Frequency: Annually—calendar year (continuous enrollment defined differently for Medicaid than for commercial plans)

Race/Ethnicity: Not reported

Unit Level: Hospital, Physician, Clinic, Managed Care Organization (MCO), State: MCO

Geography: Most state (state-specific) Medicaid programs use HEDIS or HEDIS-like specifications (HEDIS specifications but not “continuous enrollment”)

Use: Improvement/Accountability: Improvement and accountability

Goal: Safety/Well-Being/Permanency: Well-being

Data Source: Administrative data, medical records, or, for the CAHPS®

Limitations: n/a


Current Established Child Measures in a Data System That Supports Benchmarking: Medicare Compare: includes children’s asthma process-of-care measures; however, the numbers are often too small for reliability and/or public reporting. Three asthma measures: % children who received reliever medication while hospitalized for asthma, % children received systemic corticosteroid medication while hospitalized for asthma, and % children and caregivers who received a home management plan of care. Children’s hospitals are included in the reports, as well as acute care hospitals.

Current Established Child Measures: n/a

Current Other Measurement Activities Using Various Child Measures, Including Established Measures and Indicators: n/a

Data/Systems Available: Potential Opportunity to Be a Source for Child Measures: n/a

Other Activities Producing Data That Could Potentially Be Used for Measurement: n/a

Age: Measure-specific

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