Washington, DC the National Quality Forum (NQF) Board of Directors has approved for endorsement 14 quality measures on perinatal care. Learn more about the communities and organizations we serve. See how our expertise and rigorous standards can help organizations like yours. /Pages 4 0 R For this project, NQF endorsed measures related to elective delivery, episiotomy, and caesarean section rates, as well as prophylactic antibiotic rates for women undergoing cesarean sections. Using the monthly sampling table for the Exclusive Breast Milk Feeding measure, the sample size is less than the minimum required monthly sample size, so 100% of this sub-population or all 8 cases are sampled. Added birth weight criteria to the initial population as an alternative to estimated gestational age at birth. The patients in each measure are processed independently. /Tabs /W The measures address a wide range of care concerns, including childbirth, pregnancy and post-partum care, and newborn care. transferred to an acute care facility, or other health care facility /Contents [21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R] the American Academy of Pediatrics have in place a standard Warning: Creating default object from empty value in /homepages/17/d4294970467/htdocs/morpheus/wp-content/themes/virtue/themeoptions/inc/class.redux_filesystem.php on . /Count 2 /Rotate 0 EMPOWERED What does this measure mean for quality of care?Breast-feeding provides the best nutrition and health by Purpose. In addition to accreditation, certification, and verification, we provide tools and resources for health care professionals that can help make a difference in the delivery of care. /Subtype /Link The Joint Commissions Advanced Perinatal Care Certification requires the use of this set of standardized performance measures in order to meet the performance measurement requirements for certification. /ZaDb 39 0 R Women and families should use Leapfrog's Hospital Survey results to consider which hospital they'd like to use for their child's delivery. Copyright 2023 National Committee for Quality Assurance. The measures were originally developed for quality improvement, pay-for-performance, and public health monitoring. The AHRQ Quality Indicators (Qis) comprise four measure areas: inpatient, prevention, patient safety, and pediatric care. 2023 A8.-Fb$)" N0(V#B0H$i5H CZeHf;I#1'?DR1 I$~#6 Specifications for these measuresare available below: In late 2007, The Joint Commissions Board of Commissioners recommended retiring and replacing the Pregnancy and Related Conditions (PR) measure set with an expanded set of evidenced-based measures. The measure is reported as an overall rate which includes all newborns that were exclusively fed breast milk during the entire hospitalization. CPT is a registered trademark of the American Medical Association. Lower quality care during pregnancy, childbirth, and the postpartum period can lead to unnecessary complications in women and newborns and wasted resources from overused procedures, prolonged hospital stays, and costly neonatal intensive care unit admissions, said Carol Sakala, PhD, MSPH, director of programs at Childbirth Connection and co-chair of the Perinatal and Reproductive Health Endorsement Maintenance Steering Committee. Due to exclusions and contraindications, hospitals selecting sample cases MUST submit AT LEAST the minimum required sample size. endobj Author links open overlay panel Sabrina da Conceio Pereira a, Raul Manhes-de-Castro a b c, Diego Bulco Visco b c, . CMQCC also developed the following measure, which was previously endorsed by NQF but was not submitted for re-approval as it is not currently being used for hospital-level performance: NQF# 0477 <1500g Infant Not Delivered at Appropriate Level. Eligible Hospital / Critical Access Hospital eCQMs, FHIR - Fast Healthcare Interoperability Resources, QRDA - Quality Reporting Document Architecture, Inpatient hospitalizations for newborns who were with any of the following conditions: Patients admitted to the hospital for inpatient acute care are included in the PC Newborn Initial population if they have: A Patient Age (Admission Date Birthdate) <= 1 day and ICD-10-CM Principal or Other Diagnosis Codes as defined in Appendix A, Table 11.20.1 Single Liveborn Newborn. It does not include a comparison of any information in the body of the HTML, e.g., population criteria, Clinical Quality Language, or value sets. endobj stream on . The Joint Commission, Chris Walas, RN, MSN, and Melissa Potts, RN, BSN, CCDS, CDIP. /BS 44 0 R Moved the criteria of length of stay (LOS), diagnosis of galactosemia and subject to parenteral nutrition from initial population to denominator exclusions. endobj /Border [0 0 0] 7 0 obj /Rect [80 323.2290039062 136.4620056152 307.7850036621] % Only one birth weight value should be recorded. For you, the electronic versions of the same measures are ePC-01, ePC-02, ePC-05 and ePC-06. /Border [0 0 0] Moved the criteria of length of stay (LOS), diagnosis of galactosemia and subject to parenteral nutrition from initial population to denominator exclusion. supported the measure overall. /I 40 0 R << The American Medical Association does not agree to license CPT to the Federal Government based on the license in FAR 52.227-14 (Data Rights - General) and DFARS 252.227-7015 (Technical Data - Commercial Items) or any other license provision. 39 weeks of gestation. >> endobj Patients and families can use core measure performance to objectively compare hospitals locally or nationally. where Reference Date is the date on which you are trying to determine gestational age. |, Prevention and Treatment of Leading Causes of Mortality, Effective Communication and Care Coordination, Maintenance of NQF-Endorsed Performance Measures, 0469: PC-01 Elective Delivery (Joint Commission), 0470: Incidence of Episiotomy (Christiana Care Health System), 0471: PC-02 Cesarean Section (Joint Commission), 0472: Appropriate Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision Cesarean Section (Massachusetts General Hospital/Partners Health Care System), 0473: Appropriate DVT Prophylaxis in Women Undergoing Cesarean Delivery (Hospital Corporation of America), 0475: Hepatitis B Vaccine Coverage Among All Live Newborn Infants Prior to Hospital or Birthing Facility Discharge (Centers for Disease Control and Prevention), 0476: PC-03 Antenatal Steroids (Joint Commission), 1746: Intrapartum Antibiotic Prophylaxis for Group B Streptococcus (GBS) (Massachusetts General Hospital), 0477: Under 1500g infant Not Delivered at Appropriate Level of Care (California Maternal Quality Care Collaborative), 0478: Neonatal Blood Stream Infection Rate (NQI #3) (Agency for Healthcare Research and Quality), 1731: Health Care-Associated Bloodstream Infections in Newborns (Joint Commission), 0304: Late Sepsis or Meningitis in Very Low Birth Weight (VLBW) Neonates (risk-adjusted) (Vermont Oxford Network), 0480: PC-05 Exclusive Breast Milk Feeding (Joint Commission), 0483: Proportion of Infants 22 to 29 Weeks Gestation Screened for Retinopathy of Prematurity (Vermont Oxford Network). Find evidence-based sources on preventing infections in clinical settings. Perinatal Care (PC) Initial Patient Population The PC measure set is unique in that there are two distinct Initial Patient Populations within the measure set, mothers and newborns. Background . /Subtype /XML performance on the measure across the larger patient population. Using the quarterly sampling table for the Exclusive Breast Milk Feeding measure, the sample size required is 109 cases. /H /N was introduced in Q4 2018. One measure is exclusive breast milk feeding. Replaced 'weeks' with the UCUM code wk to be consistent with HL7 standards. Symptoms from MRSA infections often take a few days to develop. Patients may benefit from discussing with their healthcare provider the disruptions COVID-19 may have caused on quality and safety of care. A. Recently, the National Quality Forum, a consensus-based body that endorses quality measure, endorsed 24 measures related to maternity care. /ArtBox [0 0 612 792] In my experience, good communication is critical to meeting the core measures. /MediaBox [0 0 612 792] You, your employees and agents are authorized to use CPT only as contained in The Joint Commission performance measures solely for your own personal use in directly participating in healthcare programs administered by The Joint Commission. According to a national survey, approximately 8% of pregnant women experienced major depression in the past year. For information concerning how to perform sampling, refer to the Population and Sampling Specifications section in this manual. This core set contains several measures NQF endorsed at the facility or health plan level as noted below; core set users should ensure adequate measure denominator size based on their patient population. A hospital's PC-Newborn Population size is 600 cases during the second quarter. National and state averages for Using the monthly sampling table for the Exclusive Breast Milk Feeding measure, the sample size required is 37 cases. >> The program has an important role to play in improving maternal and perinatal health outcomes. HMO corresponds to All LOBs (excluding PPO and EPO) within Quality Compass. Added text to indicate whether the measure is patient-based or episode-based. Note however that the calculation may yield a non-whole number and gestational age should be rounded off to the nearest completed week. Meta Phillips, R.N.Stroke Compliance Specialist, Sibley Memorial Hospital. /Type /Pages Pr]< OZq_(yO 5gUfjE\VS,Fw- 9[)_6DX{}n9Iw6 This product includes CPT which is commercial technical data, which was developed exclusively at private expense by the American Medical Association, 330 North Wabash Avenue, Chicago, Illinois 60611. Custom Analytic Interactive Reporting Network, Discuss the Perinatal Care (PC) measures updates, Describe the Perinatal Care (PC) measures, key data elements and recent revisions to the measures, Identify some of the resources available for improving perinatal care. Stakeholder CommentsGeneral and Measure-Specific. 5 0 obj The endorsed measures include those previously endorsed by NQF and newly submitted measures for initial endorsement. This Core Set, which consists of 7 measures from CMS's Child Core Set and 4 measures from the Adult Core Set, will be used by CMS to measure and evaluate progress toward improvement of maternal and perinatal health in Medicaid and CHIP. This measure is a part of a set of five nationally implemented measures that address perinatal care (PC-01: Elective Delivery, PC-02: Cesarean Birth, PC-03: Antenatal Steroids, PC-04: Health Care-Associated Bloodstream Infections in Newborns). By using this site, you agree to our use of cookies. /Title () endobj NQF operates under a three-part mission to improve the quality of American healthcare by: 1099 14th Street NW Suite 500Washington DC 20005, 202-783-1300 Main202-783-3434 Faxinfo@qualityforum.org. 20 0 obj HMO corresponds to All LOBs (excluding PPO and EPO) within Quality Compass. Numerator Statement: Newborns who were fed breast milk only since birth Denominator Statement: The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets. Inpatient hospitalizations for single newborns who were born in the hospital that ends during the measurement period, and with either of the following conditions: - An estimated gestational age at birth of >= 37 weeks, - Birth weight >= 3000 grams without an estimated gestational age at birth. Hopkins Medicine. national benchmarks for perinatal core measures. What are the national benchmarks for the PC measures? License to use CPT for any use not authorized herein must be obtained through the American Medical Association, Intellectual Property Services, AMA Plaza, 330 North Wabash Avenue, Suite 39300, Chicago, Illinois 60611-5885. General comments . Benchmarks for flu immunization Ensuring that patients always receive the core measure recommended treatments requires a well-coordinated effort throughout hospital departments. /AP 14 0 R These teams involved partnerships between quality improvement staff, nurse and physician leads, faculty members, IT staff and others to identify barriers to improvement and develop solutions. Building on a pilot version used by more than 100 hospitals since 2017, the Perinatal Quality Dashboard is the industry's only integrated analytics dashboard that aggregates and benchmarks more than 80 measures to help providers drill into patient-level detail, including payer mix and risk factors for COVID-19 maternal patients. The core measure processes are proven standards of care that reduce complications and lead to better patient outcomes. By using this site, you agree to our use of cookies. Our team is always trying to make our hospitals processes better to provide the safest care for our patients.. Data Source: The Centers for Medicare and Medicaid Services and Johns The guideline uses the term 'contact' as it implies . /Length 54 0 R A hospital may choose to use vital records to identify the PC-Mother Initial Patient Population as given in the Population section earlier. Find the exact resources you need to succeed in your accreditation journey. P-znw$Z*$iwA EcdxzK4\nG )1s6@rZ6ZkSx7i'8`ab+Iot#v{*]Es cE1!b%55FGe[f/uo ;wVzEqw,*;^^mDJFYZb(8A;)vwX|T$;bKYTAVZKQ^-,0\6f{hCM T;s[ OXSWyz4E-5-uOf`*UH 0vhlEcA+ "+ETf5-kj PPO corresponds to PPO and EPO within Quality Compass. Nearly all focus on prenatal services received during the last trimester of pregnancy through hospital discharge for both mother and newborn. A hospital's PC-Newborn Population size is 200 cases for the month of March. Our comparative Quarterly Report, Perinatal Dashboard and special analyses help member hospitals identify and appropriately focus their quality improvement initiatives and resources. 8th ed. A hospital's Mother Population size is 400 cases during March. QDM v5.5 standards update: Added 'relevantDatetime' attribute to QDM datatypes. /BS 50 0 R This Core Set, which consists of 7 measures from CMS's Child Core Set and 4 measures from the Adult Core Set, will be used by CMS to measure and evaluate progress toward improvement of maternal and perinatal health in Medicaid and CHIP.
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