Hhqm7 Hhqm-amb

Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)

Medicaid and CHIP Program (MACPro)
HHQM - AMB PRA document
Version 1.0
08/22/2017

Document Number: 225-QSSI-MACPro-PRA-HHQM-AMB-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

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Table of Contents

Table of Contents
1. Health Homes Quality Measure .............................................................................. 1
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
1.9
1.10
1.11
1.12
1.13
1.14
1.15

Ambulatory Care – Emergency Department Visits (AMB) – Path 1................. 1
Measurement Specification – Path 1 ............................................................... 1
Measurement Specification – Path 2 ............................................................... 2
Date Range ..................................................................................................... 2
Definition of Population Included in the Measure ............................................ 3
Selection of Delivery Systems ......................................................................... 3
Health Home Providers Representation .......................................................... 4
Performance Measure (checked all age range) Path - 1 ................................. 4
Performance Measure (Check one age range) Path -2 Option Yes ................ 5
Performance Measure (Check one age range) Path – 2 Option No ................ 6
Other Performance Measure ........................................................................... 6
Deviations from Measure Specifications ......................................................... 7
Optional Measure Stratification ....................................................................... 9
Final Comments and Report Documents ...................................................... 11
Ambulatory Care – Emergency Department Visits (AMB) Path - 2 ............... 12

Appendix A:

Acronyms ....................................................................................... 13

List of Figures
Figure 1: AMB Reporting – Yes ....................................................................................... 1
Figure 2: Measurement Specification 1 ........................................................................... 1
Figure 3: Measurement Specification 2 ........................................................................... 2
Figure 4: Date Range ...................................................................................................... 2
Figure 5: Denominator Representation 1 ........................................................................ 3
Figure 6: Denominator Representation 2 ........................................................................ 3
Figure 7: Denominator Representation 3 ........................................................................ 4
Figure 8: Performance Measure 1 ................................................................................... 4
Figure 9: Performance Measure 2 ................................................................................... 5
Figure 10: Performance Measure 3 ................................................................................. 6
Figure 11: Other Performance Measure .......................................................................... 6
Figure 12: Deviations from Measure Specifications 1 ..................................................... 7

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List of Tables

Figure 13: Deviations from Measure Specifications 2 ..................................................... 8
Figure 14: Deviations from Measure Specifications 3 ..................................................... 8
Figure 15: Optional Measure Stratification 1 ................................................................... 9
Figure 16: Optional Measure Stratification 2 ................................................................... 9
Figure 17: Optional Measure Stratification 3 ................................................................. 10
Figure 18: Optional Measure Stratification 4 ................................................................. 10
Figure 19: Optional Measure Stratification 5 ................................................................. 11
Figure 20: Final Comments and Report Documents ..................................................... 11
Figure 21: AMB Reporting – No .................................................................................... 12
Figure 22: AMB Reporting – No .................................................................................... 12

List of Tables
Table 1: Acronyms ........................................................................................................ 13

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Ambulatory Care – Emergency Department Visits (AMB) – Path 1

1. Health Homes Quality Measure
1.1

Ambulatory Care – Emergency Department Visits (AMB) – Path 1

Figure 1: AMB Reporting – Yes

1.2

Measurement Specification – Path 1

Figure 2: Measurement Specification 1

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1.3

Measurement Specification – Path 2

Measurement Specification – Path 2

Figure 3: Measurement Specification 2

1.4

Date Range

Figure 4: Date Range

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1.5

Definition of Population Included in the Measure

Definition of Population Included in the Measure

Figure 5: Denominator Representation 1

1.6

Selection of Delivery Systems

Figure 6: Denominator Representation 2

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1.7

Health Home Providers Representation

Health Home Providers Representation

Figure 7: Denominator Representation 3

1.8

Performance Measure (checked all age range) Path - 1

Figure 8: Performance Measure 1

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1.9

Performance Measure (Check one age range) Path -2 Option Yes

Performance Measure (Check one age range) Path -2 Option Yes

Figure 9: Performance Measure 2

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Performance Measure (Check one age range) Path – 2 Option No

1.10 Performance Measure (Check one age range) Path – 2 Option No

Figure 10: Performance Measure 3

1.11 Other Performance Measure

Figure 11: Other Performance Measure

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Deviations from Measure Specifications

1.12 Deviations from Measure Specifications

Figure 12: Deviations from Measure Specifications 1

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Deviations from Measure Specifications

Figure 13: Deviations from Measure Specifications 2

Figure 14: Deviations from Measure Specifications 3

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Optional Measure Stratification

1.13 Optional Measure Stratification

Figure 15: Optional Measure Stratification 1

Figure 16: Optional Measure Stratification 2

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Optional Measure Stratification

Figure 17: Optional Measure Stratification 3

Figure 18: Optional Measure Stratification 4

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Final Comments and Report Documents

Figure 19: Optional Measure Stratification 5

1.14 Final Comments and Report Documents

Figure 20: Final Comments and Report Documents

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Ambulatory Care – Emergency Department Visits (AMB) Path - 2

1.15 Ambulatory Care – Emergency Department Visits (AMB) Path - 2

Figure 21: AMB Reporting – No

Figure 22: AMB Reporting – No

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Ambulatory Care – Emergency Department Visits (AMB) Path - 2

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

HHQM

Health Homes Quality Measure

AMB

Ambulatory Care – Emergency Department Visits

PRA

Paper Reduction Act of 1995

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