In summer 2015, 90 school-based health center (SBHC) stakeholders used a modified Delphi method to prioritize a set of clinical performance measures for SBHCs. This evidence-informed, transparent, consensus-building process engaged stakeholders in several rounds of scoring to identify measures that would be valuable and feasible for the SBHC field.
These stakeholders eventually selected a set of core clinical performance measures to document SBHC performance. The measures — which align with national child quality best practices, including Agency for Healthcare Research and Quality’s Children’s Health Insurance Program Reauthorization Act (CHIPRA) Core Set of Children’s Health Care Quality Measures; and National Committee for Quality Assurance’s Healthcare Effectiveness Data and Information Set (HEDIS) standards — include:
Annual well-child visit
Annual risk assessment
Body mass index (BMI) assessment and nutrition and physical activity counseling
Depression screening and follow-up plan for a positive screen, and
Consider an electronic “tickler file” flags to identify patients who are due for one or more of the key performance measures: Well Care Visits, Risk Assessment, Depression Screenings, BMI, and Chlamydia. Also consider adding immunizations and asthmatics.