re: NCQA on HEDIS

Prenatal and Postposrtum care is strictly an access measure:

The percentage of deliveries of live births on or between October 8 of the year prior to the measurement year and October 7 of the measurement year. For these women, the measure assesses the following facets of prenatal and postpartum care.

Timeliness of Prenatal Care. The percentage of deliveries that received a prenatal care visit in the first trimester, on or before the enrollment start date or within 42 days of enrollment in the organization.
Postpartum Care. The percentage of deliveries that had a postpartum visit on or between 7 and 84 days after delivery

The postpartum care is looking for evidence of the first postpartum visit and includes at least mention of one of the following:

Pelvic exam

Evaluation of weight, BP breasts and abdomen

Notation of postpartum care

Incision wound check for C-section

Screening for anxiety, depression, smoking, mental health or SA disorders

Infant care or breastfeeding

Resumption of intercourse

Sleep

Resumption of physical activity

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