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Improving the Quality of Care Delivered to Children Served by State Agencies
Child Health Toolbox
Presenter:
Margaret Schmid, Ph.D., Health Quality Consultant, Chicago, IL.
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The Child Health Toolbox is a downloadable, online resource
available on AHRQ's Web site (https://www.ahrq.gov/chtoolbx/). The Toolbox is designed for
policymakers, program decisionmakers, and others concerned with Medicaid, Title V,
State Children's Health Insurance Program (SCHIP), and other child health-related
programs. It has seven major sections:
- Understanding Performance Measurement helps in thinking strategically
about the uses of performance measures by examining such questions as:
What is performance measurement all about? What does it tell us? What
doesn't it tell us?
- Uses of Performance Measurement answers the questions: How can this
program use performance measurement for program management,
accountability, and quality improvement? This section includes guidance for
effectively reporting performance measure results and examples of how various
States have used performance measurement.
- Why Child Health Measures? includes measurement discussions specific to
the Early and Periodic Screening, Diagnosis and Treatment Program (EPSDT)
and children with special health care needs (CSHCN).
- Established Child Health Measures provides an introduction to widely used
performance measures appropriate for child health programs, such as CAHPS®,
HCUP, Health Plan Employer Data and Information Set (HEDIS®), and Title V
measures.
- Measures In Testing provides a survey of measures being designed,
such as the Experience of Health Care and Outcomes Survey (a CAHPS®-based
survey focused on behavioral health) and Promoting Healthy Development
Survey (a survey designed to measure the effectiveness of parent-physician
interaction).
- Choosing Performance Measures assists identifying performance measures
most appropriate for the program. Included are such factors as desired usage of
the evaluation, types of service delivery systems, and evaluation cost.
- Develop Your Own? identifies critical challenges for those desiring to develop
their own measures.
Special features of the Toolbox include:
- Measuring Services for CSHCN.
- Can We Measure EPSDT?
- Links to State reports.
- Information on data issues, measure specifications, validity and reliability, and
field-testing.
- Links to related background research.
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