Categorization of national pediatric quality measures

Samantha A. House, Eric R. Coon, Alan R. Schroeder, Shawn Ralston

Research output: Contribution to journalArticle

Abstract

BACKGROUND AND OBJECTIVE: The number of quality measures has grown dramatically in recent years. This growth has outpaced research characterizing content and impact of these metrics. Our study aimed to identify and classify nationally promoted quality metrics applicable to children, both by type and by content, and to analyze the representation of common pediatric issues among available measures. METHODS: We identified nationally applicable quality measure collections from organizational databases or clearinghouses, federal Web sites, and key informant interviews and then screened each measure for pediatric applicability. We classified measures as structure, process, or outcome using a Donabedian framework. Additionally, we classified process measures as targeting underuse, overuse, or misuse of health services. We then classified measures by content area and compared disease-specific metrics to frequency of diagnoses observed among children. RESULTS: A total of 386 identified measures were relevant to pediatric patients; exclusion of duplicates left 257 unique measures. The majority of pediatric measures were process measures (59%), most of which target underuse of health services (77%). Among diseasespecific measures, those related to depression and asthma were the most common, reflecting the prevalence and importance of these conditions in pediatrics. Conditions such as respiratory infection and otitis media had fewer associated measures despite their prevalence. Other notable pediatric issues lacking associated measures included care of medically complex children and injuries. CONCLUSIONS: Pediatric quality measures are predominated by process measures targeting underuse of health care services. The content represented among these measures is broad, although there remain important gaps.

Original languageEnglish (US)
Article numbere20163269
JournalPediatrics
Volume139
Issue number4
DOIs
StatePublished - Apr 1 2017
Externally publishedYes

Fingerprint

Health Services Misuse
Pediatrics
Process Assessment (Health Care)
Otitis Media
Respiratory Tract Infections
Asthma
Databases
Interviews
Delivery of Health Care
Wounds and Injuries
Growth
Research

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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Categorization of national pediatric quality measures. / House, Samantha A.; Coon, Eric R.; Schroeder, Alan R.; Ralston, Shawn.

In: Pediatrics, Vol. 139, No. 4, e20163269, 01.04.2017.

Research output: Contribution to journalArticle

House, Samantha A. ; Coon, Eric R. ; Schroeder, Alan R. ; Ralston, Shawn. / Categorization of national pediatric quality measures. In: Pediatrics. 2017 ; Vol. 139, No. 4.
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