Recommendation Summary

  • Utilizing existing data infrastructure, while working towards a more interchangeable data system that will readily support the implementation and reporting of valid measures, is recommended.
  • The panel urges implementation of performance measures into emerging data systems to assure the necessary infrastructure and data elements to allow reporting of the vision measures.
  • Implementation of the vision performance measures will require technical assistance, and integration with other data collection and performance measure initiatives.
  • A technical manual, developed with input from experts in epidemiology, performance measurement, statistics, information technology, and vision, should be adopted so that basic measures are standardized, and the estimates are valid, reliable and comparable to other locations.
  • Linkage of child-based measures with child demographic information will enable monitoring of possible disparities in health care provision (27,28) e.g. racial/ethnic differences in screening and/or follow-up rates, which are especially important for children.
  • The panel supports the use of national parent survey data, e.g. the National Survey of Children’s Health (NSCH), as an interim step to allow states to estimate their performance on the recommended measures, however a web-based data system should supersede the survey approach as quickly as possible.
  • Vision care performance measure results should be publicly available. Such data can be used to determine progress toward goals and drive quality improvement efforts.
  • Improvements in vision screening and eye examination rates can also be enhanced by concurrent public health and health behavior campaigns aimed at parents and providers.