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Acknowledgements
Introduction
Overview
     Intended End Users
     Measure Implementation Feasibility at State, Health Plan and Health System Levels
     Methods
     Results
     Conclusions
     References
About the Measure
     Measure Specifications
     Measure Reporting
     References
Key Driver Diagrams
     Lessons Learned in Using TCD Measure at Multiple Levels
Quality Improvement Strategies
     Strategic Road Maps
     Multi-Stakeholder Approach to SCA Quality Improvement
     References
Improvement Data
     Michigan and New York Medicaid Program
     Collaborating Medicaid Health Plans
     Collaborating Health Systems/Sickle Cell Clinics
Other Resources

Acknowledgements

The Transcranial Doppler Ultrasonography (TCD) Screening among Children with Sickle Cell Anemia (SCA) toolkit is the product of collaboration among academic and research institutions, state and Federal agencies, and private sector stakeholders.

This toolkit was developed by the Quality Measurement, Evaluation, Testing, Review, and Implementation Consortium (QMETRIC) project team from the Susan B. Meister Child Health Evaluation and Research Center (CHEAR) at the University of Michigan, and funded by the ´óÏóÊÓƵ (AHRQ) and the Centers for Medicare & Medicaid Services (CMS) under the Pediatric Quality Measures Program (PQMP). The PQMP website is available at /pqmp/index.html.

Gary L. Freed, M.D., M.P.H. (PI)
Katherine E. Bates, M.D.
Cori Davis
Julie A. McCormick, M.A.
Kevin J. Dombkowski, Dr.PH., M.S.
Sarah L. Reeves, Ph.D., M.P.H.
Brian Madden, M.S.
Erin Bagazinski, M.H.I.
University of Michigan

Many individuals guided and contributed to the content of this toolkit. We are grateful for the time, knowledge, and expertise that they so generously shared. Specifically, the authors thank the patient and family members of the Sickle Cell Disease Trailblazers and our project partners at:

C.S. Mott Children’s Hospital Pediatric Comprehensive Sickle Cell Program, University of Michigan

Hurley Medical Center Sickle Cell Clinic, Flint, MI

Blue Cross Complete of Michigan

Meridian Healthcare Michigan

United Healthcare

Michigan Department of Health and Human Services Managed Care Plan Division, Quality Improvement & Program Development Section

We also extend our gratitude to Kamila Mistry, Ph.D., ´óÏóÊÓƵ (AHRQ), U.S. Department of Health and Human Services, for her technical guidance and to the L&M Policy Research team for their support developing the toolkit.

This toolkit was funded under the ´óÏóÊÓƵ (AHRQ), U.S. Department of Health and Human Services Contract Number: HHSA290201400003I;Task Number: 75Q80119F32002. The authors are solely responsible for this document’s contents, findings, and conclusions, which do not necessarily represent the views of AHRQ. Readers should not interpret any statement in this product as an official position of ´óÏóÊÓƵor of the U.S. Department of Health and Human Services. None of the authors has any affiliation or financial involvement that conflicts with the material presented in this product.

Public Availability Notice. This product is made publicly available by ´óÏóÊÓƵand may be used and reprinted without permission in the United States for noncommercial purposes, unless materials are clearly noted as copyrighted in the document. No one may reproduce copyrighted materials without the permission of the copyright holders. Users outside the United States must get permission from ´óÏóÊÓƵto reprint or translate this product. Anyone wanting to reproduce this product for sale must contact ´óÏóÊÓƵfor permission.