national benchmarks for perinatal core measures

Eight or more contacts for antenatal care can reduce perinatal deaths by up to 8 per 1000 births when compared to 4 visits. Building U.S. Capacity to Review and Prevent Maternal Deaths. Strikethrough text highlighted in red indicates information changed from the previous version. a length of stay greater than 120 days that ends during the measurement period This field is for validation purposes and should be left unchanged. by Purpose. This eCQM is an episode-based measure. Save your favorite pages and receive notifications whenever theyre updated. Peers from across Johns Hopkins Medicine hospitals developed 40 core measure work groups, each focused on improving a specific set of core measures. By using this site, you agree to our use of cookies. Our mission is to end preventable morbidity, mortality and racial disparities in California maternity care. Using the monthly sampling table for the Exclusive Breast Milk Feeding measure, the sample size required 9 cases for the month. Terms of Use, Patient-Centered Specialty Practice (PCSP), Credentials Verification Organization (CVO), Managed Behavioral Healthcare Organization (MBHO), Health Information Technology Prevalidation Programs, Virtual Seminars, Webinars and On-demand Training, Advertising and Marketing Your NCQA Status, HEDIS Electronic Clinical Data Systems (ECDS) Reporting, CDC Review to Action. A hospital's Mother Population size is 72 cases during the second quarter. These were the first nursing-sensitive measures developed by ANA, and were prioritized by the Measures Application Partnership (MAP) . For you, the electronic versions of the same measures are ePC-01, ePC-02, ePC-05 and ePC-06. Using the monthly sampling table for the Exclusive Breast Milk Feeding measure, the sample size required is 20% of this sub-population or 20 cases for the month. We would urge patients to consider more recent performance in combination with historical performance. 6 0 obj /Encoding 11 0 R We looked at how we could improve administration of ACS after 34 weeks. /N 40 0 R One commenter. /MediaBox [0 0 612 792] "The National Database of Nursing Quality Indicators (NDNQI) is a proprietary database of the American Nurses Association. American College of Obstetricians and Gynecologists (ACOG). Gain an understanding of the development of electronic clinical quality measures to improve quality of care. supported the measure overall. Report on Quality and Safety 2013 Measure Number Measure Name 2012 Rate Perinatal Care Composite 57.6% PC-01 Elective Delivery 8.2% PC-02 Cesarean Section* 26.3% endobj Using the quarterly sampling table for the Exclusive Breast Milk Feeding measure, the sample size is less than the minimum required quarterly sample size, so 100% of this sub-population or all 25 cases are sampled. PC-05. Share this page with a friend or colleague by Email. Updated Clinical Quality Language (CQL) expression to conform with the HL7 Standard: Clinical Quality Language Specification, Release 1 STU 4 (CQL 1.4). 39 weeks of gestation. Due to exclusions and contraindications, hospitals selecting sample cases MUST submit AT LEAST the minimum required sample size. Specific steps for each condition vary, but examples include providing preventative medication to patients at risk for developing blood clots or determining rehabilitation needs for a stroke patient. >> /Filter /FlateDecode national benchmarks for perinatal core measures. The The measures address a wide range of care concerns, including childbirth, pregnancy and post-partum care, and newborn care. Applications are available at the American Medical Association Web site, www.ama- assn.org/go/cpt. Response: Please note that electronic clinical quality measures are not sampled. HMO corresponds to All LOBs (excluding PPO and EPO) within Quality Compass. hYkS+3'Xf Rc$qHh~~yd9,DD={fez>EPcD0N4U }\KI(9ap*i1:cRJ6H Find more COVID-19 testing locations on Maryland.gov. 14 0 obj By using this site, you agree to our use of cookies. /A 13 0 R section leads to better outcomes for the mother or newborn than According to a national survey, approximately 8% of pregnant women experienced major depression in the past year. EMPOWERED /Type /Catalog and Human Services' Healthy People 2020 goal. Data shows that the majority of newborns with gestational age 37 weeks or more have a birth weight 3000 grams or more. /ArtBox [0 0 612 792] This measure tracks the number of term singleton newborns The higher percentage compliance means the hospital is following the best steps to care for a patients particular condition. endobj The purpose of the project was to demonstrate how the electric medical record could be used for data collection, quality improvement, and benchmarking . An episode is defined as each inpatient hospitalization or encounter that ends during the measurement period. 12 0 obj You, your employees and agents are authorized to use CPT only as contained in The Joint Commission performance measures solely for your own personal use in directly participating in healthcare programs administered by The Joint Commission. /CreationDate () by Purpose. endobj The National Quality Forum. This version of the eCQM uses QDM version 5.5. /Rect [80 323.2290039062 136.4620056152 307.7850036621] Added birth weight criteria to the initial population as an alternative to estimated gestational age at birth. CPT is provided as is without warranty of any kind, either expressed or implied, including but not limited to the implied warranties of merchantability and fitness for a particular purpose. endobj Our comparative Quarterly Report, Perinatal Dashboard and special analyses help member hospitals identify and appropriately focus their quality improvement initiatives and resources. /Group 34 0 R Hospitals sampling for the PC-Newborn with Exclusive Breast Milk Feeding must ensure that the patient population size for this subpopulation meets the following conditions: A hospital's Mother Population size is 2300 cases during the second quarter. section who have not previously given birth. 225 Chapman Street Suite 200 Providence, RI 02905. With improved outcomes, the other metrics of success can fall into alignment, with improvement in one area leading to improvement in others. Patients in the newborn population always run against the Unexpected Complication in Term Newborns measure and they may run against Exclusive Breast Milk Feeding measure if sampled. Using the monthly sampling table for the Mother population, the sample size required is 101 cases for the month. NPICs expertise and infrastructure can support data Perinatal Care measures focuses on achieving integrated, coordinated, patient-centered care for clinically uncomplicated pregnancies and births. The AMA does not directly or indirectly practice medicine or dispense medical services. This product includes CPT which is commercial technical data, which was developed exclusively at private expense by the American Medical Association, 330 North Wabash Avenue, Chicago, Illinois 60611. Contact Information Products viamy.ncqa.orgfor analysis that accounts for trend breaks. /Type /Annot A hospital's PC-Newborn Population size is 200 cases for the month of March. stream 8 0 obj /BS 48 0 R /Border [0 0 0] In its 2020 review process, the National Quality Forum endorsed 15 Perinatal and Women's Health measures, of which CMQCC was the developer of three: 2 0 obj The purpose of a balancing measure to is guard against any unanticipated or unintended consequences of quality improvement activities for these measures. Revised the initial population and denominator exclusions to align with eCQM PC-06, Unexpected Complications in Term Newborns. Timely postpartum visits provide an opportunity to assess a woman's physical recovery from pregnancy and childbirth. They provide a snapshot of how health is influenced by where we live, learn, work, and play. << /Subtype /Link What does this measure mean for quality of care?The American College of Obstetricians and Gynecologists and U.S. hospitals must report their compliance with these core measures to The Joint Commission, a health care accreditation organization, the Centers for Medicare and Medicaid Services and other agencies. The AMA is a third party beneficiary to this Agreement. All rights reserved. << A hospital's PC-Newborn Population size is 8 cases during the second quarter. 19 0 obj Pr]< OZq_(yO 5gUfjE\VS,Fw- 9[)_6DX{}n9Iw6 Obtain useful information in regards to patient safety, suicide prevention, infection control and many more. /RI 41 0 R License to use CPT for any use not authorized herein must be obtained through the American Medical Association, Intellectual Property Services, AMA Plaza, 330 North Wabash Avenue, Suite 39300, Chicago, Illinois 60611-5885. >> /A 45 0 R We help you measure, assess and improve your performance. Some hospitals now have CB rates over 50%. /DR 6 0 R A technical advisory panel (TAP) comprising experts in the perinatal care field was convened in February 2009 to select the replacement set of measures from among those endorsed for national use by the National Quality Forum. The following are Perinatal Care chart abstracted measures used by The Joint Commission. The following indicator sets are considered appropriate and useful for public reports as well: Public lists NHS workforce in England [January 2023] Transgender health [September 2022] Weekly additions - 2023-02-26 Financial pressures in the NHS in England [January 2023] Introduction to the NHS in England [February 2023] Devolved National Health Service : the NHS in England, Northern Ireland, Scotland and Wales [March 2022] Adult social . The measures were originally developed for quality improvement, pay-for-performance, and public health monitoring. For this project, NQF endorsed measures related to elective delivery, episiotomy, and caesarean section rates, as well as prophylactic antibiotic rates for women undergoing cesarean sections. /Thumb 36 0 R Our Stroke Program team is small and communicates well. Using the quarterly sampling table for the Mother population, the sample size required 75 cases for the quarter. You will be prompted to log in to your NCQA account. /ZaDb 39 0 R Birth weight 3000 grams or more is a proxy to capture term newborns without gestational age recorded in EHR system. The organizations quality and safety performance may have been impacted by the COVID-19 pandemic. Reviewing these best practices requires a team effort. In all, 22 measures were evaluated against NQFs endorsement criteria by a panel of providers, measurement experts, and consumer representatives; 14 measures were endorsed. Background . /TrimBox [0 0 612 792] The database collects and evaluates unit-specific nurse-sensitive data from hospitals in the United States." Source: National Database of Nursing Quality Indicators Measures Patient falls Specifications for these measures are available below: Chart-abstracted measures specificationsScreen Reader Text. ICD-10-PCS Principal or Other Procedure Codes as defined in Appendix A, Table 11.01.1 Delivery, a Patient Age (Admission Date Birthdate) >= 8 years and < 65 and a Length of Stay (Discharge Date - Admission Date) 120 days. A hospital's PC-Newborn Population size is 25 cases during the second quarter. /Annots [31 0 R 32 0 R 7 0 R] Twelve measures were previously endorsed, and two are new. 20 0 obj national benchmarks for perinatal core measures. on . Birth weight 3000 grams or more is a proxy to capture term newborns without gestational age recorded in EHR system. section measure. CPT only copyright 2019 American Medical Association. << Because cesarean sections are not >> Find evidence-based sources on preventing infections in clinical settings. Using the quarterly sampling table for the Mother population, the sample size required is 20% of this sub-population or 300 cases for the quarter. The Perinatal and Women's Health Standing Committee oversees NQF's perinatal and women's health measures. /Type /Annot One of the five core measures includes exclusive breastmilk feeding. Our team presented these findings to our medications committee, whose support was helpful in educating our doctors on how to change their practice. 18 0 obj endobj a0,eJl-sxbuH6@T;4XpI _lLvzs_[6`,0^G@. << was introduced in Q4 2018. NQF operates under a three-part mission to improve the quality of American healthcare by: 1099 14th Street NW Suite 500Washington DC 20005, 202-783-1300 Main202-783-3434 Faxinfo@qualityforum.org. CPT is a registered trademark of the American Medical Association. /BS 46 0 R Optimizing Postpartum Care. It does not include a comparison of any information in the body of the HTML, e.g., population criteria, Clinical Quality Language, or value sets. /BleedBox [0 0 612 792] Using the quarterly sampling table for the Exclusive Breast Milk Feeding measure, the sample size required 27 cases for the quarter. Inpatient hospitalizations for single newborns who were born in the hospital that ends during the measurement period, and with either of the following conditions: - An estimated gestational age at birth of >= 37 weeks, - Birth weight >= 3000 grams without an estimated gestational age at birth. /TP 1 NQF Endorses Perinatal Measures Washington, DC - the National Quality Forum (NQF) Board of Directors has approved for endorsement 14 quality measures on perinatal care. /A 47 0 R Note: District of Columbia state average not available for the cesarean This measures the percentage of patients who had an early elective Using the monthly sampling table for the Mother population, the sample size required is 25 cases for the month. /Rect [375.0629882812 365.2290039062 500.141998291 349.7850036621] /Subtype /Link /Type /Page endobj That's because The Joint Commission's eCQM option only applies to hospitals submitting all four perinatal measures. A hospital's Mother Population size is 510 cases during March. But back to those of you submitting all four. We develop and implement measures for accountability and quality improvement. This set of measures will help promote the type of high-quality care these populations deserve.. /AP 14 0 R The Compare function compares two years of the measure specifications found in the header of the measure's HTML. Benchmarks for flu immunization What is Johns Hopkins Medicine doing to continue to improve? While a number of these measures are voluntarily reported as part of hVQo0+~4E#UuQfk4Z4B*B(%g\)B W "J"\DD>H\ A@X@$a*p&>Pv*`ff 11 0 obj Set expectations for your organization's performance that are reasonable, achievable and survey-able. /A 51 0 R You acknowledge that the American Medical Association (AMA) holds all copyright, trademark and other rights in CPT. Hospitals whose Initial Patient Population size is less than the minimum number of cases per quarter/month for the sampling group cannot sample that sampling group. << Mothers The population of the PC-Mother measures (PC-01, and 02) are identified using 4 data elements: Admission Date Birthdate Discharge Date endobj These processes are proven to reduce complications and lead to better patient outcomes. Center for Academic Medicine, Neonatology, MC 5660, 453 Quarry Road, Palo Alto, CA 94304, CA-PAMR Pregnancy-Associated Mortality Surveillance System Committee, Unexpected Complications in Term Newborns, <1500g Infant Not Delivered at Appropriate Level, COVID-19 Resources for Maternal and Infant Health, Mother & Baby Substance Exposure Initiative Toolkit, OB Hemorrhage Task Force and Update Task Force, Hypertensive Disorders of Pregnancy Toolkit, Hypertensive Disorders of Pregnancy Task Force, Maternal Sepsis Task Force Advisory Group, Support Vaginal Birth and Reduce Primary Cesareans Toolkit, Supporting Vaginal Birth and Reducing Primary Cesarean Delivery Taskforce, Toolkit to Support Vaginal Birth and Reduce Primary Cesareans, Medical School Office Building, 1265 Welch Road, MS 5415, Stanford, CA 94305 USA. /FT /Btn A hospital's Mother Population size is 400 cases during March. /Length 54 0 R See how Johns Hopkins Medicine prioritizes safety during the COVID-19 pandemic. Pregnancy and childbirth-related procedures account for the five most common medical procedures for women of child-bearing age, yet deaths during pregnancy and childbirth have doubled for women in the United States in the last 20 years. Find out about the current National Patient Safety Goals (NPSGs) for specific programs. Moved the criteria of length of stay (LOS), diagnosis of galactosemia and subject to parenteral nutrition from initial population to denominator exclusion. This Core Set, which consists of 7 measures from CMS's Child Core Set and 4 measures from the Adult Core Set, will be used by CMS to measure and evaluate progress toward improvement of maternal and perinatal health in Medicaid and CHIP. << /Resources 29 0 R /Border [0 0 0] Postpartum visits provide an opportunity to address: Prenatal and Postpartum Care: Postpartum Care | Medicaid Skip to main content 8 Depressed mothers may have infants that display delayed psychological, cognitive, neurologic, and motor development. 3 0 obj endobj She was awarded the 2015 Moran Medal in statistics from the Australian Academy of Science in recognition of her work on developing methods for molecular data arising in cutting edge biomedical research. No data is available because Suburban Hospital currently does not However, very few hospitals chose to adopt the measures because, the measures were optional. This should be reflected as such in the newborn's EHR documentation. hN0dl6BR!b0SVdl RdrgLM}*MIhI5-@I BO!N("(IAMHl"Ua"f:'JFQ;c{,m~%?e- 1uP Data show that the majority of newborns with gestational age 37 weeks or more have a birth weight 3000 grams or more. >> << #M'*?l62oO9P8(SvbWe w /H /N 225 Chapman Street Suite 200 Providence, RI 02905. the American Academy of Pediatrics have in place a standard This measure is the overall rate of newborns The AHRQ Quality Indicators (Qis) comprise four measure areas: inpatient, prevention, patient safety, and pediatric care. These perinatal measures are a welcome addition to the NQF portfolio, said Laura Riley, MD, medical director of labor and delivery at Massachusetts General Hospital and co-chair of the Perinatal and Reproductive Health Endorsement Maintenance Steering Committee. PC-05 Exclusive breast milk feeding during the newborn's entire hospitalization. When data is translated into useful information, the opportunity to transform quantitative data into qualitative improvements becomes a reality. The PC measure set is unique in that there are two distinct Initial Patient Populations within the measure set, mothers and newborns. /F 4 performance on the measure across the larger patient population. endobj Information on Joint Commission Requirements. endobj 4 0 obj /PDFDocEncoding 37 0 R Custom Analytic Interactive Reporting Network, Discuss the Perinatal Care (PC) measures updates, Describe the Perinatal Care (PC) measures, key data elements and recent revisions to the measures, Identify some of the resources available for improving perinatal care. and the National Perinatal Information Center in addition to expert clinical faculty from a variety of organizations. Value set Birth Weight (2.16.840.1.113762.1.4.1029.194): Added Birth Weight based on change in measure requirements, using birth weight to capture term newborns whose the estimated gestational age at birth information is missing. Sample Size: A hospitals performance on some of the core measures is NQF # Professor Jean Yang is an applied statistician with expertise in statistical bioinformatics. ANA has developed high-impact patient safety measures, with more than two decades of evidence that higher staffing levels are associated with lower rates of patient death and harm. Lower numbers are better. /R 41 0 R QualityNet is the only CMS-approved website for secure communications and healthcare quality data exchange between: quality improvement organizations (QIOs), hospitals, physician offices, nursing homes, end stage renal disease (ESRD) networks and facilities, and data vendors. 21,22 These studies have demonstrated that persons who were classified as having high levels of SHS . Recently, the National Quality Forum, a consensus-based body that endorses quality measure, endorsed 24 measures related to maternity care. by Data. Added text to indicate whether the measure is patient-based or episode-based. /H /N Copyright Author links open overlay panel Sabrina da Conceio Pereira a, Raul Manhes-de-Castro a b c, Diego Bulco Visco b c, . Perinatal Care (PC) Core Measures: Updates for 2022. /Parent 4 0 R The effort to make hospitals' sepsis care public follows the introduction of CMS's hospital reporting on Core Measure SEP-1: Early Management Bundle, Severe Sepsis/Septic Shockin its Inpatient Quality Reporting program, which began in October 2015. Today, the Core Quality Measures Collaborative (CQMC) released four updated core measure sets covering specific clinical areas as part of its mission to provide useful quality metrics as the nation's health care system moves from one that pays based on volume of services to one that pays for value. Disclaimer of Warranties and Liabilities. Value set Parenteral Nutrition (2.16.840.1.113883.3.117.1.7.1.38): Deleted 1 SNOMED CT code (304055007) based on terminology update. /C [] Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this Agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. /Rect [45 47.2192001343 154.7259979248 35.9873008728] /Fields [7 0 R] stream << A hospital's Mother Population size is 1500 cases during the second quarter. The measure maintenance process is guided by expertise and advice provided by the Perinatal Care Measure Maintenance Technical Advisory Panel. >> It is acceptable to calculate Gestational Age using the American College of Obstetricians and Gynecologists ReVITALize guidelines, which define Gestational Age as calculated using the best obstetrical Estimated Due Date (EDD) based on the formula: Gestational Age= (280-(EDD-Reference Date))/7. NQF Number. Stay up to date with all the latest Joint Commission news, blog posts, webinars, and communications. Perinatal Care measures focuses on achieving integrated, coordinated, patient-centered care for clinically uncomplicated pregnancies and births. /Type /Pages The following are Perinatal Care eCQMs used by The Joint Commission. *Benchmark Source: National and state averages are the most recent NQF # Core measures are national standards of care and treatment processes for common conditions. /Border [0 0 0] Effective January 1, 2019, all hospitals that provide obstetric care and deliver at least 300 babies annually will be required to collect data for the newest Joint Commission Perinatal Core (PC) measure, called "PC-06 Unexpected Complications in Term Newborns.". This field is for validation purposes and should be left unchanged. P-znw$Z*$iwA EcdxzK4\nG )1s6@rZ6ZkSx7i'8`ab+Iot#v{*]Es cE1!b%55FGe[f/uo ;wVzEqw,*;^^mDJFYZb(8A;)vwX|T$;bKYTAVZKQ^-,0\6f{hCM T;s[ OXSWyz4E-5-uOf`*UH 0vhlEcA+ "+ETf5-kj transferred to an acute care facility, or other health care facility researchers. /Border [0 0 0] NQF is a voluntary consensus standards-setting organization. % >> Hospitals that choose to sample have the option of sampling quarterly or sampling monthly. lz;2[&EPI:+O/A@Fg0{NlAYIS*yIQ6Hfw}I5wMo}#F>juLt!aj-?}a)4g]xo/3sst7o6vso^u|;?=MGmnNgw;{~Kom6:Lc|:;Ow7y}dCy2W79{/]-we33'Wa7i-b| =LNq3d4N'9k{n,~35LWe.cCAX)&I]Ie\E'ZQ+T5.0N=iw]2c3>EZq>-7iNp.~:-Ao>W4e1p0ZTifYg:<6'(>ji{{%6sW L8O;SB&Z:hL:0Mv{(CQE9PCQE9P:`7R8Px&v`i`#fq(bq(>T8%,q`|&f0TAi%Y%y%E%eJ4+H_I4%XelY-o{MlF.I]Rif]lCtcbFSLq|I;%m;*:LQj9o`gKK05o$3;#7 h/?neC%1_}\=wIZn!B4$.Rr\}=O|ikS4@ 9_aMimyT{f7\sB^E@Uo6[Xq2oQr4;w"uFWXr.dK=<. >> For PC-05, Reference Date is the Birth Date. In order to identify new antiseizure or disease-modifying therapeutic targets and mechanism-based therapies, we need to (1) understand the mechanisms of initiation, propagation, and termination of seizures at the cellular and network level for different seizure types, including status epilepticus, and in different forms of epilepsy, (2) understand the neural circuits, cell types, cellular . 'RelevantDatetime' indicates when the action occurred whereas 'authorDatetime' indicates when the action was recorded. Quality and Safety Performance During COVID-19, Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, Central Line-Associated Bloodstream Infections (CLABSI), Patients Leaving the Pediatric ER Without Being Seen by a Health Care Provider, The Centers for Medicare and Medicaid Services - Recommended Core Measures, AHRQs Guide for Questions to Ask Your Doctor. Replaced 'weeks' with the UCUM code wk to be consistent with HL7 standards. >> These teams involved partnerships between quality improvement staff, nurse and physician leads, faculty members, IT staff and others to identify barriers to improvement and develop solutions. 290 Data shows that the majority of newborns with gestational age 37 weeks or more have a birth weight 3000 grams or more. QDM v5.5 standards update: Added 'relevantDatetime' attribute to QDM datatypes. The endorsed measures include those previously endorsed by NQF and newly submitted measures for initial endorsement. o Perinatal measures ZSFG is at or below ZSFG-defined goals and the Vizient median for 5 perinatal core measures: Elective Delivery, cesarean section rate, antenatal steroids, healthcare associated BSI, and exclusive . 2023 << Note however that the calculation may yield a non-whole number and gestational age should be rounded off to the nearest completed week. endstream endobj 309 0 obj <>stream This Core Set, which consists of 7 measures from CMS's Child Core Set and 4 measures from the Adult Core Set, will be used by CMS to measure and evaluate progress toward improvement of maternal and perinatal health in Medicaid and CHIP. (2018). CMS eCQM ID. One measure is exclusive breast milk feeding. 15 0 obj Added text to identify the Quality Data Model (QDM)version used in themeasure specification. Lower quality care during pregnancy, childbirth, and the postpartum period can lead to unnecessary complications in women and newborns and wasted resources from overused procedures, prolonged hospital stays, and costly neonatal intensive care unit admissions, said Carol Sakala, PhD, MSPH, director of programs at Childbirth Connection and co-chair of the Perinatal and Reproductive Health Endorsement Maintenance Steering Committee. One commenter. /BS 44 0 R calendar year numbers publicly available on the Centers for Medicare and Specifications for these measuresare available below: In late 2007, The Joint Commissions Board of Commissioners recommended retiring and replacing the Pregnancy and Related Conditions (PR) measure set with an expanded set of evidenced-based measures. PC-05 Exclusive breast milk feeding during the newborn's entire hospitalization. based on a sample of patients and may not reflect the hospitals overall In cases where there is conflicting data, use the document recording the birth weight closest to the time of delivery. /Ff 65536 By closely reviewing these care processes, we have the opportunity to concentrate on areas that need improvement. All Rights Reserved. Women and families should use Leapfrog's Hospital Survey results to consider which hospital they'd like to use for their child's delivery. /H /N HMO corresponds to All LOBs (excluding PPO and EPO) within Quality Compass. 8th ed. Conducted research in perinatal and ageing brains within a multi-disciplinary team: Designed imaging analysis pipelines to further understanding of connectivity and information processing in the brain, and the mechanisms by which these change due to normal development and disease. /A 49 0 R NQF# 0480 Exclusive Breast Milk Feeding, also in electronic measure as 0480e (now managed by The Joint Commission as PC-05). >> Acute-care hospitals SIX core measure sets, effective with January 1, 2014 discharges . vaginal delivery or elective cesarean section before the recommended Ensuring that patients always receive the core measure recommended treatments requires a well-coordinated effort throughout hospital departments.

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