National Quality Forum (NQF) Endorses QMETRIC Pediatric Quality Measures

April 6, 2017

The CHEAR Center’s Quality Measurement, Evaluation, Testing, Review, and Implementation Consortium (QMETRIC) team accomplished a significant milestone in their efforts to improve pediatric quality measurement and implementation by submitting two quality measures to the National Quality Forum (NQF). The NQF, whose mission is to “lead national collaboration to improve health and healthcare quality through measurement,” is the gold standard for endorsing quality measurement.

NQF has endorsed QMETRIC’s measure for transcranial Doppler screening among children with sickle cell anemia. This measure assesses the proportion of children with sickle cell anemia that receive appropriate stroke risk screening; this screening identifies which children need to begin stroke prevention efforts.

This month, NQF recommended a second QMETRIC measure for endorsement: antibiotic prophylaxis among children with sickle cell anemia, assessing the proportion of children with sickle cell anemia who receive life-saving antibiotic prophylaxis.

These QMETRIC measures are among the very few pediatric quality measures in the United States that have been tested for reliability and validity and have adequate measure specifications for implementation. These measures may be used by states, health plans, and health systems to improve the care provided to this particularly vulnerable population of children with sickle cell disease.

QMETRIC is a center of excellence (CoE) for the federal Pediatric Quality Measures Program (PQMP), which was established under the Children’s Health Insurance Program Reauthorization Act (CHIPRA) and is funded by the Agency for Healthcare Research and Quality (AHRQ) and the Centers for Medicare & Medicaid Services (CMS). The team includes five University of Michigan investigators under the leadership of principal investigator Gary L. Freed, MD, MPH: Kevin J. Dombkowski, DrPH, MS; Sarah Reeves, PhD, MPH; Katherine Bates, MD, MS; Michelle Macy, MD, MS; and Thomas Braun, PhD. Two state Medicaid programs are also participating: Michigan and New York, as are three health plans: Blue Cross Blue Shield, United Healthcare Community Plan, and Meridian Health Plan. Three health systems are committed to the project: Mott Children’s Hospital of the University of Michigan Health System, Children’s Hospital of Michigan of the Detroit Medical Center, and Hurley Children’s Hospital of the Hurley Medical Center, along with the Michigan Emergency Department Improvement Collaborative (MEDIC), a clinical collaborative.

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