Assessing managed care for children with chronic conditions.
This paper reviews opportunities to monitor managed care for children and adolescents with chronic conditions and considers how well the Health Plan Employer Data and Information Set, version 3.0 (HEDIS 3.0), assesses care for these children. We propose four steps to strengthen the applicability of HEDIS to children with chronic conditions: (1) develop methods of identifying and monitoring groups of children with chronic conditions; (2) report HEDIS indicators for these children separately from those for other children; (3) develop and implement consumer and provider surveys that elicit information specific to these populations; and (4) develop specific structure, process, and outcomes indicators for children with chronic conditions.
General Pediatrics Research Unit, Massachusetts General Hospital, Boston, USA.
K
K
Kuhlthau
D K
DK
Walker
J M
JM
Perrin
L
L
Bauman
S L
SL
Gortmaker
P W
PW
Newacheck
R E
RE
Stein
D000293:Adolescent; D002648:Child; D002662:Child Health Services / Q000458:organization & administration* / Q000592:standards; D002908:Chronic Disease; D016208:Databases, Factual; D003695:Delivery of Health Care / Q000592:standards; D006301:Health Services Needs and Demand; D006302:Health Services Research; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration* / Q000592:standards; D017063:Outcome Assessment, Health Care; D019984:Quality Indicators, Health Care; D017749:Total Quality Management; D014481:United States