How Can Quality Improvement Enhance the Lives of Children with Disabilities?
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| Title: | How Can Quality Improvement Enhance the Lives of Children with Disabilities? |
|---|---|
| Language: | English |
| Authors: | Perrin, James M. |
| Source: | Future of Children. Spr 2012 22(1):149-168. |
| Availability: | Woodrow Wilson School of Public and International Affairs at Princeton University and The Brookings Institution. 267 Wallace Hall, Princeton University, Princeton, NJ 08544. Tel: 609-258-6979; e-mail: FOC@princeton.edu; Web site: http://www.brookings.org/index/publications.htm |
| Peer Reviewed: | Y |
| Page Count: | 20 |
| Publication Date: | 2012 |
| Document Type: | Journal Articles Reports - Evaluative |
| Descriptors: | Federal Programs, Quality of Life, Diseases, Health Insurance, Child Health, Youth, Educational Improvement, Disabilities, Access to Health Care, Federal Legislation, Chronic Illness, Prevention |
| Laws, Policies and Program Identifiers: | Childrens Health Insurance Program |
| ISSN: | 1054-8289 |
| Abstract: | Much attention has aided measurement and improvement in the quality of health care during the past two decades, with new ways to define and measure quality, recognition that doing so can identify strategies to enhance care, and systematic efforts by both government and private insurers to apply these principles. In this article, James Perrin reviews these gains. Although children have benefited, these quality measurement efforts have focused mainly on adult health care. Now, two recent federal programs promise to expand quality measurement of child health care. Enacted in 2009, the Children's Health Insurance Program Reauthorization Act provides systematic support for efforts to develop and implement a set of child health quality measures. This federal support represents the first major public investment in improving child health care quality. The Affordable Care Act, which became law in 2010, extends those activities by focusing attention on improving care for people with chronic conditions, including new ways to organize care using teams of doctors, nurses, and others focused on improving chronic care outcomes. For children especially, this team care should also focus on prevention of chronic conditions and their consequences. Despite these significant efforts to expand quality measurement among children and youth, Perrin finds that most measures and improvement activities focus on children without chronic conditions, and few measures of chronic conditions go beyond examining what kinds of monitoring children with specific conditions receive. Only limited attention is paid to how well the children are functioning. A number of networks working with children with specific chronic health conditions (such as cancer, cystic fibrosis, and sickle cell disease) have developed effective measures of functioning for children with those conditions and active programs to improve such outcomes. These networks offer the best examples of how to improve care and outcomes for young people with disabilities. Broadening their impact to larger numbers of children with disabilities will require developing measures of functioning and quality of life and targeting interventions and efforts to improve those outcomes. (Contains 56 endnotes, 2 tables and 1 figure.) |
| Abstractor: | As Provided |
| Entry Date: | 2012 |
| Accession Number: | EJ968441 |
| Database: | ERIC |
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| Items | – Name: Title Label: Title Group: Ti Data: How Can Quality Improvement Enhance the Lives of Children with Disabilities? – Name: Language Label: Language Group: Lang Data: English – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Perrin%2C+James+M%2E%22">Perrin, James M.</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="SO" term="%22Future+of+Children%22"><i>Future of Children</i></searchLink>. Spr 2012 22(1):149-168. – Name: Avail Label: Availability Group: Avail Data: Woodrow Wilson School of Public and International Affairs at Princeton University and The Brookings Institution. 267 Wallace Hall, Princeton University, Princeton, NJ 08544. Tel: 609-258-6979; e-mail: FOC@princeton.edu; Web site: http://www.brookings.org/index/publications.htm – Name: PeerReviewed Label: Peer Reviewed Group: SrcInfo Data: Y – Name: Pages Label: Page Count Group: Src Data: 20 – Name: DatePubCY Label: Publication Date Group: Date Data: 2012 – Name: TypeDocument Label: Document Type Group: TypDoc Data: Journal Articles<br />Reports - Evaluative – Name: Subject Label: Descriptors Group: Su Data: <searchLink fieldCode="DE" term="%22Federal+Programs%22">Federal Programs</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+Life%22">Quality of Life</searchLink><br /><searchLink fieldCode="DE" term="%22Diseases%22">Diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Insurance%22">Health Insurance</searchLink><br /><searchLink fieldCode="DE" term="%22Child+Health%22">Child Health</searchLink><br /><searchLink fieldCode="DE" term="%22Youth%22">Youth</searchLink><br /><searchLink fieldCode="DE" term="%22Educational+Improvement%22">Educational Improvement</searchLink><br /><searchLink fieldCode="DE" term="%22Disabilities%22">Disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22Access+to+Health+Care%22">Access to Health Care</searchLink><br /><searchLink fieldCode="DE" term="%22Federal+Legislation%22">Federal Legislation</searchLink><br /><searchLink fieldCode="DE" term="%22Chronic+Illness%22">Chronic Illness</searchLink><br /><searchLink fieldCode="DE" term="%22Prevention%22">Prevention</searchLink> – Name: SubjectThesaurus Label: Laws, Policies and Program Identifiers Group: Su Data: <searchLink fieldCode="SU" term="%22Childrens+Health+Insurance+Program%22">Childrens Health Insurance Program</searchLink> – Name: ISSN Label: ISSN Group: ISSN Data: 1054-8289 – Name: Abstract Label: Abstract Group: Ab Data: Much attention has aided measurement and improvement in the quality of health care during the past two decades, with new ways to define and measure quality, recognition that doing so can identify strategies to enhance care, and systematic efforts by both government and private insurers to apply these principles. In this article, James Perrin reviews these gains. Although children have benefited, these quality measurement efforts have focused mainly on adult health care. Now, two recent federal programs promise to expand quality measurement of child health care. Enacted in 2009, the Children's Health Insurance Program Reauthorization Act provides systematic support for efforts to develop and implement a set of child health quality measures. This federal support represents the first major public investment in improving child health care quality. The Affordable Care Act, which became law in 2010, extends those activities by focusing attention on improving care for people with chronic conditions, including new ways to organize care using teams of doctors, nurses, and others focused on improving chronic care outcomes. For children especially, this team care should also focus on prevention of chronic conditions and their consequences. Despite these significant efforts to expand quality measurement among children and youth, Perrin finds that most measures and improvement activities focus on children without chronic conditions, and few measures of chronic conditions go beyond examining what kinds of monitoring children with specific conditions receive. Only limited attention is paid to how well the children are functioning. A number of networks working with children with specific chronic health conditions (such as cancer, cystic fibrosis, and sickle cell disease) have developed effective measures of functioning for children with those conditions and active programs to improve such outcomes. These networks offer the best examples of how to improve care and outcomes for young people with disabilities. Broadening their impact to larger numbers of children with disabilities will require developing measures of functioning and quality of life and targeting interventions and efforts to improve those outcomes. (Contains 56 endnotes, 2 tables and 1 figure.) – Name: AbstractInfo Label: Abstractor Group: Ab Data: As Provided – Name: DateEntry Label: Entry Date Group: Date Data: 2012 – Name: AN Label: Accession Number Group: ID Data: EJ968441 |
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| RecordInfo | BibRecord: BibEntity: Languages: – Text: English PhysicalDescription: Pagination: PageCount: 20 StartPage: 149 Subjects: – SubjectFull: Federal Programs Type: general – SubjectFull: Quality of Life Type: general – SubjectFull: Diseases Type: general – SubjectFull: Health Insurance Type: general – SubjectFull: Child Health Type: general – SubjectFull: Youth Type: general – SubjectFull: Educational Improvement Type: general – SubjectFull: Disabilities Type: general – SubjectFull: Access to Health Care Type: general – SubjectFull: Federal Legislation Type: general – SubjectFull: Chronic Illness Type: general – SubjectFull: Prevention Type: general – SubjectFull: Childrens Health Insurance Program Type: general Titles: – TitleFull: How Can Quality Improvement Enhance the Lives of Children with Disabilities? Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Perrin, James M. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Type: published Y: 2012 Identifiers: – Type: issn-print Value: 1054-8289 Numbering: – Type: volume Value: 22 – Type: issue Value: 1 Titles: – TitleFull: Future of Children Type: main |
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