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What Factors Influence States' Capacity to Report Children's Health Care Quality Measures? A Multiple-Case Study
Anna L Christensen1, Dana M Petersen2, Rachel A Burton3
1Mathematica Policy Research, 1100 1st Street NE, 12th Floor, Washington, DC, 20002, USA. achristensen@mathematica-mpr.com.
Maternal and Child Health Journal
|August 1, 2016
Summary
State Medicaid agencies can improve reporting of children's health care quality measures (Child Core Set) by investing in data systems and organizational factors. Grant funding enhances these capacities, enabling states to overcome reporting challenges.
Area of Science:
- Health Services Research
- Public Health Policy
- Healthcare Quality Improvement
Background:
- State Medicaid agencies face challenges in reporting the Centers for Medicare & Medicaid Services' (CMS) Child Core Set of health care quality measures.
- Understanding the factors influencing reporting capacity is crucial for improving children's health care quality data.
Purpose of the Study:
- To identify and describe factors influencing state Medicaid agencies' ability to report the CMS Child Core Set.
- To analyze how diverse approaches and inputs affect reporting success in high-performing states.
Main Methods:
- A multiple-case study design was employed, focusing on four purposively selected high-performing states (Illinois, Maine, Pennsylvania, Oregon).
- Data collection included 154 interviews, semiannual grant progress reports, and annual public reports on Child Core Set measures from 2010 to 2015.
- Yin's multiple-case study methodology guided the analysis of how and why states increased their reported measures.
Main Results:
- All four studied states successfully increased the number of Child Core Set measures reported to CMS.
- Each state utilized unique reporting strategies influenced by their specific technical, organizational, and behavioral resources.
- Key influencing factors included Medicaid data availability, data system linkage, prior measurement experience, staff expertise, and demand for measures.
Conclusions:
- Financial support and strategic investment in state data systems and organizational factors are critical for overcoming reporting challenges.
- The Children's Health Insurance Program Reauthorization Act (CHIPRA) Quality Demonstration Grant Program funding and federal capacity-building initiatives positively impacted reporting.
- States can achieve significant progress in reporting the Child Core Set with adequate support and system enhancements.
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