Cms-10434 #26 Cqm2018-fuh-ch

Medicaid and CHIP Program (MACPro) (CMS-10434)

QSSI-MACPro-PRA-CQM2018-FUH-CH

GenIC #26 (Transfer from 0938-1148) - Medicaid Adult and Child Core Set Measures

OMB: 0938-1188

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

Medicaid and CHIP Program (MACPro)
CQM 2018 - Follow-Up After Hospitalization for
Mental Illness: Ages 6-20 (FUH-CH) Core Measure
PRA Document
Version 1.0
07/01/2018

Document Number: 413- CQM 2018-FUH-CH-PRA-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. Follow-Up After Hospitalization for Mental Illness: Ages 6-20 (FUH-CH)
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

Measurement Specifications – Path 1 ............................................................. 1
Measurement Specifications – Path 2 ............................................................. 1
Data Source .................................................................................................... 1
Date Range ..................................................................................................... 2
Definition of Population Included in the Measure ............................................ 3
Performance Measure - Path 1 ....................................................................... 4
Performance Measure - Path 2 ....................................................................... 4
Deviations from Measure Specifications – Screenshot 1 ................................ 5
Deviations from Measure Specifications – Screenshot 2 ................................ 5
Combined Rate(s) from Multiple Reporting Units ............................................ 6
Additional Note/Comments on Measure (Optional) ......................................... 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: Date Range ...................................................................................................... 2
Figure 5: Definition of Population Included in the Measure ............................................. 3
Figure 6: Performance Measure - Path 1 ........................................................................ 4
Figure 7: Performance Measure - Path 2 ........................................................................ 4
Figure 8: Deviations from Measure Specifications – Screenshot 1 ................................. 5
Figure 9 : Deviations from Measure Specifications – Screenshot 2 ................................ 5
Figure 10: Combined Rate(s) from Multiple Reporting Units ........................................... 6
Figure 11: Additional Notes/Comments on Measure (Optional) ...................................... 6
Figure 12: Optional Measure Stratification – Screenshot 1 ............................................. 6
Figure 13: Optional Measure Stratification – Screenshot 2 ............................................. 7

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List of Tables

List of Tables
No table of figures entries found.

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Measurement Specifications – Path 1

1. Follow-Up After Hospitalization for Mental Illness: Ages
6-20 (FUH-CH) 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

Date Range

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 - Path 1

Performance Measure - Path 1

Figure 6: Performance Measure - Path 1

1.7

Performance Measure - Path 2

Figure 7: Performance Measure - Path 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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Combined Rate(s) from Multiple Reporting Units

1.10 Combined Rate(s) from Multiple Reporting Units

Figure 10: Combined Rate(s) from Multiple Reporting Units

1.11 Additional Note/Comments on Measure (Optional)

Figure 11: Additional Notes/Comments on Measure (Optional)

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

Figure 12: Optional Measure Stratification – Screenshot 1

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Optional Measure Stratification – Screenshot 2

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

Figure 13: 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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File Typeapplication/pdf
File TitleMACPro-PRA-CQM2018-FUH-CH
Author[email protected]
File Modified2018-07-25
File Created2018-07-25

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