Number of emergency department visits for caries-related reasons per 100,000 member months for all enrolled children
- Measure TypeElectronic Clinical Quality Measure (eCQM)MAT output not attachedAttachedNumerator
Number of ED visits with caries-related diagnosis code among all enrolled children
DenominatorAll 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)ExclusionsThe following standard exclusion is applied: Medicaid programs should exclude children who do not qualify for EPSDT benefits.
All information required to stratify the measure resultsOffAll information required to stratify the measure resultsOffTesting Data Sources
- Measure StructureClinical Condition Topic AreaNon Condition SpecificTarget PopulationMeasure Selection AttributesNational Quality Strategy PrioritiesHealth and Well-Being
- Risk AdjustmentRisk adjustment approachOffRisk adjustment approachOffConceptual model for risk adjustmentOffConceptual model for risk adjustmentOff
- Most Recent Endorsement ActivityEndorsed Health and Well Being Endorsement Maintenance Project 2014Initial EndorsementNext Planned Maintenance ReviewFall 2024Endorsement StatusLast Updated
- Do you have a secondary measure developer point of contact?OffThe measure developer is NOT the same as measure stewardOffStewardSteward Organization EmailSteward 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.
- Detailed Measure SpecificationsNoLogic ModelOffImpact and GapNoFeasibility assessment methodology and resultsNoAddress health equityNoMeasure’s use or intended useNo508 ComplianceOffIf no, attest that all information will be provided in other fields in the submission.Off