Maternal and Child Health Journal

, Volume 18, Issue 6, pp 1300–1307 | Cite as

Measuring Quality in Pediatrics: Florida’s Early Experiences with the CHIPRA Core Measure Set

  • Caprice Knapp
  • Hua Wang
  • Kimberly Baker
Notes from the Field


Enacted in 2009, the Children’s Health Insurance Program Reauthorization Act (CHIPRA) aims, among other things, to increase state’s accountability for providing quality health care to all children in the United States. Although it is important for states to report on the measures, learning from their successes and failures is critical in producing the measures so that states will be prepared for future regulations. Florida covered roughly 2.59 million children in 2010. Administrative, medical record, registry, and survey data were used to report on 20 of the 24 CHIPRA core measures. Technical specifications from the Centers for Medicare and Medicaid Services were used. Approximately 10 months were needed to identify, collect, safeguard, and process the required data. Florida was able to build on its past experiences with performance measurement reporting and surveying. Conducting medical record reviews at the state level and producing measures that required registry data proved to be challenging. Although Florida was successful in its first year of reporting the CHIPRA core measures, certain populations were not included in some of the measures. The next phase of Florida’s CHIPRA project will focus on developing and implementing a dissemination plan and creating opportunities to improve the measures. Florida has made significant progress in the early phases of reporting the CHIPRA measures. As Florida gains more experience in reporting the measures, and results from other states are released, it will be easier to put the statewide measure results into context. Once meaningful comparisons can be made, Florida will be able to better plan for the future of child health and health outcomes.


Pediatrics Quality Measurement Medicaid CHIP 



This document was developed under grant CFDA 93.767 from the US Department of Health and Human Services, Centers for Medicare and Medicaid Services. However, these contents do not necessarily represent the policy of the US Department of Health and Human Services, and you should not assume endorsement by the Federal Government.

Conflict of interest



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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.GainesvilleUSA

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