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CMS Initial Children Core Measures

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The following measures have been identified by the Centers for Medicare and Medicaid Services or CMS (not DHCS) as the Initial Adult Core Measures. Each measure that is defined by the National Quality Forum or NQF (not DHCS) has a number which is shown below. The numbers are linked to the measures on the NQF website. The Measure Steward refers to the organization that is responsible for providing the required measure information for the measure maintenance process that occurs approximately every three years and is responsible for making the necessary updates to the measure and for informing NQF about any changes that are made to the measure on an annual basis. Each candidate measure or set of measures will have a measure steward who will assume responsibility for the submission of the measure for potential endorsement of NQF.

Measure Stewards included below are outside of the Department of Health Care Services:  

  • National Committee for Quality Assurance (NCQA)
  • Centers for Disease Control and Prevention (CDC)
  • California Maternal Quality Care Collaborative (CMQCC)
  • Child and Adolescent Health Measurement Initiative (CAHMI)
  • American Medical Association - Physician Consortium for Performance Improvement® (AMA-PCPI

 

For each measure, we have identified the programs within DHCS that use and report that measure. The program that currently use or plan to use the measures include the Managed Care Plans (MCPs) and Healthy Families.

 

CMS Initial Core Set of Health Care Quality Measures for Children in Medicaid and CHIP

 

NQF #

Measure Steward

Measure Name

California Reports

1517

NCQA

Prenatal and Postpartum Care: Timeliness of Prenatal Care

MCP 

1391  

 

NCQA 

Frequency of Ongoing Prenatal Care

 

1382

CDC

Percentage of Live Births Weighing less than 2,500 Grams

 

 

0471

California Maternal Quality Care Collaborative

Cesarean Rate for Nulliparous Singleton Vertex

 

 

0038

NCQA

Childhood Immunization Status   

 

MCP, Healthy Families

1407

NCQA

Immunizations for Adolescents 

MCP

0024

NCQA

Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents: Body Mass Index Assessment for Children/Adolescents

MCP

 

 

1448 

CAHMI and NCQA

Developmental Screening in the First Three Years of Life

 

0033 

NCQA

Chlamydia Screening in Women

Healthy Families

 

 

1392

NCQA

Well-Child Visits in the First 15 Months of Life

 Healthy Families

1516 

NCQA

Well-Child Visits in the 3rd, 4th, 5th, and 6th Years of Life  

 

MCP, Healthy Families

NA

NCQA

Adolescent Well-Care Visit  

 

 Healthy Families

NA

CMS

Total Eligibles Who Received Preventive Dental Services (ages 1-20)

 

NA

NCQA

Child and Adolescent Access to Primary Care Practitioners  

 

MCP, Healthy Families 

0002  

 

NCQA

Appropriate Testing for Children with Pharyngitis

 

0657

 

 

AMA-PCPI

Otitis Media with Effusion (OME)–Avoidance of Inappropriate Use of Systemic Antimicrobials

 

NA

CMS

Total Eligibles Who Received Dental Treatment Services (ages 1-20)

 

NA

NCQA

Ambulatory Care: Emergency Department Visits

 

0139

CDC

Pediatric Central-line Associated Bloodstream Infections–Neonatal Intensive Care Unit and Pediatric Intensive Care Unit

 

1381

Alabama Medicaid

Annual Percentage of Asthma Patients with One or More Asthma-related Emergency Room Visits (ages 2-20)

 

0108

NCQA

Follow-Up Care for Children Prescribed Attention Deficit Hyperactivity Disorder (ADHD) Medication

 

0060

NCQA

Annual Pediatric Hemoglobin A1C Testing

 

0576

NCQA

Follow-up After Hospitalization for Mental Illness

 

NA

NCQA

CAHPS® 4.0H (child version including Medicaid and children with chronic conditions supplemental items)

 

 
Last modified on: 10/17/2014 9:31 AM