Authors’ Response

We appreciate Drs Freed and Dombkowski’s comments about the measures included in our study. For this article, our focus was on identifying and categorizing broadly used pediatric quality measures with national uptake, with a particular focus on those measure sets required for regulatory or public reporting. We regret that we did not better delineate this focus within the methods section of our article. The landscape of pediatric quality measurement is ever-changing, and there are countless measure sets evolving through various stages of development at any given point in time. To the best of our understanding, the Pediatric Quality Measures Program Centers for Excellence are engaging in iterative work to develop, test, and implement quality measures surrounding topics that are critical to pediatric health care. These centers have done excellent work to propose measures that are reliable and valid, and through continued efforts, these measures are likely to be implemented and adopted on a broad scale. However, at the time of our data gathering, it was our impression that measures from these Centers were still undergoing rigorous review and had not yet been widely adopted. The work being done at the Pediatric Quality Measures Program Centers for Excellence is critically important to this field, and we look forward to seeing how the rigorous processes used at these centers advance quality measurement in the field of pediatrics, in particular, as these measures are integrated into the landscape of publicly reported measures applicable to children. We thank Drs Freed and Dombkowski for their comments and their important work in this area.

• Copyright © 2017 by the American Academy of Pediatrics