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Ambulatory Care Sensitive Emergency Department Visits for Dental Caries in Children

CBE ID
2689
Endorsement Status
1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Fall 2024
1.6 Measure Description

Number of emergency department visits for caries-related reasons per 100,000 member months for all enrolled children

    Measure Specs
      General Information
      1.7 Measure Type
      1.3 Electronic Clinical Quality Measure (eCQM)
      1.20 Types of Data Sources
      1.14 Numerator

      Number of ED visits with caries-related diagnosis code among all enrolled children

      1.15 Denominator

      All member months for enrollees 0 through 20 years during the reporting year divided by 100,000.

      NOTES: 
      1. Age range is 0 through 20 years (<21 years) to coincide with Medicaid Early and Periodic Screening, Diagnostic, and Treatment eligibility. (http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Benefits/Early-and-Periodic-Screening-Diagnostic-and-Treatment.html).

      2. 100,000 member months of enrollment was selected instead of a per population approach due to enrollment variation. This is consistent with the approach that the Centers for Medicare and Medicaid Services has taken for the Medicaid Adult Health Care Quality measures of potentially preventable hospitalizations, which measures rates per 100,000 member months (http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Quality-of-Care/Adult-Health-Care-Quality-Measures.html)

      Exclusions

      The following standard exclusion is applied: Medicaid programs should exclude children who do not qualify for EPSDT benefits.

      Most Recent Endorsement Activity
      Endorsed Health and Well Being Endorsement Maintenance Project 2014
      Initial Endorsement
      Last Updated
      Steward Organization
      American Dental Association
      Steward POC email
      Steward Organization Copyright

      2015 American Dental Association on behalf of the Dental Quality Alliance (DQA)©. All rights reserved. Use by individuals or other entities for purposes consistent with the DQA’s mission and that is not for commercial or other direct revenue generating purposes is permitted without charge.

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