Hhqm11 Hhqm-fuh

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

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

Document Number: 174-QSSI-MACPro-PRA-HHQM-FUH-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

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Table of Contents

Table of Contents
1. Health Homes Quality Measures ............................................................................ 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
1.18
1.19

Follow-Up After Hospitalization for Mental Illness (FUH) - 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 Provider Representation ............................................................ 4
Performance Measure – Follow-up within 7 days of discharge (Checked all
age range) ....................................................................................................... 5
Performance Measure – Follow-up within 30 days of discharge (checked all
age range) ....................................................................................................... 6
Performance Measure – Follow-Up within 7 days of Discharge (checked one
age range) Path 1 ........................................................................................... 7
Performance Measure – Follow-Up within 7 days of Discharge (checked one
age range) Path 2 ........................................................................................... 8
Performance Measure – Follow-Up within 30 days of discharge (checked one
age range) Path 1 ........................................................................................... 9
Performance Measure – Follow-Up within 30 days of discharge (Checked one
age range) Path 2 ......................................................................................... 10
Other Performance Measure ......................................................................... 11
Deviations from Measure Specifications – 30-Day Follow up........................ 12
Deviations from Measure Specifications – 7-Day Follow up.......................... 14
Optional Measure Stratification ..................................................................... 15
Final Comments and Report Documents ...................................................... 18
Follow-Up After Hospitalization for Mental Illness (FUH) - Path 2 ................. 19

Appendix A:

Acronyms ....................................................................................... 21

List of Figures
Figure 1: FUH 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

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List of Figures

Figure 7: Denominator Representation 3 ........................................................................ 4
Figure 8: Performance Measure 1 ................................................................................... 5
Figure 9: Performance Measure 2 ................................................................................... 6
Figure 10: Performance Measure 3 ................................................................................. 7
Figure 11: Performance Measure 4 ................................................................................. 8
Figure 12: Performance Measure 5 ................................................................................. 9
Figure 13: Performance Measure 6 ............................................................................... 10
Figure 14: Other Performance Measure ........................................................................ 11
Figure 15: Deviations from Measure Specifications 1 ................................................... 12
Figure 16: Deviations from Measure Specifications 2 ................................................... 13
Figure 17: Deviations from Measure Specifications 3 ................................................... 13
Figure 18: Deviations from Measure Specifications 4 ................................................... 14
Figure 19: Deviations from Measure Specifications 5 ................................................... 14
Figure 20: Optional Measure Stratification 1 ................................................................. 15
Figure 21: Optional Measure Stratification 2 ................................................................. 15
Figure 22: Optional Measure Stratification 3 ................................................................. 16
Figure 23: Optional Measure Stratification 4 ................................................................. 16
Figure 24: Optional Measure Stratification 5 ................................................................. 17
Figure 25: Optional Measure Stratification 6 ................................................................. 17
Figure 26: Optional Measure Stratification 7 ................................................................. 18
Figure 27: Final Comments and Report Documents ..................................................... 18
Figure 28: FUH Reporting – No -1 ................................................................................ 19
Figure 29: FUH Reporting – No - 2 ............................................................................... 19
Figure 30: FUH Reporting – No – 3 ............................................................................... 20

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List of Tables

List of Tables
Table 1: Acronyms ........................................................................................................ 21

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Follow-Up After Hospitalization for Mental Illness (FUH) - Path 1

1. Health Homes Quality Measures
1.1

Follow-Up After Hospitalization for Mental Illness (FUH) - Path 1

Figure 1: FUH 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 Provider Representation

Health Home Provider Representation

Figure 7: Denominator Representation 3

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1.8

Performance Measure – Follow-up within 7 days of discharge (Checked all age range)

Performance Measure – Follow-up within 7 days of discharge
(Checked all age range)

Figure 8: Performance Measure 1

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1.9

Performance Measure – Follow-up within 30 days of discharge (checked all age range)

Performance Measure – Follow-up within 30 days of discharge
(checked all age range)

Figure 9: Performance Measure 2

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Performance Measure – Follow-Up within 7 days of Discharge (checked one age range) Path 1

1.10 Performance Measure – Follow-Up within 7 days of Discharge
(checked one age range) Path 1

Figure 10: Performance Measure 3

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Performance Measure – Follow-Up within 7 days of Discharge (checked one age range) Path 2

1.11 Performance Measure – Follow-Up within 7 days of Discharge
(checked one age range) Path 2

Figure 11: Performance Measure 4

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Performance Measure – Follow-Up within 30 days of discharge (checked one age range) Path 1

1.12 Performance Measure – Follow-Up within 30 days of discharge
(checked one age range) Path 1

Figure 12: Performance Measure 5

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Performance Measure – Follow-Up within 30 days of discharge (Checked one age range) Path 2

1.13 Performance Measure – Follow-Up within 30 days of discharge
(Checked one age range) Path 2

Figure 13: Performance Measure 6

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Other Performance Measure

1.14 Other Performance Measure

Figure 14: Other Performance Measure

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Deviations from Measure Specifications – 30-Day Follow up

1.15 Deviations from Measure Specifications – 30-Day Follow up

Figure 15: Deviations from Measure Specifications 1

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Deviations from Measure Specifications – 30-Day Follow up

Figure 16: Deviations from Measure Specifications 2

Figure 17: Deviations from Measure Specifications 3

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Deviations from Measure Specifications – 7-Day Follow up

1.16 Deviations from Measure Specifications – 7-Day Follow up

Figure 18: Deviations from Measure Specifications 4

Figure 19: Deviations from Measure Specifications 5

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Optional Measure Stratification

1.17 Optional Measure Stratification

Figure 20: Optional Measure Stratification 1

Figure 21: Optional Measure Stratification 2

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Optional Measure Stratification

Figure 22: Optional Measure Stratification 3

Figure 23: Optional Measure Stratification 4

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Optional Measure Stratification

Figure 24: Optional Measure Stratification 5

Figure 25: Optional Measure Stratification 6

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Final Comments and Report Documents

Figure 26: Optional Measure Stratification 7

1.18 Final Comments and Report Documents

Figure 27: Final Comments and Report Documents

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Follow-Up After Hospitalization for Mental Illness (FUH) - Path 2

1.19 Follow-Up After Hospitalization for Mental Illness (FUH) - Path 2

Figure 28: FUH Reporting – No -1

Figure 29: FUH Reporting – No - 2

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Follow-Up After Hospitalization for Mental Illness (FUH) - Path 2

Figure 30: FUH Reporting – No – 3

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Follow-Up After Hospitalization for Mental Illness (FUH) - Path 2

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

HHQM

Health Homes Quality Measure

FUH

Follow-Up After Hospitalization for Mental Illness

PRA

Paper Reduction Act of 1995

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