QMETRIC Implementation & Quality Improvement (2016-2020)

Faculty Contact: Gary L. Freed, MD, MPH, Principal Investigator

The quality of care provided to children is a topic of importance at the federal, state, health plan, and practice levels. However, there are very few validated mechanisms to assess the quality of care nor to address any deficiencies identified. To redress this issue, the QMETRIC Implementation and Quality Improvement project seeks to place children at the center of the health care quality movement. By assessing care for all children within a state, health plan, or health system, QMETRIC will implement its already-developed and validated pediatric quality measures to identify specific ways to improve pediatric population health, including more effective resource utilization and practices promoting better quality of life.

To support this goal, the QMETRIC center of excellence will field test six of the pediatric quality measures it developed during the initial phase of the federally funded Pediatric Quality Measures Improvement Project (2011-2016). Quality gaps identified through the use of those measures will form the focus of rigorous quality improvement (QI) efforts to improve care. The six measures cover antibiotic prophylaxis and transcranial Doppler screening for children with sickle cell anemia; overuse of computed tomography imaging in children with headaches or seizures; and the provision of controller and rescue medications to children with persistent asthma. All measures are claims-based and do not require costly and time-intensive chart review.

Specific Aims for this Project

  1. Field testing, refinement, data collection, and reporting on the selected measures at the state, health plan, and health system levels
  2. Use of measure performance data to define QI goals, develop QI interventions, and test multilevel improvement strategies at the state, health plan, and health system levels

The Team
The QMETRIC 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.

Implications for Health Policy
This project has a high likelihood of significant impact on the quality of care provided to children.

Measure Sets

Sickle Cell Anemia

Transcranial Doppler Ultrasonography Screening

Antibiotic Prophylaxis

Overuse of Imaging

Measure specificiations coming soon

Outpatient Management of Asthma

Measure specificiations coming soon

Previous Work
To learn more about the six published sets of pediatric quality measures, please see information about the project’s first phase: QMETRIC: Quality Measurement, Evaluation, Testing, Review, and Implementation Consortium, (2011-2015)

This work is supported by the Centers for Medicare & Medicaid Services and the Agency for Healthcare Research and Quality

For more information, please contact:
Julie McCormick, QMETRIC Project Manager
University of Michigan Child Health Evaluation and Research (CHEAR) Center
300 North Ingalls, Room 6D22
Ann Arbor, MI 48109-5456
Telephone: (734) 615-9755
Fax: (734) 232-1400
Email: mccormj[at]med.umich[dot]edu