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CMS eXpedited Life Cycle (XLC)
Medicaid and CHIP Program (MACPro)
HHQM - Admin-Hybrid PRA document
Version 1.0
08/21/2017
Document Number: 202-QSSI-MACPro-PRA-HHQM-HH4a-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014
CMS XLC
Table of Contents
Table of Contents
1. Data Source .............................................................................................................. 1
1.1
1.2
Admin Data Screen ......................................................................................... 1
Hybrid Data Screen ......................................................................................... 2
Appendix A:
Acronyms ......................................................................................... 3
List of Figures
Figure 1: Administrative Data .......................................................................................... 1
Figure 2: Hybrid Data ...................................................................................................... 2
List of Tables
Table 1: Acronyms .......................................................................................................... 3
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Admin Data Screen
1. Data Source
1.1
Admin Data Screen
Figure 1: Administrative Data
HHQM - Admin-Hybrid PRA document Version 1.0
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1.2
Hybrid Data Screen
Hybrid Data Screen
Figure 2: Hybrid Data
HHQM - Admin-Hybrid PRA document Version 1.0
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Hybrid Data Screen
Appendix A: Acronyms
Table 1: Acronyms
Acronym
Literal Translation
HHQM
Health Homes Quality Measure
PRA
Paper Reduction Act of 1995
HHQM - Admin-Hybrid PRA document Version 1.0
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08/21/2017
Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)
Medicaid and CHIP Program (MACPro)
HHQM - Admin Questions PRA document
Version 1.0
08/21/2017
Document Number: 197-QSSI-MACPro-PRA-HHQM-HH1a-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014
CMS XLC
Table of Contents
Table of Contents
1. Administrative Questions and Cost Saving Data .................................................. 1
1.1
1.2
1.3
Administrative Questions Screen .................................................................... 1
Cost Saving Data ............................................................................................ 2
Report Documents .......................................................................................... 2
Appendix A:
Acronyms ......................................................................................... 3
List of Figures
Figure 1: Administrative Questions ................................................................................. 1
Figure 2: Cost Saving Data ............................................................................................. 2
Figure 3: Report Documents ........................................................................................... 2
List of Tables
Table 1: Acronyms .......................................................................................................... 3
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List of Tables
1. Administrative Questions and Cost Saving Data
1.1
Administrative Questions Screen
Figure 1: Administrative Questions
HHQM - Admin Questions PRA document Version 1.0
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1.2
List of Tables
Cost Saving Data
Figure 2: Cost Saving Data
1.3
Report Documents
Figure 3: Report Documents
HHQM - Admin Questions PRA document Version 1.0
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List of Tables
Appendix A: Acronyms
Table 1: Acronyms
Acronym
Literal Translation
HHQM
Health Homes Quality Measure
PRA
Paper Reduction Act of 1995
HHQM - Admin Questions PRA document Version 1.0
3
08/21/2017
Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)
Medicaid and CHIP Program (MACPro)
HHQM - Admin Screen PRA document
Version 1.0
08/21/2017
Document Number: 198-QSSI-MACPro-PRA-HHQM-HH1-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014
CMS XLC
Table of Contents
Table of Contents
1. Health Homes Quality Measures ............................................................................ 1
1.1
Welcome to Health Homes Quality Measures Screen .................................... 1
Appendix A:
Acronyms ......................................................................................... 2
List of Figures
Figure 1: Welcome Page ................................................................................................. 1
List of Tables
Table 1: Acronyms .......................................................................................................... 2
HHQM - Admin Screen PRA document Version 1.0
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Welcome to Health Homes Quality Measures Screen
1. Health Homes Quality Measures
1.1
Welcome to Health Homes Quality Measures Screen
Figure 1: Welcome Page
HHQM - Admin Screen PRA document Version 1.0
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Welcome to Health Homes Quality Measures Screen
Appendix A: Acronyms
Table 1: Acronyms
Acronym
Literal Translation
HHQM
Health Homes Quality Measure
PRA
Paper Reduction Act of 1995
HHQM - Admin Screen PRA document Version 1.0
2
08/21/2017
Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)
Medicaid and CHIP Program (MACPro)
HHQM-ABA PRA document
Version 1.0
08/21/2017
Document Number: 169-QSSI-MACPro-PRA-HHQM-ABA-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014
CMS XLC
Table of Contents
Table of Contents
1. Health Homes Quality Measure .............................................................................. 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
1.15
1.16
1.17
Adult Body Mass Index (BMI) Assessment (ABA) - Path 1 ............................. 1
Measurement Specification – Path 1 ............................................................... 1
Measurement Specification – Path 2 ............................................................... 2
Date Range ..................................................................................................... 2
Definition of Population Included in the Measure ............................................ 3
Denominator Representation .......................................................................... 3
Delivery Systems ............................................................................................ 4
Health Home Providers Representation .......................................................... 5
Performance Measure (Checked all age range) Path – 1 ............................... 5
Performance Measure (Checked one age range) Path – 2 ............................. 6
Age Range 65-74, Option Yes, Path 2a .......................................................... 6
Age Range 65-74, Option No, Path 2b ............................................................ 7
Other Performance Measure ........................................................................... 8
Deviations from Measure Specifications ......................................................... 8
Optional Measure Stratification ..................................................................... 10
Final Comments and Report Documents ...................................................... 13
Adult Body Mass Index (BMI) Assessment (ABA) – Path 2........................... 14
Appendix A:
Acronyms ....................................................................................... 16
List of Figures
Figure 1: ABA- Reporting Yes ......................................................................................... 1
Figure 2: Measurement Specification 1 ........................................................................... 1
Figure 3: Measurement Specification 2 ........................................................................... 2
Figure 4: Date Range - Start and End Date .................................................................... 2
Figure 5: Definition of Population Included in the Measure ............................................. 3
Figure 6: Denominator Representation 1 ........................................................................ 3
Figure 7: Denominator Representation 2 ........................................................................ 4
Figure 8: Denominator Representation 3 ........................................................................ 5
Figure 9: Performance Measure 1 ................................................................................... 5
Figure 10: Performance Measure 2 ................................................................................. 6
Figure 11: Performance Measure 3 ................................................................................. 6
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Figure 12: Performance Measure 4 ................................................................................. 7
Figure 13: Performance Measure 5 ................................................................................. 7
Figure 14: Other Performance Measure .......................................................................... 8
Figure 15: Deviations from Measure Specifications 1 ..................................................... 8
Figure 16: Deviations from Measure Specifications 2 ..................................................... 9
Figure 17: Deviations from Measure Specifications 3 ..................................................... 9
Figure 18: Optional Measure Stratification 1 ................................................................. 10
Figure 19: Optional Measure Stratification 2 ................................................................. 10
Figure 20: Optional Measure Stratification 3 ................................................................. 11
Figure 21: Optional Measure Stratification 4 ................................................................. 11
Figure 22: Optional Measure Stratification 5 ................................................................. 12
Figure 23: Optional Measure Stratification 6 ................................................................. 12
Figure 24: Optional Measure Stratification 7 ................................................................. 13
Figure 25: Final Comments and Report Documents ..................................................... 13
Figure 26: ABA Reporting – No ..................................................................................... 14
Figure 27: ABA Reporting – No ..................................................................................... 14
Figure 28: ABA Reporting – No ..................................................................................... 15
List of Tables
Table 1: Acronyms ........................................................................................................ 16
HHQM-ABA PRA document Version 1.0
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Adult Body Mass Index (BMI) Assessment (ABA) - Path 1
1. Health Homes Quality Measure
1.1
Adult Body Mass Index (BMI) Assessment (ABA) - Path 1
Figure 1: ABA- Reporting Yes
1.2
Measurement Specification – Path 1
Figure 2: Measurement Specification 1
HHQM-ABA PRA document Version 1.0
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1.3
Measurement Specification – Path 2
Measurement Specification – Path 2
Figure 3: Measurement Specification 2
1.4
Date Range
Figure 4: Date Range - Start and End Date
HHQM-ABA PRA document Version 1.0
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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
1.6
Denominator Representation
Figure 6: Denominator Representation 1
HHQM-ABA PRA document Version 1.0
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1.7
Delivery Systems
Delivery Systems
Figure 7: Denominator Representation 2
HHQM-ABA PRA document Version 1.0
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1.8
Health Home Providers Representation
Health Home Providers Representation
Figure 8: Denominator Representation 3
1.9
Performance Measure (Checked all age range) Path – 1
Figure 9: Performance Measure 1
HHQM-ABA PRA document Version 1.0
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Performance Measure (Checked one age range) Path – 2
1.10 Performance Measure (Checked one age range) Path – 2
Figure 10: Performance Measure 2
1.11 Age Range 65-74, Option Yes, Path 2a
Figure 11: Performance Measure 3
HHQM-ABA PRA document Version 1.0
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Age Range 65-74, Option No, Path 2b
Figure 12: Performance Measure 4
1.12 Age Range 65-74, Option No, Path 2b
Figure 13: Performance Measure 5
HHQM-ABA PRA document Version 1.0
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Other Performance Measure
1.13 Other Performance Measure
Figure 14: Other Performance Measure
1.14 Deviations from Measure Specifications
Figure 15: Deviations from Measure Specifications 1
HHQM-ABA PRA document Version 1.0
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Deviations from Measure Specifications
Figure 16: Deviations from Measure Specifications 2
Figure 17: Deviations from Measure Specifications 3
HHQM-ABA PRA document Version 1.0
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Optional Measure Stratification
1.15 Optional Measure Stratification
Figure 18: Optional Measure Stratification 1
Figure 19: Optional Measure Stratification 2
HHQM-ABA PRA document Version 1.0
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Optional Measure Stratification
Figure 20: Optional Measure Stratification 3
Figure 21: Optional Measure Stratification 4
HHQM-ABA PRA document Version 1.0
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Optional Measure Stratification
Figure 22: Optional Measure Stratification 5
Figure 23: Optional Measure Stratification 6
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Final Comments and Report Documents
Figure 24: Optional Measure Stratification 7
1.16 Final Comments and Report Documents
Figure 25: Final Comments and Report Documents
HHQM-ABA PRA document Version 1.0
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Adult Body Mass Index (BMI) Assessment (ABA) – Path 2
1.17 Adult Body Mass Index (BMI) Assessment (ABA) – Path 2
Figure 26: ABA Reporting – No
Figure 27: ABA Reporting – No
HHQM-ABA PRA document Version 1.0
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Adult Body Mass Index (BMI) Assessment (ABA) – Path 2
Figure 28: ABA Reporting – No
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Adult Body Mass Index (BMI) Assessment (ABA) – Path 2
Appendix A: Acronyms
Table 1: Acronyms
Acronym
Literal Translation
HHQM
Health Homes Quality Measure
ABA
Adult Body Mass Index (BMI) Assessment
PRA
Paper Reduction Act of 1995
HHQM-ABA PRA document Version 1.0
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08/21/2017
Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)
Medicaid and CHIP Program (MACPro)
HHQM - AMB PRA document
Version 1.0
08/22/2017
Document Number: 225-QSSI-MACPro-PRA-HHQM-AMB-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014
CMS XLC
Table of Contents
Table of Contents
1. Health Homes Quality Measure .............................................................................. 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
1.15
Ambulatory Care – Emergency Department Visits (AMB) – Path 1................. 1
Measurement Specification – Path 1 ............................................................... 1
Measurement Specification – Path 2 ............................................................... 2
Date Range ..................................................................................................... 2
Definition of Population Included in the Measure ............................................ 3
Selection of Delivery Systems ......................................................................... 3
Health Home Providers Representation .......................................................... 4
Performance Measure (checked all age range) Path - 1 ................................. 4
Performance Measure (Check one age range) Path -2 Option Yes ................ 5
Performance Measure (Check one age range) Path – 2 Option No ................ 6
Other Performance Measure ........................................................................... 6
Deviations from Measure Specifications ......................................................... 7
Optional Measure Stratification ....................................................................... 9
Final Comments and Report Documents ...................................................... 11
Ambulatory Care – Emergency Department Visits (AMB) Path - 2 ............... 12
Appendix A:
Acronyms ....................................................................................... 13
List of Figures
Figure 1: AMB Reporting – Yes ....................................................................................... 1
Figure 2: Measurement Specification 1 ........................................................................... 1
Figure 3: Measurement Specification 2 ........................................................................... 2
Figure 4: Date Range ...................................................................................................... 2
Figure 5: Denominator Representation 1 ........................................................................ 3
Figure 6: Denominator Representation 2 ........................................................................ 3
Figure 7: Denominator Representation 3 ........................................................................ 4
Figure 8: Performance Measure 1 ................................................................................... 4
Figure 9: Performance Measure 2 ................................................................................... 5
Figure 10: Performance Measure 3 ................................................................................. 6
Figure 11: Other Performance Measure .......................................................................... 6
Figure 12: Deviations from Measure Specifications 1 ..................................................... 7
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List of Tables
Figure 13: Deviations from Measure Specifications 2 ..................................................... 8
Figure 14: Deviations from Measure Specifications 3 ..................................................... 8
Figure 15: Optional Measure Stratification 1 ................................................................... 9
Figure 16: Optional Measure Stratification 2 ................................................................... 9
Figure 17: Optional Measure Stratification 3 ................................................................. 10
Figure 18: Optional Measure Stratification 4 ................................................................. 10
Figure 19: Optional Measure Stratification 5 ................................................................. 11
Figure 20: Final Comments and Report Documents ..................................................... 11
Figure 21: AMB Reporting – No .................................................................................... 12
Figure 22: AMB Reporting – No .................................................................................... 12
List of Tables
Table 1: Acronyms ........................................................................................................ 13
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Ambulatory Care – Emergency Department Visits (AMB) – Path 1
1. Health Homes Quality Measure
1.1
Ambulatory Care – Emergency Department Visits (AMB) – Path 1
Figure 1: AMB Reporting – Yes
1.2
Measurement Specification – Path 1
Figure 2: Measurement Specification 1
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1.3
Measurement Specification – Path 2
Measurement Specification – Path 2
Figure 3: Measurement Specification 2
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: Denominator Representation 1
1.6
Selection of Delivery Systems
Figure 6: Denominator Representation 2
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1.7
Health Home Providers Representation
Health Home Providers Representation
Figure 7: Denominator Representation 3
1.8
Performance Measure (checked all age range) Path - 1
Figure 8: Performance Measure 1
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1.9
Performance Measure (Check one age range) Path -2 Option Yes
Performance Measure (Check one age range) Path -2 Option Yes
Figure 9: Performance Measure 2
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Performance Measure (Check one age range) Path – 2 Option No
1.10 Performance Measure (Check one age range) Path – 2 Option No
Figure 10: Performance Measure 3
1.11 Other Performance Measure
Figure 11: Other Performance Measure
HHQM - AMB PRA document Version 1.0
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Deviations from Measure Specifications
1.12 Deviations from Measure Specifications
Figure 12: Deviations from Measure Specifications 1
HHQM - AMB PRA document Version 1.0
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Deviations from Measure Specifications
Figure 13: Deviations from Measure Specifications 2
Figure 14: Deviations from Measure Specifications 3
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Optional Measure Stratification
1.13 Optional Measure Stratification
Figure 15: Optional Measure Stratification 1
Figure 16: Optional Measure Stratification 2
HHQM - AMB PRA document Version 1.0
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Optional Measure Stratification
Figure 17: Optional Measure Stratification 3
Figure 18: Optional Measure Stratification 4
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Final Comments and Report Documents
Figure 19: Optional Measure Stratification 5
1.14 Final Comments and Report Documents
Figure 20: Final Comments and Report Documents
HHQM - AMB PRA document Version 1.0
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Ambulatory Care – Emergency Department Visits (AMB) Path - 2
1.15 Ambulatory Care – Emergency Department Visits (AMB) Path - 2
Figure 21: AMB Reporting – No
Figure 22: AMB Reporting – No
HHQM - AMB PRA document Version 1.0
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Ambulatory Care – Emergency Department Visits (AMB) Path - 2
Appendix A: Acronyms
Table 1: Acronyms
Acronym
Literal Translation
HHQM
Health Homes Quality Measure
AMB
Ambulatory Care – Emergency Department Visits
PRA
Paper Reduction Act of 1995
HHQM - AMB PRA document Version 1.0
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08/22/2017
Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)
Medicaid and CHIP Program (MACPro)
HHQM-CBP PRA document
Version 1.0
08/22/2017
Document Number: 177-QSSI-MACPro-PRA-HHQM-CBP-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014
CMS XLC
Controlling High Blood Pressure (CBP) - Path 1
Table of Contents
1. Health Homes Quality Measures ............................................................................ 3
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
1.15
Controlling High Blood Pressure (CBP) - Path 1 ............................................. 3
Measurement Specification – Path 1 ............................................................... 3
Measurement Specification – Path 2 ............................................................... 4
Date Range ..................................................................................................... 4
Definition of Population Included in the Measure ............................................ 5
Selection of Delivery Systems ......................................................................... 6
Health Home Providers Representation .......................................................... 6
Performance Measure (Checked all age range) Path -1 ................................. 7
Performance Measure (Checked one age range) Path – 2 (Option Yes) ........ 7
Performance Measure (Checked one age range) Path – 2 (Option No) ......... 8
Other Performance Measure ........................................................................... 8
Deviations from Measure Specifications ......................................................... 9
Optional Measure Stratification ..................................................................... 10
Final Comments and Report Documents ...................................................... 14
Controlling High Blood Pressure (CBP) – Path 2 .......................................... 14
Appendix A:
Acronyms ....................................................................................... 16
List of Figures
Figure 1: CBP Reporting - Yes ........................................................................................ 3
Figure 2: Measurement Specification 1 ........................................................................... 3
Figure 3: Measurement Specification 1 ........................................................................... 4
Figure 4: Date Range ...................................................................................................... 4
Figure 5: Denominator Representation 1 ........................................................................ 5
Figure 6: Denominator Representation 2 ........................................................................ 6
Figure 7: Denominator Representation 3 ........................................................................ 6
Figure 8: Performance Measure 1 ................................................................................... 7
Figure 9: Performance Measure 2 ................................................................................... 7
Figure 10: Performance Measure 3 ................................................................................. 8
Figure 11: Other Performance Measure .......................................................................... 8
Figure 12: Deviations from Measure Specifications 1 ..................................................... 9
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Figure 13: Deviations from Measure Specifications 2 ..................................................... 9
Figure 14: Deviations from Measure Specifications 3 ................................................... 10
Figure 15: Optional Measure Stratification 1 ................................................................. 10
Figure 16: Optional Measure Stratification 2 ................................................................. 11
Figure 17: Optional Measure Stratification 3 ................................................................. 11
Figure 18: Optional Measure Stratification 4 ................................................................. 12
Figure 19: Optional Measure Stratification 5 ................................................................. 12
Figure 20: Optional Measure Stratification 6 ................................................................. 13
Figure 21: Optional Measure Stratification 7 ................................................................. 13
Figure 22: Final Comments and Report Documents ..................................................... 14
Figure 23: CBP Reporting – No - 1 ............................................................................... 14
Figure 24: CBP Reporting – No - 2 ............................................................................... 15
Figure 25: CBP Reporting – No – 3 ............................................................................... 15
List of Tables
Table 1: Acronyms ........................................................................................................ 16
HHQM-CBP PRA document Version 1.0
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Controlling High Blood Pressure (CBP) - Path 1
1. Health Homes Quality Measures
1.1
Controlling High Blood Pressure (CBP) - Path 1
Figure 1: CBP Reporting - Yes
1.2
Measurement Specification – Path 1
Figure 2: Measurement Specification 1
HHQM-CBP PRA document Version 1.0
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1.3
Measurement Specification – Path 2
Measurement Specification – Path 2
Figure 3: Measurement Specification 1
1.4
Date Range
Figure 4: Date Range
HHQM-CBP PRA document Version 1.0
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1.5
Definition of Population Included in the Measure
Definition of Population Included in the Measure
Figure 5: Denominator Representation 1
HHQM-CBP PRA document Version 1.0
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1.6
Selection of Delivery Systems
Selection of Delivery Systems
Figure 6: Denominator Representation 2
1.7
Health Home Providers Representation
Figure 7: Denominator Representation 3
HHQM-CBP PRA document Version 1.0
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1.8
Performance Measure (Checked all age range) Path -1
Performance Measure (Checked all age range) Path -1
Figure 8: Performance Measure 1
1.9
Performance Measure (Checked one age range) Path – 2 (Option
Yes)
Figure 9: Performance Measure 2
HHQM-CBP PRA document Version 1.0
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Performance Measure (Checked one age range) Path – 2 (Option No)
1.10 Performance Measure (Checked one age range) Path – 2 (Option
No)
Figure 10: Performance Measure 3
1.11 Other Performance Measure
Figure 11: Other Performance Measure
HHQM-CBP PRA document Version 1.0
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Deviations from Measure Specifications
1.12 Deviations from Measure Specifications
Figure 12: Deviations from Measure Specifications 1
Figure 13: Deviations from Measure Specifications 2
HHQM-CBP PRA document Version 1.0
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Optional Measure Stratification
Figure 14: Deviations from Measure Specifications 3
1.13 Optional Measure Stratification
Figure 15: Optional Measure Stratification 1
HHQM-CBP PRA document Version 1.0
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Optional Measure Stratification
Figure 16: Optional Measure Stratification 2
Figure 17: Optional Measure Stratification 3
HHQM-CBP PRA document Version 1.0
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Optional Measure Stratification
Figure 18: Optional Measure Stratification 4
Figure 19: Optional Measure Stratification 5
HHQM-CBP PRA document Version 1.0
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Optional Measure Stratification
Figure 20: Optional Measure Stratification 6
Figure 21: Optional Measure Stratification 7
HHQM-CBP PRA document Version 1.0
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Final Comments and Report Documents
1.14 Final Comments and Report Documents
Figure 22: Final Comments and Report Documents
1.15 Controlling High Blood Pressure (CBP) – Path 2
Figure 23: CBP Reporting – No - 1
HHQM-CBP PRA document Version 1.0
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Controlling High Blood Pressure (CBP) – Path 2
Figure 24: CBP Reporting – No - 2
Figure 25: CBP Reporting – No – 3
HHQM-CBP PRA document Version 1.0
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Controlling High Blood Pressure (CBP) – Path 2
Appendix A: Acronyms
Table 1: Acronyms
Acronym
Literal Translation
HHQM
Health Homes Quality Measure
CBP
Controlling High Blood Pressure
PRA
Paper Reduction Act of 1995
HHQM-CBP PRA document Version 1.0
16
08/22/2017
Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)
Medicaid and CHIP Program (MACPro)
HHQM-CDF PRA document
Version 1.0
08/22/2017
Document Number: 169-QSSI-MACPro-PRA-HHQM-CDF-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014
CMS XLC
Table of Contents
Table of Contents
1. Health Homes Quality Measure .............................................................................. 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
1.15
1.16
1.17
Screening for Clinical Depression and Follow-Up Plan (CDF) – Path 1 .......... 1
Measurement Specification Path 1 .................................................................. 1
Measurement Specification Path 2 .................................................................. 2
Date Range ..................................................................................................... 2
Definition of Population Included in the Measure ............................................ 3
Sample Size and Measure-eligible population related to Data Source ............ 3
Selection of Delivery Systems ......................................................................... 4
Health Home Providers ................................................................................... 4
Performance Measure with all Age Range ...................................................... 5
Performance Measure with one Age Range.................................................... 5
Age Range 65 and over Path – 1 .................................................................... 6
Age Range 65 and over Path – 2 .................................................................... 6
Other Performance Measure ........................................................................... 7
Deviations from Measure Specifications ......................................................... 7
Optional Measure Stratification ....................................................................... 9
Final Comments and Report Documents ...................................................... 12
Screen for Clinical Depression and Follow-up Plan (CDF) – Path 2 ............. 13
Appendix A:
Acronyms ....................................................................................... 15
List of Figures
Figure 1: CDF Reporting – Yes ....................................................................................... 1
Figure 2: Measurement Specification 1 ........................................................................... 2
Figure 3: Measurement Specification 2 ........................................................................... 2
Figure 4: Data Range ...................................................................................................... 2
Figure 5: Definition of Population Included in the Measure 1 .......................................... 3
Figure 6: Definition of Population Included in the Measure 2 .......................................... 3
Figure 7: Definition of Population Included in the Measure 3 .......................................... 4
Figure 8: Definition of Population Included in the Measure 4 .......................................... 4
Figure 9: Performance Measure 1 ................................................................................... 5
Figure 10: Performance Measure 2 ................................................................................. 5
Figure 11: Performance Measure 3 ................................................................................. 6
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Figure 12: Performance Measure 4 ................................................................................. 6
Figure 13: Other Performance Measure .......................................................................... 7
Figure 14: Deviations from Measure Specifications 1 ..................................................... 7
Figure 15: Deviations from Measure Specifications 2 ..................................................... 8
Figure 16: Deviations from Measure Specifications 3 ..................................................... 8
Figure 17: Optional Measure Stratification 1 ................................................................... 9
Figure 18: Option Measure Stratification 2 .................................................................... 10
Figure 19: Option Measure Stratification 3 .................................................................... 10
Figure 20: Optional Measure Stratification 4 ................................................................. 11
Figure 21: Optional Measure Stratification 5 ................................................................. 11
Figure 22: Optional Measure Stratification 6 ................................................................. 12
Figure 23: Final Comments and Report Documents ..................................................... 12
Figure 24: CDF Reporting – No -1 ................................................................................ 13
Figure 25: CDF Reporting – No - 2 ............................................................................... 13
Figure 26: CDF Reporting – No – 3 ............................................................................... 14
List of Tables
Table 1: Acronyms ........................................................................................................ 15
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Screening for Clinical Depression and Follow-Up Plan (CDF) – Path 1
1. Health Homes Quality Measure
1.1
Screening for Clinical Depression and Follow-Up Plan (CDF) –
Path 1
Figure 1: CDF Reporting – Yes
1.2
Measurement Specification Path 1
HHQM-CDF PRA document Version 1.0
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Measurement Specification Path 2
Figure 2: Measurement Specification 1
1.3
Measurement Specification Path 2
Figure 3: Measurement Specification 2
1.4
Date Range
Figure 4: Data Range
HHQM-CDF PRA document Version 1.0
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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 1
1.6
Sample Size and Measure-eligible population related to Data
Source
Figure 6: Definition of Population Included in the Measure 2
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1.7
Selection of Delivery Systems
Selection of Delivery Systems
Figure 7: Definition of Population Included in the Measure 3
1.8
Health Home Providers
Figure 8: Definition of Population Included in the Measure 4
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1.9
Performance Measure with all Age Range
Performance Measure with all Age Range
Figure 9: Performance Measure 1
1.10 Performance Measure with one Age Range
Figure 10: Performance Measure 2
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Age Range 65 and over Path – 1
1.11 Age Range 65 and over Path – 1
Figure 11: Performance Measure 3
1.12 Age Range 65 and over Path – 2
Figure 12: Performance Measure 4
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Other Performance Measure
1.13 Other Performance Measure
Figure 13: Other Performance Measure
1.14 Deviations from Measure Specifications
Figure 14: Deviations from Measure Specifications 1
HHQM-CDF PRA document Version 1.0
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Deviations from Measure Specifications
Figure 15: Deviations from Measure Specifications 2
Figure 16: Deviations from Measure Specifications 3
HHQM-CDF PRA document Version 1.0
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Optional Measure Stratification
1.15 Optional Measure Stratification
Figure 17: Optional Measure Stratification 1
HHQM-CDF PRA document Version 1.0
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Optional Measure Stratification
Figure 18: Option Measure Stratification 2
Figure 19: Option Measure Stratification 3
HHQM-CDF PRA document Version 1.0
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Optional Measure Stratification
Figure 20: Optional Measure Stratification 4
Figure 21: Optional Measure Stratification 5
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Final Comments and Report Documents
Figure 22: Optional Measure Stratification 6
1.16 Final Comments and Report Documents
Figure 23: Final Comments and Report Documents
HHQM-CDF PRA document Version 1.0
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Screen for Clinical Depression and Follow-up Plan (CDF) – Path 2
1.17 Screen for Clinical Depression and Follow-up Plan (CDF) – Path 2
Figure 24: CDF Reporting – No -1
Figure 25: CDF Reporting – No - 2
HHQM-CDF PRA document Version 1.0
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Screen for Clinical Depression and Follow-up Plan (CDF) – Path 2
Figure 26: CDF Reporting – No – 3
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Screen for Clinical Depression and Follow-up Plan (CDF) – Path 2
Appendix A: Acronyms
Table 1: Acronyms
Acronym
Literal Translation
HHQM
Health Homes Quality Measure
CDF
Screening for Clinical Depression and Follow-Up Plan
PRA
Paper Reduction Act of 1995
HHQM-CDF PRA document Version 1.0
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Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)
Medicaid and CHIP Program (MACPro)
HHQM-CTR PRA document
Version 1.0
08/22/2017
Document Number: 222-QSSI-MACPro-PRA-HHQM-CTR-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014
CMS XLC
Table of Contents
Table of Contents
1. Health Homes Quality Measures ............................................................................ 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
1.15
Care Transition – Timely Transmission of Transition Record (CTR) - Path 1.. 1
Measurement Specification – Path 1 ............................................................... 2
Measurement Specification – Path 2 ............................................................... 3
Date Range ..................................................................................................... 4
Definition of Population Included in the Measure ............................................ 5
Selection of Delivery Systems ......................................................................... 6
Health Home Providers Representation .......................................................... 6
Performance Measure (Checked all age range) Path -1 ................................. 7
Performance Measure (Checked one age range) Path – 2 (Option Yes) ........ 7
Performance Measure (Checked one age range) Path – 2 (Option No) ......... 8
Other Performance Measure ........................................................................... 8
Deviations from Measure Specifications ......................................................... 9
Optional Measure Stratification ..................................................................... 10
Final Comments and Report Documents ...................................................... 14
Care Transition – Timely Transmission of Transition Record (CTR) – Path 214
Appendix A:
Acronyms ....................................................................................... 16
List of Figures
Figure 1: CTR Reporting - Yes ........................................................................................ 1
Figure 2: Measurement Specification 1 ........................................................................... 2
Figure 3: Measurement Specification 1 ........................................................................... 3
Figure 4: Date Range ...................................................................................................... 4
Figure 5: Denominator Representation 1 ........................................................................ 5
Figure 6: Denominator Representation 2 ........................................................................ 6
Figure 7: Denominator Representation 3 ........................................................................ 6
Figure 8: Performance Measure 1 ................................................................................... 7
Figure 9: Performance Measure 2 ................................................................................... 7
Figure 10: Performance Measure 3 ................................................................................. 8
Figure 11: Other Performance Measure .......................................................................... 8
Figure 12: Deviations from Measure Specifications 1 ..................................................... 9
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Figure 13: Deviations from Measure Specifications 2 ..................................................... 9
Figure 14: Deviations from Measure Specifications 3 ................................................... 10
Figure 15: Optional Measure Stratification 1 ................................................................. 10
Figure 16: Optional Measure Stratification 2 ................................................................. 11
Figure 17: Optional Measure Stratification 3 ................................................................. 11
Figure 18: Optional Measure Stratification 4 ................................................................. 12
Figure 19: Optional Measure Stratification 5 ................................................................. 12
Figure 20: Optional Measure Stratification 6 ................................................................. 13
Figure 21: Optional Measure Stratification 7 ................................................................. 13
Figure 22: Final Comments and Report Documents ..................................................... 14
Figure 23: CTR Reporting – No - 1 ............................................................................... 14
Figure 24: CTR Reporting – No - 2 ............................................................................... 15
Figure 25: CTR Reporting – No - 3 .............................................................................. 15
List of Tables
Table 1: Acronyms ........................................................................................................ 16
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Care Transition – Timely Transmission of Transition Record (CTR) - Path 1
1. Health Homes Quality Measures
1.1
Care Transition – Timely Transmission of Transition Record (CTR)
- Path 1
Figure 1: CTR Reporting - Yes
HHQM-CTR PRA document Version 1.0
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1.2
Measurement Specification – Path 1
Measurement Specification – Path 1
Figure 2: Measurement Specification 1
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1.3
Measurement Specification – Path 2
Measurement Specification – Path 2
Figure 3: Measurement Specification 1
HHQM-CTR PRA document Version 1.0
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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: Denominator Representation 1
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1.6
Selection of Delivery Systems
Selection of Delivery Systems
Figure 6: Denominator Representation 2
1.7
Health Home Providers Representation
Figure 7: Denominator Representation 3
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1.8
Performance Measure (Checked all age range) Path -1
Performance Measure (Checked all age range) Path -1
Figure 8: Performance Measure 1
1.9
Performance Measure (Checked one age range) Path – 2 (Option
Yes)
Figure 9: Performance Measure 2
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Performance Measure (Checked one age range) Path – 2 (Option No)
1.10 Performance Measure (Checked one age range) Path – 2 (Option
No)
Figure 10: Performance Measure 3
1.11 Other Performance Measure
Figure 11: Other Performance Measure
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Deviations from Measure Specifications
1.12 Deviations from Measure Specifications
Figure 12: Deviations from Measure Specifications 1
Figure 13: Deviations from Measure Specifications 2
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Optional Measure Stratification
Figure 14: Deviations from Measure Specifications 3
1.13 Optional Measure Stratification
Figure 15: Optional Measure Stratification 1
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Optional Measure Stratification
Figure 16: Optional Measure Stratification 2
Figure 17: Optional Measure Stratification 3
HHQM-CTR PRA document Version 1.0
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Optional Measure Stratification
Figure 18: Optional Measure Stratification 4
Figure 19: Optional Measure Stratification 5
HHQM-CTR PRA document Version 1.0
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Optional Measure Stratification
Figure 20: Optional Measure Stratification 6
Figure 21: Optional Measure Stratification 7
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Final Comments and Report Documents
1.14 Final Comments and Report Documents
Figure 22: Final Comments and Report Documents
1.15 Care Transition – Timely Transmission of Transition Record (CTR)
– Path 2
Figure 23: CTR Reporting – No - 1
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Care Transition – Timely Transmission of Transition Record (CTR) – Path 2
Figure 24: CTR Reporting – No - 2
Figure 25: CTR Reporting – No - 3
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Care Transition – Timely Transmission of Transition Record (CTR) – Path 2
Appendix A: Acronyms
Table 1: Acronyms
Acronym
Literal Translation
HHQM
Health Homes Quality Measure
CTR
Care Transition – Timely Transmission of Transition Record
PRA
Paper Reduction Act of 1995
HHQM-CTR PRA document Version 1.0
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Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)
Medicaid and CHIP Program (MACPro)
HHQM-FUH PRA document
Version 1.0
08/22/2017
Document Number: 174-QSSI-MACPro-PRA-HHQM-FUH-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014
CMS XLC
Table of Contents
Table of Contents
1. Health Homes Quality Measures ............................................................................ 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
1.15
1.16
1.17
1.18
1.19
Follow-Up After Hospitalization for Mental Illness (FUH) - Path 1 ................... 1
Measurement Specification – Path 1 ............................................................... 1
Measurement Specification – Path 2 ............................................................... 2
Date Range ..................................................................................................... 2
Definition of Population Included in the Measure ............................................ 3
Selection of Delivery Systems ......................................................................... 3
Health Home Provider Representation ............................................................ 4
Performance Measure – Follow-up within 7 days of discharge (Checked all
age range) ....................................................................................................... 5
Performance Measure – Follow-up within 30 days of discharge (checked all
age range) ....................................................................................................... 6
Performance Measure – Follow-Up within 7 days of Discharge (checked one
age range) Path 1 ........................................................................................... 7
Performance Measure – Follow-Up within 7 days of Discharge (checked one
age range) Path 2 ........................................................................................... 8
Performance Measure – Follow-Up within 30 days of discharge (checked one
age range) Path 1 ........................................................................................... 9
Performance Measure – Follow-Up within 30 days of discharge (Checked one
age range) Path 2 ......................................................................................... 10
Other Performance Measure ......................................................................... 11
Deviations from Measure Specifications – 30-Day Follow up........................ 12
Deviations from Measure Specifications – 7-Day Follow up.......................... 14
Optional Measure Stratification ..................................................................... 15
Final Comments and Report Documents ...................................................... 18
Follow-Up After Hospitalization for Mental Illness (FUH) - Path 2 ................. 19
Appendix A:
Acronyms ....................................................................................... 21
List of Figures
Figure 1: FUH Reporting - Yes ........................................................................................ 1
Figure 2: Measurement Specification 1 ........................................................................... 1
Figure 3: Measurement Specification 2 ........................................................................... 2
Figure 4: Date Range ...................................................................................................... 2
Figure 5: Denominator Representation 1 ........................................................................ 3
Figure 6: Denominator Representation 2 ........................................................................ 3
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Figure 7: Denominator Representation 3 ........................................................................ 4
Figure 8: Performance Measure 1 ................................................................................... 5
Figure 9: Performance Measure 2 ................................................................................... 6
Figure 10: Performance Measure 3 ................................................................................. 7
Figure 11: Performance Measure 4 ................................................................................. 8
Figure 12: Performance Measure 5 ................................................................................. 9
Figure 13: Performance Measure 6 ............................................................................... 10
Figure 14: Other Performance Measure ........................................................................ 11
Figure 15: Deviations from Measure Specifications 1 ................................................... 12
Figure 16: Deviations from Measure Specifications 2 ................................................... 13
Figure 17: Deviations from Measure Specifications 3 ................................................... 13
Figure 18: Deviations from Measure Specifications 4 ................................................... 14
Figure 19: Deviations from Measure Specifications 5 ................................................... 14
Figure 20: Optional Measure Stratification 1 ................................................................. 15
Figure 21: Optional Measure Stratification 2 ................................................................. 15
Figure 22: Optional Measure Stratification 3 ................................................................. 16
Figure 23: Optional Measure Stratification 4 ................................................................. 16
Figure 24: Optional Measure Stratification 5 ................................................................. 17
Figure 25: Optional Measure Stratification 6 ................................................................. 17
Figure 26: Optional Measure Stratification 7 ................................................................. 18
Figure 27: Final Comments and Report Documents ..................................................... 18
Figure 28: FUH Reporting – No -1 ................................................................................ 19
Figure 29: FUH Reporting – No - 2 ............................................................................... 19
Figure 30: FUH Reporting – No – 3 ............................................................................... 20
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List of Tables
List of Tables
Table 1: Acronyms ........................................................................................................ 21
HHQM-FUH PRA document Version 1.0
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Follow-Up After Hospitalization for Mental Illness (FUH) - Path 1
1. Health Homes Quality Measures
1.1
Follow-Up After Hospitalization for Mental Illness (FUH) - Path 1
Figure 1: FUH Reporting - Yes
1.2
Measurement Specification – Path 1
Figure 2: Measurement Specification 1
HHQM-FUH PRA document Version 1.0
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1.3
Measurement Specification – Path 2
Measurement Specification – Path 2
Figure 3: Measurement Specification 2
1.4
Date Range
Figure 4: Date Range
HHQM-FUH PRA document Version 1.0
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1.5
Definition of Population Included in the Measure
Definition of Population Included in the Measure
Figure 5: Denominator Representation 1
1.6
Selection of Delivery Systems
Figure 6: Denominator Representation 2
HHQM-FUH PRA document Version 1.0
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1.7
Health Home Provider Representation
Health Home Provider Representation
Figure 7: Denominator Representation 3
HHQM-FUH PRA document Version 1.0
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1.8
Performance Measure – Follow-up within 7 days of discharge (Checked all age range)
Performance Measure – Follow-up within 7 days of discharge
(Checked all age range)
Figure 8: Performance Measure 1
HHQM-FUH PRA document Version 1.0
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1.9
Performance Measure – Follow-up within 30 days of discharge (checked all age range)
Performance Measure – Follow-up within 30 days of discharge
(checked all age range)
Figure 9: Performance Measure 2
HHQM-FUH PRA document Version 1.0
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Performance Measure – Follow-Up within 7 days of Discharge (checked one age range) Path 1
1.10 Performance Measure – Follow-Up within 7 days of Discharge
(checked one age range) Path 1
Figure 10: Performance Measure 3
HHQM-FUH PRA document Version 1.0
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Performance Measure – Follow-Up within 7 days of Discharge (checked one age range) Path 2
1.11 Performance Measure – Follow-Up within 7 days of Discharge
(checked one age range) Path 2
Figure 11: Performance Measure 4
HHQM-FUH PRA document Version 1.0
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Performance Measure – Follow-Up within 30 days of discharge (checked one age range) Path 1
1.12 Performance Measure – Follow-Up within 30 days of discharge
(checked one age range) Path 1
Figure 12: Performance Measure 5
HHQM-FUH PRA document Version 1.0
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Performance Measure – Follow-Up within 30 days of discharge (Checked one age range) Path 2
1.13 Performance Measure – Follow-Up within 30 days of discharge
(Checked one age range) Path 2
Figure 13: Performance Measure 6
HHQM-FUH PRA document Version 1.0
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Other Performance Measure
1.14 Other Performance Measure
Figure 14: Other Performance Measure
HHQM-FUH PRA document Version 1.0
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Deviations from Measure Specifications – 30-Day Follow up
1.15 Deviations from Measure Specifications – 30-Day Follow up
Figure 15: Deviations from Measure Specifications 1
HHQM-FUH PRA document Version 1.0
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Deviations from Measure Specifications – 30-Day Follow up
Figure 16: Deviations from Measure Specifications 2
Figure 17: Deviations from Measure Specifications 3
HHQM-FUH PRA document Version 1.0
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Deviations from Measure Specifications – 7-Day Follow up
1.16 Deviations from Measure Specifications – 7-Day Follow up
Figure 18: Deviations from Measure Specifications 4
Figure 19: Deviations from Measure Specifications 5
HHQM-FUH PRA document Version 1.0
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Optional Measure Stratification
1.17 Optional Measure Stratification
Figure 20: Optional Measure Stratification 1
Figure 21: Optional Measure Stratification 2
HHQM-FUH PRA document Version 1.0
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Optional Measure Stratification
Figure 22: Optional Measure Stratification 3
Figure 23: Optional Measure Stratification 4
HHQM-FUH PRA document Version 1.0
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Optional Measure Stratification
Figure 24: Optional Measure Stratification 5
Figure 25: Optional Measure Stratification 6
HHQM-FUH PRA document Version 1.0
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Final Comments and Report Documents
Figure 26: Optional Measure Stratification 7
1.18 Final Comments and Report Documents
Figure 27: Final Comments and Report Documents
HHQM-FUH PRA document Version 1.0
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Follow-Up After Hospitalization for Mental Illness (FUH) - Path 2
1.19 Follow-Up After Hospitalization for Mental Illness (FUH) - Path 2
Figure 28: FUH Reporting – No -1
Figure 29: FUH Reporting – No - 2
HHQM-FUH PRA document Version 1.0
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Follow-Up After Hospitalization for Mental Illness (FUH) - Path 2
Figure 30: FUH Reporting – No – 3
HHQM-FUH PRA document Version 1.0
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Follow-Up After Hospitalization for Mental Illness (FUH) - Path 2
Appendix A: Acronyms
Table 1: Acronyms
Acronym
Literal Translation
HHQM
Health Homes Quality Measure
FUH
Follow-Up After Hospitalization for Mental Illness
PRA
Paper Reduction Act of 1995
HHQM-FUH PRA document Version 1.0
21
08/22/2017
Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)
Medicaid and CHIP Program (MACPro)
HHQM-IET PRA document
Version 1.0
08/22/2017
Document Number: 223-QSSI-MACPro-PRA-HHQM-IET-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014
CMS XLC
Table of Contents
Table of Contents
1. Health Homes Quality Measures ............................................................................ 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
1.15
1.16
1.17
1.18
1.19
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment
(IET) - Path 1................................................................................................... 1
Measurement Specification – Path 1 ............................................................... 1
Measurement Specification – Path 2 ............................................................... 2
Date Range ..................................................................................................... 2
Definition of Population Included in the Measure ............................................ 3
Selection of Delivery Systems ......................................................................... 4
Health Home Providers Representation .......................................................... 5
Performance Measure (Checked all age range) Rate 1 - Path -1 ................... 6
Performance Measure (Checked all age range) Rate 2 – Path – 2 ................. 7
Performance Measure (Checked one age range) Rate 1 - Path – 2 (Option
Yes) ................................................................................................................. 8
Performance Measure (Checked one age range) Rate 1-Path – 2 (Option No)9
Performance Measure (Checked one age range) Rate 2 – Path – 2 (Option
Yes) ............................................................................................................... 10
Performance Measure (Checked one Age Rate) Rate 2 – Path – 2 (Option
No) ................................................................................................................ 11
Other Performance Measure ......................................................................... 12
Deviations from Measure Specifications - Rate 1.......................................... 12
Deviations from Measure Specifications - Rate 2.......................................... 13
Optional Measure Stratification ..................................................................... 14
Final Comments and Report Documents ...................................................... 19
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment
(IET) - Path 2................................................................................................. 20
Appendix A:
Acronyms ....................................................................................... 22
List of Figures
Figure 1: IET Reporting - Yes .......................................................................................... 1
Figure 2: Measurement Specification 1 ........................................................................... 1
Figure 3: Measurement Specification 1 ........................................................................... 2
Figure 4: Date Range ...................................................................................................... 2
Figure 5: Denominator Representation 1 ........................................................................ 3
Figure 6: Denominator Representation 2 ........................................................................ 4
Figure 7: Denominator Representation 3 ........................................................................ 5
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List of Figures
Figure 8: Performance Measure 1 ................................................................................... 6
Figure 9: Performance Measure 2 ................................................................................... 7
Figure 10: Performance Measure 3 ................................................................................. 8
Figure 11: Performance Measure 4 ................................................................................. 9
Figure 12: Performance Measure 5 ............................................................................... 10
Figure 13: Performance Measure 6 ............................................................................... 11
Figure 14: Other Performance Measure ........................................................................ 12
Figure 15: Deviations from Measure Specifications 1 ................................................... 12
Figure 16: Deviations from Measure Specifications 2 ................................................... 13
Figure 17: Deviations from Measure Specifications 3 ................................................... 13
Figure 18: Deviations from Measure Specifications 4 ................................................... 14
Figure 19: Optional Measure Stratification 1 ................................................................. 14
Figure 20: Optional Measure Stratification 2 ................................................................. 15
Figure 21: Optional Measure Stratification 3 ................................................................. 15
Figure 22: Optional Measure Stratification 4 ................................................................. 16
Figure 23: Optional Measure Stratification 5 ................................................................. 16
Figure 24: Optional Measure Stratification 6 ................................................................. 17
Figure 25: Optional Measure Stratification 7 ................................................................. 17
Figure 26: Optional Measure Stratification 8 ................................................................. 18
Figure 27: Optional Measure Stratification 9 ................................................................. 18
Figure 28: Optional Measure Stratification 10 ............................................................... 19
Figure 29: Final Comments and Report Documents ..................................................... 19
Figure 30: IET Reporting – No - 1 ................................................................................. 20
Figure 31: IET Reporting – No - 2 ................................................................................. 20
Figure 32: IET Reporting – No – 3 ................................................................................ 21
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List of Tables
List of Tables
Table 1: Acronyms ........................................................................................................ 22
HHQM-IET PRA document Version 1.0
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CMS XLC
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) - Path 1
1. Health Homes Quality Measures
1.1
Initiation and Engagement of Alcohol and Other Drug Dependence
Treatment (IET) - Path 1
Figure 1: IET Reporting - Yes
1.2
Measurement Specification – Path 1
Figure 2: Measurement Specification 1
HHQM-IET PRA document Version 1.0
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1.3
Measurement Specification – Path 2
Measurement Specification – Path 2
Figure 3: Measurement Specification 1
1.4
Date Range
Figure 4: Date Range
HHQM-IET PRA document Version 1.0
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1.5
Definition of Population Included in the Measure
Definition of Population Included in the Measure
Figure 5: Denominator Representation 1
HHQM-IET PRA document Version 1.0
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1.6
Selection of Delivery Systems
Selection of Delivery Systems
Figure 6: Denominator Representation 2
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1.7
Health Home Providers Representation
Health Home Providers Representation
Figure 7: Denominator Representation 3
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1.8
Performance Measure (Checked all age range) Rate 1 - Path -1
Performance Measure (Checked all age range) Rate 1 - Path -1
Figure 8: Performance Measure 1
HHQM-IET PRA document Version 1.0
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1.9
Performance Measure (Checked all age range) Rate 2 – Path – 2
Performance Measure (Checked all age range) Rate 2 – Path – 2
Figure 9: Performance Measure 2
HHQM-IET PRA document Version 1.0
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Performance Measure (Checked one age range) Rate 1 - Path – 2 (Option Yes)
1.10 Performance Measure (Checked one age range) Rate 1 - Path – 2
(Option Yes)
Figure 10: Performance Measure 3
HHQM-IET PRA document Version 1.0
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Performance Measure (Checked one age range) Rate 1-Path – 2 (Option No)
1.11 Performance Measure (Checked one age range) Rate 1-Path – 2
(Option No)
Figure 11: Performance Measure 4
HHQM-IET PRA document Version 1.0
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Performance Measure (Checked one age range) Rate 2 – Path – 2 (Option Yes)
1.12 Performance Measure (Checked one age range) Rate 2 – Path – 2
(Option Yes)
Figure 12: Performance Measure 5
HHQM-IET PRA document Version 1.0
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Performance Measure (Checked one Age Rate) Rate 2 – Path – 2 (Option No)
1.13 Performance Measure (Checked one Age Rate) Rate 2 – Path – 2
(Option No)
Figure 13: Performance Measure 6
HHQM-IET PRA document Version 1.0
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Other Performance Measure
1.14 Other Performance Measure
Figure 14: Other Performance Measure
1.15 Deviations from Measure Specifications - Rate 1
Figure 15: Deviations from Measure Specifications 1
HHQM-IET PRA document Version 1.0
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Deviations from Measure Specifications - Rate 2
Figure 16: Deviations from Measure Specifications 2
1.16 Deviations from Measure Specifications - Rate 2
Figure 17: Deviations from Measure Specifications 3
HHQM-IET PRA document Version 1.0
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Optional Measure Stratification
Figure 18: Deviations from Measure Specifications 4
1.17 Optional Measure Stratification
Figure 19: Optional Measure Stratification 1
HHQM-IET PRA document Version 1.0
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Optional Measure Stratification
Figure 20: Optional Measure Stratification 2
Figure 21: Optional Measure Stratification 3
HHQM-IET PRA document Version 1.0
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Optional Measure Stratification
Figure 22: Optional Measure Stratification 4
Figure 23: Optional Measure Stratification 5
HHQM-IET PRA document Version 1.0
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Optional Measure Stratification
Figure 24: Optional Measure Stratification 6
Figure 25: Optional Measure Stratification 7
HHQM-IET PRA document Version 1.0
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Optional Measure Stratification
Figure 26: Optional Measure Stratification 8
Figure 27: Optional Measure Stratification 9
HHQM-IET PRA document Version 1.0
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Final Comments and Report Documents
Figure 28: Optional Measure Stratification 10
1.18 Final Comments and Report Documents
Figure 29: Final Comments and Report Documents
HHQM-IET PRA document Version 1.0
19
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Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) - Path 2
1.19 Initiation and Engagement of Alcohol and Other Drug Dependence
Treatment (IET) - Path 2
Figure 30: IET Reporting – No - 1
Figure 31: IET Reporting – No - 2
HHQM-IET PRA document Version 1.0
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Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) - Path 2
Figure 32: IET Reporting – No – 3
HHQM-IET PRA document Version 1.0
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Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) - Path 2
Appendix A: Acronyms
Table 1: Acronyms
Acronym
Literal Translation
HHQM
Health Homes Quality Measure
IET
Initiation and Engagement of Alcohol and Other Drug Dependence
Treatment
PRA
Paper Reduction Act of 1995
HHQM-IET PRA document Version 1.0
22
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Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)
Medicaid and CHIP Program (MACPro)
HHQM – IU PRA document
Version 1.0
08/22/2017
Document Number: 227-QSSI-MACPro-PRA-HHQM-IU-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014
CMS XLC
Table of Contents
Table of Contents
1. Health Homes Quality Measure .............................................................................. 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
1.15
1.16
1.17
Inpatient Utilization (IU) Path - 1 ..................................................................... 1
Measurement Specification – Path 1 ............................................................... 1
Measurement Specification – Path 2 ............................................................... 2
Date Range ..................................................................................................... 2
Definition of Population Included in the Measure ............................................ 2
Selection of Delivery Systems ......................................................................... 3
Health Home Providers Representation .......................................................... 3
Performance Measure (Checked all age range) – Path 1 ............................... 4
Performance Measure (Check one age range) Path 2 Option Yes ................. 6
Performance Measure (Check one age range) Path 2 Option No ................... 7
Performance Measure (Check all age range) Path 3 Option Yes .................... 7
Performance Measure (Checked all age range) Path 3 Option No ............... 10
Other Performance Measure ......................................................................... 12
Deviations from Measure Specifications ....................................................... 13
Optional Measure Stratification ..................................................................... 14
Final Comments and Report Documents ...................................................... 29
Inpatient Utilization (IU) Path - 2 ................................................................... 29
Appendix A:
Acronyms ....................................................................................... 31
List of Figures
Figure 1: IU Reported – Yes ............................................................................................ 1
Figure 2: Measurement Specification 1 ........................................................................... 1
Figure 3: Measurement Specification 2 ........................................................................... 2
Figure 4: Date Range ...................................................................................................... 2
Figure 5: Denominator Representation 1 ........................................................................ 2
Figure 6: Denominator Representation 2 ........................................................................ 3
Figure 7: Denominator Representation 3 ........................................................................ 3
Figure 8: Performance Measure 1 ................................................................................... 4
Figure 9: Performance Measure 2 ................................................................................... 4
Figure 10: Performance Measure 3 ................................................................................. 5
Figure 11: Performance Measure 4 ................................................................................. 5
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List of Figures
Figure 12: Performance Measure 5 ................................................................................. 6
Figure 13: Performance Measure 6 ................................................................................. 7
Figure 14: Performance Measure 7 ................................................................................. 7
Figure 15: Performance Measure 8 ................................................................................. 8
Figure 16: Performance Measure 9 ................................................................................. 8
Figure 17: Performance Measure 10 ............................................................................... 9
Figure 18: Performance Measure 11 ............................................................................... 9
Figure 19: Performance Measure 12 ............................................................................. 10
Figure 20: Performance Measure 13 ............................................................................. 10
Figure 21: Performance Measure 14 ............................................................................. 11
Figure 22: Performance Measure 15 ............................................................................. 11
Figure 23: Performance Measure 16 ............................................................................. 12
Figure 24: Other Performance Measure ........................................................................ 12
Figure 25: Deviations from Measure Specifications 1 ................................................... 13
Figure 26: Deviations from Measure Specifications 2 ................................................... 13
Figure 27: Deviations from Measure Specifications 3 ................................................... 14
Figure 28: Optional Measure Stratification 1 ................................................................. 14
Figure 29: Optional Measure Stratification 2 ................................................................. 15
Figure 30: Optional Measure Stratification 3 ................................................................. 15
Figure 31: Optional Measure Stratification 4 ................................................................. 16
Figure 32: Optional Measure Stratification 5 ................................................................. 16
Figure 33: Optional Measure Stratification 6 ................................................................. 17
Figure 34: Optional Measure Stratification 7 ................................................................. 17
Figure 35: Optional Measure Stratification 8 ................................................................. 18
Figure 36: Optional Measure Stratification 9 ................................................................. 18
Figure 37: Optional Measure Stratification 10 ............................................................... 19
Figure 38: Optional Measure Stratification 11 ............................................................... 19
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List of Tables
Figure 39: Optional Measure Stratification 12 ............................................................... 20
Figure 40: Optional Measure Stratification 13 ............................................................... 20
Figure 41: Optional Measure Stratification 14 ............................................................... 21
Figure 42: Optional Measure Stratification 15 ............................................................... 21
Figure 43: Optional Measure Stratification 16 ............................................................... 22
Figure 44: Optional Measure Stratification 17 ............................................................... 22
Figure 45: Optional Measure Stratification 18 ............................................................... 23
Figure 46: Optional Measure Stratification 19 ............................................................... 23
Figure 47: Optional Measure Stratification 20 ............................................................... 24
Figure 48: Optional Measure Stratification 21 ............................................................... 24
Figure 49: Optional Measure Stratification 22 ............................................................... 25
Figure 50: Optional Measure Stratification 23 ............................................................... 25
Figure 51: Optional Measure Stratification 24 ............................................................... 26
Figure 52: Optional Measure Stratification 25 ............................................................... 26
Figure 53: Optional Measure Stratification 26 ............................................................... 27
Figure 54: Optional Measure Stratification 27 ............................................................... 27
Figure 55: Optional Measure Stratification 28 ............................................................... 28
Figure 56: Optional Measure Stratification 29 ............................................................... 28
Figure 57: Final Comments and Report Documents ..................................................... 29
Figure 58: IU Reporting – No - 1 ................................................................................... 29
Figure 59: IU Reporting – No - 2 ................................................................................... 30
List of Tables
Table 1: Acronyms ........................................................................................................ 31
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List of Tables
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Inpatient Utilization (IU) Path - 1
1. Health Homes Quality Measure
1.1
Inpatient Utilization (IU) Path - 1
Figure 1: IU Reported – Yes
1.2
Measurement Specification – Path 1
Figure 2: Measurement Specification 1
HHQM – IU PRA document Version 1.0
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1.3
Measurement Specification – Path 2
Measurement Specification – Path 2
Figure 3: Measurement Specification 2
1.4
Date Range
Figure 4: Date Range
1.5
Definition of Population Included in the Measure
Figure 5: Denominator Representation 1
HHQM – IU PRA document Version 1.0
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1.6
Selection of Delivery Systems
Selection of Delivery Systems
Figure 6: Denominator Representation 2
1.7
Health Home Providers Representation
Figure 7: Denominator Representation 3
HHQM – IU PRA document Version 1.0
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1.8
Performance Measure (Checked all age range) – Path 1
Performance Measure (Checked all age range) – Path 1
Figure 8: Performance Measure 1
Figure 9: Performance Measure 2
HHQM – IU PRA document Version 1.0
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Performance Measure (Checked all age range) – Path 1
Figure 10: Performance Measure 3
Figure 11: Performance Measure 4
HHQM – IU PRA document Version 1.0
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1.9
Performance Measure (Check one age range) Path 2 Option Yes
Performance Measure (Check one age range) Path 2 Option Yes
Figure 12: Performance Measure 5
HHQM – IU PRA document Version 1.0
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Performance Measure (Check one age range) Path 2 Option No
1.10 Performance Measure (Check one age range) Path 2 Option No
Figure 13: Performance Measure 6
1.11 Performance Measure (Check all age range) Path 3 Option Yes
Figure 14: Performance Measure 7
HHQM – IU PRA document Version 1.0
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Performance Measure (Check all age range) Path 3 Option Yes
Figure 15: Performance Measure 8
Figure 16: Performance Measure 9
HHQM – IU PRA document Version 1.0
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Performance Measure (Check all age range) Path 3 Option Yes
Figure 17: Performance Measure 10
Figure 18: Performance Measure 11
HHQM – IU PRA document Version 1.0
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Performance Measure (Checked all age range) Path 3 Option No
1.12 Performance Measure (Checked all age range) Path 3 Option No
Figure 19: Performance Measure 12
Figure 20: Performance Measure 13
HHQM – IU PRA document Version 1.0
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Performance Measure (Checked all age range) Path 3 Option No
Figure 21: Performance Measure 14
Figure 22: Performance Measure 15
HHQM – IU PRA document Version 1.0
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Other Performance Measure
Figure 23: Performance Measure 16
1.13 Other Performance Measure
Figure 24: Other Performance Measure
HHQM – IU PRA document Version 1.0
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Deviations from Measure Specifications
1.14 Deviations from Measure Specifications
Figure 25: Deviations from Measure Specifications 1
Figure 26: Deviations from Measure Specifications 2
HHQM – IU PRA document Version 1.0
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Optional Measure Stratification
Figure 27: Deviations from Measure Specifications 3
1.15 Optional Measure Stratification
Figure 28: Optional Measure Stratification 1
HHQM – IU PRA document Version 1.0
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Optional Measure Stratification
Figure 29: Optional Measure Stratification 2
Figure 30: Optional Measure Stratification 3
HHQM – IU PRA document Version 1.0
15
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Optional Measure Stratification
Figure 31: Optional Measure Stratification 4
Figure 32: Optional Measure Stratification 5
HHQM – IU PRA document Version 1.0
16
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Optional Measure Stratification
Figure 33: Optional Measure Stratification 6
Figure 34: Optional Measure Stratification 7
HHQM – IU PRA document Version 1.0
17
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Optional Measure Stratification
Figure 35: Optional Measure Stratification 8
Figure 36: Optional Measure Stratification 9
HHQM – IU PRA document Version 1.0
18
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Optional Measure Stratification
Figure 37: Optional Measure Stratification 10
Figure 38: Optional Measure Stratification 11
HHQM – IU PRA document Version 1.0
19
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Optional Measure Stratification
Figure 39: Optional Measure Stratification 12
Figure 40: Optional Measure Stratification 13
HHQM – IU PRA document Version 1.0
20
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Optional Measure Stratification
Figure 41: Optional Measure Stratification 14
Figure 42: Optional Measure Stratification 15
HHQM – IU PRA document Version 1.0
21
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Optional Measure Stratification
Figure 43: Optional Measure Stratification 16
Figure 44: Optional Measure Stratification 17
HHQM – IU PRA document Version 1.0
22
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Optional Measure Stratification
Figure 45: Optional Measure Stratification 18
Figure 46: Optional Measure Stratification 19
HHQM – IU PRA document Version 1.0
23
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Optional Measure Stratification
Figure 47: Optional Measure Stratification 20
Figure 48: Optional Measure Stratification 21
HHQM – IU PRA document Version 1.0
24
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Optional Measure Stratification
Figure 49: Optional Measure Stratification 22
Figure 50: Optional Measure Stratification 23
HHQM – IU PRA document Version 1.0
25
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Optional Measure Stratification
Figure 51: Optional Measure Stratification 24
Figure 52: Optional Measure Stratification 25
HHQM – IU PRA document Version 1.0
26
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Optional Measure Stratification
Figure 53: Optional Measure Stratification 26
Figure 54: Optional Measure Stratification 27
HHQM – IU PRA document Version 1.0
27
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Optional Measure Stratification
Figure 55: Optional Measure Stratification 28
Figure 56: Optional Measure Stratification 29
HHQM – IU PRA document Version 1.0
28
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Final Comments and Report Documents
1.16 Final Comments and Report Documents
Figure 57: Final Comments and Report Documents
1.17 Inpatient Utilization (IU) Path - 2
Figure 58: IU Reporting – No - 1
HHQM – IU PRA document Version 1.0
29
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Inpatient Utilization (IU) Path - 2
Figure 59: IU Reporting – No - 2
HHQM – IU PRA document Version 1.0
30
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Inpatient Utilization (IU) Path - 2
Appendix A: Acronyms
Table 1: Acronyms
Acronym
Literal Translation
HHQM
Health Homes Quality Measure
IU
Inpatient Utilization
PRA
Paper Reduction Act of 1995
HHQM – IU PRA document Version 1.0
31
08/22/2017
Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)
Medicaid and CHIP Program (MACPro)
HHQM-NFU PRA document
Version 1.0
08/22/2017
Document Number: 226-QSSI-MACPro-PRA-HHQM-NFU-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014
CMS XLC
Table of Contents
Table of Contents
1. Health Homes Quality Measures ............................................................................ 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
1.15
1.16
1.17
Nursing Facility Utilization (NFU) - Path 1 ....................................................... 1
Measurement Specification – Path 1 ............................................................... 1
Measurement Specification – Path 2 ............................................................... 2
Date Range ..................................................................................................... 2
Definition of Population Included in the Measure ............................................ 3
Selection of Delivery Systems ......................................................................... 3
Health Home Providers Representation .......................................................... 4
Performance Measure (Checked all age range) Path -1 ................................. 4
Performance Measure (Checked all age range) Path - 2 Option Yes ............. 5
Performance Measure (Checked all age range) Path – 2 Option No .............. 5
Performance Measure (Checked one age range) Path – 3 (Option Yes) ........ 6
Performance Measure (Checked one age range) Path – 3 (Option No) ......... 7
Other Performance Measure ........................................................................... 7
Deviations from Measure Specifications ......................................................... 8
Optional Measure Stratification ..................................................................... 10
Final Comments and Report Documents ...................................................... 12
Nursing Facility Utilization (NFU) – Path 2 .................................................... 13
Appendix A:
Acronyms ....................................................................................... 14
List of Figures
Figure 1: NFU Reporting - Yes ........................................................................................ 1
Figure 2: Measurement Specification 1 ........................................................................... 1
Figure 3: Measurement Specification 2 ........................................................................... 2
Figure 4: Date Range ...................................................................................................... 2
Figure 5: Denominator Representation 1 ........................................................................ 3
Figure 6: Denominator Representation 2 ........................................................................ 3
Figure 7: Denominator Representation 3 ........................................................................ 4
Figure 8: Performance Measure 1 ................................................................................... 4
Figure 9: Performance Measure 2 ................................................................................... 5
Figure 10: Performance Measure 3 ................................................................................. 5
Figure 11: Performance Measure 4 ................................................................................. 6
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List of Tables
Figure 12: Performance Measure 5 ................................................................................. 7
Figure 13: Other Performance Measure .......................................................................... 7
Figure 14: Deviations from Measure Specifications 1 ..................................................... 8
Figure 15: Deviations from Measure Specifications 2 ..................................................... 8
Figure 16: Deviations from Measure Specifications 3 ..................................................... 9
Figure 17: Deviations from Measure Specifications 4 ..................................................... 9
Figure 18: Optional Measure Stratification 1 ................................................................. 10
Figure 19: Optional Measure Stratification 2 ................................................................. 10
Figure 20: Optional Measure Stratification 3 ................................................................. 11
Figure 21: Optional Measure Stratification 4 ................................................................. 11
Figure 22: Optional Measure Stratification 5 ................................................................. 12
Figure 23: Final Comments and Report Documents ..................................................... 12
Figure 24: NFU Reporting – No - 1 ............................................................................... 13
Figure 25: NFU Reporting – No – 2 ............................................................................... 13
List of Tables
Table 1: Acronyms ........................................................................................................ 14
HHQM-NFU PRA document Version 1.0
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Nursing Facility Utilization (NFU) - Path 1
1. Health Homes Quality Measures
1.1
Nursing Facility Utilization (NFU) - Path 1
Figure 1: NFU Reporting - Yes
1.2
Measurement Specification – Path 1
Figure 2: Measurement Specification 1
HHQM-NFU PRA document Version 1.0
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1.3
Measurement Specification – Path 2
Measurement Specification – Path 2
Figure 3: Measurement Specification 2
1.4
Date Range
Figure 4: Date Range
HHQM-NFU PRA document Version 1.0
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1.5
Definition of Population Included in the Measure
Definition of Population Included in the Measure
Figure 5: Denominator Representation 1
1.6
Selection of Delivery Systems
Figure 6: Denominator Representation 2
HHQM-NFU PRA document Version 1.0
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1.7
Health Home Providers Representation
Health Home Providers Representation
Figure 7: Denominator Representation 3
1.8
Performance Measure (Checked all age range) Path -1
Figure 8: Performance Measure 1
HHQM-NFU PRA document Version 1.0
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1.9
Performance Measure (Checked all age range) Path - 2 Option Yes
Performance Measure (Checked all age range) Path - 2 Option Yes
Figure 9: Performance Measure 2
1.10 Performance Measure (Checked all age range) Path – 2 Option No
Figure 10: Performance Measure 3
HHQM-NFU PRA document Version 1.0
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Performance Measure (Checked one age range) Path – 3 (Option Yes)
1.11 Performance Measure (Checked one age range) Path – 3 (Option
Yes)
Figure 11: Performance Measure 4
HHQM-NFU PRA document Version 1.0
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Performance Measure (Checked one age range) Path – 3 (Option No)
1.12 Performance Measure (Checked one age range) Path – 3 (Option
No)
Figure 12: Performance Measure 5
1.13 Other Performance Measure
Figure 13: Other Performance Measure
HHQM-NFU PRA document Version 1.0
7
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Deviations from Measure Specifications
1.14 Deviations from Measure Specifications
Figure 14: Deviations from Measure Specifications 1
Figure 15: Deviations from Measure Specifications 2
HHQM-NFU PRA document Version 1.0
8
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Deviations from Measure Specifications
Figure 16: Deviations from Measure Specifications 3
Figure 17: Deviations from Measure Specifications 4
HHQM-NFU PRA document Version 1.0
9
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Optional Measure Stratification
1.15 Optional Measure Stratification
Figure 18: Optional Measure Stratification 1
Figure 19: Optional Measure Stratification 2
HHQM-NFU PRA document Version 1.0
10
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Optional Measure Stratification
Figure 20: Optional Measure Stratification 3
Figure 21: Optional Measure Stratification 4
HHQM-NFU PRA document Version 1.0
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Final Comments and Report Documents
Figure 22: Optional Measure Stratification 5
1.16 Final Comments and Report Documents
Figure 23: Final Comments and Report Documents
HHQM-NFU PRA document Version 1.0
12
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Nursing Facility Utilization (NFU) – Path 2
1.17 Nursing Facility Utilization (NFU) – Path 2
Figure 24: NFU Reporting – No - 1
Figure 25: NFU Reporting – No – 2
HHQM-NFU PRA document Version 1.0
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Nursing Facility Utilization (NFU) – Path 2
Appendix A: Acronyms
Table 1: Acronyms
Acronym
Literal Translation
HHQM
Health Homes Quality Measure
NFU
Nursing Facility Utilization
PRA
Paper Reduction Act of 1995
HHQM-NFU PRA document Version 1.0
14
08/22/2017
Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)
Medicaid and CHIP Program (MACPro)
HHQM-PCR PRA document
Version 1.0
08/22/2017
Document Number: 173-QSSI-MACPro-PRA-HHQM-PCR-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014
CMS XLC
Table of Contents
Table of Contents
1. Health Homes Quality Measure .............................................................................. 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
1.15
1.16
Plan All-Cause Readmission Rate (PCR) - Path 1 .......................................... 1
Measure Specification - Path 1 ....................................................................... 2
Measurement Specification - Path 2 ............................................................... 2
Date Range ..................................................................................................... 3
Definition of Population Included in the Measure ............................................ 3
Delivery Systems ............................................................................................ 4
Health Home Providers Representation .......................................................... 4
Performance Measure (Checked all age range) Path - 1 ................................ 5
Performance Measure (Checked one age range) Path – 2 ............................. 5
Age Range 65 and older, Path 1 ..................................................................... 6
Age Range 65 and older, Path 2 ..................................................................... 6
Other Performance Measure ........................................................................... 7
Deviations from Measure Specifications ......................................................... 7
Optional Measurement Stratification ............................................................... 8
Final Comments and Report Documents ...................................................... 12
Plan All-Cause Readmission Rate (PCR) – Path 2 ....................................... 12
Appendix A:
Acronyms ....................................................................................... 14
List of Figures
Figure 1: PCR Reporting – Yes ....................................................................................... 1
Figure 2: Measurement Specification 1 ........................................................................... 2
Figure 3: Measurement Specification 2 ........................................................................... 2
Figure 4: Date Range ...................................................................................................... 3
Figure 5: Definition of Population Included in this Measure 1 .......................................... 3
Figure 6: Definition of Population Included in the Measure 2 .......................................... 4
Figure 7: Definition of Population Included in the Measure 3 .......................................... 4
Figure 8: Performance Measure 1 ................................................................................... 5
Figure 9: Performance Measure 2 ................................................................................... 5
Figure 10: Performance Measure 3 ................................................................................. 6
Figure 11: Performance Measure 4 ................................................................................. 6
Figure 12: Other Performance Measure .......................................................................... 7
HHQM-PCR PRA document Version 1.0
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List of Tables
Figure 13: Deviations from Measure Specifications 1 ..................................................... 7
Figure 14: Deviations from Measure Specifications 2 ..................................................... 8
Figure 15: Option Measure Stratification 1 ...................................................................... 8
Figure 16: Option Measure Stratification 2 ...................................................................... 9
Figure 17: Option Measure Stratification 3 ...................................................................... 9
Figure 18: Option Measure Stratification 4 .................................................................... 10
Figure 19: Optional Measure Stratification 5 ................................................................. 10
Figure 20: Optional Measure Stratification 6 ................................................................. 11
Figure 21: Optional Measure Stratification 7 ................................................................. 11
Figure 22: Final Comments and Report Documents ..................................................... 12
Figure 23: PCR Reporting – No - 1 ............................................................................... 12
Figure 24: PCR Reporting – No - 2 ............................................................................... 13
Figure 25: PCR Reporting – No – 3............................................................................... 13
List of Tables
Table 1: Acronyms ........................................................................................................ 14
HHQM-PCR PRA document Version 1.0
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Plan All-Cause Readmission Rate (PCR) - Path 1
1. Health Homes Quality Measure
1.1
Plan All-Cause Readmission Rate (PCR) - Path 1
Figure 1: PCR Reporting – Yes
HHQM-PCR PRA document Version 1.0
1
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1.2
Measure Specification - Path 1
Measure Specification - Path 1
Figure 2: Measurement Specification 1
1.3
Measurement Specification - Path 2
Figure 3: Measurement Specification 2
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1.4
Date Range
Date Range
Figure 4: Date Range
1.5
Definition of Population Included in the Measure
Figure 5: Definition of Population Included in this Measure 1
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1.6
Delivery Systems
Delivery Systems
Figure 6: Definition of Population Included in the Measure 2
1.7
Health Home Providers Representation
Figure 7: Definition of Population Included in the Measure 3
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1.8
Performance Measure (Checked all age range) Path - 1
Performance Measure (Checked all age range) Path - 1
Figure 8: Performance Measure 1
1.9
Performance Measure (Checked one age range) Path – 2
Figure 9: Performance Measure 2
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Age Range 65 and older, Path 1
1.10 Age Range 65 and older, Path 1
Figure 10: Performance Measure 3
1.11 Age Range 65 and older, Path 2
Figure 11: Performance Measure 4
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Other Performance Measure
1.12 Other Performance Measure
Figure 12: Other Performance Measure
1.13 Deviations from Measure Specifications
Figure 13: Deviations from Measure Specifications 1
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Optional Measurement Stratification
Figure 14: Deviations from Measure Specifications 2
1.14 Optional Measurement Stratification
Figure 15: Option Measure Stratification 1
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Optional Measurement Stratification
Figure 16: Option Measure Stratification 2
Figure 17: Option Measure Stratification 3
HHQM-PCR PRA document Version 1.0
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Optional Measurement Stratification
Figure 18: Option Measure Stratification 4
Figure 19: Optional Measure Stratification 5
HHQM-PCR PRA document Version 1.0
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Optional Measurement Stratification
Figure 20: Optional Measure Stratification 6
Figure 21: Optional Measure Stratification 7
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Final Comments and Report Documents
1.15 Final Comments and Report Documents
Figure 22: Final Comments and Report Documents
1.16 Plan All-Cause Readmission Rate (PCR) – Path 2
Figure 23: PCR Reporting – No - 1
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Plan All-Cause Readmission Rate (PCR) – Path 2
Figure 24: PCR Reporting – No - 2
Figure 25: PCR Reporting – No – 3
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Plan All-Cause Readmission Rate (PCR) – Path 2
Appendix A: Acronyms
Table 1: Acronyms
Acronym
Literal Translation
HHQM
Health Homes Quality Measure
PCR
Plan All-Cause Readmission Rate
PRA
Paper Reduction Act of 1995
HHQM-PCR PRA document Version 1.0
14
08/22/2017
Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)
Medicaid and CHIP Program (MACPro)
HHQM-PQI92 PRA document
Version 1.0
08/22/2017
Document Number: 223-QSSI-MACPro-PRA-HHQM-PQ192-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014
CMS XLC
Table of Contents
Table of Contents
1. Health Homes Quality Measures ............................................................................ 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
1.15
1.16
1.17
Preventive Quality Chronic Composite (PQI92) - Path 1 ................................. 1
Measurement Specification – Path 1 ............................................................... 1
Measurement Specification – Path 2 ............................................................... 2
Date Range ..................................................................................................... 2
Definition of Population Included in the Measure ............................................ 3
Selection of Delivery Systems ......................................................................... 3
Health Home Providers Representation .......................................................... 4
Performance Measure (Checked all age range) Path -1 ................................. 4
Performance Measure (Checked all age range) Path - 2 Option Yes ............. 5
Performance Measure (Checked all age range) Path – 2 Option No .............. 5
Performance Measure (Checked one age range) Path – 3 (Option Yes) ........ 6
Performance Measure (Checked one age range) Path – 3 (Option No) ......... 7
Other Performance Measure ........................................................................... 7
Deviations from Measure Specifications ......................................................... 8
Optional Measure Stratification ....................................................................... 9
Final Comments and Report Documents ...................................................... 12
Prevention Quality Chronic Composite (PQI92) – Path 2 .............................. 12
Appendix A:
Acronyms ....................................................................................... 14
List of Figures
Figure 1: PQI92 Reporting - Yes ..................................................................................... 1
Figure 2: Measurement Specification 1 ........................................................................... 1
Figure 3: Measurement Specification 1 ........................................................................... 2
Figure 4: Date Range ...................................................................................................... 2
Figure 5: Denominator Representation 1 ........................................................................ 3
Figure 6: Denominator Representation 2 ........................................................................ 3
Figure 7: Denominator Representation 3 ........................................................................ 4
Figure 8: Performance Measure 1 ................................................................................... 4
Figure 9: Performance Measure 2 ................................................................................... 5
Figure 10: Performance Measure 3 ................................................................................. 5
Figure 11: Performance Measure 4 ................................................................................. 6
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List of Tables
Figure 12: Performance Measure 5 ................................................................................. 7
Figure 13: Other Performance Measure .......................................................................... 7
Figure 14: Deviations from Measure Specifications 1 ..................................................... 8
Figure 15: Deviations from Measure Specifications 2 ..................................................... 8
Figure 16: Deviations from Measure Specifications 3 ..................................................... 9
Figure 17: Optional Measure Stratification 1 ................................................................... 9
Figure 18: Optional Measure Stratification 2 ................................................................. 10
Figure 19: Optional Measure Stratification 3 ................................................................. 10
Figure 20: Optional Measure Stratification 4 ................................................................. 11
Figure 21: Optional Measure Stratification 5 ................................................................. 11
Figure 22: Final Comments and Report Documents ..................................................... 12
Figure 23: PQI92 Reporting – No - 1 ............................................................................. 12
Figure 24: PQI92 Reporting – No - 2 ............................................................................. 13
List of Tables
Table 1: Acronyms ........................................................................................................ 14
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Preventive Quality Chronic Composite (PQI92) - Path 1
1. Health Homes Quality Measures
1.1
Preventive Quality Chronic Composite (PQI92) - Path 1
Figure 1: PQI92 Reporting - Yes
1.2
Measurement Specification – Path 1
Figure 2: Measurement Specification 1
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1.3
Measurement Specification – Path 2
Measurement Specification – Path 2
Figure 3: Measurement Specification 1
1.4
Date Range
Figure 4: Date Range
HHQM-PQI92 PRA document Version 1.0
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1.5
Definition of Population Included in the Measure
Definition of Population Included in the Measure
Figure 5: Denominator Representation 1
1.6
Selection of Delivery Systems
Figure 6: Denominator Representation 2
HHQM-PQI92 PRA document Version 1.0
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1.7
Health Home Providers Representation
Health Home Providers Representation
Figure 7: Denominator Representation 3
1.8
Performance Measure (Checked all age range) Path -1
Figure 8: Performance Measure 1
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1.9
Performance Measure (Checked all age range) Path - 2 Option Yes
Performance Measure (Checked all age range) Path - 2 Option Yes
Figure 9: Performance Measure 2
1.10 Performance Measure (Checked all age range) Path – 2 Option No
Figure 10: Performance Measure 3
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Performance Measure (Checked one age range) Path – 3 (Option Yes)
1.11 Performance Measure (Checked one age range) Path – 3 (Option
Yes)
Figure 11: Performance Measure 4
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Performance Measure (Checked one age range) Path – 3 (Option No)
1.12 Performance Measure (Checked one age range) Path – 3 (Option
No)
Figure 12: Performance Measure 5
1.13 Other Performance Measure
Figure 13: Other Performance Measure
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Deviations from Measure Specifications
1.14 Deviations from Measure Specifications
Figure 14: Deviations from Measure Specifications 1
Figure 15: Deviations from Measure Specifications 2
HHQM-PQI92 PRA document Version 1.0
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Optional Measure Stratification
Figure 16: Deviations from Measure Specifications 3
1.15 Optional Measure Stratification
Figure 17: Optional Measure Stratification 1
HHQM-PQI92 PRA document Version 1.0
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Optional Measure Stratification
Figure 18: Optional Measure Stratification 2
Figure 19: Optional Measure Stratification 3
HHQM-PQI92 PRA document Version 1.0
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Optional Measure Stratification
Figure 20: Optional Measure Stratification 4
Figure 21: Optional Measure Stratification 5
HHQM-PQI92 PRA document Version 1.0
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Final Comments and Report Documents
1.16 Final Comments and Report Documents
Figure 22: Final Comments and Report Documents
1.17 Prevention Quality Chronic Composite (PQI92) – Path 2
Figure 23: PQI92 Reporting – No - 1
HHQM-PQI92 PRA document Version 1.0
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Prevention Quality Chronic Composite (PQI92) – Path 2
Figure 24: PQI92 Reporting – No - 2
HHQM-PQI92 PRA document Version 1.0
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Prevention Quality Chronic Composite (PQI92) – Path 2
Appendix A: Acronyms
Table 1: Acronyms
Acronym
Literal Translation
HHQM
Health Homes Quality Measure
PQI92
Preventive Quality Chronic Composite
PRA
Paper Reduction Act of 1995
HHQM-PQI92 PRA document Version 1.0
14
08/22/2017
Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)
Medicaid and CHIP Program (MACPro)
HHQM – Health Homes State-Specific Measures
PRA document
Version 1.0
08/22/2017
Document Number: 230-QSSI-MACPro-PRA-HHQM-SSGM-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014
CMS XLC
Table of Contents
Table of Contents
1. Health Homes Quality Measure .............................................................................. 1
1.1
1.2
1.3
1.4
1.5
Health Homes State-Specific Goals and Measures ........................................ 1
Related Measures ........................................................................................... 1
Performance Measure Path 1 ......................................................................... 2
Performance Measure Path 2 ......................................................................... 2
Final Comments and Upload Documents ........................................................ 3
Appendix A:
Acronyms ......................................................................................... 4
List of Figures
Figure 1: Goals ................................................................................................................ 1
Figure 2: Related Measures ............................................................................................ 1
Figure 3: Performance Measure 1 ................................................................................... 2
Figure 4: Performance Measure 2 ................................................................................... 2
Figure 5: Final Comments and Upload Documents ......................................................... 3
List of Tables
Table 1: Acronyms .......................................................................................................... 4
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Health Homes State-Specific Goals and Measures
1. Health Homes Quality Measure
1.1
Health Homes State-Specific Goals and Measures
Figure 1: Goals
1.2
Related Measures
Figure 2: Related Measures
HHQM – Health Homes State-Specific Measures PRA document Version 1.0
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1.3
Performance Measure Path 1
Performance Measure Path 1
Figure 3: Performance Measure 1
1.4
Performance Measure Path 2
Figure 4: Performance Measure 2
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1.5
Final Comments and Upload Documents
Final Comments and Upload Documents
Figure 5: Final Comments and Upload Documents
HHQM – Health Homes State-Specific Measures PRA document Version 1.0
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Final Comments and Upload Documents
Appendix A: Acronyms
Table 1: Acronyms
Acronym
Literal Translation
HHQM
Health Homes Quality Measure
PRA
Paper Reduction Act of 1995
HHQM – Health Homes State-Specific Measures PRA document Version 1.0
4
08/22/2017
Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)
Medicaid and CHIP Program (MACPro)
HHQM - Hybrid Data Source PRA document
Version 1.0
08/21/2017
Document Number: 202-QSSI-MACPro-PRA-HHQM-HH4b-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014
CMS XLC
Table of Contents
Table of Contents
1. Data Source .............................................................................................................. 1
1.1
Hybrid Data Source Screen............................................................................. 1
Appendix A:
Acronyms ......................................................................................... 2
List of Figures
Figure 1: Hybrid Data ...................................................................................................... 1
List of Tables
Table 1: Acronyms .......................................................................................................... 2
HHQM - Hybrid Data Source PRA document Version 1.0
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Hybrid Data Source Screen
1. Data Source
1.1
Hybrid Data Source Screen
Figure 1: Hybrid Data
HHQM - Hybrid Data Source PRA document Version 1.0
1
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Hybrid Data Source Screen
Appendix A: Acronyms
Table 1: Acronyms
Acronym
Literal Translation
HHQM
Health Homes Quality Measure
PRA
Paper Reduction Act of 1995
HHQM - Hybrid Data Source PRA document Version 1.0
2
08/21/2017
Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)
Medicaid and CHIP Program (MACPro)
HHQM - Hybrid/EHR PRA document
Version 1.0
08/21/2017
Document Number: 203-QSSI-MACPro-PRA-HHQM-HH4d-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014
CMS XLC
Table of Contents
Table of Contents
1. Data Source .............................................................................................................. 1
1.1
Hybrid and/or EHR Screen .............................................................................. 1
Appendix A:
Acronyms ......................................................................................... 2
List of Figures
Figure 1: Hybrid and/or EHR ........................................................................................... 1
List of Tables
Table 1: Acronyms .......................................................................................................... 2
HHQM - Hybrid/EHR PRA document Version 1.0
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Hybrid and/or EHR Screen
1. Data Source
1.1
Hybrid and/or EHR Screen
Figure 1: Hybrid and/or HER
HHQM - Hybrid/EHR PRA document Version 1.0
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Hybrid and/or EHR Screen
Appendix A: Acronyms
Table 1: Acronyms
Acronym
Literal Translation
HHQM
Health Homes Quality Measure
PRA
Paper Reduction Act of 1995
HHQM - Hybrid/EHR PRA document Version 1.0
2
08/21/2017
Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)
Medicaid and CHIP Program (MACPro)
HHQM - If Data Not Reported PRA document
Version 1.0
08/21/2017
Document Number: 196-QSSI-MACPro-PRA-HHQM-HH2-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014
CMS XLC
Table of Contents
Table of Contents
1. Administrative Questions and Cost Saving Data .................................................. 1
1.1
If Data not Reported Screen............................................................................ 1
Appendix A:
Acronyms ......................................................................................... 2
List of Figures
Figure 1: If Data not Reported ......................................................................................... 1
List of Tables
Table 1: Acronyms .......................................................................................................... 2
HHQM - If Data Not Reported PRA document Version 1.0
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If Data not Reported Screen
1. Administrative Questions and Cost Saving Data
1.1
If Data not Reported Screen
Figure 1: If Data not Reported
HHQM - If Data Not Reported PRA document Version 1.0
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If Data not Reported Screen
Appendix A: Acronyms
Table 1: Acronyms
Acronym
Literal Translation
HHQM
Health Homes Quality Measure
PRA
Paper Reduction Act of 1995
HHQM - If Data Not Reported PRA document Version 1.0
2
08/21/2017
Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)
Medicaid and CHIP Program (MACPro)
HHQM - Technical Assistance PRA document
Version 1.0
08/21/2017
Document Number: 199-QSSI-MACPro-PRA-HHQM-HH3-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014
CMS XLC
Table of Contents
Table of Contents
1. HH3 Technical Assistance ...................................................................................... 1
1.1
1.2
Technical Assistance Request Screen – Path 1.............................................. 1
Technical Assistance Request Screen – Path 2.............................................. 2
Appendix A:
Acronyms ......................................................................................... 3
List of Figures
Figure 1: TA Request 1 ................................................................................................... 1
Figure 2: TA Request 2 ................................................................................................... 2
Figure 3: TA Request 3 ................................................................................................... 2
List of Tables
Table 1: Acronyms .......................................................................................................... 3
HHQM - Technical Assistance PRA document Version 1.0
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Technical Assistance Request Screen – Path 1
1. HH3 Technical Assistance
1.1
Technical Assistance Request Screen – Path 1
Figure 1: TA Request 1
HHQM - Technical Assistance PRA document Version 1.0
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Technical Assistance Request Screen – Path 2
Figure 2: TA Request 2
1.2
Technical Assistance Request Screen – Path 2
Figure 3: TA Request 3
HHQM - Technical Assistance PRA document Version 1.0
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Technical Assistance Request Screen – Path 2
Appendix A: Acronyms
Table 1: Acronyms
Acronym
Literal Translation
HHQM
Health Homes Quality Measure
PRA
Paper Reduction Act of 1995
HHQM - Technical Assistance PRA document Version 1.0
3
08/21/2017
Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)
Medicaid and CHIP Program (MACPro)
HHQM - Combined Rate(s) PRA document
Version 1.0
08/21/2017
Document Number: 204-QSSI-MACPro-PRA-HHQM-HH5a-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014
CMS XLC
Table of Contents
Table of Contents
1. Health Homes Quality Measures ............................................................................ 1
1.1
HH5a- Combined Rate(s) from Multiple Reporting Units Screen .................... 1
Appendix A:
Acronyms ......................................................................................... 2
List of Figures
Figure 1: Combined Rate(s) from Multiple Reporting Units ............................................. 1
List of Tables
Table 1: Acronyms .......................................................................................................... 2
HHQM - Combined Rate(s) PRA document Version 1.0
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HH5a- Combined Rate(s) from Multiple Reporting Units Screen
1. Health Homes Quality Measures
1.1
HH5a- Combined Rate(s) from Multiple Reporting Units Screen
Figure 1: Combined Rate(s) from Multiple Reporting Units
HHQM - Combined Rate(s) PRA document Version 1.0
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HH5a- Combined Rate(s) from Multiple Reporting Units Screen
Appendix A: Acronyms
Table 1: Acronyms
Acronym
Literal Translation
HHQM
Health Homes Quality Measure
PRA
Paper Reduction Act of 1995
HHQM - Combined Rate(s) PRA document Version 1.0
2
08/21/2017
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| File Modified | 2019-08-30 |
| File Created | 2019-08-30 |