CMS Initial Adult Core Measures
The following measures have been identified by the Centers for Medicare and Medicaid Services or CMS as the Initial Adult Core Measures. Each measure that is defined by the National Quality Forum or NQF has a number which is shown below. The numbers are linked to the measures on the NQF website. The Measure Steward refers to the organization that is responsible for providing the required measure information for the measure maintenance process that occurs approximately every three years and is responsible for making the necessary updates to the measure and for informing NQF about any changes that are made to the measure on an annual basis. Each candidate measure or set of measures will have a measure steward who will assume responsibility for the submission of the measure for potential endorsement of NQF.
Cov Neeg Saib Xyuas Kev Ntsuas suav nrog hauv qab no yog sab nraud ntawm Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS): Pawg Neeg Saib Xyuas Kev Zoo (NCQA), Chaw Pabcuam Medicare thiab Medicaid (CMS), Lub Chaw Haujlwm Saib Xyuas Kev Tshawb Fawb thiab Kev Zoo ntawm Kev Kho Mob (AHRQ), thiab Pawg Neeg Qhia Txog Kev Pabcuam Kev Noj Qab Haus Huv (HSAG).
Rau txhua qhov kev ntsuas peb tau txheeb xyuas cov kev pab cuam hauv DHCS uas siv thiab tshaj tawm qhov kev ntsuas ntawd. Cov kev pab cuam uas tam sim no siv lossis npaj yuav siv cov kev ntsuas suav nrog Adult Medicaid Quality Grant (AMQG), Managed Care Plans (MCPs) thiab Coordinated Care Initiative CalMediconnect.
| NQF | Ntsuas Tus Thawj Coj | Ntsuas lub npe | DHCS Cov Lus Qhia |
|---|---|---|---|
| 0039 | NCUA | Kev txhaj tshuaj tiv thaiv kab mob khaub thuas rau cov neeg laus hnub nyoog 50-64 (Sau ua ib feem ntawm HEDIS CAHPS Kev Tshawb Fawb Ntxiv) | |
| N/A | NCUA | Kev ntsuas BMI rau cov neeg laus | |
| 0031 (PDF) | NCUA | Kev kuaj mob cancer mis | CalMediconnect |
| 0032 | NCUA | Cervical Cancer Screening | AMQG, MCP |
| 0027 | NCUA | Kev Pab Kho Mob Nrog Kev haus luam yeeb thiab haus luam yeeb (Sau ua ib feem ntawm HEDIS CAHPS Kev Tshawb Fawb Ntxiv) | |
| 0418 | CMS | Kev tshuaj ntsuam xyuas kev nyuaj siab kho mob thiab kev npaj ua raws | CalMediconnect |
| 1768 | NCUA | Plan All-Cause Readmission | AMQG, MCP, CalMediconnect |
| 0272 | AHRQ | PQI 01: Ntshav Qab Zib, Cov Teeb Meem Ncauj Ntev Nkag Nkag Nkag | AMQG |
| 0275 | AHRQ | PQI 05: Tus Kab Mob Hlwb Obstructive Pulmonary Disease (COPD) Admission Rate | AMQG |
| 0277 | AHRQ | PQI 08: Congestive Heart Failure Admission Rate | AMQG |
| 0283 | AHRQ | PQI 15: Adult Asthma Admission Rate | AMQG |
| 0033 | NCUA | Kev kuaj mob chlamydia hauv cov poj niam hnub nyoog 21-24 (tib yam li CHIPRA core ntsuas, txawm li cas los xij, Lub Xeev yuav tshaj tawm rau cov neeg laus hnub nyoog) | AMQG |
| 0576 | NCUA | Ua raws li Kev Kho Mob Tom Qab Kev Kho Mob Rau Kev Puas Hlwb | CalMediconnect |
| 0469 | HCA, TJC | PC-01: Kev xa khoom xaiv | AMQG |
| 0476 | Prov/CWISH/NPIC/QAS/TJC | PC-03 Antenatal Steroids | AMQG |
| 0403 (PDF) | NCUA | Kev mus ntsib kws kho mob HIV/AIDS txhua xyoo | AMQG |
| 0018 | NCUA | Tswj ntshav siab | MCP, CalMediconnect |
| 0063 | NCUA | Kev Kho Mob Ntshav Qab Zib: Kev kuaj LDL-C | AMQG, MCP, CalMediconnect |
| 0057 | NCUA | Kev Kho Mob Ntshav Qab Zib: Kev Ntsuas hemoglobin A1c | AMQG, MCP, CalMediconnect |
| 0105 | NCUA | Antidepressant Tshuaj Management | AMQG, CalMediconnect |
| N/A | CMS-QMHAG | Ua raws li Antipsychotics rau cov tib neeg nrog Schizophrenia | AMQG |
| 0021 (PDF) | NCUA | Kev tshuaj xyuas txhua xyoo rau cov neeg mob ntawm cov tshuaj tsis tu ncua | AMQG, MCP |
| 0006 & 0007 | AHRQ & NCUA | Daim Ntawv Soj Ntsuam Txog Kev Npaj Kho Mob CAHPS v 4.0 - Cov Lus Nug Rau Cov Neeg Laus nrog Daim Ntawv Soj Ntsuam Txog Kev Npaj Kho Mob CAHPS v 4.0H - NCQA Cov Lus Qhia Ntxiv | |
| 648 | AMA-PCPI | Care Transition – Transition Record Transmitted to Health care Professional | CalMediconnect |
| 0004 | NCUA | Kev pib thiab kev koom tes ntawm Kev Cuam Tshuam Kev Cuam Tshuam thiab Lwm Yam Kev Siv Tshuaj Kho Mob | CalMediconnect |
| 1391 | NCUA | Prenatal and Postpartum Care: Postpartum Care Rate | AMQG, MCP |