CAHMI Projects


The Child and Adolescent Health Measurement Initiative (CAHMI) works in various ways to promote child and adolescent health and encourage improvements in the quality of their health care. The CAHMI is involved with:

  • Developing family-centered health and health care quality measurements and strategies.
  • Providing assistance with the implementation of family-centered strategies within health care.
  • Translating the results of quality measurements in order to be more effective in shaping and driving improvements in policy, practice and outcomes.
  • Writing papers and giving presentations to inspire change in policy, practice and outcomes.

The CAHMI focuses their efforts in areas that are very interconnected. These focus areas are described below, in no particular order.

CAHMI Focus Areas

Family-Centered Quality Measurement and Improvement

Family-Centered care is when families are empowered to make decisions with the provider to ensure the health and well-being of the child and their families. For quality improvement efforts to be family-centered, the CAHMI involves the family in defining, assessing and improving health care quality. The CAHMI develops child health and health care quality measures that are completed by the patient or family in order for their voice to be heard. For Further Information:

Related Resources and Efforts

Actionable Child Health and Quality of Health Care Data

The CAHMI works to advance the effective use of public data on the status of health and health care quality for children, youth and families in the United States. The CAHMI helps analyze quality measurement data so that people will be inspired to use the data to improve policy, practice and outcomes. For Further Information:

Preventive Services and Developmental Screening

National health care organizations recommend preventive services and developmental screening. The CAHMI has developed measures assessing whether these recommended services occur in the medical office. The CAHMI has also created tools for well-child care quality improvement efforts. For Further Information:

  • Promoting Healthy Development Survey (PHDS): This CAHMI measurement assesses whether young children under 4 years old are receiving nationally recommended preventive and developmental services.
  • Young Adult Health Care Survey (YAHCS): This CAHMI measurement assesses whether young adults (ages 14 to 18) are receiving nationally-recommended preventive services.
  • Well-Visit Planner (WVP): This CAHMI tool helps parents identify priorities and key issues prior to well-child care visits to improve well-child care for children under 0-6 years old.

Children with Special Health Care Needs

The CAHMI hopes to improve the health and health care quality of ALL children and quality information shows a tremendous need and opportunity for improvement for children with special health care needs. The CAHMI has developed a set of survey-based methods and tools designed to identify children with special health care needs and measure their quality of health care. For Further Information:

Medical Home

The American Academy of Pediatrics (AAP) believes that every child deserves a medical home, where care is accessible, continuous, comprehensive, family-centered, coordinated, compassionate, and culturally effective. The CAHMI has found ways to report on the presence of a medical home by using existing data from state and national surveys. For Further Information:

Cultural Competence

National attention has increasingly focused on the need to incorporate the identification and elimination of cultural, racial and ethnic disparities in health care quality into quality measurement and improvement efforts. Respecting a family’s culture and traditions is an integral part of providing family-centered care. The CAHMI has conducted a number of efforts focused on assessing and guiding improvements in the quality of care provided to children of various race/ethnicities. For Further Information:

Related Efforts and Resources

Life-Course Perspective

The Life-course perspective seeks to understand an individual’s mental, physical and social health throughout their life span. The life-course perspective requires a health care model focusing on promoting and optimizing health across the life span versus solely on disease management. The CAHMI hopes to address the need for life-course strategies and policies through investigating data on the relationships between child health and various experienced risks and protective factors. For Further Information:

Mindfulness & Integrative Pediatrics

The CAHMI works to inspire the incorporation of mindfulness-based methods into health care to promote the well-being of both the provider and the patient, as well as improve the patient encounter and clinical and administrative outcomes. The CAHMI also hopes to inform the health care realm about the implications of integrative pediatrics. For Further Information:

CAHMI Measures

The CAHMI has worked collaboratively with stakeholders and experts to identify priorities for quality measurement and to develop and test new sets of measures in the areas of child and adolescent health care quality. Several of these measures have been implemented nationally, state-wide, and locally for the purpose of:

  • Comparing performance
  • Assessing overall quality of health care for populations
  • Examining program performances and opportunities for quality improvement.

Most CAHMI measures have been endorsed for voluntary use by the National Quality Forum and are included in the National Quality Measures Clearinghouse.

CAHMI Development Process

All of the CAHMI measurements are subject to a uniform six-stage development process that upholds three values:


  • To families
  • To policymakers
  • To providers


  • Data availability
  • Cost and burden
  • Capacity for standardization

Scientific Soundness

  • Empirical evidence for definition
  • Reliable and valid data
  • Valid and accurate scoring method