TABLE 1

Definitions of Quality Measures

MeasureDefinition
AHRQ measuresa
 Accidental puncture or laceration rateAccidental punctures or lacerations (secondary diagnosis) during procedure per 1000 discharges for patients aged ≤17 y
 Asthma admission rateHospital admissions with a principal diagnosis of asthma per 100 000 population aged 2 through 17 y
 Central venous catheter–related bloodstream infection rateCentral venous catheter–related bloodstream infections (secondary diagnosis) per 1000 medical and surgical discharges for patients aged ≤17 y
 Diabetes short-term complications admission rateAdmissions for a principal diagnosis of diabetes with short-term complications (ketoacidosis, hyperosmolarity, or coma) per 100 000 population aged 6 through 17 y
 Gastroenteritis admission rateAdmissions for a principal diagnosis of gastroenteritis or for a principal diagnosis of dehydration with a secondary diagnosis of gastroenteritis per 100 000 population, ages 3 mo to 17 y
 Iatrogenic pneumothorax rateIatrogenic pneumothorax cases (secondary diagnosis) per 1000 discharges for patients aged ≤17 y
 Perioperative hemorrhage or hematoma ratePerioperative hemorrhage or hematoma cases with control of perioperative hemorrhage, drainage of hematoma, or a miscellaneous hemorrhage- or hematoma-related procedure after surgery per 1000 surgical discharges for patients aged ≤17 y
 Postoperative respiratory failure ratePostoperative respiratory failure (secondary diagnosis), mechanical ventilation, or reintubation cases per 1000 elective surgery discharges for patients aged ≤17 y
 Postoperative sepsis ratePostoperative sepsis cases (secondary diagnosis) per 1000 surgery discharges for patients aged ≤17 y. Includes metrics for discharges grouped according to risk category
 Pressure ulcer rateStage III or IV pressure ulcers (secondary diagnosis) per 1000 discharges among patients aged ≤17 y
 Urinary tract infection admission rateAdmissions with a principal diagnosis of urinary tract infection per 100 000 population aged 3 mo to 17 y
 Pediatric patient safety for selected indicatorsThe weighted average of the observed-to-expected ratios for: accidental puncture or laceration rate, pressure ulcer rate, iatrogenic pneumothorax rate, perioperative hemorrhage or hematoma rate, postoperative respiratory failure rate, postoperative sepsis rate, postoperative wound dehiscence rate, central venous catheter–related bloodstream infection rate
 Pediatric quality acute compositeComposite of gastroenteritis or urinary tract infection per 100 000 population aged 6 to 17 y
 Pediatric quality chronic compositeComposite of admissions for asthma or diabetes with short-term complications per 100 000 population aged 6 to 17 y
 Pediatric quality overall compositeDischarges, for patients aged 6 to 17 y, that meet the inclusion and exclusion rules for any of the following: asthma admission rate, diabetes short-term complications admission rate, gastroenteritis admission rate, urinary tract infection admission rate
Targeted measures
 NICU daysNICU days per 1000 PFK member-months
 Well-child visitsWell-child visits per 1000 PFK member-months for 3- to 6-year-olds
 Asthma emergency department admissionsAverages of monthly asthma emergency department admissions per 1000 member-months
 HbA1c levelsMonthly Median HbA1c levels for all known patients with diabetes mellitus who were aged <20 y and followed up through a network laboratory where results were available