Cms-10434 #26 Aqm2018-pcr Ad

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

Medicaid and CHIP Program (MACPro)
AQM 2018 - Plan All-Cause Readmissions (PCRAD) Core Measure PRA document
Version 1.0
09/05/2018

Document Number: 464-QSSI-MACPro-PRA-AQM2018-PCR-AD-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

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Table of Contents

Table of Contents
1. Plan All-Cause Readmissions (PCR-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
1.12
1.13
1.14

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

Appendix A:

Acronyms .................................................................................................... 8

List of Figures
Figure 1: Are you reporting on this measure? ......................................................................... 1
Figure 2: Measurement Specification – 1 ................................................................................. 1
Figure 3: Measurement Specification – 2 ................................................................................. 1
Figure 4: Data Source ................................................................................................................. 2
Figure 5: Date Range .................................................................................................................. 2
Figure 6: Definition of Population Included in the Measure................................................... 3
Figure 7: Performance Measure – 1 ......................................................................................... 3
Figure 8: Performance Measure – 2 ......................................................................................... 4
Figure 9: Other Performance Measure ..................................................................................... 4
Figure 10: Deviations from Measurement Specifications ...................................................... 5
Figure 11: Combined Rate(s) from Multiple Reporting Units ................................................ 5
Figure 12: Additional Notes/Comments on Measure .............................................................. 6
Figure 13: Optional Measure Stratification – 1 ........................................................................ 6

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List of Tables

Figure 14: Optional Measure Stratification – 2 ........................................................................ 7

List of Tables

Table 1: Acronyms ....................................................................................................................... 8

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Plan All-Cause Readmissions (PCR-AD) Core Measure – Screenshots

1. Plan All-Cause Readmissions (PCR-AD) Core
Measure – Screenshots
1.1

Are you reporting on this measure?

Figure 1: Are you reporting on this measure?

1.2

Measurement Specification – Path 1

Figure 2: Measurement Specification – 1

1.3

Measurement Specification – Path 2

Figure 3: Measurement Specification – 2

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1.4

Plan All-Cause Readmissions (PCR-AD) Core Measure – Screenshots

Data Source

Figure 4: Data Source

1.5

Date Range

Figure 5: Date Range

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1.6

Plan All-Cause Readmissions (PCR-AD) Core Measure – Screenshots

Definition of Population Included in the Measure

Figure 6: Definition of Population Included in the Measure

1.7

Performance Measure – Path 1

Figure 7: Performance Measure – 1

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1.8

Plan All-Cause Readmissions (PCR-AD) Core Measure – Screenshots

Performance Measure – Path 2

Figure 8: Performance Measure – 2

1.9

Other Performance Measure

Figure 9: Other Performance Measure

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Plan All-Cause Readmissions (PCR-AD) Core Measure – Screenshots

1.10 Deviations from Measurement Specifications

Figure 10: Deviations from Measurement Specifications

1.11 Combined Rate(s) from Multiple Reporting Units

Figure 11: Combined Rate(s) from Multiple Reporting Units

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Plan All-Cause Readmissions (PCR-AD) Core Measure – Screenshots

1.12 Additional Notes/Comments of Measure

Figure 12: Additional Notes/Comments on Measure

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

Figure 13: Optional Measure Stratification – 1

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

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Plan All-Cause Readmissions (PCR-AD) Core Measure – Screenshots

Figure 14: Optional Measure Stratification – 2

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Plan All-Cause Readmissions (PCR-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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