| Valid Data Submission Method(s) | Measure Type | High Priority Measure? | NQS Domain | Specialty Measure Sets |
|---|---|---|---|---|
| Registry | Process | Yes | Communication and Care Coordination |
Measure Description
Percentage of patients, regardless of age, who gave birth during a 12-month period who were seen for post-partum care within 8 weeks of giving birth who received a breast feeding evaluation and education, post-partum depression screening, post-partum glucose screening for gestational diabetes patients, and family and contraceptive planning
Instruction
This measure is to be reported a minimum of once per performance period for all patients seen for post-partum care within 8 weeks of giving birth during the performance period. This measure may be reported by eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding.
Denominator
All patients, regardless of age, who gave birth during a 12-month period seen for post-partum care visit before or at8 weeks of giving birth
Denominator Criteria (Eligible Cases):
All patients, regardless of age
AND
Patient procedure during performance period (CPT): 59400, 59410, 59430, 59510, 59515, 59610, 59614, 59618, 59622
AND
Post-partum Care Visit before or at 8 weeks post-delivery
Numerator
Patients receiving the following at a post-partum visit:
- Breast feeding evaluation and education, including patient-reported breast feedin
- Post-partum depression screening
- Post-partum glucose screening for gestational diabetes patients an
- Family and contraceptive planning
Definitions:
Breast Feeding Evaluation and Education – Patients who were evaluated for breast feeding before orat 8 weeks post-partum.
Post-Partum Depression Screening – Patients who were screened for post-partum depression before or at 8 weeks post-partum. Questions may be asked either directly by a health care provider or in the form of self-completed paper- or computer administered questionnaires and results should be documented in the medical record. Depression screening may include a self-reported validated depression screening tool (e.g.,PHQ-2, Beck Depression Inventory, Beck Depression Inventory for Primary Care, EdinburghPostnatal Depression Scale (EPDS).
Post-Partum Glucose Screening for Gestational Diabetes – Patients who were diagnosed with gestational diabetes during pregnancy who were screened with a glucose screen before or at 8 weekspost- partum.
Family and Contraceptive Planning – Patients who were provided family and contraceptive planningand education (including contraception, if necessary) before or at 8 weeks post-partum.
Numerator Options:
Performance Met: Post-partum screenings, evaluations and education performed (G9357)
OR
Performance Not Met: Post-partum screenings, evaluations and education not performed (G9358)