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CHIPRA Initial Core Set of Children's Health Care Quality Measures

Initial Core Set of Children's Health Care Quality Measures

The Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) included provisions to strengthen the quality of care provided and health outcomes of children in Medicaid and CHIP.  CHIPRA required HHS to identify and publish an initial core measure set of children’s health care quality measures for voluntary use by State Medicaid and CHIP programs.  On December 29, 2009, the Secretary posted for public comment in the Federal Register, an initial core set of 24 children's health care quality measures for voluntary use by Medicaid and CHIP programs.  The CHIPRA legislation requires that improvements to the initial core set of children’s health care quality measures be issued annually beginning in January 2013.

Updated Child Core Set

CMS released the 2014 Child Core Set in a December 2013 CMS Informational Bulletin. The core set includes a range of children’s quality measures encompassing both physical and mental health, including chronic conditions, such as asthma, attention deficit hyperactivity disorder, and diabetes.  State data derived from the core measures are part of the Secretary's Annual Report on the Quality of Care for Children in Medicaid and CHIP and Appendix.  Previous years' Secretary’s Reports and appendices can be viewed at the bottom of the page.

How States Voluntarily Report Quality Measures

States can voluntarily report the core set of quality measures by using the 2014 Child Core Set Technical Specifications and Resource Manual. A summary of updates to the child core set technical specifications and resource manual for FFY 2014 is also available. Frequently Asked Questions (FAQs) are available to assist states with reporting the Core Set measures for FFY 2014.

Other Children’s Quality Measures Initiatives

CMS also has other initiatives that relate to children’s quality measures, including a Pediatric Quality Measures Program (PQMP) and the Pediatric Electronic Health Record Format.

Technical Assistance and Analytic Support Program

CMS is committed to supporting states’ efforts to measure and improve the quality of health care for children and adults enrolled in Medicaid and CHIP. To increase the number of states consistently collecting, reporting, and using the Child Core Set measures, CMS established the Technical Assistance and Analytic Support (TA/AS) Program with an award of a contract to Mathematica Policy Research in May 2011. Mathematica – teamed with the National Committee for Quality Assurance and the Center for Health Care Strategies– works with CMS to support states’ child health care quality measurement and improvement efforts. The overarching goals are to increase the number of states consistently collecting and uniformly reporting the voluntary core measures set, and to help states understand how to use these data to improve the quality of care for children. As part of the technical assistance effort, CMS will share promising practices for collecting the core measures with states. For more information, see the Technical Assistance and Analytical Support Program fact sheet.

Questions or requests for technical assistance related to the Child Core Set or quality improvement initiatives can be submitted to MACqualityTA@cms.hhs.gov.  

Technical Assistance Webinars

Additional Technical Assistance Resources

Quality Improvement Workshop Series

Quality Improvement 101

Pediatric Electronic Health Record Format

Section 401(f) of CHIPRA provides for the development of a model electronic health record (EHR) format for children enrolled in Medicaid or CHIP.  As existing EHR systems often do not optimally support the provision of health care to children, AHRQ, through an intra-agency agreement with the CMS, is working to develop the model EHR format for children, and demonstrate that it can be readily used and package it in a way that facilitates broad incorporation into EHR systems.

North Carolina and Pennsylvania will evaluate the impact of the model children’s EHR format as part of their CHIPRA Demonstration Grants.

Secretary's Annual Report on the Quality of Care for Children in Medicaid and CHIP