Activities Related to the Children's Health Insurance Program Reauthorization Act (CHIPRA)
In January 2009, President Obama signed Public Law 111-3, the Children's Health Insurance Program Reauthorization Act (CHIPRA). Title IV of that act promised a new day for children's health care quality, especially for those 36 million children covered by Medicaid and CHIP programs.
The Agency for Healthcare Research and Quality (AHRQ) is very excited to be working with the Centers for Medicare & Medicaid Services (CMS) to implement the quality provisions of CHIPRA. We are pleased to share the following information about how our work is progressing and to provide an opportunity for key stakeholders to share their views.
Contents
CHIPRA Quality Implementation Plan
AHRQ National Advisory Council Subcommittee on Children's Healthcare Quality Measures for Medicaid and CHIP Programs Public Meetings
Other CHIPRA Activities
AHRQ Resources on Children's Health Care Quality, Medicaid, and CHIP
Centers for Medicare & Medicaid Services CHIPRA Web site
CHIPRA Legislation
CHIPRA Quality Implementation Plan
Identification of Initial Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs
- The first task around quality measures is the identification of an initial core quality measurement set for voluntary use by Medicaid and CHIP programs. The initial core quality measurement set is to be posted for general comment by January 1, 2010.
- To help us identify and prioritize the core quality measurement set, we will be seeking the advice of AHRQ's National Advisory Council on Healthcare Research and Quality (NAC). The NAC has created the Subcommittee on Quality Measures for Children's Healthcare in Medicaid and CHIP. NAC Subcommittee meetings will be open to the public. Select for a list of members.
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AHRQ National Advisory Council Subcommittee on Children's Healthcare Quality Measures for Medicaid and CHIP Programs Public Meetings
Second Subcommittee Meeting, September 17-18, 2009—Public Comment Invited
The next AHRQ NAC Subcommittee meeting will be held on September 17 (8 am-5 pm) and September 18 (8 am-12 pm), 2009. The meeting will be held at the Holiday Inn Capitol, 550 C St. SW, Washington, DC. Information about the agenda will be posted on this page.
To request time to make a public comment (maximum time, 5 minutes) or submit a public comment before or after the meeting, please send an E-mail to CHIPRAqualitymeasures@ahrq.hhs.gov.
First AHRQ NAC Subcommittee, July 22-23, 2009
Select for the following presentations:
- Introductory Remarks and Charge to the Subcommittee (PowerPoint® File, 1.7 MB; Web Version)
Carolyn Clancy, M.D., July 22, 2009
- CMS and AHRQ Partnership Overview (PowerPoint® File, 605 KB; Web Version)
Cindy Mann and Barbara Dailey, July 22, 2009
- Progress Report (PowerPoint® File, 205 KB; Web Version)
Jeffrey Schiff, M.D., M.B.A., and Rita Mangione-Smith, M.D., M.P.H., July 24, 2009
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Other CHIPRA Activities
- CHIPRA also called for the Institute of Medicine (IOM) to study and report on the quality of efforts to measure child health status and the quality of health care for children across the pediatric age span in relation to preventive care, treatments for acute conditions, and treatment aimed at ameliorating or correcting physical, mental, and developmental conditions in children. The report will consider all major national population-based reporting systems that are sponsored by the Federal Government, investigate knowledge gaps, and make recommendations to improve the timeliness, quality, transparency, and accessibility of information about child health and health care quality. The report is due to Congress by July 2010. A link to the study will be provided on this page.
- AHRQ's health information technology (health IT) team will be collaborating with CMS to develop an electronic health record format for children. Watch this space for more information on that work, which is to be initiated by January 1, 2010.
- AHRQ also will create a program that uses grants and contracts to develop, validate, and improve pediatric quality measures. That program is to be in place by January 1, 2011 and completed by January 1, 2013, in time to produce a final core quality measurement set. More information will appear here as it becomes available.
- Finally, AHRQ has been asked to provide technical consultation to CMS as it reports on quality measures and recommendations for legislative changes, provides content for best practices related to implementation of core measures, and prepares an evaluation of outcomes of demonstration projects to improve the quality of health care for children.
- To ensure that the expertise of key Department of Health and Human Services (HHS) entities is brought to bear on this opportunity to improve quality measurement and quality health care for all children—and thus to improve their health and well-being—the Secretary of HHS has created a Federal Quality Workgroup of the CHIPRA Steering Committee. In addition to AHRQ and CMS, members come from HHS's Office of the Assistant Secretary for Planning and Evaluation (ASPE), Centers for Disease Control and Prevention (CDC), Health Resources and Services Administration (HRSA), Indian Health Service (IHS), Substance Abuse and Mental Health Services Administration (SAMSHA), and the Office of the National Coordinator for Health Information Technology (ONC).
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AHRQ Resources on Children's Health Care Quality, Medicaid, and CHIP
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Centers for Medicare & Medicaid Services CHIPRA Web site
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CHIPRA Legislation
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Current as of August 2009
Internet Citation:
Children's Health Care Quality: Activities Related to the Children's Health Insurance Program Reauthorization Act (CHIPRA). August 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/chip/chipraact.htm
540 Gaither Road Rockville, MD 20850