Cms-10434 #26 Cqm2017-w15

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

Medicaid and CHIP Program (MACPro)
CQM 2017 - Well-Child Visits in the First 15
Months of Life (W15) Core Measure PRA
Document
Version 1.0
08/26/2017

Document Number: 270-QSSI-MACPro-PRA-CQM2017-W15-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

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Table of Contents

Table of Contents
1. Well-Child Visits in the First 15 Months of Life (W15) 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

Measurement Specifications – Path 1 ............................................................. 1
Measurement Specifications – Path 2 ............................................................. 1
Data Source .................................................................................................... 1
Performance Measure - Path 1 – Screenshot 1 .............................................. 2
Performance Measure - Path 1 – Screenshot 2 .............................................. 2
Performance Measure - Path 2 – Screenshot 1 .............................................. 3
Performance Measure - Path 2 – Screenshot 2 .............................................. 3
Deviations from Measure Specifications – Screenshot 1 ................................ 4
Deviations from Measure Specifications – Screenshot 2 ................................ 4
Deviations from Measure Specifications – Screenshot 3 ................................ 5
Deviations from Measure Specifications – Screenshot 4 ................................ 5
Deviations from Measure Specifications – Screenshot 5 ................................ 6
Optional Measure Stratification – Screenshot 1 .............................................. 6
Optional Measure Stratification – Screenshot 2 .............................................. 7

Appendix A: Acronyms ................................................................................................. 8

List of Figures
Figure 1: Measurement Specifications – Path 1 .............................................................. 1
Figure 2: Measurement Specifications – Path 2 .............................................................. 1
Figure 3 : Data Source .................................................................................................... 1
Figure 4: Performance Measure - Path 1 – Screenshot 1 ............................................... 2
Figure 5: Performance Measure - Path 1 – Screenshot 2 ............................................... 2
Figure 6: Performance Measure - Path 2 – Screenshot 1 ............................................... 3
Figure 7: Performance Measure - Path 2 – Screenshot 2 ............................................... 3
Figure 8: Deviations from Measure Specifications – Screenshot 1 ................................. 4
Figure 9: Deviations from Measure Specifications – Screenshot 2 ................................. 4
Figure 10: Deviations from Measure Specifications – Screenshot 3 ............................... 5
Figure 11: Deviations from Measure Specifications – Screenshot 4 ............................... 5
Figure 12: Deviations from Measure Specifications – Screenshot 5 ............................... 6
Figure 13 : Optional Measure Stratification – Screenshot 1 ............................................ 6

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List of Tables

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

List of Tables
No table of figures entries found.

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Measurement Specifications – Path 1

1. Well-Child Visits in the First 15 Months of Life (W15)
Screenshots
1.1

Measurement Specifications – Path 1

Figure 1: Measurement Specifications – Path 1

1.2

Measurement Specifications – Path 2

Figure 2: Measurement Specifications – Path 2

1.3

Data Source

Figure 3 : Data Source

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1.4

Performance Measure - Path 1 – Screenshot 1

Performance Measure - Path 1 – Screenshot 1

Figure 4: Performance Measure - Path 1 – Screenshot 1

1.5

Performance Measure - Path 1 – Screenshot 2

Figure 5: Performance Measure - Path 1 – Screenshot 2

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1.6

Performance Measure - Path 2 – Screenshot 1

Performance Measure - Path 2 – Screenshot 1

Figure 6: Performance Measure - Path 2 – Screenshot 1

1.7

Performance Measure - Path 2 – Screenshot 2

Figure 7: Performance Measure - Path 2 – Screenshot 2

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1.8

Deviations from Measure Specifications – Screenshot 1

Deviations from Measure Specifications – Screenshot 1

Figure 8: Deviations from Measure Specifications – Screenshot 1

1.9

Deviations from Measure Specifications – Screenshot 2

Figure 9: Deviations from Measure Specifications – Screenshot 2

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Deviations from Measure Specifications – Screenshot 3

1.10 Deviations from Measure Specifications – Screenshot 3

Figure 10: Deviations from Measure Specifications – Screenshot 3

1.11 Deviations from Measure Specifications – Screenshot 4

Figure 11: Deviations from Measure Specifications – Screenshot 4

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Deviations from Measure Specifications – Screenshot 5

1.12 Deviations from Measure Specifications – Screenshot 5

Figure 12: Deviations from Measure Specifications – Screenshot 5

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 – Screenshot 1

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Optional Measure Stratification – Screenshot 2

1.14 Optional Measure Stratification – Screenshot 2

Figure 14: Optional Measure Stratification – Screenshot 2

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Optional Measure Stratification – Screenshot 2

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

CQM

Child Quality Measures

PRA

Paperwork Reduction Act of 1995

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