The Children's Health Insurance Program Reauthorization Act (CHIPRA) of 2009 strives to strengthen the quality of care for and the health outcomes of children in Medicaid and CHIP. In Vermont this program is often referred to as Dr. Dynasaur. The measures included in the set are meant to help assess a wide array of services that could be provided to children - from preventive and health promotion services to treatment and management of acute and chronic conditions. These measure can also be used to assess families' experiences with health care and the availability of services.
Implementation of a standardized Child Core Set is helping the Centers for Medicare and Medicaid Services (CMS) and states move toward a national system for quality measurement, reporting and improvement.