The Promoting Healthy Development Survey (PHDS) is a 43-item parent survey that can be used by health care providers, health systems, Medicaid agencies, and other stakeholders to measure and improve the quality of preventive and developmental care for children ages 0-48 months. The survey is designed to measure parent’s experience with care and the extent to which they received preventative and developmental services in accordance with nationally recommended guidelines put forth by the American Academy of Pediatrics and Bright Futures practice guidelines (3rd edition).1
The PHDS contains 11 modules. The first six items represent measures. Taken together, the six measures also make up a composite PHDS Comprehensive Care Measure. These measures are the focus of this application. Items #7-11 are, respectively, an individual quality measure submitted separately by another steward (Standardized developmental and behavioral screening; NQF measure number 1448), not a quality of care measure (Access to care), used for stratification (Follow-up for children at risk and the CHSCN screener), or provide demographic and background information. Taken individually or as a whole, the PHDS provides valid measures for system, plan, and provider-level assessments.2
1. Anticipatory guidance
2. Parenting information, resources in community
3. Family centered care
4. Ask about and address parental concerns
5. Assessment of family safety, alcohol use and substance abuse
6. Assessment of family psychosocial screening
7. Standardized developmental and behavioral screening
8. Access to care and care coordination
9. Follow-up for children at risk
10. CSHCN screener;
11. Parent and family behaviors and respondent health;
References:
1. Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, 3rd Edition. https://brightfutures.aap.org/materials-and-tools/guidelines-and-pocket-guide/Pages/default.aspx
2. Bethell, C. Peck, C et. al. Assessing Health System Provision of Well-Child Care: The Promoting Healthy Development Survey. Pediatrics. Vol 107(5) 2001. 1084-1094
- Measure TypeElectronic Clinical Quality Measure (eCQM)Level Of AnalysisCare SettingNumerator
The PHDS consists of 43 items in 11 distinct modules. We are asking for endorsement of 6 individual quality measures -- each contained within its own module within the PHDS -- and a composite PHDS Composite measure that includes the combination of all 6 measures. Complete instructions for measure score calculations as well as a copy of the PHDS are provided in Attachment 4: PHDS_Final_Appendix. Numerators are calaculated for each of the six individual quality measures: (1) Anticipatory Guidance; (2) Parenting Information and Resources in the Community; (3) Family Centered Care; (4) Asking about and addressing parental concerns; (5) Family assessment for safety, alcohol use and substance abuse; and (6) Family assessment for psychosocial screening. We also calculate a numerator for the PHDS Composite measure.
DenominatorThe target population is parents with children ages 0-48 months who have completed a well child visit within the last 12 months. There is no exclusion for who can receive the survey. This is based solely on the interest and actions of the provider; additionally the parent can access the survey directly at www.wellvisitsurvey.org.
ExclusionsThere are no exclusions for parent target population, however, missing and substantially incomplete data are excluded.
Testing Data Sources
- Measure StructureNon Condition SpecificTarget PopulationNational Quality Strategy PrioritiesHealth and Well-Being
- Risk Adjustment
- Current or planned use(s)Current Use(s)
- Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Pediatric Performance Measures Phase 2Initial EndorsementEndorsement StatusLast UpdatedRemoval Date
- Steward Organization EmailSteward Organization Copyright
None