Hhqm13 Hhqm-iu

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

Medicaid and CHIP Program (MACPro)
HHQM – IU PRA document
Version 1.0
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Document Number: 227-QSSI-MACPro-PRA-HHQM-IU-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
1.16
1.17

Inpatient Utilization (IU) Path - 1 ..................................................................... 1
Measurement Specification – Path 1 ............................................................... 1
Measurement Specification – Path 2 ............................................................... 2
Date Range ..................................................................................................... 2
Definition of Population Included in the Measure ............................................ 2
Selection of Delivery Systems ......................................................................... 3
Health Home Providers Representation .......................................................... 3
Performance Measure (Checked all age range) – Path 1 ............................... 4
Performance Measure (Check one age range) Path 2 Option Yes ................. 6
Performance Measure (Check one age range) Path 2 Option No ................... 7
Performance Measure (Check all age range) Path 3 Option Yes .................... 7
Performance Measure (Checked all age range) Path 3 Option No ............... 10
Other Performance Measure ......................................................................... 12
Deviations from Measure Specifications ....................................................... 13
Optional Measure Stratification ..................................................................... 14
Final Comments and Report Documents ...................................................... 29
Inpatient Utilization (IU) Path - 2 ................................................................... 29

Appendix A:

Acronyms ....................................................................................... 31

List of Figures
Figure 1: IU Reported – Yes ............................................................................................ 1
Figure 2: Measurement Specification 1 ........................................................................... 1
Figure 3: Measurement Specification 2 ........................................................................... 2
Figure 4: Date Range ...................................................................................................... 2
Figure 5: Denominator Representation 1 ........................................................................ 2
Figure 6: Denominator Representation 2 ........................................................................ 3
Figure 7: Denominator Representation 3 ........................................................................ 3
Figure 8: Performance Measure 1 ................................................................................... 4
Figure 9: Performance Measure 2 ................................................................................... 4
Figure 10: Performance Measure 3 ................................................................................. 5
Figure 11: Performance Measure 4 ................................................................................. 5

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List of Figures

Figure 12: Performance Measure 5 ................................................................................. 6
Figure 13: Performance Measure 6 ................................................................................. 7
Figure 14: Performance Measure 7 ................................................................................. 7
Figure 15: Performance Measure 8 ................................................................................. 8
Figure 16: Performance Measure 9 ................................................................................. 8
Figure 17: Performance Measure 10 ............................................................................... 9
Figure 18: Performance Measure 11 ............................................................................... 9
Figure 19: Performance Measure 12 ............................................................................. 10
Figure 20: Performance Measure 13 ............................................................................. 10
Figure 21: Performance Measure 14 ............................................................................. 11
Figure 22: Performance Measure 15 ............................................................................. 11
Figure 23: Performance Measure 16 ............................................................................. 12
Figure 24: Other Performance Measure ........................................................................ 12
Figure 25: Deviations from Measure Specifications 1 ................................................... 13
Figure 26: Deviations from Measure Specifications 2 ................................................... 13
Figure 27: Deviations from Measure Specifications 3 ................................................... 14
Figure 28: Optional Measure Stratification 1 ................................................................. 14
Figure 29: Optional Measure Stratification 2 ................................................................. 15
Figure 30: Optional Measure Stratification 3 ................................................................. 15
Figure 31: Optional Measure Stratification 4 ................................................................. 16
Figure 32: Optional Measure Stratification 5 ................................................................. 16
Figure 33: Optional Measure Stratification 6 ................................................................. 17
Figure 34: Optional Measure Stratification 7 ................................................................. 17
Figure 35: Optional Measure Stratification 8 ................................................................. 18
Figure 36: Optional Measure Stratification 9 ................................................................. 18
Figure 37: Optional Measure Stratification 10 ............................................................... 19
Figure 38: Optional Measure Stratification 11 ............................................................... 19

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List of Tables

Figure 39: Optional Measure Stratification 12 ............................................................... 20
Figure 40: Optional Measure Stratification 13 ............................................................... 20
Figure 41: Optional Measure Stratification 14 ............................................................... 21
Figure 42: Optional Measure Stratification 15 ............................................................... 21
Figure 43: Optional Measure Stratification 16 ............................................................... 22
Figure 44: Optional Measure Stratification 17 ............................................................... 22
Figure 45: Optional Measure Stratification 18 ............................................................... 23
Figure 46: Optional Measure Stratification 19 ............................................................... 23
Figure 47: Optional Measure Stratification 20 ............................................................... 24
Figure 48: Optional Measure Stratification 21 ............................................................... 24
Figure 49: Optional Measure Stratification 22 ............................................................... 25
Figure 50: Optional Measure Stratification 23 ............................................................... 25
Figure 51: Optional Measure Stratification 24 ............................................................... 26
Figure 52: Optional Measure Stratification 25 ............................................................... 26
Figure 53: Optional Measure Stratification 26 ............................................................... 27
Figure 54: Optional Measure Stratification 27 ............................................................... 27
Figure 55: Optional Measure Stratification 28 ............................................................... 28
Figure 56: Optional Measure Stratification 29 ............................................................... 28
Figure 57: Final Comments and Report Documents ..................................................... 29
Figure 58: IU Reporting – No - 1 ................................................................................... 29
Figure 59: IU Reporting – No - 2 ................................................................................... 30

List of Tables
Table 1: Acronyms ........................................................................................................ 31

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Inpatient Utilization (IU) Path - 1

1. Health Homes Quality Measure
1.1

Inpatient Utilization (IU) Path - 1

Figure 1: IU Reported – 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

1.5

Definition of Population Included in the Measure

Figure 5: Denominator Representation 1

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1.6

Selection of Delivery Systems

Selection of Delivery Systems

Figure 6: Denominator Representation 2

1.7

Health Home Providers Representation

Figure 7: Denominator Representation 3

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1.8

Performance Measure (Checked all age range) – Path 1

Performance Measure (Checked all age range) – Path 1

Figure 8: Performance Measure 1

Figure 9: Performance Measure 2

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Performance Measure (Checked all age range) – Path 1

Figure 10: Performance Measure 3

Figure 11: Performance Measure 4

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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 12: Performance Measure 5

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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 13: Performance Measure 6

1.11 Performance Measure (Check all age range) Path 3 Option Yes

Figure 14: Performance Measure 7

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Performance Measure (Check all age range) Path 3 Option Yes

Figure 15: Performance Measure 8

Figure 16: Performance Measure 9

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Performance Measure (Check all age range) Path 3 Option Yes

Figure 17: Performance Measure 10

Figure 18: Performance Measure 11

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Performance Measure (Checked all age range) Path 3 Option No

1.12 Performance Measure (Checked all age range) Path 3 Option No

Figure 19: Performance Measure 12

Figure 20: Performance Measure 13

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Performance Measure (Checked all age range) Path 3 Option No

Figure 21: Performance Measure 14

Figure 22: Performance Measure 15

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Other Performance Measure

Figure 23: Performance Measure 16

1.13 Other Performance Measure

Figure 24: Other Performance Measure

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Deviations from Measure Specifications

1.14 Deviations from Measure Specifications

Figure 25: Deviations from Measure Specifications 1

Figure 26: Deviations from Measure Specifications 2

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Optional Measure Stratification

Figure 27: Deviations from Measure Specifications 3

1.15 Optional Measure Stratification

Figure 28: Optional Measure Stratification 1

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Optional Measure Stratification

Figure 29: Optional Measure Stratification 2

Figure 30: Optional Measure Stratification 3

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Optional Measure Stratification

Figure 31: Optional Measure Stratification 4

Figure 32: Optional Measure Stratification 5

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Optional Measure Stratification

Figure 33: Optional Measure Stratification 6

Figure 34: Optional Measure Stratification 7

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Optional Measure Stratification

Figure 35: Optional Measure Stratification 8

Figure 36: Optional Measure Stratification 9

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Optional Measure Stratification

Figure 37: Optional Measure Stratification 10

Figure 38: Optional Measure Stratification 11

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Optional Measure Stratification

Figure 39: Optional Measure Stratification 12

Figure 40: Optional Measure Stratification 13

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Optional Measure Stratification

Figure 41: Optional Measure Stratification 14

Figure 42: Optional Measure Stratification 15

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Optional Measure Stratification

Figure 43: Optional Measure Stratification 16

Figure 44: Optional Measure Stratification 17

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Optional Measure Stratification

Figure 45: Optional Measure Stratification 18

Figure 46: Optional Measure Stratification 19

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Optional Measure Stratification

Figure 47: Optional Measure Stratification 20

Figure 48: Optional Measure Stratification 21

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Optional Measure Stratification

Figure 49: Optional Measure Stratification 22

Figure 50: Optional Measure Stratification 23

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Optional Measure Stratification

Figure 51: Optional Measure Stratification 24

Figure 52: Optional Measure Stratification 25

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Optional Measure Stratification

Figure 53: Optional Measure Stratification 26

Figure 54: Optional Measure Stratification 27

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Optional Measure Stratification

Figure 55: Optional Measure Stratification 28

Figure 56: Optional Measure Stratification 29

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Final Comments and Report Documents

1.16 Final Comments and Report Documents

Figure 57: Final Comments and Report Documents

1.17 Inpatient Utilization (IU) Path - 2

Figure 58: IU Reporting – No - 1

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Inpatient Utilization (IU) Path - 2

Figure 59: IU Reporting – No - 2

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Inpatient Utilization (IU) Path - 2

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

HHQM

Health Homes Quality Measure

IU

Inpatient Utilization

PRA

Paper Reduction Act of 1995

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