While there are valid measures of child health care and outcomes, existing measures are not capturing and describing critical areas in child health sufficiently. A gap remains for standardized quality measures suitable for multiple accountability uses, including payment risk and public reporting, but demands for measuring the quality and value of care children’s hospitals provide are increasing. CHA is working with children's hospitals on solutions to these challenges and advocating for more development of pediatric-specific measures.
Measure advocacy vision
Measure advocacy supports the CHA mission by advancing measures that evaluate, demonstrate and differentiate children's hospitals' critical contribution to innovations in quality, cost and delivery of care. CHA's vision seeks to:
- Influence key public and private sector leaders to establish national pediatric priorities, goals, and measures that are used consistently
- Collaborate to identify and advance meaningful measures
- Lead/partner to recommend primary measures used in relevant programs
Programs and initiatives
Measures of accountability
We are driving and supporting adoption of important and valid measures for pediatrics, starting with measures of accountability.
- CHA member survey of pediatric accountability programs and their measures —The first in the nation, this survey gathered comprehensive information on accountability programs and measures used by children’s hospitals. Survey findings will be released in 2017.
- Measure selection framework for accountability measures— We developed tools to identify the best available pediatric measures for specific accountability programs. Our new toolkit identifies program requirements, defines criteria for the right measures, and queries a database of pediatric measures to find the best candidates. With these tools, we can build a set of recommended measures, specify gaps and limitations of the measure set, and provide guidance on implementation.
- Core measure set for children with medical complexity —CHA is finalizing recommendations for a core set of measures to assess the quality of care and outcomes for children with medical complexity being cared for by a network of providers (inpatient and outpatient). We are working with member hospitals to pilot test a draft measure set to inform final measure and implementation recommendations, or other materials to inform members considering implementing such measures.
Quality and Patient Safety Conference
Leadership and partnerships
We are increasing the influence of children’s hospitals with leading measurement organizations through proactive engagement and collaboration: National Quality Forum (NQF), The Joint Commission, The Association of Health Insurance Plans (AHIP) and U.S. News and World Report.