Design and Implementation of the Pediatric Quality Measures Program 2.0

Kamila B Mistry; Robyn D F Sagatov; Claudia Schur; Margaret Johnson; Renee Ellen Fox

doi:10.1016/j.acap.2021.12.021

Design and Implementation of the Pediatric Quality Measures Program 2.0

Acad Pediatr. 2022 Apr;22(3S):S59-S64. doi: 10.1016/j.acap.2021.12.021.

Authors

Kamila B Mistry¹, Robyn D F Sagatov², Claudia Schur³, Margaret Johnson³, Renee Ellen Fox⁴

Affiliations

¹ Office of Extramural Research, Education and Priority Populations, Agency for Healthcare Research and Quality (K.B. Mistry and R.D.F. Sagatov), Rockville, Md. Electronic address: Kamila.Mistry@ahrq.hhs.gov.
² Office of Extramural Research, Education and Priority Populations, Agency for Healthcare Research and Quality (K.B. Mistry and R.D.F. Sagatov), Rockville, Md.
³ L&M Policy Research (C. Schur and M. Johnson), LLC, Washington, DC.
⁴ Division of Quality and Health Outcomes (R.E. Fox), Children and Adults Health Programs Group, Center for Medicaid and CHIP Services, Centers for Medicare & Medicaid Services, Baltimore, Md.

PMID: 35339242
DOI: 10.1016/j.acap.2021.12.021

Abstract

The Pediatric Quality Measures Program (PQMP) was established in response to the Children's Health Insurance Program Reauthorization Act of 2009, aiming to measure and improve health care quality and outcomes for the nation's children. This brief report describes the PQMP 2.0 and its components. PQMP 2.0 established a priori research questions (Research Foci) and endeavored to assess usability and feasibility of measures through measure implementation and quality improvement initiatives. The Agency for Healthcare Research and Quality (AHRQ) and the Centers for Medicare and Medicaid Services (CMS) awarded 6 grants to Centers of Excellence (COEs), and a contract to facilitate collaboration and learning across the COEs. The 6 COEs partnered with stakeholders from multiple levels (eg, state, health plan, hospital, provider, family) to field test real-world implementation and refinement of pediatric quality measures and quality improvement initiatives. The PQMP Learning Collaborative (PQMP-LC) consisted of AHRQ, CMS, the 6 COEs, and L&M Policy Research, LLC. The PQMP-LC completed literature reviews, key informant interviews, and data collection to develop reports to address the Research Foci; aided with development of measure implementation and quality improvement toolkits; conceptualized an implementation science framework, analysis, and roadmap; and facilitated dissemination of learnings and products. The various products are intended to support the uptake of PQMP measures and inform future pediatric measurement and improvement work.

Keywords: Medicaid; pediatric; quality improvement; quality measurement.

Publication types

Research Support, U.S. Gov't, Non-P.H.S.
Research Support, U.S. Gov't, P.H.S.

MeSH terms

Aged
Centers for Medicare and Medicaid Services, U.S.
Child
Child Health Services*
Child Welfare
Humans
Medicare
Quality Indicators, Health Care*
United States