Hhqm16 Hhqm-pqi92

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

Medicaid and CHIP Program (MACPro)
HHQM-PQI92 PRA document
Version 1.0
08/22/2017

Document Number: 223-QSSI-MACPro-PRA-HHQM-PQ192-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

Preventive Quality Chronic Composite (PQI92) - 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 (Checked all age range) Path - 2 Option Yes ............. 5
Performance Measure (Checked all age range) Path – 2 Option No .............. 5
Performance Measure (Checked one age range) Path – 3 (Option Yes) ........ 6
Performance Measure (Checked one age range) Path – 3 (Option No) ......... 7
Other Performance Measure ........................................................................... 7
Deviations from Measure Specifications ......................................................... 8
Optional Measure Stratification ....................................................................... 9
Final Comments and Report Documents ...................................................... 12
Prevention Quality Chronic Composite (PQI92) – Path 2 .............................. 12

Appendix A:

Acronyms ....................................................................................... 14

List of Figures
Figure 1: PQI92 Reporting - Yes ..................................................................................... 1
Figure 2: Measurement Specification 1 ........................................................................... 1
Figure 3: Measurement Specification 1 ........................................................................... 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 ................................................................................. 5
Figure 11: Performance Measure 4 ................................................................................. 6

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List of Tables

Figure 12: Performance Measure 5 ................................................................................. 7
Figure 13: Other Performance Measure .......................................................................... 7
Figure 14: Deviations from Measure Specifications 1 ..................................................... 8
Figure 15: Deviations from Measure Specifications 2 ..................................................... 8
Figure 16: Deviations from Measure Specifications 3 ..................................................... 9
Figure 17: Optional Measure Stratification 1 ................................................................... 9
Figure 18: Optional Measure Stratification 2 ................................................................. 10
Figure 19: Optional Measure Stratification 3 ................................................................. 10
Figure 20: Optional Measure Stratification 4 ................................................................. 11
Figure 21: Optional Measure Stratification 5 ................................................................. 11
Figure 22: Final Comments and Report Documents ..................................................... 12
Figure 23: PQI92 Reporting – No - 1 ............................................................................. 12
Figure 24: PQI92 Reporting – No - 2 ............................................................................. 13

List of Tables
Table 1: Acronyms ........................................................................................................ 14

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Preventive Quality Chronic Composite (PQI92) - Path 1

1. Health Homes Quality Measures
1.1

Preventive Quality Chronic Composite (PQI92) - Path 1

Figure 1: PQI92 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 1

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 (Checked all age range) Path - 2 Option Yes

Performance Measure (Checked all age range) Path - 2 Option Yes

Figure 9: Performance Measure 2

1.10 Performance Measure (Checked all age range) Path – 2 Option No

Figure 10: Performance Measure 3

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Performance Measure (Checked one age range) Path – 3 (Option Yes)

1.11 Performance Measure (Checked one age range) Path – 3 (Option
Yes)

Figure 11: Performance Measure 4

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Performance Measure (Checked one age range) Path – 3 (Option No)

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

Figure 12: Performance Measure 5

1.13 Other Performance Measure

Figure 13: Other Performance Measure

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Deviations from Measure Specifications

1.14 Deviations from Measure Specifications

Figure 14: Deviations from Measure Specifications 1

Figure 15: Deviations from Measure Specifications 2

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Optional Measure Stratification

Figure 16: Deviations from Measure Specifications 3

1.15 Optional Measure Stratification

Figure 17: Optional Measure Stratification 1

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Optional Measure Stratification

Figure 18: Optional Measure Stratification 2

Figure 19: Optional 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

1.16 Final Comments and Report Documents

Figure 22: Final Comments and Report Documents

1.17 Prevention Quality Chronic Composite (PQI92) – Path 2

Figure 23: PQI92 Reporting – No - 1

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Prevention Quality Chronic Composite (PQI92) – Path 2

Figure 24: PQI92 Reporting – No - 2

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Prevention Quality Chronic Composite (PQI92) – Path 2

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

HHQM

Health Homes Quality Measure

PQI92

Preventive Quality Chronic Composite

PRA

Paper Reduction Act of 1995

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