Current Environment:

 

The Center of Excellence for Pediatric Quality Measurement (CEPQM) developed the following measures:

  • Adolescent Assessment of Preparation for Transition (ADAPT) Survey: A patient-reported survey that examines the quality of health care transition from pediatric- to adult-based care. It focuses on the quality of transition planning and preparation for youth ages 16-17 years old with non-complex or complex chronic medical conditions.
  • Children with Disabilities Algorithm (CWDA): An algorithm for identifying diagnosis codes (ICD-9) with a high likelihood of indicating children with disabilities. This algorithm allows investigators to identify populations of children with disabilities in large claims data sets and to stratify care quality information by disability status.
  • Child Hospital CAHPS (Child HCAHPS) Survey: A 62-item survey that is harmonized with the Adult HCAHPS instrument. Child HCAHPS asks parents and guardians of patients under the age of 18 about their family’s experience at the hospital.
  • Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool: A method for identifying adverse events among hospitalized pediatric patients. This tool allows institutions to measure rates of adverse events in various hospital settings over time.
  • 30-day Readmission Measures (Readmissions), All-Condition and Lower Respiratory Infection: Two statistical programs (SAS) that help hospitals organize data and calculate readmissions rates. They also adjust for case-mix, enabling performance comparisons across institutions or within the same institution over time while accounting for differences in patient population characteristics that could influence readmission risk, such as age and co-morbid conditions.

For each measure, CEPQM formed a working group of content, clinical, and methodological experts who led the process of development and testing. Specific consideration was given to the validity, feasibility, understandability, and actionability of the final specifications and the ability of the measure to evaluate disparities in care.

Please contact us with questions and comments at CEPQM@childrens.harvard.edu.