Cms-10434 #26 Cqm2018-w15-ch

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

Medicaid and CHIP Program (MACPro)
CQM 2018 - Well-Child Visits in the First 15
Months of Life (W15-CH) Core Measure PRA
Document
Version 1.0
06/29/2018

Document Number: 420-CQM 2018-W15-CH-PRA-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-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 .................................................................................................... 2
Date Range ..................................................................................................... 2
Definition of Population Included in the Measure ............................................ 3
Performance Measure - Path 1 ....................................................................... 4
Performance Measure - Path 2 ....................................................................... 5
Deviations from Measure Specifications – Screenshot 1 ................................ 6
Deviations from Measure Specifications – Screenshot 2 ................................ 7
Combined Rate(s) from Multiple Reporting Units ............................................ 8
Additional Notes/Comments on Measure (Optional) ....................................... 8
Optional Measure Stratification – Screenshot 1 .............................................. 8
Optional Measure Stratification – Screenshot 2 .............................................. 9

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

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

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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. Well-Child Visits in the First 15 Months of Life (W15CH) 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

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1.3

Data Source

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 - Path 1

Performance Measure - Path 1

Figure 6: Performance Measure - Path 1 – Screenshot 1

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1.7

Performance Measure - Path 2

Performance Measure - Path 2

Figure 7: Performance Measure - Path 1 – Screenshot 2

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1.8

Deviations from Measure Specifications – Screenshot 1

Deviations from Measure Specifications – Screenshot 1

Note: Same N/D/R sets are displayed under each of the Measure categories

Figure 8: Deviations from Measure Specifications – Screenshot 1

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1.9

Deviations from Measure Specifications – Screenshot 2

Deviations from Measure Specifications – Screenshot 2

Note: Same N/D/R sets are displayed under each of the Measure categories

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 Notes/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

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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