2023 Copyright NPIC collected and provided outcome data from participating hospitals and reported on nineteen outcome metrics, including the . connection among participants to achieve project goals. (h6}qA%Zb60 << Within the PC-Newborn population, there are two baby measures, Exclusive Breast Milk Feeding and Unexpected Complications in Term Newborns. Learn more about the communities and organizations we serve. The following sample size tables for each option automatically build in the number of cases needed to obtain the required sample sizes. >> /Border [0 0 0] (2018). V AQ"]_tRIRo;Ioda`Y$a'qj fNxh1Yb8MVfuzf|Fugzt=nI"-jckBxUKqK4wKCZ[>Lf7p6q-?!Bc^YQADSJI_,KY-sqh9=1 ,DY jRb|]&JA ;{J%jc 9c$;)Z %hU#!FT6n9RrlZW~/i~4kId5h_`ASPBAbP0a 2hKU%.UlO22j+ bd-hWJ =QJewl=b&x~f00PM?D!rK!p4-t=UK$9'9}Q S]:tIGX4VmpZPv>$2k!%mA = f^/)No@ $;L6kP2@ u #%xg endstream /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] /BS 48 0 R >> Added text to indicate whether the measure is patient-based or episode-based. 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. The following are Perinatal Care chart abstracted measures used by The Joint Commission. = AU?U m!p\;4TPC[H < kIO!0Q)tji Oc2Pe` i)[ XAbRPp&p Our comparative Quarterly Report, Perinatal Dashboard and special analyses help member hospitals identify and appropriately focus their quality improvement initiatives and resources. /BleedBox [0 0 612 792] Description. /Fields [7 0 R] endobj /Rect [80 323.2290039062 136.4620056152 307.7850036621] Patients and families can use core measure performance to objectively compare hospitals locally or nationally. /Tabs /W There are no data that higher rates improve any outcomes, yet the CB rates continue to rise. subject to parenteral nutrition, Inpatient hospitalizations for newborns who were with any of the following conditions: Using the monthly sampling table for the Mother population, the sample size required is 101 cases for the month. Chart Abstracted Measures for Certification. QualityNet is the only CMS-approved website for secure communications and healthcare quality data exchange between: quality improvement organizations (QIOs), hospitals, physician offices, nursing homes, end stage renal disease (ESRD) networks and facilities, and data vendors. Lower numbers are better. %PDF-1.7 Wentworth-Douglass Hospital has been named among the best hospitals in the United States for the third straight year, according to Newsweek's 2023 "World's Best Hospitals" rankings published today. For you, the electronic versions of the same measures are ePC-01, ePC-02, ePC-05 and ePC-06. Of the 257 practices participating in the 2017 ACNM Benchmarking For an appeal to be considered, the notification must include information clearly demonstrating that the appellant has interests directly and materially affected by the NQF-endorsed recommendations and that the NQF decision has had (or will have) an adverse effect on those interests. In cases where there is conflicting data, use the document recording the birth weight closest to the start of encounter. And a CDC survey found that 8 to 19% of women reported having frequent postpartum depressive symptoms. Data shows that the majority of newborns with gestational age 37 weeks or more have a birth weight 3000 grams or more. /CropBox [0 0 612 792] /Border [0 0 0] /TP 1 They provide a snapshot of how health is influenced by where we live, learn, work, and play. One measure is exclusive breast milk feeding. /Type /Pages Custom Analytic Interactive Reporting Network. The AMA does not directly or indirectly practice medicine or dispense medical services. << Figures do not account for changes in the underlying measure that could break trending. by Data. Through leading practices, unmatched knowledge and expertise, we help organizations across the continuum of care lead the way to zero harm. collection and reporting for collaboratives, insurers, and Peers from across Johns Hopkins Medicine hospitals developed 40 core measure work groups, each focused on improving a specific set of core measures. /AP 14 0 R 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 Please refer to the QDM page for more information on the QDM. /BS 52 0 R << << 290 Public lists NHS workforce in England [January 2023] Transgender health [September 2022] Weekly additions - 2023-02-26 Financial pressures in the NHS in England [January 2023] Introduction to the NHS in England [February 2023] Devolved National Health Service : the NHS in England, Northern Ireland, Scotland and Wales [March 2022] Adult social . /H /N As we said above, if you decide to submit these traditionally chart-abstracted measures . The patients in each measure are processed independently. Meta Phillips, R.N.Stroke Compliance Specialist, Sibley Memorial Hospital. NQF is a voluntary consensus standards-setting organization. /Rect [45 47.2192001343 154.7259979248 35.9873008728] By closely reviewing these care processes, we have the opportunity to concentrate on areas that need improvement. Text highlighted in green indicates information updated in the new eCQM version. Mothers The population of the PC-Mother measures (PC-01, and 02) are identified using 4 data elements: Admission Date Birthdate Discharge Date expired during the hospitalization Revised the initial population and denominator exclusions to align with eCQM PC-06, Unexpected Complications in Term Newborns. Results - National Averages Timeliness of Prenatal Care Postpartum Care This State of Healthcare Quality Report classifies health plans differently than NCQA's Quality Compass. A hospital's Mother Population size is 300 cases during the second quarter. /Subtype /XML /DA (/Helv 0 Tf 0 g ) Copyright 2023 National Committee for Quality Assurance. /PDFDocEncoding 37 0 R /A 43 0 R This measure tracks the number of term singleton newborns << In 2011 Johns Hopkins Medicine developed a plan to become a national leader in core measures with a goal of reaching 96 percent compliance. 20 0 obj We would urge patients to consider more recent performance in combination with historical performance. Connected Numerator Statement: Newborns who were fed breast milk only since birth Denominator Statement: HMO corresponds to All LOBs (excluding PPO and EPO) within Quality Compass. This measures the percentage of patients who had an early elective Perinatal Core Measure Set PC-01: Elective delivery PC-02: Cesarean section PC-03: Antenatal steroids PC-04: Health care associated bloodstream infections in newborns PC-05: Exclusive breast milk feeding For hospitals with 1,100 or more births per year, the perinatal care measure set will become the mandatory fifth measure set. *8XB3+{eI]+(#5Ew){3H Due to exclusions and contraindications, hospitals selecting sample cases MUST submit AT LEAST the minimum required sample size. previous years are not available. 306 0 obj <>stream Quality metric meeting national benchmarks. The American Medical Association reserves all rights to approve any license with any Federal agency. The higher percentage compliance means the hospital is following the best steps to care for a patients particular condition. /C [] 736. A hospital's PC-Newborn Population size is 350 cases during the second quarter. The PC measure set is unique in that there are two distinct Initial Patient Populations within the measure set, mothers and newborns. The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets. ACOG Committee Opinion No. >> endobj endobj We use cookies to improve your experience and analyze our website traffic. Strikethrough text highlighted in red indicates information changed from the previous version. The following are Perinatal Care chart abstracted measures used by The Joint Commission. << Its critical that providers have the right measurement tools to help ensure mothers and newborns receive safe, high-quality care.. Several years ago, our hospital was not meeting a best practice recommended by the American Heart Association. Learn about the development and implementation of standardized performance measures. /A 45 0 R Please refer to the eCQI resource center for more information on the QDM. Data Source: The Centers for Medicare and Medicaid Services and Johns a diagnosis of galactosemia /CreationDate () Inpatient hospitalizations for newborns who were with any of the following conditions: admitted to the Neonatal Intensive Care Unit (NICU), transferred to an acute care facility, or other health care facility, a length of stay greater than 120 days that ends during the measurement period, Inpatient hospitalizations for newborns who were fed breast milk only since birth, Improvement noted as an increase in the rate. In my experience, good communication is critical to meeting the core measures. The Joint Commission and the Centers for Medicare and Medicaid Services periodically redefine the core measures based on the latest evidence and nationwide hospital performance. CPT only copyright 2019 American Medical Association. endobj /Type /Annot The study was carried out with the following aims: 1) to assess the quality of perinatal care (PC) by measuring the frequencies of the five PC indicators developed by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and comparing results with . She was awarded the 2015 Moran Medal in statistics from the Australian Academy of Science in recognition of her work on developing methods for molecular data arising in cutting edge biomedical research. /Thumb 30 0 R This should be reflected as such in the newborn's EHR documentation. reporting by state Medicaid and CHIP agencies. The core measures reflect how well our hospital follows the best practices of care for stroke patients. /Rect [80 351.2290039062 296.5539855957 335.7850036621] Using the quarterly sampling table for for the Exclusive Breast Milk Feeding measure, the sample size required is 20% of this sub-population or 70 cases for the quarter . Learn about the "gold standard" in quality. Optimizing Postpartum Care. While a number of these measures are voluntarily reported as part of Birth weight 3000 grams or more is a proxy to capture term newborns without gestational age recorded in EHR system. Patients admitted to the hospital for inpatient acute care are included in the PC Mother Initial sampling group if they have: 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: endobj 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. The EMPOWERED typically recommended for low-risk, first-time mothers, this This field is for validation purposes and should be left unchanged. Gain an understanding of the development of electronic clinical quality measures to improve quality of care. 17 0 obj << This eCQM is an episode-based measure. 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. 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. Ensuring that patients always receive the core measure recommended treatments requires a well-coordinated effort throughout hospital departments. A hospital's Mother Population size is 72 cases during the second quarter. By . Report from nine maternal mortality review committees. NPIC Blog: The Devastating Impact of Sepsis. Conducted research in perinatal and ageing brains within a multi-disciplinary team: Designed imaging analysis pipelines to further understanding of connectivity and information processing in the brain, and the mechanisms by which these change due to normal development and disease. The endorsed measures include those previously endorsed by NQF and newly submitted measures for initial endorsement. subject to parenteral nutrition. When data is translated into useful information, the opportunity to transform quantitative data into qualitative improvements becomes a reality. If a hospital uses this method to identify the initial patient population, then the hospital is encouraged to submit all the records of the initial population rather than using sampling to identify the cases for submission. PQC members identify health care processes that need to be improved and use the best available methods to make changes as quickly as possible. See how our expertise and rigorous standards can help organizations like yours. After the initial prenatal visit, it consists of ongoing evaluation of the health status of both the mother and fetus, counseling about pre- and postpartum issues, and anticipation of problems with intervention, if possible, to prevent or minimize . Only one birth weight value should be recorded. Effective January 1, 2019, all hospitals that provide obstetric care and deliver at least 300 babies annually will be required to collect data for the newest Joint Commission Perinatal Core (PC) measure, called "PC-06 Unexpected Complications in Term Newborns.". In cases where there is conflicting data, use the document recording the birth weight closest to the time of delivery. transferred to an acute care facility, or other health care facility 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. NQF # 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. For PC-05, Reference Date is the Birth Date. A8.-Fb$)" N0(V#B0H$i5H CZeHf;I#1'?DR1 I$~#6 /Type /Page These were the first nursing-sensitive measures developed by ANA, and were prioritized by the Measures Application Partnership (MAP) . Warning: Creating default object from empty value in /homepages/17/d4294970467/htdocs/morpheus/wp-content/themes/virtue/themeoptions/inc/class.redux_filesystem.php on . The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product. Birth weight 3000 grams or more is a proxy to capture term newborns without gestational age recorded in EHR system. The National Perinatal Information Center is driven by data, collaboration and research to strengthen, connect and empower our shared purpose of improving patient care. Updated version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-5.0.000). Only one birth weight value should be recorded. endobj /Length 54 0 R Our team presented these findings to our medications committee, whose support was helpful in educating our doctors on how to change their practice. You acknowledge that the American Medical Association (AMA) holds all copyright, trademark and other rights in CPT. Core measures are national standardized processes and best practices to improve patient care. The measure is reported as an overall rate which includes all newborns that were exclusively fed breast milk during the entire hospitalization. Get more information about cookies and how you can refuse them by clicking on the learn more button below. Date: 09/15/2021 Duration: 1.5 Hours Participants will be able to verbalize changes and updates to Joint Commission Maternal core measures, PC-02 and PC-06 standards, reporting and documentation. Pediatric Quality Measures Program PQMP Measures SHARE: Search PQMP Measures Center of Excellence (COE) Quality Measurement, Evaluation, Testing, Review, and Implementation Consortium (Q-METRIC) (44) Center of Excellence on Quality of Care Measures for Children with Complex Needs (COE4CCN) (42) /BS 46 0 R :K(bX1)6 iNwu+f>J+}~^%1rQX;J/oP1|cMvjSdVE-nE+TS]Pi Q8c0]&DSr+Ku2PImgkEG/]h Terms of Use, Patient-Centered Specialty Practice (PCSP), Credentials Verification Organization (CVO), Managed Behavioral Healthcare Organization (MBHO), Health Information Technology Prevalidation Programs, Virtual Seminars, Webinars and On-demand Training, Advertising and Marketing Your NCQA Status, HEDIS Electronic Clinical Data Systems (ECDS) Reporting, CDC Review to Action. HMO corresponds to All LOBs (excluding PPO and EPO) within Quality Compass. /Type /Annot /Rect [338.3640136719 337.2290039062 515.7030029297 321.7850036621] Sample Size: A hospitals performance on some of the core measures is Core Curriculum for Neonatal Intensive Care Nursing - E-Book Lippincott Williams & Wilkins More children born today will survive to adulthood than at any time in history. QDM v5.5 standards update: Modified 'Encounter, Performed' diagnosis attribute to reference diagnosis codes in value sets specified in the logic. That's because The Joint Commission's eCQM option only applies to hospitals submitting all four perinatal measures. The purpose of the project was to demonstrate how the electric medical record could be used for data collection, quality improvement, and benchmarking . Using the quarterly sampling table for the Mother population, the sample size is less than the minimum required quarterly sample size, so 100% of this sub-population or all 72 cases are sampled. A hospital may choose to use vital records to identify the PC-Mother Initial Patient Population as given in the Population section earlier. Our Stroke Program team is small and communicates well. This version of the eCQM uses QDM version 5.5. Using the quarterly sampling table for the Mother population, the sample size required is 301 cases for the quarter. Applications are available at the American Medical Association Web site, www.ama- assn.org/go/cpt. Hospitals sampling for the PC-Newborn with Exclusive Breast Milk Feeding must ensure that the patient population size for this subpopulation meets the following conditions: A hospital's Mother Population size is 2300 cases during the second quarter. ICD-10-PCS Principal or Other Procedure Codes as defined in Appendix A, Table 11.01.1 Delivery, a Patient Age (Admission Date Birthdate) >= 8 years and < 65 and a Length of Stay (Discharge Date - Admission Date) 120 days. endobj A technical advisory panel (TAP) comprising experts in the perinatal care field was convened in February 2009 to select the replacement set of measures from among those endorsed for national use by the National Quality Forum. Measure Set: Perinatal Care (PC) Set Measure ID: PC-05 Performance Measure Name: Exclusive Breast Milk Feeding Description: Exclusive breast milk feeding during the newborn's entire hospitalization The measure is reported as an overall rate which includes all newborns that were exclusively fed breast milk during the entire hospitalization. /Type /Page "j9ZV",,-^ UHTXs}? >> 16 0 obj 0480e. /H /N 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. /Border [0 0 0] Note: Hospitals are encouraged to utilize a data source that reduces unnecessary medical record review e.g., using vital records, delivery logs or clinical information systems as a data source. Core member of the Edinburgh Imaging research capability. This Agreement will terminate upon notice if you violate its terms. /Border [0 0 0] /Rotate 0 lz;2[&EPI:+O/A@Fg0{NlAYIS*yIQ6Hfw}I5wMo}#F>juLt!aj-?}a)4g]xo/3sst7o6vso^u|;?=MGmnNgw;{~Kom6:Lc|:;Ow7y}dCy2W79{/]-we33'Wa7i-b| =LNq3d4N'9k{n,~35LWe.cCAX)&I]Ie\E'ZQ+T5.0N=iw]2c3>EZq>-7iNp.~:-Ao>W4e1p0ZTifYg:<6'(>ji{{%6sW L8O;SB&Z:hL:0Mv{(CQE9PCQE9P:`7R8Px&v`i`#fq(bq(>T8%,q`|&f0TAi%Y%y%E%eJ4+H_I4%XelY-o{MlF.I]Rif]lCtcbFSLq|I;%m;*:LQj9o`gKK05o$3;#7 h/?neC%1_}\=wIZn!B4$.Rr\}=O|ikS4@ 9_aMimyT{f7\sB^E@Uo6[Xq2oQr4;w"uFWXr.dK=<. Hopkins Medicine. 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. The Perinatal Center Database (PCDB) has become one of the largest repositories for hospital-based perinatal data in the country. /Producer () >> by Purpose. /Rotate 0 >> Response: Please note that electronic clinical quality measures are not sampled. >> Patients and families should become familiar with the core measures and talk to their health care team if they have any questions or concerns. U.S. hospitals must report their compliance with these core measures to The Joint Commission, a health care accreditation organization, the Centers for Medicare and Medicaid Services and other agencies. A hospital's Mother Population size is 125 cases during March. Download Citation | Assessing the neonatal health policy landscape in low- and middle-income countries: Findings from the 2018 WHO SRMNCAH policy survey | Background: We aimed to describe the . stream endobj << national benchmarks for perinatal core measures. Updated Clinical Quality Language (CQL) expression to conform with the HL7 Standard: Clinical Quality Language Specification, Release 1 STU 4 (CQL 1.4). 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). /Subtype /Link CMS9v9. calendar year numbers publicly available on the Centers for Medicare and The National Quality Forum. >> Short Name. 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. In order to identify new antiseizure or disease-modifying therapeutic targets and mechanism-based therapies, we need to (1) understand the mechanisms of initiation, propagation, and termination of seizures at the cellular and network level for different seizure types, including status epilepticus, and in different forms of epilepsy, (2) understand the neural circuits, cell types, cellular . Measures in this portfolio address reproductive health; pregnancy, labor, and delivery; high-risk pregnancy; newborns; postpartum care; and premature or low birthweight neonates. For over 30 years, NPIC has worked with hospitals, patient safety organizations, insurers and researchers to collect and interpret the data that drives better outcomes for mothers and newborns. /Subtype /Link 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. Core measures are national standardized processes and best practices to improve patient care. 3 0 obj Moved the criteria of length of stay (LOS), diagnosis of galactosemia and subject to parenteral nutrition from initial population to denominator exclusion. A hospital's Mother Population size is 400 cases during March. You can also ask your health care provider how you can prepare for surgery or other procedures to reduce your risk of complications. *Benchmark Source: National and state averages are the most recent PPO corresponds to PPO and EPO within Quality Compass. /BS 50 0 R a length of stay greater than 120 days that ends during the measurement period Because cesarean sections are not These findings prompted us to evaluate our compliance not only with the Perinatal Core Measures (which was 100% for patients less than 34 weeks), but also with the evolving recommendations. national benchmarks for perinatal core measures. section who have not previously given birth. Twelve measures were previously endorsed, and two are new. In its 2020 review process, the National Quality Forum endorsed 15 Perinatal and Women's Health measures, of which CMQCC was the developer of three: Core measure compliance shows how often a hospital provides each recommended treatment for certain medical conditions. NQF also endorsed measures dealing with hepatitis B vaccination rates for newborns, neonatal bloodstream infection rates, and exclusive breastfeeding rates during hospitalization. CMQCC has developed four quality measures that are used by government and quality review agencies such as the Joint Commission and the Leapfrog Group to help measure maternity care performance. Postpartum visits provide an opportunity to address: Prenatal and Postpartum Care: Postpartum Care | Medicaid Skip to main content NQF# 0480 Exclusive Breast Milk Feeding, also in electronic measure as 0480e (now managed by The Joint Commission as PC-05). 7 0 obj Washington, DC the National Quality Forum (NQF) Board of Directors has approved for endorsement 14 quality measures on perinatal care. 225 Chapman Street Suite 200 Providence, RI 02905. Professor Jean Yang is an applied statistician with expertise in statistical bioinformatics. PC-05 Exclusive breast milk feeding during the newborn's entire hospitalization. Stay up to date with all the latest Joint Commission news, blog posts, webinars, and communications. The chart abstracted Perinatal Care measures were re-endorsed by the National Quality Forum (NQF) on November 20, 2020. /Contents 33 0 R However, very few hospitals chose to adopt the measures because, the measures were optional. << Center for Academic Medicine, Neonatology, MC 5660, 453 Quarry Road, Palo Alto, CA 94304, CA-PAMR Pregnancy-Associated Mortality Surveillance System Committee, Unexpected Complications in Term Newborns, <1500g Infant Not Delivered at Appropriate Level, COVID-19 Resources for Maternal and Infant Health, Mother & Baby Substance Exposure Initiative Toolkit, OB Hemorrhage Task Force and Update Task Force, Hypertensive Disorders of Pregnancy Toolkit, Hypertensive Disorders of Pregnancy Task Force, Maternal Sepsis Task Force Advisory Group, Support Vaginal Birth and Reduce Primary Cesareans Toolkit, Supporting Vaginal Birth and Reducing Primary Cesarean Delivery Taskforce, Toolkit to Support Vaginal Birth and Reduce Primary Cesareans, Medical School Office Building, 1265 Welch Road, MS 5415, Stanford, CA 94305 USA. where Reference Date is the date on which you are trying to determine gestational age. The measures address a wide range of care concerns, including childbirth, pregnancy and post-partum care, and newborn care. endobj Timely postpartum visits provide an opportunity to assess a woman's physical recovery from pregnancy and childbirth. /AcroForm 2 0 R /H /N RRKd*k2 O! 21,22 These studies have demonstrated that persons who were classified as having high levels of SHS . 15 0 obj /Tabs /W NQF Endorses Perinatal Measures Washington, DC - the National Quality Forum (NQF) Board of Directors has approved for endorsement 14 quality measures on perinatal care. A hospital's PC-Newborn Population size is 99 cases during the second quarter. Our team is always trying to make our hospitals processes better to provide the safest care for our patients.. << /BS 44 0 R endobj The measure is reported as an overall rate which includes all newborns that were exclusively fed breast milk during the entire hospitalization. A hospital's Mother Population size is 20 cases during March. **National Goal Benchmark Source: The United States Department of Health These four measures are harmonized with the National Quality Forum (NQF) and Joint Commission perinatal quality measures. /Font 12 0 R A hospital's Mother Population size is 1500 cases during the second quarter. Using the monthly sampling table for the Exclusive Breast Milk Feeding measure, the sample size required 9 cases for the month. The following are Perinatal Care eCQMs used by The Joint Commission. Use of this measure set for quality improvement and public reporting will help strengthen maternal and newborn health and the value of our considerable investment in maternity care.. /Annots [16 0 R 17 0 R 18 0 R 19 0 R 20 0 R] We are vaccinating all eligible patients. Quality and Safety Performance During COVID-19, Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, Central Line-Associated Bloodstream Infections (CLABSI), Patients Leaving the Pediatric ER Without Being Seen by a Health Care Provider, The Centers for Medicare and Medicaid Services - Recommended Core Measures, AHRQs Guide for Questions to Ask Your Doctor.
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