TABLE 1.

Quality Measures

Domain	Quality Outcome	Age	Definition	References
Obesity	Screening and counseling at well-child visits	2–<18 y	For all children:	11, 37
			1. BMI calculated, documented, and plotted on a growth chart
			For overweight and obese childrena:
			2. Documented counseling for nutrition
			3. Documented counseling for physical activity
Lead	Screening for toxicity	9–12 and 21–24 mo	For practices with universal screening	38, 39
			1. Lead blood test ordered
			For practices with selective screening
			2. Lead blood tests ordered for children with:
			a. High-risk zip code OR
			b. Medicaid insurance OR
			c. Risk factors based on Ohio Department of Health questionnaire
Dental	Fluoride varnish application	12–<36 mo	For all children with teeth:	41, 45
			Fluoride varnish unless:
			a. Parent declined OR
			b. Primary care fluoride varnish application within previous 6 mo

^aOverweight or obese: BMI ≥85th percentile.