Reports from the States
Contents
- Using the Core Set of Quality Measures
- Promoting Health IT Infrastructures
- Evaluating Provider-Based Models
- Demonstrating the Impact of a Model Pediatric EHR Format
- Other Strategies for Quality Improvement
- Cross-Cutting Initiatives
Note: The following information has been submitted by the CHIPRA Quality Demonstration States and is made available on this Web site as a courtesy. The description of any product, policy, program, or other resource on this Web site does not imply an endorsement by AHRQ, the U.S. Department of Health and Human Services (HHS), or any other Government agency.
These reports, issue briefs, and presentations may be available in PDF form only. Those using assistive technology may not be able to fully access information in these files. For assistance, please contact Cindy Brach via our .
Using the Core Set of Quality Measures
This report summarizes the results of the 2014 survey and also provides a comparison of data from 2011 and 2014 to provide information on how statewide quality improvement has changed in Maine鈥檚 child-serving practices. In addition, results are also presented on 2014-only survey questions, which cover Improving Health Outcomes for Children (IHOC) and First STEPS-specific topics.
Massachusetts Findings on Usefulness of Quality Measures for Families and Providers
Massachusetts conducted and to determine if they valued information about quality measures, how and to what extent they would use that information, and how the information should be presented.
The 2013 CHIPRA Data Book reports on the core measure set of children鈥檚 quality measures for the years 2009-2012.
This report summarizes the findings of a study of how Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) and other clinical data are currently entered, used, and exchanged electronically through information systems at selected pediatric practices and health systems, the State of Maine, and the State鈥檚 health information exchange.
This report presents the results of 17 of the CHIPRA Core Measures collected using MaineCare claims or Vital Statistics data and results from the additional child health measures from the IHOC Master List of Pediatric Measures that are not CHIPRA measures for 2009-2012.
Improving Health Outcomes for Children (IHOC) First STEPS Initiative Final Evaluation Reports
These reports evaluate First STEPS (Strengthening Together Early Preventive Services), an initiative to support measure-driven practice improvement in pediatric and family practices across the State.
This report summarizes baseline survey results for more than one-quarter of family practices and nearly two-thirds of all pediatric practices in Maine about how they use data, clinical guidelines, and office systems to monitor and improve children鈥檚 health care quality.
Promoting Health IT Infrastructures
This report summarizes the findings of a study of how Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) and other clinical data are currently entered, used, and exchanged electronically through information systems at selected pediatric practices and health systems, the State of Maine, and the State鈥檚 health information exchange.
Improving Health Outcomes for Children (IHOC) First STEPS Initiative Final Evaluation Reports
This report evaluates the second phase of First STEPS (Strengthening Together Early Preventive Services), an initiative to support measure-driven practice improvement in pediatric and family practices across the State.
Evaluating Provider-Based Models
This Web site highlights the successes, lessons learned and quality improvement outcomes of this demonstration project. It also includes helpful resources, including a video promoting the value and benefits of medical home to patients, families, and health care professionals. The video features interviews with a parent partner and health care professionals who participated in the demonstration project.
The Massachusetts CHIPRA team produced this guide that will help practices determine if they are ready to work with families as improvement partners, how to recruit and work with Family Health Partners and how to evaluate, sustain and improve the Family Health Partners role and relationship.
This tool, developed by the Massachusetts CHIPRA Medical Home team, helps to compare the change concepts in NICHQ鈥檚 Pediatric Medical Home Framework to the 2014 NCQA PCMH Standards.
This Web site hosts various resources and information for care management entities (CMEs), based on the experiences of Maryland, Wyoming, and Georgia as part of the CHIPRA quality demonstration.
This report summarizes findings from the patient experience survey taken by parents of children enrolled in primary care practices participating in the Medical Home Learning Collaborative. Parents were surveyed at the beginning, middle, and end of the collaborative.
South Carolina created this toolkit to provide guidance and insight into the PCMH certification process. It outlines standards, resources, documentation requirements, and examples to help practices navigate requirements for achieving certification.
This report summarizes information gained from focus groups with families about their experiences with crisis services and caring for children and youth with mental health needs.
This report summarizes information gained from focus groups with families whose children are served by care management entities and explores their physical health and access to and utilization of health and dental care.
The North Carolina CHIPRA team created a video series that highlights issues faced by adolescent patients and their providers and offers suggestions for how to address those situations.
The Medical Home Portal, developed by Utah, provides reliable and useful information for professionals and families to help them care and advocate for children with special health care needs (CSHCN) as partners in the Medical Home model.
Youth Engagement with Health Services (YEHS!) Survey
The YEHS! was developed by CHIPRA quality demonstration staff in Colorado to measure adolescents鈥 experiences with health care in a school-based health center setting. Colorado developed a and a .
New Mexico School-Based Health Centers Encounter Data Analysis
Medical encounter data were analyzed for adolescents aged 14-19 from 61 school-based health centers in New Mexico for the years and .
This report presents baseline results for Illinois CHIPRA quality demonstration practices that completed the NCQA self-assessment.
Demonstrating the Impact of a Model Pediatric EHR Format
Currently there are no reports to post from CHIPRA quality demonstration States under Category D. Check back to see when more reports are posted, or to receive email updates when new CHIPRA quality demonstration resources are posted.
Other Strategies for Quality Improvement
Founded with support from the CHIPRA quality demonstration, the MA Child Health Quality Coalition advocated for improved child health care quality and measurement, and to serve as a neutral convener of a broad-based set of stakeholders to facilitate a shared understanding of pediatric health care quality priorities across Massachusetts. Their Web site includes many resources on care coordination, quality measures, and medical homes.
The framework, produced by the Massachusetts Child Health Quality Coalition, identifies important objectives and processes within each domain of care coordination, along with domain-associated measures that can be used to monitor implementation success.
The guide, from the Massachusetts Child Health Quality Coalition, gives tips, tools, forms, and resources for communication among families and youth, primary care providers, behavioral health providers, and schools.
This presentation, from the Florida Perinatal Quality Collaborative, which is partially supported by the CHIPRA quality demonstration, describes the results of a quality improvement initiative to reduce central line associated infections in newborns.
This article in an Academic Pediatrics supplement describes the work of the , which is helping 20 States develop sustainable State-level improvement partnerships working to improve child health care quality.
Note: This Web site uses the term "national evaluation" to distinguish this evaluation of the entire demonstration program from evaluations commissioned or undertaken by grantees. The word "national" should not be interpreted to mean that findings are representative of the Nation as a whole.
Cross-Cutting Initiatives
Building on the CHIPRA Grant Experience: Key Focus Areas and Sustainability
A new report from Florida and Illinois, 鈥溾 is now available. It describes opportunities for Federal and State Governments, public and private payers, providers, advocates, and other stakeholders to build on critical areas of the CHIPRA Quality Demonstration Grant Program鈥檚 success in the key areas of focus.
