Wentworth-Douglass Hospital has been named among the best hospitals in the United States for the third straight year, according to Newsweek's 2023 "World's Best Hospitals" rankings published today. Data Source: The Centers for Medicare and Medicaid Services and Johns collection and reporting for collaboratives, insurers, and 20 0 obj Note however that the calculation may yield a non-whole number and gestational age should be rounded off to the nearest completed week. Using the quarterly sampling table for for the Exclusive Breast Milk Feeding measure, the sample size required is 20% of this sub-population or 70 cases for the quarter . However, very few hospitals chose to adopt the measures because, the measures were optional. Participants will be able to verbalize changes and updates to Joint Commission Maternal core measures, PC-02 and PC-06 standards, reporting and documentation. Perinatal Core Measure PC-05 Exclusive Breastmilk Feeding As of January 1, 2014, The Joint Commission's Perinatal Care core measure set became mandatory for all hospitals with 1100 or more births per year. The endorsed measures include those previously endorsed by NQF and newly submitted measures for initial endorsement. This version of the eCQM uses QDM version 5.6. Because cesarean sections are not This field is for validation purposes and should be left unchanged. Note: Hospitals are encouraged to utilize a data source that reduces unnecessary medical record review e.g., using vital records, delivery logs or clinical information systems as a data source. NQF# 0471 NTSV Cesarean Birth (now managed by The Joint Commission as PC-02) Only one birth weight value should be recorded. Strikethrough text highlighted in red indicates information changed from the previous version. Building on a pilot version used by more than 100 hospitals since 2017, the Perinatal Quality Dashboard is the industry's only integrated analytics dashboard that aggregates and benchmarks more than 80 measures to help providers drill into patient-level detail, including payer mix and risk factors for COVID-19 maternal patients. hN0dl6BR!b0SVdl RdrgLM}*MIhI5-@I BO!N("(IAMHl"Ua"f:'JFQ;c{,m~%?e- 1uP A hospital's Mother Population size is 125 cases during March. All Records, Calculation, Used in calculation of the Joint Commission's aggregate data. Note: District of Columbia state average not available for the cesarean >> The Joint Commission tracks compliance with core measures and each year recognizes the top performing hospitals for key quality metrics. Eligible Hospital / Critical Access Hospital eCQMs, FHIR - Fast Healthcare Interoperability Resources, QRDA - Quality Reporting Document Architecture, Inpatient hospitalizations for newborns who were with any of the following conditions: /Rect [375.0629882812 365.2290039062 500.141998291 349.7850036621] /Border [0 0 0] = AU?U m!p\;4TPC[H < kIO!0Q)tji Oc2Pe` i)[ XAbRPp&p endobj Our comparative Quarterly Report, Perinatal Dashboard and special analyses help member hospitals identify and appropriately focus their quality improvement initiatives and resources. Core measures are national standardized processes and best practices to improve patient care. Patients in the newborn population always run against the Unexpected Complication in Term Newborns measure and they may run against Exclusive Breast Milk Feeding measure if sampled. These perinatal measures are a welcome addition to the NQF portfolio, said Laura Riley, MD, medical director of labor and delivery at Massachusetts General Hospital and co-chair of the Perinatal and Reproductive Health Endorsement Maintenance Steering Committee. Text highlighted in green indicates information updated in the new eCQM version. She was awarded the 2015 Moran Medal in statistics from the Australian Academy of Science in recognition of her work on developing methods for molecular data arising in cutting edge biomedical research. HtV]oF|'/B%[Au+6yDKH}GZ@-=_^/^R!_R^IZs?{]zKo}#k2rl]W.?Ux~?I??Hns]UZk2l'e eC0(Zp^'7C-9(*0""#/T,0 |'j)W.?Y,>x?r m}\, Disclaimer of Warranties and Liabilities. /Length 53 0 R Updated version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-5.0.000). Several years ago, our hospital was not meeting a best practice recommended by the American Heart Association. >> Masks are required inside all of our care facilities. U.S. hospitals must report their compliance with these core measures to The Joint Commission, a health care accreditation organization, the Centers for Medicare and Medicaid Services and other agencies. performance on the measure across the larger patient population. /Type /Catalog Copyright /ModDate () In cases where there is conflicting data, use the document recording the birth weight closest to the time of delivery. HMO corresponds to All LOBs (excluding PPO and EPO) within Quality Compass. Our team presented these findings to our medications committee, whose support was helpful in educating our doctors on how to change their practice. This core set contains several measures NQF endorsed at the facility or health plan level as noted below; core set users should ensure adequate measure denominator size based on their patient population. As a stroke compliance specialist, Meta Phillips, R.N., advocates for a personal touch when reviewing patient charts to help improve processes and patient care. Patients admitted to the hospital for inpatient acute care are included in the PC Newborn Initial population if they have: A Patient Age (Admission Date Birthdate) <= 1 day and ICD-10-CM Principal or Other Diagnosis Codes as defined in Appendix A, Table 11.20.1 Single Liveborn Newborn. A hospital's Mother Population size is 72 cases during the second quarter. Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. Since then, the measure has undergone modifications, requiring hospitals to make . Custom Analytic Interactive Reporting Network. The AHRQ Quality Indicators (Qis) comprise four measure areas: inpatient, prevention, patient safety, and pediatric care. RRKd*k2 O! 10 0 obj Figures do not account for changes in the underlying measure that could break trending. The study was carried out with the following aims: 1) to assess the quality of perinatal care (PC) by measuring the frequencies of the five PC indicators developed by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and comparing results with . Patients and families should become familiar with the core measures and talk to their health care team if they have any questions or concerns. Learn about the priorities that drive us and how we are helping propel health care forward. PPO corresponds to PPO and EPO within Quality Compass. This measure is part of a set of five nationally implemented measures by The Joint Commission that address perinatal care (PC-01: Elective Delivery, PC-02: Cesarean Birth, PC-03: Antenatal Steroids, PC-04: Health Care-Associated Bloodstream Infections in Newborns, PC-05: Exclusive Breast Milk Feeding). /Tabs /W endobj The Joint Commission and the Centers for Medicare and Medicaid Services periodically redefine the core measures based on the latest evidence and nationwide hospital performance. The best practice included using high levels of cholesterol-lowering medications to treat stroke patients. While a number of these measures are voluntarily reported as part of Download Citation | Assessing the neonatal health policy landscape in low- and middle-income countries: Findings from the 2018 WHO SRMNCAH policy survey | Background: We aimed to describe the . section leads to better outcomes for the mother or newborn than admitted to the Neonatal Intensive Care Unit (NICU) >> 8th ed. ACOG Committee Opinion No. A hospital's Mother Population size is 510 cases during March. (2017). NQF# 0480 Exclusive Breast Milk Feeding, also in electronic measure as 0480e (now managed by The Joint Commission as PC-05). based on a sample of patients and may not reflect the hospitals overall For over 30 years, NPIC has worked with hospitals, patient safety organizations, insurers and researchers to collect and interpret the data that drives better outcomes for mothers and newborns. /Rect [80 323.2290039062 136.4620056152 307.7850036621] We use cookies to improve your experience and analyze our website traffic. /H /N Our team shares information every day and talks about ways to address problems both large and small. Peers from across Johns Hopkins Medicine hospitals developed 40 core measure work groups, each focused on improving a specific set of core measures. calendar year numbers publicly available on the Centers for Medicare and endobj Information on Joint Commission Requirements. Hospitals that choose to sample have the option of sampling quarterly or sampling monthly. NQF # **National Goal Benchmark Source: The United States Department of Health a-J&NzNrSCyc|og,jJzJ#6 g)v, ]5jF[7o5iYHP5LFs TBC sB(uZ5F? c Be\?g= t1/;_K'MGwF7Ph}VZMk.42`Ulm6FaekMy9`OtxHp PVn9 '{9BympOo{x~t:]Xc,O_4_ 5z The core measure work groups allowed hospitals to share best practices and lessons learned and improve internal processes to increase core measure compliance. /Contents 33 0 R /P 10 0 R These processes are proven to reduce complications and lead to better patient outcomes. A hospital may choose to use vital records to identify the PC-Mother Initial Patient Population as given in the Population section earlier. The Joint Commission reserves the right to change the content of the information as appropriate.. Any party may request reconsideration of any of the 14 endorsed quality measures listed below by submitting an appeal no later than May 3 (to submit an appeal, go to the NQF Measure Database). What does this measure mean for quality of care?Breast-feeding provides the best nutrition and health Importantly, this metric also serves as a balancing measure for other maternal mea-sures such as NTSV (Nulliparous, Term, Singleton, Vertex) cesarean rates and early elective delivery rates. /CropBox [0 0 612 792] "The National Database of Nursing Quality Indicators (NDNQI) is a proprietary database of the American Nurses Association. Using the quarterly sampling table for the Exclusive Breast Milk Feeding measure, the sample size required 27 cases for the quarter. See how Johns Hopkins Medicine prioritizes safety during the COVID-19 pandemic. and Human Services' Healthy People 2020 goal. The National Quality Forum. The goal of prenatal care is the birth of a healthy child with minimal risk for the mother. These findings prompted us to evaluate our compliance not only with the Perinatal Core Measures (which was 100% for patients less than 34 weeks), but also with the evolving recommendations. Our mission is to end preventable morbidity, mortality and racial disparities in California maternity care. Get more information about cookies and how you can refuse them by clicking on the learn more button below. No national benchmarking systems existed for gathering or comparing institutional data. A hospital's PC-Newborn Population size is 99 cases during the second quarter. Birth weight 3000 grams or more is a proxy to capture term newborns without gestational age recorded in EHR system. )YQDF: X9:O4Lal4)#p /EKk= One commenter. The responsibility for the content of this product is with The Joint Commission, and no endorsement by the AMA is intended or implied. Response: Please note that electronic clinical quality measures are not sampled. They provide a snapshot of how health is influenced by where we live, learn, work, and play. What does this measure mean for quality of care?There is no data to suggest that having an elective cesarean transferred to an acute care facility, or other health care facility Specific steps for each condition vary, but examples include providing preventative medication to patients at risk for developing blood clots or determining rehabilitation needs for a stroke patient. Using the quarterly sampling table for the Exclusive Breast Milk Feeding measure, the sample size is less than the minimum required quarterly sample size, so 100% of this sub-population or all 25 cases are sampled. Added text to indicate whether the measure is patient-based or episode-based. << Connected Reviewing these best practices requires a team effort. Results - National Averages Timeliness of Prenatal Care Postpartum Care This State of Healthcare Quality Report classifies health plans differently than NCQA's Quality Compass. /Type /Annot /Parent 4 0 R PC-05 Exclusive breast milk feeding during the newborn's entire hospitalization. Only one birth weight value should be recorded. /Subtype /Link Electronic Clinical Quality Measures (eCQMs) for Accreditation Chart Abstracted Measures for Accreditation Electronic Clinical Quality Measures (eCQMs) for Certification Specific steps for each condition vary, but examples include providing preventative medication to patients at risk for developing blood clots or determining rehabilitation needs for a stroke patient. was introduced in Q4 2018. The purpose of a balancing measure to is guard against any unanticipated or unintended consequences of quality improvement activities for these measures. 'RelevantDatetime' indicates when the action occurred whereas 'authorDatetime' indicates when the action was recorded. The Joint Commissions Advanced Perinatal Care Certification requires the use of this set of standardized performance measures in order to meet the performance measurement requirements for certification. /Rotate 0 a diagnosis of galactosemia A hospital's Mother Population size is 20 cases during March. One measure is exclusive breast milk feeding. *8XB3+{eI]+(#5Ew){3H << << The measure is reported as an overall rate which includes all newborns that were exclusively fed breast milk during the entire hospitalization. /Subtype /Widget Public lists NHS workforce in England [January 2023] Transgender health [September 2022] Weekly additions - 2023-02-26 Financial pressures in the NHS in England [January 2023] Introduction to the NHS in England [February 2023] Devolved National Health Service : the NHS in England, Northern Ireland, Scotland and Wales [March 2022] Adult social . << endstream z eHrtBZ%0e f/SFjM~%)pQ In fact only 160 hospitalsout of thousandsvoluntarily adopted the perinatal core measures. /ArtBox [0 0 612 792] Moved the criteria of length of stay (LOS), diagnosis of galactosemia and subject to parenteral nutrition from initial population to denominator exclusions. << One commenter. 19 0 obj << A hospital's PC-Newborn Population size is 200 cases for the month of March. We would urge patients to consider more recent performance in combination with historical performance. << (2018). /Filter /FlateDecode Warning: Creating default object from empty value in /homepages/17/d4294970467/htdocs/morpheus/wp-content/themes/virtue/themeoptions/inc/class.redux_filesystem.php on . >> Read more. . /Subtype /XML Custom Analytic Interactive Reporting Network, Discuss the Perinatal Care (PC) measures updates, Describe the Perinatal Care (PC) measures, key data elements and recent revisions to the measures, Identify some of the resources available for improving perinatal care. CPT is provided as is without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. This measure tracks the number of term singleton newborns /Producer () >> Core measures are national standards of care and treatment processes for common conditions. By reviewing our patients charts, we can immediately identify what is working and where we can improve. /Type /Page /Resources 35 0 R Our Stroke Program team is small and communicates well. Core member of the Edinburgh Imaging research capability. /H /P The following sample size tables for each option automatically build in the number of cases needed to obtain the required sample sizes. Patients are tested for MRSA bloodstream infections if they show signs of illness while in the hospital. CMS9v9. A hospital's Mother Population size is 300 cases during the second quarter. Contact Information Products viamy.ncqa.orgfor analysis that accounts for trend breaks. A8.-Fb$)" N0(V#B0H$i5H CZeHf;I#1'?DR1 I$~#6 endobj Perinatal Care (PC-01) Measure Hospitals participating in the IQR Program are required to complete the web-based measure questions quarterly. Report on Quality and Safety 2013 Measure Number Measure Name 2012 Rate Perinatal Care Composite 57.6% PC-01 Elective Delivery 8.2% PC-02 Cesarean Section* 26.3% General comments . Revised the initial population and denominator exclusions to align with eCQM PC-06, Unexpected Complications in Term Newborns. Stay up to date with all the latest Joint Commission news, blog posts, webinars, and communications. Please refer to the QDM page for more information on the QDM. Patients may benefit from discussing with their healthcare provider the disruptions COVID-19 may have caused on quality and safety of care. The measure is reported as an overall rate which includes all newborns that were exclusively fed breast milk during the entire hospitalization. Postpartum visits provide an opportunity to address: Prenatal and Postpartum Care: Postpartum Care | Medicaid Skip to main content /Type /Annot PPO corresponds to PPO and EPO within Quality Compass. We are vaccinating all eligible patients. /FT /Btn /I 40 0 R When data is translated into useful information, the opportunity to transform quantitative data into qualitative improvements becomes a reality. /Type /Annot You can also ask your health care provider how you can prepare for surgery or other procedures to reduce your risk of complications. endobj For PC-05, Reference Date is the Birth Date. The core measures reflect how well our hospital follows the best practices of care for stroke patients. To provide a benchmark of local health department effectiveness in addressing the core functions and to assess implications for achieving the year 2000 target, a random national sample (stratified by jurisdiction and population base) of local health departments was surveyed to determine self-reported compliance with 10 public health practice . No data is available because Suburban Hospital currently does not Our team is always trying to make our hospitals processes better to provide the safest care for our patients.. EMPOWERED The Joint Commission, Chris Walas, RN, MSN, and Melissa Potts, RN, BSN, CCDS, CDIP. By using this site, you agree to our use of cookies. This is currently a pay for reporting PRIME measure, and the Q1 2019 Vizient benchmark is 4%; ZS . 39 weeks of gestation. Perinatal Care measures focuses on achieving integrated, coordinated, patient-centered care for clinically uncomplicated pregnancies and births. A woman's 'contact' with her antenatal care provider should be more than a simple 'visit' but rather the provision of care and support throughout pregnancy. connection among participants to achieve project goals. /Title () 12 0 obj endobj ANA has developed high-impact patient safety measures, with more than two decades of evidence that higher staffing levels are associated with lower rates of patient death and harm. The AMA does not directly or indirectly practice medicine or dispense medical services. << Core Curriculum for Neonatal Intensive Care Nursing - E-Book Lippincott Williams & Wilkins More children born today will survive to adulthood than at any time in history. /Resources 29 0 R endobj endstream endobj 308 0 obj <>stream In my experience, good communication is critical to meeting the core measures. >> /Thumb 36 0 R We use cookies to improve your experience and analyze our website traffic. Learn about the development and implementation of standardized performance measures. Building U.S. Capacity to Review and Prevent Maternal Deaths. Washington, DC the National Quality Forum (NQF) Board of Directors has approved for endorsement 14 quality measures on perinatal care. Poster Presentation Purpose for the Program In 2010, the Joint Commission developed perinatal core measures. Nearly all focus on prenatal services received during the last trimester of pregnancy through hospital discharge for both mother and newborn. hQJ@4mEKHFd-wZkwQ#&p#`ZX94![k@IV, LF7P{(WJH*5#u&){+*ro2*>92Ax'78q/>IF0~*n`JFcx9m/wu"kLW!4IX4uT!+hex|qzp+xjt lr$hSkZ8-4Io |F"X[H 9 G/GqY%]#_$~H"8@ii6T%)`oZ# )F7i'g U@14x?%oH&GsvJg3JC and the National Perinatal Information Center in addition to expert clinical faculty from a variety of organizations. << We help you measure, assess and improve your performance. 4 0 obj QDM v5.5 standards update: Added 'relevantDatetime' attribute to QDM datatypes. There are no data that higher rates improve any outcomes, yet the CB rates continue to rise. /A 43 0 R Within the PC-Newborn population, there are two baby measures, Exclusive Breast Milk Feeding and Unexpected Complications in Term Newborns. by Purpose. /Helv 38 0 R Although cesarean births can be lifesaving and medically needed, the rapid rise and the extreme hospital variation suggests that "grey-zone" indications seem to be driving much of these trends . The Perinatal and Women's Health Standing Committee oversees NQF's perinatal and women's health measures. /Length 8 0 R The effort to make hospitals' sepsis care public follows the introduction of CMS's hospital reporting on Core Measure SEP-1: Early Management Bundle, Severe Sepsis/Septic Shockin its Inpatient Quality Reporting program, which began in October 2015. researchers. Retrieved from http://reviewtoaction.org/Report_from_Nine_MMRCs. A hospital's Mother Population size is 400 cases during March. Chart Abstracted Measures for Certification. /Group 34 0 R PQC members identify health care processes that need to be improved and use the best available methods to make changes as quickly as possible. This will be reported as the percentage of infants with unexpected newborn . outcomes for a newborn. The Inpatient Web-based Measure, Elective Delivery, documents the number of patients with elective vaginal deliveries or elective Cesarean sections at greater than or equal to (>=) 37 and less than (<) 39 . The ongoing evaluation and updating of endorsed measures ensures the currency and relevance of NQFs perinatal care portfolio. Click on the link(s) below to access measure specific resources: The Joint Commission is a registered trademark of the Joint Commission enterprise. American College of Obstetricians and Gynecologists (ACOG). stated that this measure would only be useful if it's not sampled. Perinatal Care measures focuses on achieving integrated, coordinated, patient-centered care for clinically uncomplicated pregnancies and births. :K(bX1)6 iNwu+f>J+}~^%1rQX;J/oP1|cMvjSdVE-nE+TS]Pi Q8c0]&DSr+Ku2PImgkEG/]h /F 4 QDM v5.5 standards update: Modified 'Encounter, Performed' diagnosis attribute to reference diagnosis codes in value sets specified in the logic. 1 0 obj Guidelines for perinatal care. CMS eCQM ID. Added text to identify the Quality Data Model (QDM)version used in themeasure specification. where Reference Date is the date on which you are trying to determine gestational age. Pr]< OZq_(yO 5gUfjE\VS,Fw- 9[)_6DX{}n9Iw6 /S /Named endobj /Type /Action endobj % 16 0 obj Measures in this portfolio address reproductive health; pregnancy, labor, and delivery; high-risk pregnancy; newborns; postpartum care; and premature or low birthweight neonates. process and established selection principles. The American Medical Association does not agree to license CPT to the Federal Government based on the license in FAR 52.227-14 (Data Rights - General) and DFARS 252.227-7015 (Technical Data - Commercial Items) or any other license provision. PC-05 Exclusive breast milk feeding during the newborn's entire hospitalization. Patients and families can use core measure performance to objectively compare hospitals locally or nationally. Perinatal Care (PC) Core Measures: Updates for Fall, 2021. License to use CPT for any use not authorized herein must be obtained through the American Medical Association, Intellectual Property Services, AMA Plaza, 330 North Wabash Avenue, Suite 39300, Chicago, Illinois 60611-5885. Using the quarterly sampling table for the Exclusive Breast Milk Feeding measure, the sample size required is 109 cases. Some hospitals now have CB rates over 50%. For information concerning how to perform sampling, refer to the Population and Sampling Specifications section in this manual. /Type /Metadata << 306 0 obj <>stream A hospital may choose to use a larger sample size than is required. >> >> Lower numbers are better. V AQ"]_tRIRo;Ioda`Y$a'qj fNxh1Yb8MVfuzf|Fugzt=nI"-jckBxUKqK4wKCZ[>Lf7p6q-?!Bc^YQADSJI_,KY-sqh9=1 ,DY jRb|]&JA ;{J%jc 9c$;)Z %hU#!FT6n9RrlZW~/i~4kId5h_`ASPBAbP0a 2hKU%.UlO22j+ bd-hWJ =QJewl=b&x~f00PM?D!rK!p4-t=UK$9'9}Q S]:tIGX4VmpZPv>$2k!%mA = f^/)No@ $;L6kP2@ u #%xg The Compare function compares two years of the measure specifications found in the header of the measure's HTML. /Filter /FlateDecode subject to parenteral nutrition, Inpatient hospitalizations for newborns who were with any of the following conditions: >> 8 Depressed mothers may have infants that display delayed psychological, cognitive, neurologic, and motor development. A hospital's PC-Newborn Population size is 350 cases during the second quarter. Added birth weight criteria to the initial population as an alternative to estimated gestational age at birth. HMO corresponds to All LOBs (excluding PPO and EPO) within Quality Compass. /ZaDb 39 0 R This Core Set, which consists of 7 measures from CMS's Child Core Set and 4 measures from the Adult Core Set, will be used by CMS to measure and evaluate progress toward improvement of maternal and perinatal health in Medicaid and CHIP. by Data. Learn about the "gold standard" in quality. subject to parenteral nutrition. A hospital's PC-Newborn Population size is 30 cases for the month of March. /Count 2 Description. Replaced 'weeks' with the UCUM code wk to be consistent with HL7 standards. Hospitals whose Initial Patient Population size is less than the minimum number of cases per quarter/month for the sampling group cannot sample that sampling group. All rights reserved. We can make a difference on your journey to provide consistently excellent care for each and every patient. "j9ZV",,-^ UHTXs}? Inpatient hospitalizations for single newborns who were born in the hospital that ends during the measurement period, and with either of the following conditions: - An estimated gestational age at birth of >= 37 weeks, - Birth weight >= 3000 grams without an estimated gestational age at birth. /H /N a length of stay greater than 120 days that ends during the measurement period The higher percentage compliance means the hospital is following the best steps to care for a patients particular condition. /ArtBox [0 0 612 792] Find evidence-based sources on preventing infections in clinical settings. /A 13 0 R /BS 46 0 R All Records, Optional for HBIPS-2 and HBIPS-3, The count of all patients in PC-Newborn population, 20% of the Initial Patient Population size, No sampling; 100% of the Initial Patient Population required, No sampling; 100% of Initial Patient Population required, No sampling; 100% Initial Patient Population required, Hospitals selecting cases for the PC-Newborn with. The core measure processes are proven standards of care that reduce complications and lead to better patient outcomes. You will be prompted to log in to your NCQA account. 21,22 These studies have demonstrated that persons who were classified as having high levels of SHS . 21 0 obj admitted to the Neonatal Intensive Care Unit (NICU) or transferred to a regular intensive care unit (ICU) a0,eJl-sxbuH6@T;4XpI _lLvzs_[6`,0^G@. By not making a selection you will be agreeing to the use of our cookies. How can patients and families support safety? >> Benchmarks for flu immunization Find out about the current National Patient Safety Goals (NPSGs) for specific programs. What are the national benchmarks for the PC measures? >> /N 40 0 R The Perinatal Center Database (PCDB) has become one of the largest repositories for hospital-based perinatal data in the country. Data show that the majority of newborns with gestational age 37 weeks or more have a birth weight 3000 grams or more. Today, the Core Quality Measures Collaborative (CQMC) released four updated core measure sets covering specific clinical areas as part of its mission to provide useful quality metrics as the nation's health care system moves from one that pays based on volume of services to one that pays for value. 7 0 obj Using the monthly sampling table for the Exclusive Breast Milk Feeding measure, the sample size required is 37 cases. /A 45 0 R /Pages 4 0 R Use of this measure set for quality improvement and public reporting will help strengthen maternal and newborn health and the value of our considerable investment in maternity care.. the American Academy of Pediatrics have in place a standard

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