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Postpartum Visits
CMS Post-Partum Measure: https://qpp.cms.gov/docs/QPP_quality_measure_specifications/CQM-Measures/2020_Measure_336_MIPSCQM.pdf
DENOMINATOR: All patients, regardless of age, who gave birth during a 12-month period seen for postpartum care visit before or at 8 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 Postpartum care visit before or at 8 weeks post-delivery
NUMERATOR: Patients receiving the following at a postpartum visit:
• Breast-feeding evaluation and education, including patient-reported breast-feeding
• Postpartum depression screening
• Postpartum glucose screening for gestational diabetes patients
• Family and contraceptive planning counseling
• Tobacco use screening and cessation education
• Healthy lifestyle behavioral advice
• Immunization review and update
For PP Visit definitions: Refer to existing Data Dictionary
Consider methods to look for all visits not just PP coding
Contraceptive counseling and provision
...
Other supporting evidence-based recommendations for postpartum care services
Breastfeeding Support:
CDC Guide to Strategies Supporting Breastfeeding: https://www.cdc.gov/breastfeeding/pdf/bf-guide-508.pdf
CMS Exclusive Breastfeeding: https://cmit.cms.gov/CMIT_public/ViewMeasure?MeasureId=2579
Tobacco use screening and cessation education:
Include tobacco screening?
Follow up recommendations/therapy?
Healthy lifestyle behavioral advice
Need to define?
Immunization review and update
HEDIS Prenatal immunization quality measure: https://www.ncqa.org/hedis/measures/prenatal-immunization-status/
The Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices (ACIP) recommends influenza and tetanus, diphtheria and acellular pertussis (Tdap) vaccines for pregnant women to protect them and their infants from serious illness and death.