Prenatal And Postpartum Care Ppc Definition Ncqa Pdf

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Because pregnancy complications, including gestational diabetes mellitus GDM and hypertensive disorders in pregnancy, are risk factors for diabetes and cardiovascular disease, post-delivery follow-up is recommended. To determine predictors of post-delivery primary and obstetric care utilization in women with and without medical complications.

Prenatal and Postpartum Care (PPC): Timeliness of Prenatal Care

Jump to navigation. Submit Cancel. For these women, the measure assesses the following facets of prenatal and postpartum care. Hybrid Methodology: Organizations look for numerator compliance in both administrative and medical record data. The denominator consists of a systematic sample of members drawn from the measure's eligible population. Organizations review administrative data to determine if members in the systematic sample received the service, and review medical record data for members who do not meet the numerator criteria through administrative data. The reported rate is based on members in the sample who received the service required for the numerator.

HEDIS consists of 71 measures across 8 domains of care. Skip to main content. Google Tag Manager. Visit coronavirus. Office of Disease Prevention and Health Promotion.

Each year, about four million women in the U. Figures do not account for changes in the underlying measure that could break trending. Learn more about pandemic program and policy changes. Assesses access to prenatal and postpartum care: Timeliness of Prenatal Care. The percentage of deliveries in which women had a prenatal care visit in the first trimester, on or before the enrollment start date or within 42 days of enrollment in the organization.

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Each year, about four million women in the U. Figures do not account for changes in the underlying measure that could break trending. Assesses access to prenatal and postpartum care: Timeliness of Prenatal Care. The percentage of deliveries in which women had a prenatal care visit in the first trimester, on or before the enrollment start date or within 42 days of enrollment in the organization. Postpartum Care.


Prenatal and Postpartum Care (PPC) · Timeliness of Prenatal Care. The percentage of deliveries in which women had a prenatal care visit in the first trimester, on.


HEDIS MY2020: Key Changes for Medicaid Pay-for-Performance Measures

Jump to navigation. Submit Cancel. For these women, the measure assesses the following facets of prenatal and postpartum care.

HEDIS measures performance in health care where improvements can make a meaningful difference in people's lives. The Optima Health Quality Improvement team has updated the Healthcare Effectiveness Data and Information Set with the most current information, measure descriptions, and tips to help improve rates of compliance and member outcomes.

Prenatal and Postpartum Care (PPC)

The measure set was designed to encourage providers to meet high standards of patient-centered clinical care and coordination across multiple care settings throughout the maternity care episode. During the summer of , the Maternity CAG reconvened and made recommendations to the State on quality measures, data collection, data reporting, and support required for providers to be successful in a VBP environment. Each measure has been designated by the State as Category 1, 2, or 3 with associated recommendations for implementation and testing for future use in VBP arrangements. The measures below are classified by category based on an assessment of reliability, validity, and feasibility, and according to suggested method of use either Pay for Reporting P4R or Pay for Performance P4P. These measures are also intended to be used to determine the amount of shared savings for which VBP contractors are eligible 1. Not all Category 1 measures will be reportable for the measurement year, as reporting on some of these measures will be phased in over the next 2 years.

To search the measure inventory, enter one or more terms in the search box and hit enter or click the search button. CMIT searches all fields in the inventory and is not case-sensitive. If you search for multiple terms, CMIT will return all measures containing at least one of the terms.

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