State and National Initiatives to Improve the Quality of Health Care for Children. Wanda D. Barfield, MD, MPH 13 th Annual Maternal Child Health Epidemiology Conference December 12, 2007. What is Healthcare Quality?.
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Wanda D. Barfield, MD, MPH
13th Annual Maternal Child Health Epidemiology Conference
December 12, 2007
“Dennis Quaid's newborns reportedly Health Care for Children
harmed by medical
To err is human…. Health Care for Children
To err systematically is inhumane….
Have overall good physical health, but are experiencing increasing chronic illness
Experience disproportionate rates of poverty and limited health service resources
Depend on caregivers
Major focus on preventive health, and developmental surveillance
Immunizations, Newborn screening, Anticipatory guidance
% Receiving Recommended Care
Source: McGlynn et al, NEJM 2003; 348:2635-45, and Mangione-Smith, et al, NEJM, 2007; 357:1515-23.
Source: Smith et al. Pediatrics 2006:117;1763-70
Children’s Health Care is:
Locally delivered and organized
Substantially funded through state programs
Incorporated in state’s public health role (e.g., immunizations, newborn screening)
Part of state-federal programs (Medicaid, SCHIP)