Child and Adolescent Health and Health Care Quality Measuring What Matters (2011) / Chapter Skim
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1 Introduction
1 Introduction
Pages 15-22
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From page 15... ...
Assessing the impact of policies, programs, and services that may influence child and adolescent health requires timely, high-quality, readily accessible and transparent indicators. Such information can be used to determine the relative health of the nation's children and adolescents; to support analyses of the health and access to high-quality health care services of selected population groups defined by geography, race/ethnicity, socioeconomic status, or other characteristics; and to drive 15
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From page 16... ...
First, Congress has emphasized improving health care quality as a strategy for obtaining greater value from public investments in health care services. Second, the health and health care of children and adolescents have become a particular focus as younger populations enrolled in public health plans such as Medicaid and the Children's Health Insurance Program (CHIP)
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From page 17... ...
Department of Health and Human Services fund a study by the National Academies "on the extent and quality of efforts to measure child health status and the quality of health care for children across the age span and in relation to preventive care, treatments for acute conditions, and treatments aimed at ameliorating or correcting physical, mental, and developmental conditions in children." The reauthorization of CHIP occurred just a few months before the enactment of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, signed by the President on March 30, 2010. The latter two pieces of legislation include provisions (both direct appropriations and authorizations)
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From page 18... ...
) to carry out a year-long study "to identify key advances in the development of pediatric health and health care quality measures, examine the capacity of existing federal data sets to support these measures, and consider related research activities focused on the development of new measures to address current gaps." This study, documented in this report, is part of an expanded effort within CMS and AHRQ to improve health outcomes and the quality of health care services for children and adolescents served by Medicaid and CHIP.
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From page 19... ...
The committee also conducted an expansive review of the literature to identify key advances in the development of child and adolescent health and health care quality measures, examine the capacity of existing federal data sets to support these measures, and consider related research activities focused on the development of new measures to address current gaps. Committee members brought to these deliberations their own perspectives on the nature of the problems in this area, as well as views on how the data collection and analysis systems relevant to child and adolescent health and health care can be made more timely, relevant, and useful.
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From page 20... ...
It presents the committee's findings; describes a new framework for assessing the health and health care quality of children and adolescents; and offers recommendations to state and federal agencies for enhancing the timeliness, quality, and public transparency and accessibility of information about child and adolescent health and health care services, with the ultimate goal of improving health outcomes. The report has six chapters.
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From page 21... ...
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.
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