CMS Initial Adult Core Measures
Cov kev ntsuas hauv qab no tau raug txheeb xyuas los ntawm Lub Chaw rau Medicare thiab Medicaid Services lossis CMS (tsis yog DHCS) ua Cov Kev Ntsuas Tseem Ceeb rau Cov Neeg Laus Thawj Zaug. Txhua qhov kev ntsuas uas tau txhais los ntawm Lub Rooj Sab Laj Txog Kev Zoo ntawm Lub Tebchaws lossis NQF (tsis yog DHCS) muaj tus lej uas tau qhia hauv qab no. Cov lej tau txuas nrog rau cov kev ntsuas ntawm lub vev xaib NQF. Tus Saib Xyuas Kev Ntsuas yog hais txog lub koom haum uas muaj lub luag haujlwm los muab cov ntaub ntawv ntsuas uas xav tau rau cov txheej txheem saib xyuas kev ntsuas uas tshwm sim txhua peb xyoos thiab muaj lub luag haujlwm los hloov kho qhov ntsuas thiab qhia rau NQF txog txhua qhov kev hloov pauv uas tau ua rau kev ntsuas txhua xyoo. Txhua qhov kev ntsuas uas yuav tsum tau ua lossis cov txheej txheem ntsuas yuav muaj ib tus neeg saib xyuas kev ntsuas uas yuav lav ris rau kev xa cov kev ntsuas rau kev pom zoo ntawm 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 |