Overview We call for a national effort to develop a parsimonious set of quality and outcome measures for children. The target users are health care organizations that are accountable for large pediatric populations. These organizations need an efficient set of measures that will direct them toward meaningful health improvement efforts and that capture the health care needs of their communities. Currently, measure sets are primarily derived from administrative data and aimed at addressing disorders or processes rather than child well-being and outcomes. Claims-based measures have their place, but they only look at what clinicians get paid for and lack sufficient clinical detail. Measures focused on specific conditions and related processes are, likewise, essential. But the proliferation of these measures has created large reporting burdens with limited benefits. To that end, we discuss: (1) why we need a parsimonious set of quality and outcome measures, (2) why a distinctively pediatric solution is needed, (3) why community health measures are needed, and (4) how to move toward identifying this measure set.

中文翻译：

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儿科健康的核心质量和结果衡量标准

概述 我们呼吁全国努力为儿童制定一套简洁的质量和结果衡量标准。目标用户是对大量儿科人群负责的医疗保健组织。这些组织需要一套有效的措施来引导他们进行有意义的健康改善工作，并捕捉其社区的医疗保健需求。目前，措施集主要来自行政数据，旨在解决障碍或过程，而不是儿童的福祉和结果。基于索赔的措施有其一席之地，但它们只关注临床医生的报酬，缺乏足够的临床细节。同样，针对特定条件和相关过程的措施也是必不可少的。但这些措施的激增造成了巨大的报告负担，但收益有限。为此，我们讨论：(1) 为什么我们需要一套简洁的质量和结果测量，(2) 为什么需要一个独特的儿科解决方案，(3) 为什么需要社区健康措施，以及 (4) 如何移动以识别该度量集。