Page 1 of 1

Table 1. Measures Recommended for Initial Core Set of Children's Healt

Selected Findings From the 2009 National Healthcare Quality and Dispar

Table 1. Measures Recommended for Initial Core Set of Children's Health Care Quality for Voluntary Reporting by Medicaid and CHIP Programs, Measure Labels by Legislative Category

Legislative Measure

Measure number
Current measure label

Prevention and health promotion

Prenatal/Perinatal Care1Frequency of ongoing prenatal care
2Timeliness of prenatal care—percentage of deliveries that received a prenatal care visit as a member of the organization in the first trimester or within 42 days of enrollment in the organization
3Percentage of live births weighing less than 2,500 grams
4Cesarean rate for low-risk first birth women (National Quality Forum [NQF])
Immunizations5Childhood immunization status (NQF 0038)
6Immunizations for adolescents
Screening7Body mass index documentation for 2- to 18-year-olds (NQF 0024)
8Screening using standardized screening tools for potential delays in social and emotional development—Assuring Better Child Health and Development (ABCD) Initiative measures
9Chlamydia screening for women (NQF 0033)
Well-Child Visits (WCVs)10WCVs in the first 15 months of life
11WCVs in the third, fourth, fifth, and sixth years of life
12WCVs for children 12-21 years of age—with primary care physician or obstetrician/gynecologist
Dental Care13Total eligibles receiving preventive dental services (EPSDT measure line 12B)

Management of acute conditions

Appropriate Use of Antibiotics14Appropriate testing for children with pharyngitis (NQF 0002)
15Otitis media with effusion—avoidance of inappropriate use of systemic antimicrobials in children ages 2-12
Dental Care16Total EPSDT eligibles who received dental treatment services (EPSDT CMS Form 416, Line 12C)
Emergency Care17Emergency department (ED) utilization—average number of ED visits per member per reporting period
Inpatient Safety18Pediatric catheter-associated bloodstream infection rates (pediatric intensive care unit and neonatal intensive care unit (NQF 0139)

Management of chronic conditions

Asthma19Annual number of asthma patients (≥1 year old) with one or more asthma-related ED visits (S/AL Medicaid Program)
Attention Deficit Hyperactivity Disorder20Followup care for children prescribed attention deficit hyperactivity disorder medication (continuation and maintenance phase) (NQF 0108)
Mental Health21Followup after hospitalization for mental illness
Diabetes22Annual hemoglobin A1c testing (all children and adolescents diagnosed with diabetes)

Family experiences of care

 23CAHPS® Health Plan Survey 4.0, Child Version, including Medicaid and Children With Chronic Conditions supplemental items


 24Children and adolescents' access to primary care practitioners, by total and age

Return to Document


Current as of June 2010
Internet Citation: Table 1. Measures Recommended for Initial Core Set of Children's Healt: Selected Findings From the 2009 National Healthcare Quality and Dispar. June 2010. Agency for Healthcare Research and Quality, Rockville, MD.