Page Comparison

Review of Measures DocumentDocument 

• This was sent out, along with data request.
• AllianceChicago sent questions
  • As AC was building the query based on data dictionary dated 3/22 - are there differences? Canonical link to most recent data dictionary 2022-04
    • YES
      • Formal definitions of the data elements / concepts
      • Added more codes to represent the concepts
      • General reorganization and clean-up
  • Denominator criteria feedback due by May 12.  Do all those needs to be satisfied to be in the denominator?
    • NO, did not need all elements?? ray? LMP DDD
    • Really need to know a delivery date
    • Sometimes this is determined by the post partum visit, if it takes place, the pregnancy was ended - but if we are trying to move forward to plan post partum...
  • California - CMQCC is ___ hospital to send a discharge summary  ... 
  •  Contraceptive counseling pregnancy prevention intention (SINC - Self-identified need for contraception)
    • if you have them, great.
    • it looks like there are two... is that the test?? 
  • Gestational Diabetes - best to id via a dx code. not required to track OGT tests.
  • EDD - was listed under GDM - an artifact of how we were timing post partum screening
  • PP depression - if you are using one or more validated instrument, tell us what you used for instrument and validated cut-offs.
  • Substance abuse screening and tab - only need the SA in one place - not in both
  • Hypertension tabs - not looking for a lot of lab values - only lab values that indicate atypical, such as eclampsia, pre-eclampsia, continuing hypertension after delivery
  • Breastfeeding - 

Finalizing Measures for Year 4

Ta-Yun could send a document or summary describing concepts / codes / data elements / C-CDA document types that describes or informs the pregnancy status

• Contraceptive counseling tab: notes “SINC” as the counseling observation, but we only have One Key Question – is that okay?
  • Pregnancy intention and pregnancy prevention intention are both desired but only if they are present
• Diabetes GDM tab-
  • Are you looking for all lab values or a threshold confirming GDM?

We are actually interested in the lab values in the postpartum period – the expectation is that the GDM diagnosis will be captured to identify patients but if there is another method that captures a significant amount of patients (OGTT is positive without GDM diagnosis code—then please use this method and let us know)

• • Notes “EDD” as an observation, would we move that to the patient file or is there a reason it falls into GDM?

It is only relevant to determine the window of the postpartum screening

• Postpartum depression tab-
  • Are you looking for all screening obs values or a threshold confirming these diagnoses?

Either approach is fine provided there is an evidence-based or validated cutoff or set of cutoffs—if you are providing positive/negative or none/mild/moderate/severe kinds of categories a mapping would be very helpful in case we get raw data from others and can validate the normalization approach

• • There is a substance use screening in that tab, and also a separate substance use tab – should we remove substance use screenings from the PPD tab?

Please remove the duplicate

• hypertension tabs - Are you looking for all lab values or a threshold confirming hypertension?

Lab values indicating proteinuria or low platelets are relevant—otherwise they are not needed

• Breastfeeding tab – not a question, just noting these are very low-yield – usually captured as free text somewhere else

This is not a formal measure for year 4 – we are just looking at data completeness and form/manner as an investigatory query

• Preg Intent Prevent tab- is this supposed to capture pregnancy tests? – TBD we will follow up

Are there contraception policies at Catholic hospitals in your network that affect the CHCs?

Contracting

Redwood -  Arlene

Harvest Meeting

AllianceChicago Billing question - Jena