PC-05 assesses the rate of newborns exclusively fed breast milk during the newborn´s entire hospitalization. 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-05: Exclusive Breast Milk Feeding is one of three measures in this set that have been re-engineered as eCQMs (ePC-01 Elective Delivery, ePC-02 Cesarean Birth and ePC-05 Exclusive Breast Milk Feeding).
Increasing the number of newborns who are exclusively fed breast milk for the first six months of life remains a major goal of the WHO, DHHS, AAP and ACOG. Guidelines for the promotion of breast milk feeding are available from the CDC to assist hospitals in establishing successful interventions to improve exclusive breast milk feeding rates in newborns. Breast milk feeding results in numerous health benefits for both mother and newborn. Breastfeeding is associated with decreased risk for many early-life diseases and conditions, including otitis media, respiratory tract infections, atopic dermatitis, gastroenteritis, type 2 diabetes, sudden infant death syndrome, and obesity. Breastfeeding also is associated with health benefits to women, including decreased risk for type 2 diabetes, ovarian cancer, and breast cancer.
The measure will assist health care organizations (HCOs) to track evidence of an increase in the number of newborns who were exclusively fed breast milk during the birth hospitalization.
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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
Newborns that were fed breast milk only since birth
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1.15 Denominator
Single term liveborn newborns discharged alive from the hospital with ICD-10-CM Principal Diagnosis Code for single liveborn newborn as defined in Appendix A, Table 11.20.1.
Single term newborns discharged alive from the hospital
Liveborn newborns with ICD-10-CM Principal Diagnosis Code for single liveborn newborn as defined in Appendix A, Table 11.20.1
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Exclusions
• Admitted to the Neonatal Intensive Care Unit (NICU) at this hospital during the hospitalization
• ICD-10-CM Other Diagnosis Codes for galactosemia as defined in Appendix A, Table 11.21
• ICD-10-PCS Principal Procedure Code or ICD-10-PCS Other Procedure Codes for parenteral infusion as defined in Appendix A, Table 11.22
• Experienced death
• Length of Stay >120 days
• Patients transferred to another hospital
• Patients who are not term or with < 37 weeks gestation completed
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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
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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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