key data sources for monitoring the health status and health outcomes of children and adolescents. This review is organized according to seven priority areas for measurement identified by the committee. The chapter describes the strengths and limitations of measurement within each priority area; the timeliness, quality, and public transparency and accessibility of the available data; and the extent to which national and state-based data sources are available within each priority area. It proposes using an integrated framework of health indicators to guide future quality measurement efforts and highlights opportunities to develop health measures that are responsive to local needs and health conditions while providing national and state profiles of the health status and health care quality of children and adolescents.

Chapter 5 focuses on measures of quality in child and adolescent health care. The chapter reviews prior measurement efforts, both public and private, in this area, as well as the current status of such efforts, highlighting strengths and limitations, including significant gaps. The chapter also addresses why quality measurement is important to a variety of audiences and actors—including health care providers, families, health plans, and policy makers—and how quality measures can be used to improve child and adolescent health care and, ultimately, health outcomes. Finally, the chapter highlights opportunities rooted in the emphasis on quality and accountability in recent legislation and resulting from emerging technologies.

Finally, Chapter 6 provides the committee’s conclusions and recommendations for advancing the measurement of child and adolescent health and health care quality by addressing the gaps and inconsistencies detailed in the preceding chapters. It presents a stepwise approach to the development, collection, maintenance, and use of appropriate quality measures; the committee’s recommendations for specific actions, including additional strategies that will be necessary to identify priorities, invest resources, integrate diverse activities over time, and evaluate progress; and immediate next steps that are feasible within the context of CHIPRA and health care reform initiatives.

The report includes several appendixes. Appendix A is a list of the acronyms used in the report. Appendix B contains the agenda for the March 2010 workshop. Appendix C reviews private-sector initiatives to advance health care quality and the development of quality measures. Appendix D provides an overview of data sources for measures of health care quality for children and adolescents. Appendix E provides biographical sketches of the committee members. Finally, Appendix F presents a detailed listing and description of existing population-based data sets for measuring child and adolescent health and salient influences, while Appendix G provides a detailed listing and description of sources of administrative data relevant to the quality of child and adolescent health and health care.



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