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Quality of Child Health: Expanding the Scope and Flexibility of Measurement Approaches


Quality measurement can inform and encourage improvement in child health care. Currently, most measures gauge only whether care is received (e.g., receipt of a well-child care visit), providing little information about the actual content of care. We propose a measurement framework for comprehensive well-child care to capture a richer view of children’s health care and take a more efficient approach to data collection. To promote measurement development, it will be necessary to: 1) align new measures with existing reporting requirements; 2) manage the burden of data collection; 3) weigh the evidence base; 4) consider adding new types of content; 5) develop clear but flexible measure specifications; and 6) consider children’s enrollment patterns in Medicaid and the Children’s Health Insurance Program. It also will be important to seek opportunities for eliciting families’ views on the quality of well-child care.

Publication Details

Publication Date: May 22, 2009

S. H. Scholle, S. L. Sampsel, N. E. P. Davis, and E. L. Schor, Quality of Child Health Care: Expanding the Scope and Flexibility of Measurement Approaches, The Commonwealth Fund, May 2009.


Assistant Vice President of Research, National Committee for Quality Assurance
Research Scientist, National Committee for Quality Assurance
Health Care Analyst, National Committee for Quality Assurance
Senior Vice President for Programs and Partnerships, Lucile Packard Foundation for Children's Health