Cms-10434 #26 Aqm2018-pc01 Ad

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

Medicaid and CHIP Program (MACPro)
AQM 2018 - Elective Delivery (PC01-AD) – Core
Measure PRA document
Version 1.0
09/05/2018

Document Number: 462-AQM 2018-PC01-AD-PRA-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

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Table of Contents

Table of Contents
1. Elective Delivery (PC01-AD) Core Measure – Screenshots ...................................... 1
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
1.9
1.10
1.11

Are you reporting on this measure? ........................................................................ 1
Measurement Specification ...................................................................................... 1
Data Source ................................................................................................................ 2
Date Range ................................................................................................................. 2
Definition of Population Included in the Measure .................................................. 3
Performance Measure ............................................................................................... 3
Deviations from Measurement Specifications ....................................................... 4
Combined Rate(s) from Multiple Reporting Units ................................................. 4
Additional Notes/Comments on Measure (Optional) ............................................ 5
Optional Measure Stratification – Screenshot 1 .................................................... 5
Optional Measure Stratification – Screenshot 2 .................................................... 6

Appendix A:

Acronyms .................................................................................................... 7

List of Figures
Figure 1: Are you reporting on this measure? ......................................................................... 1
Figure 2: Measurement Specification ....................................................................................... 1
Figure 3: Data Source ................................................................................................................. 2
Figure 4: Date Range .................................................................................................................. 2
Figure 5: Definition of Population Included in the Measure ................................................... 3
Figure 6: Performance Measure ................................................................................................ 3
Figure 7: Deviations from Measurement Specifications......................................................... 4
Figure 8: Combined Rate(s) from Multiple Reporting Units ................................................... 4
Figure 9: Additional Notes/Comments on Measure (Optional) ............................................. 5
Figure 10: Optional Measure Stratification – 1 ........................................................................ 5
Figure 11: Optional Measure Stratification – 2 ........................................................................ 6

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List of Tables

List of Tables
Table 1: Acronyms ....................................................................................................................... 7

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Elective Delivery (PC01-AD) Core Measure – Screenshots

1. Elective Delivery (PC01-AD) Core Measure –
Screenshots
1.1

Are you reporting on this measure?

Figure 1: Are you reporting on this measure?

1.2

Measurement Specification

Figure 2: Measurement Specification

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1.3

Elective Delivery (PC01-AD) Core Measure – Screenshots

Data Source

Figure 3: Data Source

1.4

Date Range

Figure 4: Date Range

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1.5

Elective Delivery (PC01-AD) Core Measure – Screenshots

Definition of Population Included in the Measure

Figure 5: Definition of Population Included in the Measure

1.6

Performance Measure

Figure 6: Performance Measure

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1.7

Elective Delivery (PC01-AD) Core Measure – Screenshots

Deviations from Measurement Specifications

Figure 7: Deviations from Measurement Specifications

1.8

Combined Rate(s) from Multiple Reporting Units

Figure 8: Combined Rate(s) from Multiple Reporting Units

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1.9

Elective Delivery (PC01-AD) Core Measure – Screenshots

Additional Notes/Comments on Measure (Optional)

Figure 9: Additional Notes/Comments on Measure (Optional)

1.10 Optional Measure Stratification – Screenshot 1
Note: Same N/D/R sets are displayed under each of the stratification categories.

Figure 10: Optional Measure Stratification – 1

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Elective Delivery (PC01-AD) Core Measure – Screenshots

1.11 Optional Measure Stratification – Screenshot 2
Note: Same N/D/R sets are displayed under each of the stratification categories

Figure 11: Optional Measure Stratification – 2

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Elective Delivery (PC01-AD) Core Measure – Screenshots

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Literal Translation

AQM

Adult Quality Measure

PRA

Paper Reduction Act of 1995

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