identifying an initial core set of pediatric quality measures for voluntary use by Medicaid and CHIP programs, the SNAC held two public meetings that built on interim work done by SNAC members, AHRQ, CMS, and Federal Quality Workgroup staff.
First AHRQ NAC Subcommittee, July 22-23, 2009
Select for the transcript of the first SNAC meeting.
Select for the following presentations:
- Introductory Remarks and Charge to the Subcommittee (PowerPoint® File, 1.7 MB, Web Version)
Carolyn Clancy, M.D., July 22, 2009
- CMS and AHRQ Partnership Overview (PowerPoint® File, 985 KB; Web Version; PDF version - 583.47 KB )
Cindy Mann and Barbara Dailey, July 22, 2009
- Progress Report (PowerPoint® File, 205 KB, Web Version)
Jeffrey Schiff, M.D., M.B.A., and Rita Mangione-Smith, M.D., M.P.H., July 24, 2009
Select for the SNAC report to NAC Summary of Discussion, July 24, 2009.
Second Subcommittee Meeting, September 17-18, 2009
Select to access the second Subcommittee Meeting Webcast.
Select for the transcript of the second SNAC meeting.
Select for the following presentations:
- CHIPRA Quality Measures: NAC Subcommittee Discussion (PowerPoint® File, 995 KB; Web Version)
Kathleen Lohr, Ph.D, and Timothy Brei, M.D., November 13, 2009
- Introductory Remarks to the Subcommittee (PowerPoint® File, 1 MB; Web Version; PDF version - 182.63 KB )
Carolyn Clancy, M.D., September 17, 2009
- Progress Report (PowerPoint® File, 290 KB; Web Version)
Rita Mangione-Smith, M.D., M.P.H., and Jeffrey Schiff, M.D., M.B.A., September 17, 2009
Select for the SNAC report to NAC on Initial Core Set, October 2009.
Select for the SNAC report to NAC Summary of Discussion, November 13, 2009.
At AHRQ's request, SNAC Co-Chair Rita Mangione-Smith prepared a thoughtful overview and evaluation of the Subcommittee's work in identifying the initial core set of quality measures, including a number of "lessons learned" along the way that could benefit similar future endeavors. Select for the report, Lessons Learned from the Process Used to Identify an Initial Core Quality Measure Set for Children's Health Care in Medicaid and CHIP.
Federal Register Notices
The initial core set of children's health care measures was published in the Federal Register on December 29. 2009.
A Federal Register notice was published December 3, 2010: "Priority-setting process for development and enhancement of children's health care quality measures." Submission period ended January 14, 2011.
A Federal Register notice was published February 24, 2012: "Request for Nominations of Children's Healthcare Quality Measures for Potential Inclusion in the CHIPRA 2013 Improved Core Set of Health Care Quality Measures for Medicaid/CHIP." Submission period ended April 24, 2012.
A Federal Register notice was published April 18, 2012, with request for comments on the "CHIPRA Pediatric Quality Measures Program Candidate Measure Submission Form" (to nominate measures for potential inclusion in future Improved Core Sets of Health Care Quality Measures for Medicaid/CHIP). This Measure Submission Form indicates the proposed set of attributes about a pediatric quality measure that would be considered by the Subcommittee on Quality Measures for Children's Healthcare of AHRQ's National Advisory Council (NAC). Submission period ended June 18. The period ended for submitting nominations of Children's Healthcare Quality Measures for Potential Inclusion in the CHIPRA 2013 Improved Core Set of Health Care Quality Measures for Medicaid/CHIP on April 24.
Expert Meeting on Measurement Criteria
An expert meeting was held on Wednesday, February 24 and Thursday, February 25, 2010, at AHRQ. The goal of the meeting was to identify measurement criteria for use in carrying out the Pediatric Quality Measures Program (PQMP) under Section 1139A(b) of the Social Security Act as enacted in the Children's Health Insurance Program Reauthorization Act (CHIPRA). View the Federal Register notice and the meeting agenda .
CHIPRA Initial Core Measure Set Available for Public Comment thru March 1, 2010
A notice was published in the Federal Register on December 29, 2009, to solicit public comments on the initial, recommended core set of children's health care quality measures for voluntary use by Medicaid and CHIP programs and the health plans and providers they contract with. A Background Report was prepared to provide detailed information about this initiative. The closing date for comments was March 1, 2010.
Contract for a Coordinating and Technical Assistance Center.
AHRQ Seeks Candidate Measures of Inpatient Pediatric Care
AHRQ is calling for researchers, hospitals, vendors, stakeholders, and other interested parties to submit candidate measures or domains that measure families' satisfaction with the quality of inpatient medical or surgical care provided to pediatric patients. The goal is to develop a standardized instrument for use in the public reporting of family experience of pediatric inpatient care.
Select to access the Federal Register announcement for this initiative.
Request for Comments on Pediatric Planned Procedure Algorithm
AHRQ is requesting comments from all researchers, vendors, hospitals, stakeholders, and other interested parties on an algorithm for identifying pediatric planned procedures. The algorithm will be used as part of a readmission measure developed by the Center of Excellence for Pediatric Quality Measurement (CEPQM) at Boston Children's Hospital. Select for the Federal Register Notice (PDF File, 178 KB).
The algorithm uses International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) procedure codes to identify pediatric procedures that are usually planned. Readmissions for planned procedures are unlikely to be associated with quality of care and should therefore be excluded from calculations of readmission rates. To identify planned procedures, expert pediatric clinicians in 14 different procedure-oriented specialties reviewed procedures typically performed by their specialty. The reviewers indicated which procedures (1) are usually planned (defined as planned in more than 80 percent of cases) and (2) could require hospitalization. Admissions for which the primary procedure code was one of the procedures listed below are excluded from the count of readmissions.
Select for the ICD-9-CM codes and code descriptions for planned procedures.