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PC-01 Elective Delivery

CBE ID
0469e
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Fall 2024
1.3 Measure Description

This measure assesses patients with elective vaginal deliveries or elective cesarean births at >= 37 and < 39 weeks of gestation completed. This measure is part of a set of four nationally implemented measures that address perinatal care (PC-01: Elective Delivery, ePC-01: Elective Delivery; PC-02: Cesarean Birth, ePC-02: Cesarean Birth will be added as an eCQM 1/1/2020; PC-05: Exclusive Breast Milk Feeding, ePC-05: Exclusive Breast Milk Feeding; PC-06 Unexpected Complications in Term Newborns was added 1/1/2019).
PC-01: Elective Delivery is one of three measures in this set that have been re-engineered as eCQMs (ePC-01 elective Delivery, ePC-05 Exclusive Breast Milk Feeding and ePC-02 Cesarean Birth).

A reduction in the number of non-medically indicated elective deliveries at >=37 to <39 weeks gestation will result in a substantial decrease in neonatal morbidity and mortality, as well as a significant savings in health care costs. In addition, the rate of cesarean deliveries should decrease with fewer elective inductions resulting in decreased length of stay and health care costs (AAFP, 2000). The measure will assist health care organizations (HCOs) to track non-medically indicated early term elective deliveries and reduce the occurrence.

American Academy of Family Physicians. (2000). Tips from Other Journals: Elective induction doubles cesarean delivery rate, 61, 4.Retrieved December 29, 2008 at: http://www.aafp.org/afp/20000215/tips/39.html.

        • 1.14 Numerator

          Inpatient hospitalizations for patients with elective deliveries by either: 
          - Medical induction of labor while not in labor prior to the procedure
          - Cesarean birth while not in labor and with no history of a prior uterine surgery

        • 1.15 Denominator

          Inpatient hospitalizations for patients delivering newborns with >= 37 and < 39 weeks of gestation completed.

        • Exclusions

          Inpatient hospitalizations for patients with conditions possibly justifying elective delivery prior to 39 weeks gestation.

        • 1.13a Data dictionary not attached
          No
        • Most Recent Endorsement Activity
          Endorsed Perinatal and Women's Health Spring Cycle 2020
          Initial Endorsement
          Last Updated
        • Steward
          The Joint Commission
          Steward Organization POC Email
          Steward Organization Copyright

          Measure specifications are in the Public Domain
          LOINC(R) copyright 2004-2018 Regenstrief Institute, Inc
          This material contains SNOMED Clinical Terms (R) (SNOMED CT[R]) copyright 2004-2018 International Health Terminology Standards Development Organization. All rights reserved.

              • Risk adjustment approach
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                Risk adjustment approach
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                Conceptual model for risk adjustment
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                Conceptual model for risk adjustment
                Off