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.
- Measure TypeElectronic Clinical Quality Measure (eCQM)Care SettingNumerator
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 surgeryDenominatorInpatient hospitalizations for patients delivering newborns with >= 37 and < 39 weeks of gestation completed.
ExclusionsInpatient hospitalizations for patients with conditions possibly justifying elective delivery prior to 39 weeks gestation.
Testing Data Sources
- Measure StructureClinical Condition Topic AreaNon Condition SpecificTarget PopulationNational Quality Strategy PrioritiesAffordable Care
- Risk Adjustment
- Current or planned use(s)Current Use(s)Planned Use
- Most Recent Endorsement ActivityEndorsed Perinatal and Women's Health Spring Cycle 2020Initial EndorsementNext Planned Maintenance ReviewPerinatal and Women's Health Spring 2024Endorsement StatusLast Updated
- StewardSteward Organization EmailSteward Organization Copyright
Measure specifications are in the Public Domain
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