national benchmarks for perinatal core measures10 marca 2023
Today, the Core Quality Measures Collaborative (CQMC) released four updated core measure sets covering specific clinical areas as part of its mission to provide useful quality metrics as the nation's health care system moves from one that pays based on volume of services to one that pays for value. reporting by state Medicaid and CHIP agencies. This is currently a pay for reporting PRIME measure, and the Q1 2019 Vizient benchmark is 4%; ZS . We looked at how we could improve administration of ACS after 34 weeks. This will be reported as the percentage of infants with unexpected newborn . Core measures are national standardized processes and best practices to improve patient care. Value set Birth Weight (2.16.840.1.113762.1.4.1029.194): Added Birth Weight based on change in measure requirements, using birth weight to capture term newborns whose the estimated gestational age at birth information is missing. 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. How can patients and families support safety? Applications are available at the American Medical Association Web site, www.ama- assn.org/go/cpt. 15 0 obj Using the quarterly sampling table for the Mother population, the sample size required is 20% of this sub-population or 300 cases for the quarter. /Rect [45 47.2192001343 154.7259979248 35.9873008728] Using the monthly sampling table for the Exclusive Breast Milk Feeding measure, the sample size required 9 cases for the month. /Parent 4 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. The core sets focus primarily on ambulatory care measures at the clinician reporting level. 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. The measure is reported as an overall rate which includes all newborns that were exclusively fed breast milk during the entire hospitalization. >> The following are Perinatal Care chart abstracted measures used by The Joint Commission. 12 0 obj Contact Information Products viamy.ncqa.orgfor analysis that accounts for trend breaks. Reviewing these best practices requires a team effort. Information on Joint Commission Requirements. z eHrtBZ%0e f/SFjM~%)pQ /MediaBox [0 0 612 792] |, 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). Data shows that the majority of newborns with gestational age 37 weeks or more have a birth weight 3000 grams or more. Maternal and child health are internationally considered to be among the best measures for assessing health-care quality. The goal of QualityNet is to help improve the quality of health care . Patients admitted to the hospital for inpatient acute care are included in the PC Mother Initial sampling group if they have: >> A hospital's PC-Newborn Population size is 200 cases for the month of March. By reviewing our patients charts, we can immediately identify what is working and where we can improve. Lower numbers are better. We develop and implement measures for accountability and quality improvement. **National Goal Benchmark Source: The United States Department of Health The National Quality Forum. a length of stay greater than 120 days that ends during the measurement period section leads to better outcomes for the mother or newborn than and the National Perinatal Information Center in addition to expert clinical faculty from a variety of organizations. /Contents 33 0 R The /N 40 0 R By . Set expectations for your organization's performance that are reasonable, achievable and survey-able. hYkS+3'Xf Rc$qHh~~yd9,DD={fez>EPcD0N4U }\KI(9ap*i1:cRJ6H /ZaDb 39 0 R In its 2020review process, the National Quality Forum endorsed 15Perinatal and Women's Health measures, of which CMQCC was the developer of three: NQF# 0716 Unexpected Complications in Term Newborns (currently used by The Joint Commission as PC-06) Measures in this portfolio address reproductive health; pregnancy, labor, and delivery; high-risk pregnancy; newborns; postpartum care; and premature or low birthweight neonates. In 2011 Johns Hopkins Medicine developed a plan to become a national leader in core measures with a goal of reaching 96 percent compliance. This measures the percentage of patients who had an early elective /R 41 0 R /Border [0 0 0] An episode is defined as each inpatient hospitalization or encounter that ends during the measurement period. 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: Added text to identify the Quality Data Model (QDM)version used in themeasure specification. The Joint Commission, Chris Walas, RN, MSN, and Melissa Potts, RN, BSN, CCDS, CDIP. There are no Perinatal Care eCQMs applicable or available for Certification purposes. Poster Presentation Purpose for the Program In 2010, the Joint Commission developed perinatal core measures. Replaced 'weeks' with the UCUM code wk to be consistent with HL7 standards. Data show that the majority of newborns with gestational age 37 weeks or more have a birth weight 3000 grams or more. Patients are tested for MRSA bloodstream infections if they show signs of illness while in the hospital. We do not share your information with third parties. /Rotate 0 Be sure you clearly understand how to manage your health as you prepare to leave the hospital, such as any new prescription medications you may need. Perinatal Care (PC) Core Measures: Updates for 2022. stated that this measure would only be useful if it's not sampled. You can also ask your health care provider how you can prepare for surgery or other procedures to reduce your risk of complications. The measure maintenance process is guided by expertise and advice provided by the Perinatal Care Measure Maintenance Technical Advisory Panel. Learn about the "gold standard" in quality. /BleedBox [0 0 612 792] 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. While a number of these measures are voluntarily reported as part of Quality metric meeting national benchmarks. Regardless of the option used, hospital samples must be monitored to ensure that sampling procedures consistently produce statistically valid and useful data. Copyright /F 4 To provide a benchmark of local health department effectiveness in addressing the core functions and to assess implications for achieving the year 2000 target, a random national sample (stratified by jurisdiction and population base) of local health departments was surveyed to determine self-reported compliance with 10 public health practice . Obtain useful information in regards to patient safety, suicide prevention, infection control and many more. For PC-05, Reference Date is the Birth Date. 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. The measure is reported as an overall rate which includes all newborns that were exclusively fed breast milk during the entire hospitalization. Of the 257 practices participating in the 2017 ACNM Benchmarking /Type /Annot Assesses access to prenatal and postpartum care: Each year, about four million women in the U.S. give birth, with one million women having one or more complications during pregnancy, labor and delivery or the postpartum period.1 Studies indicate that as many as 60% of all pregnancy-related deaths could be prevented if women had better access to health care, received better quality of care and made changes in their health and lifestyle habits.1Timely and adequate prenatal and postpartum care can set the stage for the long-term health and well-being of new mothers and their infants.2, Joint guidelines published by the American Academy of Pediatrics (AAP) and the American College of Obstetricians and Gynecologists (ACOG) recommend a prenatal visit in the first trimester for all women.3 ACOG also recommends that all women have contact with their obstetrician-gynecologists or other obstetric providers within 3 weeks postpartum, followed by ongoing care as needed, concluding with a comprehensive postpartum visit no later than 12 weeks after birth.2. /Pages 4 0 R Strikethrough text highlighted in red indicates information changed from the previous version. 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. Perinatal Care measures focuses on achieving integrated, coordinated, patient-centered care for clinically uncomplicated pregnancies and births. All Records, Optional for HBIPS-2 and HBIPS-3, The count of all patients in PC-Newborn population, 20% of the Initial Patient Population size, No sampling; 100% of the Initial Patient Population required, No sampling; 100% of Initial Patient Population required, No sampling; 100% Initial Patient Population required, Hospitals selecting cases for the PC-Newborn with. /Resources 35 0 R /Subtype /Link Hopkins Medicine. See how our expertise and rigorous standards can help organizations like yours. 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. NQF # >> Read more. Stakeholder CommentsGeneral and Measure-Specific. G/GqY%]#_$~H"8@ii6T%)`oZ# )F7i'g U@14x?%oH&GsvJg3JC However, very few hospitals chose to adopt the measures because, the measures were optional. What are the national benchmarks for the PC measures? stream 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 . << 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. /Length 54 0 R /Producer () The organizations quality and safety performance may have been impacted by the COVID-19 pandemic. researchers. Revised the initial population and denominator exclusions to align with eCQM PC-06, Unexpected Complications in Term Newborns. By not making a selection you will be agreeing to the use of our cookies. NQF# 0480 Exclusive Breast Milk Feeding, also in electronic measure as 0480e (now managed by The Joint Commission as PC-05). 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. Note: District of Columbia state average not available for the cesarean >> previous years are not available. connection among participants to achieve project goals. (2018). It is now time to emphasize health and development in middle childhood and adolescence--developmental phases that are critical to health in adulthood and the next generation. /DR 6 0 R 16 0 obj The patients in each measure are processed independently. General comments . In my experience, good communication is critical to meeting the core measures. Perinatal Quality Collaboratives (PQCs) are state or multistate networks of teams working to improve the quality of care for mothers and babies. Click on the link(s) below to access measure specific resources: The Joint Commission is a registered trademark of the Joint Commission enterprise. The database collects and evaluates unit-specific nurse-sensitive data from hospitals in the United States." Source: National Database of Nursing Quality Indicators Measures Patient falls Symptoms from MRSA infections often take a few days to develop. endobj The core measures reflect how well our hospital follows the best practices of care for stroke patients. Participants will be able to verbalize changes and updates to Joint Commission Maternal core measures, PC-02 and PC-06 standards, reporting and documentation. 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. /Metadata 3 0 R Sample Size: A hospitals performance on some of the core measures is >> 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. /C [] << endobj >> CMS9v9. NQF is a voluntary consensus standards-setting organization. Pregnancy and childbirth-related procedures account for the five most common medical procedures for women of child-bearing age, yet deaths during pregnancy and childbirth have doubled for women in the United States in the last 20 years. Perinatal Care (PC-01) Measure Hospitals participating in the IQR Program are required to complete the web-based measure questions quarterly. >> A hospital's Mother Population size is 125 cases during March. Using the monthly sampling table for the Exclusive Breast Milk Feeding measure, the sample size required is 20% of this sub-population or 20 cases for the month. *8XB3+{eI]+(#5Ew){3H American College of Obstetricians and Gynecologists (ACOG). U.S. Government Rights That's because The Joint Commission's eCQM option only applies to hospitals submitting all four perinatal measures. /BS 44 0 R Meta Phillips, R.N.Stroke Compliance Specialist, Sibley Memorial Hospital. provide labor and delivery care. vaginal delivery or elective cesarean section before the recommended endobj The guideline uses the term 'contact' as it implies . << a length of stay greater than 120 days that ends during the measurement period /Tabs /W >> A discharge to a designated cancer center or children's hospital should be captured as a discharge to an acute care facility. /AP 14 0 R Using the quarterly sampling table for the Exclusive Breast Milk Feeding measure, the sample size required 27 cases for the quarter. This should be reflected as such in the newborn's EHR documentation. A. /TrimBox [0 0 612 792] endobj collection and reporting for collaboratives, insurers, and /Type /Page Only one birth weight value should be recorded. By using this site, you agree to our use of cookies. /Fields [7 0 R] /Subject () The core measure processes are proven standards of care that reduce complications and lead to better patient outcomes. /H /P endobj 21,22 These studies have demonstrated that persons who were classified as having high levels of SHS . This set of measures will help promote the type of high-quality care these populations deserve.. /Filter /FlateDecode The Perinatal Center Database (PCDB) has become one of the largest repositories for hospital-based perinatal data in the country. endobj The measures address a wide range of care concerns, including childbirth, pregnancy and post-partum care, and newborn care. 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. << /Subtype /XML 13 0 obj American Academy of Pediatrics, American College of Obstetricians and Gynecologists. Using the monthly sampling table for the Exclusive Breast Milk Feeding measure, the sample size required is 37 cases. /Type /Pages Hospitals that choose to sample have the option of sampling quarterly or sampling monthly. /Ff 65536 stream 0480e. The AMA is a third party beneficiary to this Agreement. 225 Chapman Street Suite 200 Providence, RI 02905. /Rect [375.0629882812 365.2290039062 500.141998291 349.7850036621] 7 0 obj and Human Services' Healthy People 2020 goal. 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. /Border [0 0 0] The following sample size tables for each option automatically build in the number of cases needed to obtain the required sample sizes. Our team is always trying to make our hospitals processes better to provide the safest care for our patients.. Because cesarean sections are not << << >> Copyright 2023 National Committee for Quality Assurance. The higher percentage compliance means the hospital is following the best steps to care for a patients particular condition. The PC measure set is unique in that there are two distinct Initial Patient Populations within the measure set, mothers and newborns. was introduced in Q4 2018. /BleedBox [0 0 612 792] A hospital's PC-Newborn Population size is 600 cases during the second quarter. 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 . Using the quarterly sampling table for the Mother population, the sample size required 75 cases for the quarter. /A 49 0 R Numerator Statement: Newborns who were fed breast milk only since birth Denominator Statement: There are no data that higher rates improve any outcomes, yet the CB rates continue to rise. a-J&NzNrSCyc|og,jJzJ#6 g)v, ]5jF[7o5iYHP5LFs TBC sB(uZ5F? c Be\?g= t1/;_K'MGwF7Ph}VZMk.42`Ulm6FaekMy9`OtxHp PVn9 '{9BympOo{x~t:]Xc,O_4_ 5z 17 0 obj /Rect [80 323.2290039062 136.4620056152 307.7850036621] Background . The core measure work groups allowed hospitals to share best practices and lessons learned and improve internal processes to increase core measure compliance. QDM v5.5 standards update: Added 'relevantDatetime' attribute to QDM datatypes. This State of Healthcare Quality Report classifies health plans differently than NCQAs Quality Compass. endstream endobj 307 0 obj <>stream When data is translated into useful information, the opportunity to transform quantitative data into qualitative improvements becomes a reality. For you, the electronic versions of the same measures are ePC-01, ePC-02, ePC-05 and ePC-06. << 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. Note however that the calculation may yield a non-whole number and gestational age should be rounded off to the nearest completed week. 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. 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. A hospital's Mother Population size is 72 cases during the second quarter. (h6}qA%Zb60 /Type /Annot subject to parenteral nutrition. "The National Database of Nursing Quality Indicators (NDNQI) is a proprietary database of the American Nurses Association. Author links open overlay panel Sabrina da Conceio Pereira a, Raul Manhes-de-Castro a b c, Diego Bulco Visco b c, . /RI 41 0 R Submitting all the initial patient population provides a more precise estimate of the performance rate for the measures. /Thumb 30 0 R endstream endobj 309 0 obj <>stream 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. 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. The Perinatal Center Database A Quality and Utilization Benchmark The Perinatal Center Database (PCDB) has become one of the largest repositories for hospital-based perinatal data in the country. >> o Perinatal measures ZSFG is at or below ZSFG-defined goals and the Vizient median for 5 perinatal core measures: Elective Delivery, cesarean section rate, antenatal steroids, healthcare associated BSI, and exclusive . Our team shares information every day and talks about ways to address problems both large and small. Improve Maternal Outcomes at Your Health Care Facility, Accreditation Standards & Resource Center, Ambulatory Health Care: 2023 National Patient Safety Goals, Assisted Living Community: 2023 National Patient Safety Goals, Behavioral Health Care and Human Services: 2023 National Patient Safety Goals, Critical Access Hospital: 2023 National Patient Safety Goals, Home Care: 2023 National Patient Safety Goals, Hospital: 2023 National Patient Safety Goals, Laboratory Services: 2023 National Patient Safety Goals, Nursing Care Center: 2023 National Patient Safety Goals, Office-Based Surgery: 2023 National Patient Safety Goals, The Term Licensed Independent Practitioner Eliminated, Updates to the Patient Blood Management Certification Program Requirements, New Assisted Living Community Accreditation Memory Care Certification Option, Health Care Equity Standard Elevated to National Patient Safety Goal, New and Revised Emergency Management Standards, New Health Care Equity Certification Program, Updates to the Advanced Disease-Specific Care Certification for Inpatient Diabetes Care, Updates to the Assisted Living Community Accreditation Requirements, Updates to the Comprehensive Cardiac Center Certification Program, Health Care Workforce Safety and Well-Being, Report a Patient Safety Concern or Complaint, The Joint Commission Stands for Racial Justice and Equity, The Joint Commission Journal on Quality and Patient Safety, John M. Eisenberg Patient Safety and Quality Award, Bernard J. Tyson National Award for Excellence in Pursuit of Healthcare Equity, Continuing Education Credit Information FAQs, ePC-06 Unexpected Complications in Term Newborns, PC-06 Unexpected Complications in Term Newborns. /Title () Chris Walas, RN, MSN, and Kelley Franklin, MSN, RN endobj Hospitals whose Initial Patient Population size is less than the minimum number of cases per quarter/month for the sampling group cannot sample that sampling group. by Data. 'RelevantDatetime' indicates when the action occurred whereas 'authorDatetime' indicates when the action was recorded. Perinatal Care (PC) Core Measures: Updates for Fall, 2021. /S /Named /Type /Action /Type /Annot View them by specific areas by clicking here. transferred to an acute care facility, or other health care facility /Group 34 0 R 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.". 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. According to a national survey, approximately 8% of pregnant women experienced major depression in the past year. expired during the hospitalization 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. << Although cesarean births can be lifesaving and medically needed, the rapid rise and the extreme hospital variation suggests that "grey-zone" indications seem to be driving much of these trends . << 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. ANA has developed high-impact patient safety measures, with more than two decades of evidence that higher staffing levels are associated with lower rates of patient death and harm. A hospital may choose to use a larger sample size than is required. /Border [0 0 0] Birth weight 3000 grams or more is a proxy to capture term newborns without gestational age recorded in EHR system. We use cookies to improve your experience and analyze our website traffic. Peers from across Johns Hopkins Medicine hospitals developed 40 core measure work groups, each focused on improving a specific set of core measures. 6 0 obj CPT is a registered trademark of the American Medical Association. As a data partner, NPIC can strengthen the /Rotate 0 endobj Response: Thank you for your support for the current approach. << 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.. Find evidence-based sources on preventing infections in clinical settings. The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets. 225 Chapman Street Suite 200 Providence, RI 02905. Using the quarterly sampling table for the Mother population, the sample size required is 301 cases for the quarter. /A 45 0 R 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. endstream endobj 308 0 obj <>stream The following are Perinatal Care chart abstracted measures used by The Joint Commission. Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. 2 0 obj CPT is provided as is without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. /TP 1 /Type /Metadata << by Purpose. where Reference Date is the date on which you are trying to determine gestational age. NPIC collected and provided outcome data from participating hospitals and reported on nineteen outcome metrics, including the . /AcroForm 2 0 R These perinatal measures are a welcome addition to the NQF portfolio, said Laura Riley, MD, medical director of labor and delivery at Massachusetts General Hospital and co-chair of the Perinatal and Reproductive Health Endorsement Maintenance Steering Committee. Patients and families can use core measure performance to objectively compare hospitals locally or nationally.