A Report Card on Quality Improvement For Children's Health Care


A Report Card on Quality Improvement For Children's Health Care


This study, published in the journal Pediatrics, involved a literature review and interviews with expert observers to assess the status of initiatives aimed at improving the quality of child health services.

This article includes the following sections:

  • Methods
    • Literature review
    • Interviews
  • Results
    • Literature review
      • Overview of literature
      • The methods of quality improvement (QI)
        • Guidelines/Pathways
        • Reminder systems
        • Disease management/Case management
        • Physician leaders and academic detailing
        • Physician financial incentives
        • Benchmarking and provider performance assessment
        • Continuing medical education (CME)
        • Patient education
      • Child QI and clinical areas
        • Prevention
        • Acute illness
        • Chronic illness
      • Continuous quality improvement (CQI)/Total quality management (TQM)
    • Findings from interviews
      • The scope of child QI
      • Barriers to QI in child health care services
  • Discussion
    • The methods of QI
    • Clinical areas
    • CQI/TQM
    • Comparing child and adult QI
    • Limitations
  • Conclusion


Agency for Healthcare Research and Quality; Center for Child and Adolescent Health Policy of Massachusetts General Medical School; Institute for Health Policy

Funding Sources:

Agency for Healthcare Research and Quality


Release Date: 2001
Original Summary: August 2004
Last Updated: 04/11/08

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