Are Pediatric Quality Care Measures Too Stringent?

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Figure 1.
Percentage of children who received the recommended number of well-child visits by 15 months of age versus by 2 years of age. The original timeline for having 6 well child visits is before 15 months of age; we modified this timeline to include children up to 2 years of age.
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Figure 2.
Percentage of children up to date on each vaccine series by age 2 versus those completed by age 3, percentage of adolescents up to date by age 13 versus those completed by age 15, and those with documentation of parent refusal. The original timeline means children are up to date with immunizations by age 2 and adolescents are up to date by age 13. The modified timeline includes children who completed childhood immunizations by age 3 and adolescent immunizations by age 15. Dtap, diphtheria, tetanus, acellular pertussis; IPV, polio; MMR, measles, mumps, rubella; Hib, Haemophilus influenza type b; Hep B, hepatitis B; VZV, varicella; PCV, pneumococcal; Hep A, hepatitis A; Flu, influenza; Men, meningococcal; Tdap/Td, tetanus, diphtheria acellular pertussis/tetanus, diphtheria booster vaccine.
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Figure 3.
Percentage of body mass index (BMI) percentile recorded within 12 months and within 36 months of the measurement year, by age.

Table 1. Patient Characteristics at Initial Data Collection as Reported in the Electronic Medical Record (N = 1,544)

Demographic Characteristics^*
Sex
Male	787 (51.0)
Female	757 (49.0)
Age
6 months-3 years	499 (32.3)
4–11 years	727 (47.1)
12–15 years	318 (20.6)
Insurance type
Private	291 (18.8)
Public	1045 (67.7)
None (self-pay)	181 (11.7)
Other^{^†}	27 (1.7)

The original timeline is for children/adolescents to have a BMI percentile recorded within the measurement year (12 months) and our modified timeline included children/adolescents that had a BMI percentile recorded within 36 months of the measurement year.
Values provided as n (%).
↵* Collected on July 1, 2011.
↵† Denotes public health insurance plans contracted to private health insurance companies for management.