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) |