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Advancing the Measurement of Care Coordination in Pediatric Behavioral Health

Jorina, Maria PhD; Cammaerts, Ayesha MBA; Singer, Janice MA; Ozonoff, Al PhD; Chan, Eugenia MD, MPH; Antonelli, Richard MD, MS; Gurvitz, Michelle MD; Jenkins, Kathy MD, MPH

Journal of Developmental & Behavioral Pediatrics: October 2016 - Volume 37 - Issue 8 - p 674–684
doi: 10.1097/DBP.0000000000000350
Quality Matters
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Objective: To describe the measure review and evaluation process used to identify new measures of care coordination for children with behavioral health needs conducted as part of Massachusetts' Children's Health Insurance Program Reauthorization Act Quality Demonstration Grant.

Method: The Massachusetts Child Health Quality Coalition identified a shortage of pediatric measures of care coordination in behavioral health. After an extensive literature review, the Measure Development Committee applied the Care Coordination Key Elements Framework (Framework), which was designed as part of the grant work, and used a modified RAND Delphi method to conduct feasibility and validity evaluation and propose the new candidate measures for further rigorous testing.

Results: Thirty-two measures were evaluated. One existing Healthcare Effectiveness Data and Information Set and 8 newly proposed measures met the criteria for feasibility and reliability. These measures represented each of the key elements contained in the Framework. The measures need further testing to ensure scientific acceptability and wide usability.

Conclusion: A multipronged methodology was used to propose measures of care coordination in the space of pediatric behavioral health to fill the identified gaps in existing measures.

*Center for Patient Safety and Quality Research, Boston Children's Hospital, Boston, MA;

Office of Community Health, Boston Children's Hospital, Boston, MA;

Massachusetts Health Quality Partners, Watertown, MA;

§Center for Patient Safety and Quality Research, Boston Children's Hospital, Harvard Medical School, Boston, MA;

Division of Developmental Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA;

Department of Medicine, Integrated Care Program, Boston Children's Hospital, Harvard Medical School, Boston, MA;

**Division of General Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA.

Address for reprints: Maria Jorina, PhD, 401 Park Drive, 7th Floor, PPSQ, Boston, MA 02115; e-mail: maria.jorina@childrens.harvard.edu.

The Centers for Medicare and Medicaid Services (CMS) through grant funds issued pursuant to CHIPRA section 401(d); fund # CT EHS 11EHSCHILDRENSHOPLC.

Disclosure: The authors declare no conflict of interest.

The views expressed in this article are solely those of the authors and do not represent the views of the Centers for Medicare and Medicaid Services (CMS) or any other U.S. government agency or any institutions with which the authors are affiliated.

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