Mount Sinai Collaboration for Advancing Pediatric Quality Measures

描述（由申请人提供）：西奈山医学院推进儿科质量措施合作组织（CAPQuaM）儿科质量测量对负责任的医疗保健至关重要。尽管取得了很大进展，但实质性的测量挑战仍然存在。儿科质量措施计划创建了一个国家基础设施来制定儿科质量措施。我们将国家和地区领导人聚集在一起，作为西奈山推进儿科质量措施合作组织（CAPQuaM），以应对这些挑战，制定和加强儿科质量措施，并在美国大力推进儿科质量测量的方法和能力。具体目标1：将我们的联盟部署为具有广度和深度专业知识的卓越中心，以开发和提高儿科质量措施，优化数据的有意义使用，并可推广到公共和私营部门以及跨护理环境。我们以临床为导向的概念框架，我们提出的透明和包容的过程，以及我们对有意义的衡量的承诺，将促进各州、医疗计划和医院采用这些措施。具体目标2：制定和加强儿科质量措施，通过解决CHIPRA和/或FOA中描述的五个优先事项来说明我们的能力：1)围产期护理；2)住院治疗；3)心理/行为健康；4)护理协调；5)治疗，以纠正或改善慢性身体状况的影响，导致卫生保健在门诊设置。可能的任务和示例项目包括：1)开发一种新的方法来评估早产儿表面活性剂的使用；2)加强现有的评估行为/心理健康住院出院后门诊护理协调的措施；3)制定一项新的措施，评估复发性和/或持续性（慢性）中耳炎儿童手术干预的使用；具体目标3：开发创新方法，以加强四个广泛领域的测量开发：(1)提高现有共识方法的有效性，可靠性和以患者为中心，推进科学不确定和/或特别受患者偏好影响的关键临床领域的测量设计；(2)在设计措施和措施时，将消费者和用户的价值观和观点有意义地整合到该方法中；(3)概念化和设计标准化、可行和可接受的电子数据捕获策略；(4)加强对不同分析单位的业绩指标进行汇总和分层的方法，包括将业绩在单一人口或不同人口中的分布纳入质量指标的解释和评分的能力。CAPQuaM预计在四年内使用我们的三个阶段，3600测量开发和测试过程开发或增强六种或更多的儿科质量测量。管理和维护将随着开发而进行。

DESCRIPTION (provided by applicant): Mount Sinai Medical School Collaboration for Advancing Pediatric Quality Measures (CAPQuaM) Pediatric quality measurement is essential for accountable health care. Despite much progress, substantial measurement challenges remain. The Pediatric Quality Measures Program creates a national infrastructure to develop pediatric quality measures. We bring together national and regional leaders as the Mount Sinai Collaboration for Advancing Pediatric Quality Measures (CAPQuaM) to address these challenges, to develop and enhance pediatric quality measures, and to advance substantially methods and capacity for pediatric quality measurement in the US. We offer the following three broad aims: Specific Aim 1: Deploy our consortium as a Center of Excellence with the breadth and depth of expertise to develop and enhance pediatric quality measures that optimize meaningful use of data and that can be generalized to both the public and private sector and across settings of care. Our clinically oriented conceptual framework, the transparent and inclusive process that we propose, and our commitment to meaningful measurement will promote adoption of these measures by states, health plans, and hospitals alike. Specific Aim 2: Develop and enhance pediatric quality measures, illustrating our capacity by addressing five of the priorities described in CHIPRA and/or the FOA: 1) perinatal care; 2) inpatient care; 3) mental/behavioral health; 4) coordination of care; and, 5) treatments to correct or ameliorate the effects of a chronic physical condition that leads to health care in the ambulatory setting. Possible assignments and example projects include: 1) Develop a new measure to assess the use of surfactant for premature infants; 2) Enhance the existing measure that assesses the coordination of care in the ambulatory setting after discharge from a behavioral/mental health admission; and 3) Develop a new measure that assesses the use of surgical intervention for children with recurrent and/or persistent (chronic) otitis media; Specific Aim 3: Develop innovative methods to enhance measure development in four broad areas: (1) Enhance the validity, reliability , and patient-centeredness of an existing consensus method, advancing measure design in critical clinical areas with unsettled science and/or that are especially subject to patient preferences; (2) Incorporate into this method meaningful integration of consumer and user values and perspectives in the design of measures and eMeasures; (3) Conceptualize and design of standardized, feasible and acceptable electronic data capture strategies; (4) Enhance methods for aggregating and stratifying performance measures across diverse units of analysis, including capacities to incorporate the distribution of performance across a single population or different populations into the interpretation and scoring of quality measures. CAPQuaM expects to develop or enhance six or more pediatric quality measures in four years using our three stage, 3600 measure development and testing process. Stewardship and maintenance will follow development. PUBLIC HEALTH RELEVANCE: The Mount Sinai Collaboration for Advancing Pediatric Quality Measures (CAPQuaM) brings together leading state, payer, clinician, family and other stakeholders with the required content, scientific and applied expertise to respond efficiently to priority pediatric quality measurement assignments as will be set forth by AHRQ.