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461. Factors Contributing to Sustainment Outcomes in Four States (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/factors-contributing-sustainment.pdf
     August 31, 2015 - because the staff responsible for overseeing the demonstration project did not continue to work on child … http://www.ahrq.gov/policymakers/chipra/state-spotlights/index.html 4 between child-serving agencies … Prior to the CHIPRA demonstration, several of the state’s child- serving agencies contracted with the … The state was able to continue and extend its series of child-focused learning collaboratives by finding … UPIQ’s leadership worked closely with the state and consulted with many of the state’s child-serving

462. Pediatric Lower Respiratory Infection Readmission Measure (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-131-fullreport.pdf
     April 05, 2017 - Social and Clinical Burdens of LRI and LRI Readmissions Hospitalization of a child is disruptive to … The average cost of a bronchiolitis-associated hospitalization is $9,063 per child (Wilson, Landrigan … For example, evidence exists for the relationship between immunizing a child or adolescent (process … of care) and improved outcomes for the child and the public. … Parental perception that a child is not healthy enough for discharge is associated with a greater risk

463. Spotlight on Pennsylvania -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-pennsylvania-state-snapshot.pdf
     January 01, 2018 - States to identify effective, replicable strategies for enhancing the quality of health care for children … Providers implemented new EHR features to better capture information about children Pennsylvania worked … Christopher’s Hospital for Children, Hamilton Health Center, Hershey Medical Center, Children’s Hospital … downloads/2016-child-core-set.pdf. 3. … • Continue improving their EHRs to serve children better.

464. Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/finalsummary.pdf
     February 21, 2016 - • Stakeholders value State reports on the performance of health plans and child-serving practices … • Adapting EHR systems to better meet the needs of child-serving practices. … • Although the model EHR Format for children addresses many child- oriented functions, incorporating … difficult because child-serving organizations represent a small share of EHR vendors’ business … Throughout this summary, the term children is used to refer to both children and adolescents. 2.

465. Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/finalsummary.pdf
     February 21, 2016 - • Stakeholders value State reports on the performance of health plans and child-serving practices … • Adapting EHR systems to better meet the needs of child-serving practices. … • Although the model EHR Format for children addresses many child- oriented functions, incorporating … difficult because child-serving organizations represent a small share of EHR vendors’ business … Throughout this summary, the term children is used to refer to both children and adolescents. 2.

466. How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs? | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight07.html
     February 01, 2014 - States are implementing 52 projects in five general categories: Using quality measures to improve child … However, the two States recognize that the amount is often insufficient given the high cost of child … Recruiting and selecting caregivers who have cared for a child with special health care needs, are in … Dev Med Child Neurol 2013 July;55(7):602-609. … Child Care Health Dev 2011 Nov;37(6):833-840. PMID: 22007983. 6 Mann C, Hyde P.

467. Chipra205-Materials Vib (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_VIB.pdf
     January 01, 2013 - Health and Development Institute of Connecticut Child Health Services Child Start Inc Children Now … Support for Families Attachment 6B.1 Summary of Public Comment Participants Sutter County Children … UC Davis UIC-Division of Specialized Care for Children Unity Health Care University of Arkansas … Forest University Health Sciences West Virginia University Westbury Pediatrics Wisconsin Dept. of Children … Topics Early Child Spec Educ. 2013;33(2):102-111.

468. Introducing electronic screening tools for developmental delay and autism into pediatric primary care | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/pa-specialinnovation.html
     August 01, 2018 - Developmental delays can put children at increased risk of behavior disorders and other medical issues … for children under 3 years of age.  … Fully-electronic screenings: timing and tools   Screening Well-Child Visits Screening Tool … screenings at their routine well-child visits. … CHOP is matching clinical patient data from its EHR (including well-child visits, screening results,

469. CHIPRA 235: Appendix B: Examination of Credentials for Identified Specialists (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-235-appendix-b.pdf
     September 01, 2015 - Specialists Q-METRIC Availability of Specialty Services Measure 4, Access to Outpatient Specialty Care for Children … Q-METRIC Availability of Specialty Services Measure 4, Access to Outpatient Specialty Care for Children … 12 1,307 66% 906 64% Child neurology 13 685 67% 708 65% Child neurology 14 406 67% 486 69% Child … 210 0% 569 0% Child and adolescent psychiatry state=psychiatry and neurology – child and adolescent … psychiatry 28 204 4% Child and adolescent psychiatry state=psychiatry and neurology – child

470. 2022 Medicaid and Children's Health Insurance (CHIP) Chartbook (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2022-hp-chartbook.pdf
     January 01, 2022 - are provided for the core survey composite measures, individual question items (including HEDIS and Children … the 5.0/5.0H and 5.1/5.1H versions both with and without the Children with Chronic Conditions items. … Medicaid 2022 Results (continued) Children With Chronic Conditions CAHPS Health Plan Survey Database … Children With Chronic Conditions CAHPS Health Plan Survey Database 2022 Medicaid and CHIP Chartbook … * This item is not part of the Children with Chronic Conditions Items Set, but is included in the "Family

471. Introduction to the Pediatric Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a1_pdi_intro.pdf
     January 01, 1993 - However, there are also important differences in the culture of care for children and adults, as well … : With the exception of a subset of children with special health care needs, children are less likely … • Demographics: Children are more likely than adults to live in poverty and to represent diverse … Health care reform for children and families: refinancing and restructuring the U.S. child health system … Drafting national health care reform legislation to protect the health interests of children.

472. Appendix III: Compendium of Measures and Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiii.html
     June 01, 2010 - Medically-fragile children. Children with severe emotional/behavioral disorders. … respondents in New Jersey, 1739 respondents in Arkansas, 1539 adult respondents in Florida, and 862 child … Summary: Survey evaluates child experiences with behavior health supports. … was developed through the Child and Adolescent Health Measurement Initiative (CAHMI), with substantial … needs with those of similar children in other health plans and/or the general population of children

473. Appendix V: Tested Measures by DRA Domain (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv2a.html
     June 01, 2010 - respectful and courteous National Core Indicators Family Survey Families with at least one child … Overall satisfaction with assistance in coordinating care for child with special health care needs … National Survey of Children With Special Health Care Needs, 2001 Children with special health … Percentage of adult mental health consumers and families of child/adolescent mental health recipients … care SAMHSA National Outcome Measures Adult mental health consumers and family members of child

474. Rehospitalization for Childhood Asthma: Timing, Variation, and Opportunities for Intervention (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/Kenyon2014.pdf
     February 01, 2014 - demonstrate that upwards of 40% of pediatric asthma hospitalizations are repeat hospitalizations (ie, the child … Refined Diagnosis-Related Group [APR-DRG] of asthma [v20 141]) from 7/1/08-6/ 30/10, following each child … Arch Dis Child 1999;80:110-4. 8. Ng DKK, Chow P-Y, Lai W-P, Chan K-C, And B-LT, So H-Y. … Predictors of early hospital readmis- sion for asthma among inner-city children. … State-level child health system performance and the likelihood of readmission to children’s hospitals

475. Appendix V (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv1b.html
     June 01, 2010 - National Survey of Children With Special Health Care Needs 4 3 3 2 12 Children with special … Evidence Populations Feasibility Prevalence Total Score Notes Medication errors in child … residential programs Center for Quality Assessment and Improvement in Mental Health/Child & Adolescent … disorders Patient injury during child/adolescent restraint Center for Quality Assessment and … Improvement in Mental Health/Child & Adolescent Residential Psychiatric Programs 4 3 4 2 13

476. Final Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program: Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/finaldesignplan.pdf
     September 01, 2015 - this goal by conducting formal impact analyses to determine whether particular interventions improved child … Using health IT to improve child health care quality The goal of the CHIPRA Quality Demonstration Grant … The target population (all Medicaid and CHIP-enrolled children or enrolled children with special health … combine quantitative data from several States to develop estimates of the impact of the projects on child … , particularly for children with special health care needs

477. Summary of the Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/design_plan_for_chipra.pdf
     July 01, 2012 - this goal by conducting formal impact analyses to determine whether particular interventions improved child … Category B: Using Health IT to Improve Child Health Care Quality The goal of the CHIPRA Quality Demonstration … Of the 17 demonstration States that are implementing Category C projects, 12 are working with child-serving … The target population (all Medicaid and CHIP-enrolled children or enrolled children with special health … Reporting, and Applying Core and Supplemental Quality Measures Category B: Using Health IT to Improve Child

478. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4a_pdi01-lacerationpuncture-bestpractices.pdf
     May 31, 2016 - Improvement PDI 01: Accidental Puncture or Laceration Why focus on accidental puncture and laceration in children … surgery and may carry a higher risk of accidental puncture or laceration to patients.1 • Rates in children … study found that accidental puncture and laceration is associated with higher mean length of stay for children … Children with this complication also had higher odds of in-hospital mortality (2.7 times the odds of … children without the complication), even after adjusting for numerous other risk factors.4 Recommended

479. Engaging Stakeholders to Improve the Quality of Children's Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1.pdf
     September 08, 2015 - building an Improvement Partnership (IP), a statewide organization that will support QI efforts for children … Named the Idaho Health and Wellness Collaborative for Children (IHAWCC), Idaho’s IP will support providers … initiative, it could be helpful to identify your State’s biggest priorities in health care QI for children … organizations) specific to your State that may identify crucial gaps in care for children … – Reviewing media coverage about quality gaps in care for children.

480. Pediatric All-Condition Readmission Measure (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0129-fullreport.pdf
     December 31, 2015 - Social and Clinical Burdens of Readmission Hospitalization of a child is disruptive to families. … Parents and other caregivers also incur time and monetary costs while a child is hospitalized (Leader … For example, evidence exists for the relationship between immunizing a child or adolescent (process … of care) and improved outcomes for the child and the public. … We have also presented the measure to the Massachusetts Child Health Quality Coalition, which includes