Advancing children's health care and outcomes through the pediatric quality measures program
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Updated: Apr 25, 2026

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Published on: December 19, 2017
Kamila B Mistry1, Francis Chesley1, Karen LLanos2
1Children's Health Insurance Program Reauthorization Act Pediatric Quality Measures Program, Office of Extramural Research, Education, and Priority Populations, Agency for Healthcare Research and Quality, Rockville, MD.
Insights
The Pediatric Quality Measures Program (PQMP) was established to create evidence-based pediatric quality measures for children
Area of Science:
- Health Services Research
- Pediatric Health Quality Measurement
Background:
- The Children's Health Insurance Program Reauthorization Act (CHIPRA) of 2009 mandated improvements in child health quality measurement.
- The Agency for Healthcare Research and Quality (AHRQ) partnered with Centers for Medicare & Medicaid Services (CMS) to implement CHIPRA provisions.
- The establishment of the Pediatric Quality Measures Program (PQMP) was a key initiative under CHIPRA.
Purpose of the Study:
- To outline the goals and activities of the Pediatric Quality Measures Program (PQMP).
- To present a portfolio of new and enhanced pediatric quality measures.
- To inform the improvement of the Child Core Set of quality measures for Medicaid/Children's Health Insurance Program.
Main Methods:
- Focuses on the overview of the Pediatric Quality Measures Program (PQMP).
- Details the program's objectives, development of quality measures, and implementation strategies.
- Includes analysis of lessons learned and future opportunities for pediatric quality improvement.
Main Results:
- The PQMP has developed a portfolio of evidence-based pediatric quality measures.
- These measures are available for use by Medicaid, Children's Health Insurance Program, and other healthcare programs.
- The program provides a framework for enhancing the Child Core Set of quality measures.
Conclusions:
- The PQMP is crucial for advancing pediatric health care quality measurement and outcomes.
- Continued development and implementation of these measures are essential for improving child health services.
- Lessons learned offer valuable insights for future quality improvement initiatives in pediatric healthcare.
Abstract:
In 2009 Congress passed the Children's Health Insurance Program Reauthorization Act (CHIPRA), which presented an unprecedented opportunity to measure and improve health care quality and outcomes for children. The Agency for Healthcare Research and Quality, in partnership with the Centers for Medicare & Medicaid Services, has worked to fulfill a number of quality measurement provisions under CHIPRA, including establishing the Pediatric Quality Measures Program (PQMP). The PQMP was charged with establishing a publicly available portfolio of new and enhanced evidence-based pediatric quality measures for use by Medicaid/Children's Health Insurance Program and other public and private programs and to also provide opportunities to improve and strengthen the Child Core Set of quality measures. This article focuses on the PQMP and provides an overview of the program's goals and related activities, lessons learned, and future opportunities.
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