State challenges to child health quality measure reporting and recommendations for improvement

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• 作者：Ankoor Y. Shah^a ; ^{Anshah@cnmc.org" class="auth_mail" title="E-mail the corresponding author} ; Karen LLanos^b ; Denise Dougherty^c ; Stephen Cha^b ; Patrick H. Conway^b
• 关键词：AHRQ ; Agency for Healthcare Research and Quality ; CHIP ; Children's Health Insurance Program ; CHIPRA ; Children's Health Insurance Program Reauthorization Act of 2009 ; CMS ; Centers for Medicare & Medicaid Services ; FFS ; Fee-for-Service ; HEDIS ; Healthcare Effectiveness Data and Information Set ; MCO ; Managed Care Organizations ; TA/AS ; Technical Assistance and Analytical Support Team
• 刊名：Healthcare
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：4
• 期：3
• 页码：217-224
• 全文大小：682 K

文摘

The Children's Health Insurance Program (CHIP) was re-authorized in 2009, ushering in an unprecedented focus on children's health care quality one of which includes identifying a core set of performance measures for voluntary reporting by states' Medicaid/CHIP programs. However, there is a wide variation in the quantity and quality of measures states chose to report to the Center's for Medicare & Medicaid Services (CMS). The objective of this study is to assess reporting barriers and to identify potential opportunities for improvement.

Methods

From 2013 to 2014 a questionnaire developed in coordination with CMS and the Agency for Healthcare Research and Quality (AHRQ) was sent to state Medicaid and CHIP officials to assess barriers to child health quality reporting for Federal Fiscal Year 2012. States were categorized as high, medium, or low reporting for comparative analysis.

Results

Twenty-five of the 50 states and the District of Columbia agreed to participate in the study and completed the questionnaire. States placed a high priority on children's health care quality reporting (4.2 of 5 point Likert Scale, SD 0.99) and 96% plan to use measurement results to further improve their quality initiatives. However, low reporting states believed they had inadequate staffing and that data collection and extraction was too time-consuming than high reporting states.

Conclusion

Based on state responses, possible solutions to improve reporting includes funding and staff support, refining the technical assistance provided, and creating venues for state-to-state interaction. Realistic and tangible improvements are within reach and opportunities for CMS and states to collaborate to improve child health care quality.