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pdfCenters for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)
Medicaid and CHIP Program (MACPro)
HHQM-CDF PRA document
Version 1.0
08/22/2017
Document Number: 169-QSSI-MACPro-PRA-HHQM-CDF-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014
CMS XLC
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
1.16
1.17
Screening for Clinical Depression and Follow-Up Plan (CDF) – Path 1 .......... 1
Measurement Specification Path 1 .................................................................. 1
Measurement Specification Path 2 .................................................................. 2
Date Range ..................................................................................................... 2
Definition of Population Included in the Measure ............................................ 3
Sample Size and Measure-eligible population related to Data Source ............ 3
Selection of Delivery Systems ......................................................................... 4
Health Home Providers ................................................................................... 4
Performance Measure with all Age Range ...................................................... 5
Performance Measure with one Age Range.................................................... 5
Age Range 65 and over Path – 1 .................................................................... 6
Age Range 65 and over Path – 2 .................................................................... 6
Other Performance Measure ........................................................................... 7
Deviations from Measure Specifications ......................................................... 7
Optional Measure Stratification ....................................................................... 9
Final Comments and Report Documents ...................................................... 12
Screen for Clinical Depression and Follow-up Plan (CDF) – Path 2 ............. 13
Appendix A:
Acronyms ....................................................................................... 15
List of Figures
Figure 1: CDF Reporting – Yes ....................................................................................... 1
Figure 2: Measurement Specification 1 ........................................................................... 2
Figure 3: Measurement Specification 2 ........................................................................... 2
Figure 4: Data Range ...................................................................................................... 2
Figure 5: Definition of Population Included in the Measure 1 .......................................... 3
Figure 6: Definition of Population Included in the Measure 2 .......................................... 3
Figure 7: Definition of Population Included in the Measure 3 .......................................... 4
Figure 8: Definition of Population Included in the Measure 4 .......................................... 4
Figure 9: Performance Measure 1 ................................................................................... 5
Figure 10: Performance Measure 2 ................................................................................. 5
Figure 11: Performance Measure 3 ................................................................................. 6
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List of Tables
Figure 12: Performance Measure 4 ................................................................................. 6
Figure 13: Other Performance Measure .......................................................................... 7
Figure 14: Deviations from Measure Specifications 1 ..................................................... 7
Figure 15: Deviations from Measure Specifications 2 ..................................................... 8
Figure 16: Deviations from Measure Specifications 3 ..................................................... 8
Figure 17: Optional Measure Stratification 1 ................................................................... 9
Figure 18: Option Measure Stratification 2 .................................................................... 10
Figure 19: Option Measure Stratification 3 .................................................................... 10
Figure 20: Optional Measure Stratification 4 ................................................................. 11
Figure 21: Optional Measure Stratification 5 ................................................................. 11
Figure 22: Optional Measure Stratification 6 ................................................................. 12
Figure 23: Final Comments and Report Documents ..................................................... 12
Figure 24: CDF Reporting – No -1 ................................................................................ 13
Figure 25: CDF Reporting – No - 2 ............................................................................... 13
Figure 26: CDF Reporting – No – 3 ............................................................................... 14
List of Tables
Table 1: Acronyms ........................................................................................................ 15
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Screening for Clinical Depression and Follow-Up Plan (CDF) – Path 1
1. Health Homes Quality Measure
1.1
Screening for Clinical Depression and Follow-Up Plan (CDF) –
Path 1
Figure 1: CDF Reporting – Yes
1.2
Measurement Specification Path 1
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Measurement Specification Path 2
Figure 2: Measurement Specification 1
1.3
Measurement Specification Path 2
Figure 3: Measurement Specification 2
1.4
Date Range
Figure 4: Data Range
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1.5
Definition of Population Included in the Measure
Definition of Population Included in the Measure
Figure 5: Definition of Population Included in the Measure 1
1.6
Sample Size and Measure-eligible population related to Data
Source
Figure 6: Definition of Population Included in the Measure 2
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1.7
Selection of Delivery Systems
Selection of Delivery Systems
Figure 7: Definition of Population Included in the Measure 3
1.8
Health Home Providers
Figure 8: Definition of Population Included in the Measure 4
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1.9
Performance Measure with all Age Range
Performance Measure with all Age Range
Figure 9: Performance Measure 1
1.10 Performance Measure with one Age Range
Figure 10: Performance Measure 2
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Age Range 65 and over Path – 1
1.11 Age Range 65 and over Path – 1
Figure 11: Performance Measure 3
1.12 Age Range 65 and over Path – 2
Figure 12: Performance Measure 4
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Other Performance Measure
1.13 Other Performance Measure
Figure 13: Other Performance Measure
1.14 Deviations from Measure Specifications
Figure 14: Deviations from Measure Specifications 1
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Deviations from Measure Specifications
Figure 15: Deviations from Measure Specifications 2
Figure 16: Deviations from Measure Specifications 3
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Optional Measure Stratification
1.15 Optional Measure Stratification
Figure 17: Optional Measure Stratification 1
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Optional Measure Stratification
Figure 18: Option Measure Stratification 2
Figure 19: Option Measure Stratification 3
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Optional Measure Stratification
Figure 20: Optional Measure Stratification 4
Figure 21: Optional Measure Stratification 5
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Final Comments and Report Documents
Figure 22: Optional Measure Stratification 6
1.16 Final Comments and Report Documents
Figure 23: Final Comments and Report Documents
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Screen for Clinical Depression and Follow-up Plan (CDF) – Path 2
1.17 Screen for Clinical Depression and Follow-up Plan (CDF) – Path 2
Figure 24: CDF Reporting – No -1
Figure 25: CDF Reporting – No - 2
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Screen for Clinical Depression and Follow-up Plan (CDF) – Path 2
Figure 26: CDF Reporting – No – 3
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Screen for Clinical Depression and Follow-up Plan (CDF) – Path 2
Appendix A: Acronyms
Table 1: Acronyms
Acronym
Literal Translation
HHQM
Health Homes Quality Measure
CDF
Screening for Clinical Depression and Follow-Up Plan
PRA
Paper Reduction Act of 1995
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