CMS Initial Adult Core Measures
Cov kev ntsuas hauv qab no tau txheeb xyuas los ntawm Lub Chaw rau Medicare thiab Medicaid Cov Kev Pabcuam lossis CMS (tsis yog DHCS) raws li Kev Ntsuas Cov Neeg Laus Pib. Txhua qhov kev ntsuas uas tau txhais los ntawm Lub Rooj Sab Laj Zoo Hauv Tebchaws lossis NQF (tsis yog DHCS) muaj tus lej uas tau qhia hauv qab no. Cov lej raug txuas mus rau qhov ntsuas ntawm NQF lub vev xaib. Measure Steward hais txog lub koom haum uas yog lub luag haujlwm muab cov ntaub ntawv ntsuas uas yuav tsum tau ua rau kev ntsuas kev saib xyuas cov txheej txheem uas tshwm sim kwv yees li txhua peb lub xyoos thiab yog lub luag haujlwm rau kev hloov kho qhov tsim nyog rau kev ntsuas thiab qhia rau NQF txog cov kev hloov pauv uas tau ua rau kev ntsuas txhua xyoo. Txhua tus neeg sib tw ntsuas lossis teeb tsa kev ntsuas yuav muaj tus saib xyuas kev ntsuas uas yuav ua lub luag haujlwm rau kev xa daim ntawv ntsuas rau kev pom zoo ntawm NQF.
Measure Stewards 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 Noj Qab Haus Huv Hauv Tebchaws (NCQA), Lub Chaw Pabcuam Medicare thiab Medicaid (CMS), Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Kev Ua Haujlwm Zoo (AHRQ), thiab Pab Pawg Pabcuam Kev Noj Qab Haus Huv (HSAG).
Rau txhua qhov kev ntsuas peb tau txheeb xyuas cov kev pabcuam hauv DHCS uas siv thiab tshaj tawm qhov ntsuas ntawd. Cov kev pab cuam uas tam sim no siv lossis npaj siv cov kev ntsuas suav nrog Adult Medicaid Quality Grant (AMQG), Cov Kev Npaj Kho Mob (MCPs) thiab Coordinated Care Initiative CalMediconnect.
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 |
CAHPS Health Plan Survey v 4.0 - Adult Questionnaire with CAHPS Health Plan Survey v 4.0H - NCQA Supplemental |
|
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 |
