Consumer Health Inventory – Child Version (CHI-C)
The CHI-C is a psychosocial health assessment tool completed by caretakers of children and youth ages 5-17. You may choose to use it for younger children as well.
Both caretaker and provider reports are generated immediately to print and use in treatment planning and monitoring of progress over time. Provider reports are also available to view any time on this website on the My Practice page after secure login, under the View Outcomes Reports link.
The CHI-C is based on QualityMetric’s SF-10® Health Survey.
The Tool
- CHI-C Sample Assessment Tool (PDF 122K)
- CHI-C Sample Assessment Tool - Spanish (PDF 125K)
For Provider Use of the Tool
- CHI-C Provider Overview (PDF 21K)
- Standard Guide to Launch CHI-C (PDF 512K)
- Standard Guide to Access Member and Provider Reports (PDF 150K)
- Provider Technical Requirements
- Print Fax Tips (PDF 124K)
- CHI-C Provider Guide (including reports) (PDF 2.08 MB) (updated 12/30/2010)
- Provider Training on Consumer Outcomes (PDF 254K)
For Use with Members
- Outcomes360 Member Information Sheet (PDF 30K)
- CHI-C Member Information Flyer (PDF 41K)
- CHI-C Member Personal Health Log (PDF 32K)
- CHI-C Provider Office Poster (PDF 30K)
- Consumer Use of Outcomes (PDF 330K)
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