Measure Selection Process

The process of selecting a set of standardized performance measures for SBHC programs evolved in two phases and engaged members of the school-based health care field at every step.

First, Alliance staff conducted interviews with national child quality experts, reviewed current literature, and assessed measures with relevance to the populations served by SBHC within national measurement frameworks, including  and . Alliance staff also completed interviews with representatives from state governments that require funded SBHC programs to report performance measurement data. The types of measures required by state governments were compared with the types of measures included in the aforementioned national child health initiatives and narrowed down to eleven potential measures.

Second, in spring and summer 2015, 90 SBHC stakeholders used the Delphi method, an evidence informed process developed by the RAND Institute and University of California, Los Angeles, to gain consensus on a set of SBHC performance measures. Stakeholders included:

  • School-Based Health Alliance members, board, and staff;
  • NQI project advisory group members and expert faculty;
  • SBHC providers and administrators;
  • State affiliate organizations representatives;
  • State government offices that fund SBHCs; and
  • Educators and payers.

During three consecutive rounds of scoring, participants were asked to prioritize the measures based on their importance, sensitivity, feasibility, and usability. Through this process, five measures were selected to document SBHC performance: well-child visits, risk assessments, body mass index assessments, depression screens, and chlamydia screens.

View the five performance measures
Agency for Healthcare Research and Quality’s Children’s Health Insurance Program Reauthorization Act (CHIPRA) Core Set of Children’s Health Care Quality Measures 
National Committee for Quality Assurance’s Healthcare Effectiveness Data and Information Set