Cms-10434 #26 Cqm2018-clabsi-ch

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

Medicaid and CHIP Program (MACPro)
CQM 2018 - CLABSI-CH: Pediatric Central LineAssociated Blood Stream Infections Core
Measure PRA Document
Version 1.0
07/01/2018

Document Number: 423-CQM 2018-CLABSI-CH-PRA-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

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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
1.10
1.11

Header ............................................................................................................ 1
Measurement Specifications ........................................................................... 2
Data Source .................................................................................................... 2
Date Range ..................................................................................................... 2
Definition of Population Included in the Measure ............................................ 3
Performance Measure ..................................................................................... 4
Deviations from Measure Specification ........................................................... 5
Other Performance Measure ........................................................................... 6
Combined Rate(s) from Mulitiple Reporting Units ........................................... 6
Additional Notes/Comments on Measure (Optional) ....................................... 7
Optional Measure Stratification – Screenshot 1, 2, 3, 4, 5 .............................. 7

Appendix A: Acronyms ............................................................................................... 10

List of Figures
Figure 1: Header for “Read Only” .................................................................................... 1
Figure 2: Measurement Specifications ............................................................................ 2
Figure 3: Data Source ..................................................................................................... 2
Figure 4: Date Range ...................................................................................................... 2
Figure 5: Definition of Population Included in the Measure ............................................. 3
Figure 6: Performance Measure ...................................................................................... 4
Figure 7: Deviations from Measure Specification ............................................................ 5
Figure 8: Other Performance Measure ............................................................................ 6
Figure 9: Combined Rate(s) from Multiple Reporting Units ............................................. 6
Figure 10: Additional Notes/Comments on Measure (Optional) ...................................... 7
Figure 11: Optional Measure Stratification – Screenshot 1 ............................................. 7
Figure 12: Optional Measure Stratification – Screenshot 2 ............................................. 8
Figure 13: Optional Measure Stratification – Screenshot 3 ............................................. 8
Figure 14: Optional Measure Stratification – Screenshot 4 ............................................. 9

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List of Tables

Figure 15: Optional Measure Stratification – Screenshot 5 ............................................. 9

List of Tables
No table of figures entries found.

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Header

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

Header

Figure 1: Header for “Read Only”

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1.2

Measurement Specifications

Measurement Specifications

Figure 2: Measurement Specifications

1.3

Data Source

Figure 3: Data Source

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: Definition of Population Included in the Measure

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1.6

Performance Measure

Performance Measure

Figure 6: Performance Measure

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1.7

Deviations from Measure Specification

Deviations from Measure Specification

Figure 7: Deviations from Measure Specification

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1.8

Other Performance Measure

Other Performance Measure

Figure 8: Other Performance Measure

1.9

Combined Rate(s) from Mulitiple Reporting Units

Figure 9: Combined Rate(s) from Multiple Reporting Units

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Additional Notes/Comments on Measure (Optional)

1.10 Additional Notes/Comments on Measure (Optional)

Figure 10: Additional Notes/Comments on Measure (Optional)

1.11 Optional Measure Stratification – Screenshot 1, 2, 3, 4, 5

Figure 11: Optional Measure Stratification – Screenshot 1

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Optional Measure Stratification – Screenshot 1, 2, 3, 4, 5

Figure 12: Optional Measure Stratification – Screenshot 2

Figure 13: Optional Measure Stratification – Screenshot 3

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Optional Measure Stratification – Screenshot 1, 2, 3, 4, 5

Figure 14: Optional Measure Stratification – Screenshot 4

Figure 15: Optional Measure Stratification – Screenshot 5

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Optional Measure Stratification – Screenshot 1, 2, 3, 4, 5

Appendix A: Acronyms
Table 1: Acronyms
Acronym

Definition

CQM

Child Quality Measures

PRA

Paperwork Reduction Act of 1995

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