Measurement

This section includes measurement and evaluation resources. Access to standardized developmental screening is an important measure of the quality of pediatric primary care. For that reason, the CHIPRA Core Set of Children’s Health Care Quality Measures includes an indicator of access to developmental screening (DEV-CH) for children enrolled in Medicaid and CHIP. This measure, developed at the Oregon Health and Science University, is used to monitor the receipt of developmental screening during each of the first three years of a child’s life. Twenty states voluntarily reported the measure to the Centers for Medicare and Medicaid Services in 2015. See the map below to learn more.The National Survey of Children’s Health includes an indicator of access to developmental screening for children aged 10-months to 5 years, based on parental report. HRSA’s Title V Maternal and Child Health Block Grant program includes a national performance measure (NPM 6) that monitors developmental screening using this indicator. Forty state Title V programs have prioritized this performance measure.States agencies may use the above or other measures internally to monitor access to developmental screening. Measures may be used in Medicaid performance improvement projects or other quality monitoring efforts. See the Medicaid Incentives and Improvement Projects map below to learn more.Since these measures rely on different data sources (Medicaid claims, medical chart review; parent telephone survey) and specifications, developmental screening measurement is not aligned across systems or programs.

State Reporting of CHIPRA Developmental Screening Core Measure


CHIPRA Core Measure

Legend:

Currently report the measure (22)

Previously reported the measure (4)

Do not report the measure (24)

Sources: 2014 and 2015 Annual Reports on the Quality of Care for Children in Medicaid and CHIP; and 2016 Annual Reporting on the Quality of Care for Children in Medicaid and CHIP (FFY 2015) Chart Pack

State Medicaid Incentives or Improvement Projects for Developmental Screening


Incentives & IPs

Legend:

Incentive (5)

Improvement Project (3)

Both (1)

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