1. CHIPRA Category A Measures Update  Categories for the 24 Core Measures  Prenatal, Immunizations, Screening, Well Child Visits, Dental, Availability, Upper respiratory, ED, Inpatient Safety, Asthma, ADHD, Mental Health, Diabetes, Family Experience  Unique to North Carolina  EPSDT Report Card, Dental Varnishing, MCHAT, Adolescent and School Age Screening, Obesity, Foster Care Kids Linked to a Medical Home  Reporting Timeline  Reporting a subset of the measures annually to CMS as of 12/2011 and quarterly to practices starting 6/2011

2. 24 Core Measures Three stages of progress…. We’re currently reporting on 8 of the 24 core measures requested by CMS through the IC. We’re attempting to report on an additional 8 of the 24 core measures using paid claims. Working with DMA, SCHS and Vital Records to capture the remaining eight measures. Potential roadblocks… The identification of current sources for PICU/NICU data CAHPS is only reported once every three years Transition from old to new systems makes data collection problematic..immunizations and birth certificate data It’s difficult to identify CHIP recipients in the claims system

3. New Measures  EPSDT Report Card  Lead, vision, well visits, developmental screening, autism  Dental Varnishing  Pediatric preventive measure from IC  99420 Reports X 3  MCHAT, School Age Screen, Adolescent Screen  Obesity  Follow up for clients with an obesity diagnosis  Foster Care  Kids Linked to a Medical Home

4. Quality Improvement  Quality Improvement will focus on… MeasureDescription #7Weight assessment for children/adolescents #8Screening for social/emotional development #10 - #12Well Child Visits for 15 months, 3-6 years and 12 – 21 years #18ED Utilization Unique to North Carolina:Dental fluoride varnish, Follow-up for obesity, MCHAT, School Age and Adolescent Screening

5. Reporting  Reporting to CMS through CHIP Annual Reporting Template (CARTS) system  Reporting to practices through Provider Portal

6. Questions?  Questions or concerns?