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Categorization of National Pediatric Quality Measures
Samantha A House1,2, Eric R Coon3, Alan R Schroeder4
1Department of Pediatrics, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire; samantha.a.house@hitchcock.org.
Pediatrics
|March 17, 2017
Summary
Pediatric quality measures are mostly process-based, focusing on underuse of care. While diverse, current quality metrics for children have significant gaps in addressing prevalent conditions and complex care needs.
Area of Science:
- Healthcare Quality Improvement
- Pediatric Health Services Research
Background:
- The proliferation of healthcare quality measures has outpaced research on their content and impact.
- A comprehensive understanding of pediatric-specific quality metrics is lacking.
Purpose of the Study:
- To identify and categorize national quality measures relevant to children.
- To analyze the representation of common pediatric health issues within these measures.
Main Methods:
- National quality measure collections were identified and screened for pediatric applicability.
- Measures were classified using the Donabedian framework (structure, process, outcome).
- Process measures were further categorized by targeting underuse, overuse, or misuse; content areas were analyzed and compared to disease prevalence.
Main Results:
- 257 unique pediatric quality measures were identified, with 59% being process measures targeting underuse (77%).
- Asthma and depression measures were most common, aligning with prevalence.
- Fewer measures existed for common conditions like respiratory infections and otitis media, and for complex care and injuries.
Conclusions:
- Pediatric quality measures predominantly focus on process measures addressing underuse of services.
- Existing measures cover a broad range of content but have notable gaps for certain prevalent pediatric conditions and care needs.
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