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441. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4f_pdi08-postophemorrhage-bestpractices.pdf
     May 16, 2016 - PDI 08: Perioperative Hemorrhage or Hematoma Why focus on perioperative hemorrhage and hematoma in children … • Postoperative hemorrhage or hematoma can complicate surgery in children, just as in adults. … 6-7 days, depending on the study) and excess charges (anywhere from about $75,000 to $111,000) in children … o Provide educational sessions to all clinical staff who care for children on the pilot units (nurses … Clinical practice guideline: tonsillectomy in children.

442. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4t_combo_pdi08-postophemorrhage-bestpractices.pdf
     May 16, 2016 - PDI 08: Perioperative Hemorrhage or Hematoma Why focus on perioperative hemorrhage and hematoma in children … • Postoperative hemorrhage or hematoma can complicate surgery in children, just as in adults. … 6-7 days, depending on the study) and excess charges (anywhere from about $75,000 to $111,000) in children … o Provide educational sessions to all clinical staff who care for children on the pilot units (nurses … Clinical practice guideline: tonsillectomy in children.

443. Spotlight on Massachusetts -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-massachusetts-state-snapshot.pdf
     January 01, 2018 - • Improved care coordination for children. … • Reporting on child-focused quality measures. … Massachusetts formed the Child Health Quality Coalition to lead the State’s child health QI efforts … /downloads/2016-child-core-set.pdf. 4. … • Massachusetts planned to continue to monitor Child Core Set measures for children covered by Medicaid

444. Develop Your Own (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/develop/develop.doc
     January 01, 2003 - If, for example, children ages 1 through 5 are defined as the denominator population: · What about children … In assessing Title V programs: · How is the relevant child population defined? … Examples: · If a sample of children with urgent medical conditions overrepresents children in urban … areas, the results cannot be applied to children in rural areas … · The Child Core set itself cannot be altered without compromising comparability.

445. Using Quality Measures to Drive Improvement: Lessons from the CHIPRA Quality Demonstration | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/nashp-webinar-slides.html
     January 01, 2016 - Nine practices submitting data for children ages 18 to 23 months increased their rates from 22 percent … The screening rates for children from birth to year one increased from 2 percent in 2011 to 3 percent … The screening rates for children aged one to two years increased from 3 percent in 2011 to 6 percent … Over 1.1 million children covered by Medicaid. … Well-child visits. Dental preventive care.

446. Appendix V: Tested Measures by DRA Domain | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv.html
     June 01, 2010 - of adult mental health consumers and families of child/adolescent mental health recipients reporting … Families with a young child with an intellectual disability or mental illness People who feel … Companion measures available for children and youth. … Companion measures available for children and youth. … /Child & Adolescent Residential Psychiatric Programs Residential care for children with psychiatric

447. Tables 7-10 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-section-6.pdf
     January 01, 2006 - Ratio of All MRI to All CT Scans within 30 days of Evaluation for Atraumatic Headache among Eligible Children … 0.41 0.34 0.44 0.67 0.67 Note: The rate for this measure, the ratio of all MRI to all CT scans among children … Table 9: Contingency Table for Presence of Exclusions in Administrative Claims and Charts for Children … Table 10: Contingency Table for Presence of Exclusions in Administrative Claims and Charts for Children

448. AcademyHealth State-University Partnership Learning Network (SUPLN) Web Conference | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supln-slides.html
     January 01, 2016 - /Adolescents – Body Mass Index Assessment for Children/Adolescents (WCC) 1799 NCQA Medication … Version Including Medicaid and Children with Chronic Conditions Supplemental Items). … Image: Cover of the HHS 2014 Annual Report on the Quality of Care for Children in Medicaid and CHIP. … Create Maine Child Health Improvement Partnership to identify priorities and advise on child health topics … Produced annual "Summary of Pediatric Child Health Measures in Maine" report of CHIPRA and other child

449. Spotlight on Maine -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-maine-state-snapshot.pdf
     January 01, 2018 - 18 States to identify effective, replicable strategies for enhancing the quality of health care for children … Spotlight on Maine January 2018 Maine’s Goals: Improve the quality of care for children by— • Increasing … in foster care During the demonstration, children entering the State’s foster care system in six of … Going beyond the standard assessment completed for all children in foster care, the CHA incorporates … • Evaluation Highlight No. 4: How the CHIPRA quality demonstration elevated children on State health

450. Primary Care Physicians' Experiences With and Attitudes Toward Pediatric Quality Reporting (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/chipra-primary-care-physician-reporting.pdf
     December 01, 2016 - the quality of care and quality improvement (QI) activities.7,8 Quality measurement and reporting in child … visits by age 15 months, well-child visits at ages 3 to 6 years, well-child visits at ages 12 to 21 … QI (AOR, 4.37; 95% CI, 2.75–6.93), and us- ing quality reports in child-focused QI (AOR, 1.55; 95% CI … Additional work is needed to understand child-serving physicians’ views on their roles in identifying … Health care quality- improvement approaches to reducing child health disparities.

451. CHIPRA 157: Section 2, Detailed Measure Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-157-section-2-specs.pdf
     June 30, 2009 - Identify all children born in the 12-month enrollment period. … Identify all children born in the 12-month enrollment period and enrolled in Medicaid/M-CHIP or S-CHIP … Identify children still continuously enrolled in the same program 6 months after their first enrollment … These children are also considered continuously enrolled. … 0.4652,0.5588) 457 *Note in NC and NH, S-CHIP programs are an expansion in eligibility for older children

452. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4d_pdi05-nqi01-pneumothorax-bestpractices.pdf
     May 16, 2016 - • Complex procedures performed near the lungs can be more difficult in children than in older patients … • Iatrogenic pneumothorax in children occurs at rates that are at least comparable to those in adults … Children with iatrogenic pneumothorax also had 7.5 times the odds of in-hospital mortality, even after … Some common risk factors among neonates and children are13-15: o Respiratory distress syndrome. … Management of primary spontaneous pneumothorax in children. Clin Pediatr 2011;50(9):797-802. 14.

453. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4r_combo_pdi05-nqi01-pneumothorax-bestpractices.pdf
     May 16, 2016 - • Complex procedures performed near the lungs can be more difficult in children than in older patients … • Iatrogenic pneumothorax in children occurs at rates that are at least comparable to those in adults … Children with iatrogenic pneumothorax also had 7.5 times the odds of in-hospital mortality, even after … Some common risk factors among neonates and children are13-15: o Respiratory distress syndrome. … Management of primary spontaneous pneumothorax in children. Clin Pediatr 2011;50(9):797-802. 14.

454. CHIPRA 240: Section 5, Table 2 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-section-5-table-2.pdf
     May 01, 2010 - exercise judgment, first in assessing the child’s health and then in choosing language to inform the child … Expert committee recommendations regarding the prevention, assessment, and treatment of child and … that screening and services are provided to children when medically necessary. … States to remind providers to include diet and exercise advice in the comprehensive well- child … weight status with appropriate follow-up are associated with more accurate parental perception of child

455. Candidate Measure Submission Form (CPCF) | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/cpcf-form3.html
     December 01, 2013 - Prevalence of condition among children under age 21 and/or among pregnant women. … Severity of condition and burden of condition on children, family, and society (unrelated to cost). … families, public and private payers, or society more generally, currently and over the life span of the child … known, how this measure complements or improves on an existing measure in this topic area for the child … The EPSDT is a comprehensive set of benefits available to children and youth under age 21 who are enrolled

456. Supplemental Document No. 1 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc1.pdf
     September 01, 2014 - For context, AHRQ provided the 2013 SNAC with summary data on Medicaid/CHIP child enrollment and … for each measure are available in AHRQ’s Background Report on 2013 Retirement of Measures from the Child … (infant, child, adolescent, or pediatric) or perinatal care. … Background Report on 2013 Retirement of Measures from the Child Core Set. … Core Set of Children’s Health Care Quality Measures for Medicaid and CHIP (Child Core Set): Technical

457. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4g_pdi09-postoprespfailure-bestpractices.pdf
     May 17, 2016 - Improvement PDI 09: Postoperative Respiratory Failure Why focus on postoperative respiratory failure in children … • Additional adult risk factors that are applicable to children are: o Smoking. o Obesity. … obesity • Ensure that caregivers recognize the importance of using lung expansion exercises with children … Noninvasive positive pressure ventilation for acute respiratory failure in children: a concise review … Consultation with the specialist: respiratory failure in children.

458. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
     May 17, 2016 - Improvement PDI 09: Postoperative Respiratory Failure Why focus on postoperative respiratory failure in children … • Additional adult risk factors that are applicable to children are: o Smoking. o Obesity. … obesity • Ensure that caregivers recognize the importance of using lung expansion exercises with children … Noninvasive positive pressure ventilation for acute respiratory failure in children: a concise review … Consultation with the specialist: respiratory failure in children.

459. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4i_pdi11-dehiscence-bestpractices.pdf
     May 17, 2016 - Improvement PDI 11: Postoperative Wound Dehiscence Why focus on postoperative wound dehiscence in children … • Like adults, children can experience wound dehiscence as a postoperative complication; children under … dehiscence occurs in about 8 per 10,000 pediatric surgical discharges.1 • The reported mortality rate for children … Risk factors for abdominal wound dehiscence in children: a case-control study. … Dehiscence of laparatomy wounds in children.

460. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4w_combo_pdi11-dehiscence-bestpractices.pdf
     May 17, 2016 - Improvement PDI 11: Postoperative Wound Dehiscence Why focus on postoperative wound dehiscence in children … • Like adults, children can experience wound dehiscence as a postoperative complication; children under … dehiscence occurs in about 8 per 10,000 pediatric surgical discharges.1 • The reported mortality rate for children … Risk factors for abdominal wound dehiscence in children: a case-control study. … Dehiscence of laparatomy wounds in children.