Cms-10434 #26 Cqm2017-clabsi

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

Medicaid and CHIP Program (MACPro)
CQM 2017 - CLABSI-CH: Pediatric Central LineAssociated Blood Stream Infections Core
Measure PRA Document
Version 1.0
08/30/2017

Document Number: 314-QSSI-MACPro-PRA-CQM017-CLABSI-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. CLABSI-CH: Pediatric Central Line-Associated Blood Stream Infections
Screenshots ............................................................................................................. 1
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
1.9

Measurement Specifications ........................................................................... 1
Data Source .................................................................................................... 1
Performance Measure ..................................................................................... 1
Deviations from Measure Specification – Screenshot 1 .................................. 2
Deviations from Measure Specification – Screenshot 2 .................................. 2
Optional Measure Stratification – Screenshot 1 .............................................. 3
Optional Measure Stratification – Screenshot 2 .............................................. 3
Optional Measure Stratification – Screenshot 3 .............................................. 4
Optional Measure Stratification – Screenshot 4 .............................................. 4

Appendix A: Acronyms ................................................................................................. 5

List of Figures
Figure 1: Measurement Specifications ............................................................................ 1
Figure 2 : Data Source .................................................................................................... 1
Figure 3: Performance Measure ...................................................................................... 1
Figure 4: Deviations from Measure Specification – Screenshot 1 ................................... 2
Figure 5: Deviations from Measure Specification – Screenshot 2 ................................... 2
Figure 6: Optional Measure Stratification – Screenshot 1 ............................................... 3
Figure 7: Optional Measure Stratification – Screenshot 2 ............................................... 3
Figure 8: Optional Measure Stratification – Screenshot 3 ............................................... 4
Figure 9: Optional Measure Stratification – Screenshot 4 ............................................... 4

List of Tables
No table of figures entries found.

CQM 2017 - CLABSI-CH: Pediatric Central Line-Associated Blood Stream Infections Core Measure PRA Document
Version 1.0
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08/30/2017

CMS XLC

Measurement Specifications

1. CLABSI-CH: Pediatric Central Line-Associated Blood
Stream Infections Screenshots
1.1

Measurement Specifications

Figure 1: Measurement Specifications

1.2

Data Source

Figure 2 : Data Source

1.3

Performance Measure

Figure 3: Performance Measure

CQM 2017 - CLABSI-CH: Pediatric Central Line-Associated Blood Stream Infections Core Measure PRA Document
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08/30/2017

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1.4

Deviations from Measure Specification – Screenshot 1

Deviations from Measure Specification – Screenshot 1

Figure 4: Deviations from Measure Specification – Screenshot 1

1.5

Deviations from Measure Specification – Screenshot 2

Figure 5: Deviations from Measure Specification – Screenshot 2

CQM 2017 - CLABSI-CH: Pediatric Central Line-Associated Blood Stream Infections Core Measure PRA Document
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1.6

Optional Measure Stratification – Screenshot 1

Optional Measure Stratification – Screenshot 1

Figure 6: Optional Measure Stratification – Screenshot 1

1.7

Optional Measure Stratification – Screenshot 2

Figure 7: Optional Measure Stratification – Screenshot 2

CQM 2017 - CLABSI-CH: Pediatric Central Line-Associated Blood Stream Infections Core Measure PRA Document
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1.8

Optional Measure Stratification – Screenshot 3

Optional Measure Stratification – Screenshot 3

Figure 8: Optional Measure Stratification – Screenshot 3

1.9

Optional Measure Stratification – Screenshot 4

Figure 9: Optional Measure Stratification – Screenshot 4

CQM 2017 - CLABSI-CH: Pediatric Central Line-Associated Blood Stream Infections Core Measure PRA Document
Version 1.0
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Optional Measure Stratification – Screenshot 4

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

CQM

Child Quality Measures

PRA

Paperwork Reduction Act of 1995

CQM 2017 - CLABSI-CH: Pediatric Central Line-Associated Blood Stream Infections Core Measure PRA Document
Version 1.0
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08/30/2017