1. © 2003 HCC, Inc. CD042500-1245RR Tool Spec Sheet Basic Level Spectrum Systems HCC National Quality Forum (NQF) Endorsed Voluntary Consensus Standards For Hospital Care: Pediatric Conditions Scorecard  [ ____________ ] TOOL DESCRIPTION Title: Short and tight, of no more than three or four words. Define whether the tool is a Roadmap, Guide, Dashboard, Scorecard, Checklist, Framework, Template, Calculator, or Formula. Abstract: No more than four lines. The abstract should summarize the tool and its use. Key Words: List all of the key words that may be pertinent to the core concept that a user might use in a search. Author: List author organization (HCC or TMIT or other – if other note how it was modified from original source). Lead Tool Summary Graphic: Use a PPT graphic from HCC graphic library as a lead identifying graphic. Include mini-icons where appropriate. Spectrum Web Storyboard: Insert instructions for web pres, direction for graphics, animations, text instructions & PN direction to other pages 2 of 2 eg. Tool Definition: One short paragraph should be provided that defines the Tool. This definition will be presented in a glossary of terms. The tool should be labeled as to whether it is used at all, Basic, Intermediate, Comprehensive, or Very Comprehensive levels. Background: Provides the why, when, and how, tool was developed and the sources. Description: Provides the relevance to the healthcare and performance solutions development. Describes how “ works ” with in with the HCC Spectrum system and related or pertinent Spectrum concepts. Although there is one lead signature graphic, more than one graphic or table may be used in the description. C-T-R ’ s mentioned in the body of the description will be linked through a framework tree to the definition (suggest pop up window with a close button). Also provide a simple and short example of the tool. The source references should be listed at the end of document. User Value Views: A “ User View ” paragraph or set of paragraphs will be provided for Product Development, Business Development, Marketing/Sales, Healthcare Provider, or Healthcare Purchaser. Each will provide a customized view as to how that tool may be used for each user. References: Use the reference format defined by the NLM Style Guide. The abstract for each referenced article will be posted in the KM system and be viewable with a hyperlink. Sources: Similar to bibliography, this section should list where certain components of the tool have been found or developed. They may not necessarily be referenced. Related Concepts: This is a link that leads to a separate page that lists the related concepts that may be of value to the user. Related Tools: This is a link that leads to a separate page listing related Tools. Related Resources: This is a link that leads to a separate page listing related Resources. Video Link: Links to media player of video description of the tool (2-3 minutes) of streaming video. HCC Internal Tool Spec Sheet S3 Version 2

2. © 2003 HCC, Inc. CD042500-1245RR Tool Description Basic Level Spectrum Systems HCC Completed by: Date: Version: Filing Location: Related Concepts, Tools, and Resources: Measures-Standards-Practices Grid Performance M-S-P document NQF Resource Instructions: The purpose of this tool is to evaluate the performance of the solution against specific NQF Measures- Standards-Practices and determine the opportunity gap. Step 1: Review the definition of the Measures-Standards-Practices (select which) on the following page and determine if the solution has an impact on meeting, supporting, or providing data for the M-S-P. For more details refer to the M-S-P Tool. Step 2: Click on Radar graph below and update the values using the scale 0-10 (10 being an exact match to fulfilling the measure). Use information as input data for the Index Model to determine specific Procedure volumes targeted by the solution. Page 1 of 3 Notes and Comments: S3 Version 2 National Quality Forum (NQF) Endorsed Voluntary Consensus Standards For Hospital Care: Pediatric Conditions Scorecard

3. © 2002 HCC, Inc. All Rights Reserved NQF-Endorsed Voluntary Consensus Standards: Pediatric Conditions Scorecard Tool Template Basic Level Spectrum Systems HCC Page 2 of 3 Completed by: Filing Location: Version: Date: S3 Version 2

4. © 2003 HCC, Inc. CD042500-1245RR Tool Template Basic Level Spectrum Systems HCC Completed by: Filing Location: Version: Date: S3 Version 2 Medical literature has demonstrated that asthma is the leading pediatric condition, requiring chronic healthcare management throughout the childhood years and well into adulthood, requiring frequent hospitalizations and consuming significant resources. Appropriate management of inpatient asthma through the use of anti-inflammatory medications reduces the severity of an asthma attack, reduces hospital length of stay and returns the child to his normal daily activities in a more timely manner. These measures address the primary health issues associated with children and neonates: Definitions of the M-S-P: Use of relievers for inpatient asthma: Percentage of patients who receive relievers for inpatient asthma, by age group. Asthma is the most common pediatric condition in existence, though cases have decreased in recent years. Asthma relievers are any of a class of drugs designed to relieve sufferers from the symptoms of acute severe asthma attacks, a severe narrowing of the air passages making breathing difficult or impossible. Use of systemic corticosteroids for inpatient asthma: Percentage of patients who receive systemic anti-inflammatory drugs for inpatient asthma, by age group. Corticosteroids are a special class of relievers classified as steroids, which serve to reduce inflammation and strengthen the air passages in the lungs. Long term treatment has proven to be an excellent preventive measure, though corticosteroids are used to relieve the symptoms of acute severe asthma attacks also. Neonate immunization administration: Immunization administered to neonates with lengths of stay greater than 60 days. Neonates who remain in the hospital beyond the average 24-72 hour time periods are at greater risk of developing a hospital acquired infection, indicating that prolonged stays can be a health risk. Evidence has shown that early immunization has a dramatic effect on this statistics, restoring a patient’s likelihood of resisting early infections. NQF-Endorsed Voluntary Consensus Standards: Pediatric Conditions Scorecard Page 2 of 3