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.
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.20 Testing Data Sources
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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
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1.15 Denominator
Inpatient hospitalizations for patients delivering newborns with >= 37 and < 39 weeks of gestation completed.
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Exclusions
Inpatient hospitalizations for patients with conditions possibly justifying elective delivery prior to 39 weeks gestation.
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1.13a Data dictionary not attachedNo
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Most Recent Endorsement ActivityEndorsed Perinatal and Women's Health Spring Cycle 2020Initial EndorsementLast Updated
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StewardThe Joint CommissionSteward Organization POC EmailSteward 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.
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Risk AdjustmentRisk adjustment approachOffRisk adjustment approachOffConceptual model for risk adjustmentOffConceptual model for risk adjustmentOff
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6.1.2 Current or Planned Use(s)6.1.3 Current Use(s)
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Planned Use
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