National Child Mental Health Quality Measures: Adherence Rates and Extent of Evidence for Clinical Validity
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Purpose of Review
To provide an overview of the selection process and annual updates of the child mental health measures within the Child Core Set, describe national and statewide adherence rates, and summarize findings from a systematic literature review examining measure adherence rates and whether adherence is associated with improved clinical outcomes.
Five national quality measures target child mental health care processes. On average, national adherence varied widely by state, and performance did not substantially improve during the past 5 years. Mean national adherence rates for the two measures related to timeliness of care were below 50%. For each measure, scientific evidence to support the association between adherence and improved clinical outcomes was scarce.
Investment in academic-agency partnered research to standardize methods for publicly reporting adherence to national child mental health quality measures and validation of these measures should be a national priority for child healthcare research.
KeywordsChild mental health Quality measures Adherence Validity
Compliance with Ethical Standards
Conflict of Interest
Bonnie T. Zima and Juliet B. Edgcomb declare no conflict of interest. Samantha A. Shugarman has received Cooperative Agreement Measure Development Funding from the Centers for Medicare and Medicaid Services.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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