#336: Maternity Care: Post-Partum Follow-Up and Care Coordination

Quality ID

336

High Priority Measure

Yes

Specifications

Registry

Measure Type

Process

Specialty

N/A

Measure description

Percentage of patients, regardless of age, who gave birth during a 12-month period who were seen forpost-partum care within 8 weeks of giving birth who received a breast feeding evaluation and education, post-partumdepression screening, post-partum glucose screening for gestational diabetes patients, and family and contraceptiveplanning

 

Instructions

This measure is to be submitted a minimum of once per performance period for all patients seen for post-partumcare within 8 weeks of giving birth during the performance period. This measure may be submitted by eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding.

Measure Submission:

The listed denominator criteria is used to identify the intended patient population. The numerator options included in this specification are used to submit the quality actions allowed by the measure. The quality-data codes listed do not need to be submitted for registry submissions; however, these codes may be submitted for those registries that utilize claims data.

 

Denominator

All patients, regardless of age, who gave birth during a 12-month period seen for post-partum 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

Post-partum care visit before or at 8 weeks post-delivery

 

Numerator

Patients receiving the following at a post-partumvisit:

  • Breast feeding evaluation and education, including patient-reported breast feeding
  • Post-partum depression screening
  • Post-partum glucose screening for gestational diabetes patients and
  • Family and contraceptive planning

Definitions:

Breast Feeding Evaluation and Education – Patients who were evaluated for breast feeding before orat 8 weeks post-partum

Post-Partum Depression Screening – Patients who were screened for post-partum depression before or at 8 weeks post-partum. Questions may be asked either directly by a health care provider or in the formof selfcompleted paper- or computer administered questionnaires and results should be documented inthe medical record. Depression screening may include a self-reported validated depression screening tool (e.g., PHQ-2, Beck Depression Inventory, Beck Depression Inventory for Primary Care, EdinburghPostnatal Depression Scale (EPDS).

Post-Partum Glucose Screening for Gestational Diabetes – Patients who were diagnosed with gestational diabetes during pregnancy who were screened with a glucose screen before or at 8 weekspost- partum.

Family and Contraceptive Planning – Patients who were provided family and contraceptive planning and education (including contraception, if necessary) before or at 8 weeks post-partum.

Numerator Instructions: To satisfactorily meet the numerator ALL components (breast feeding evaluation and education, post-partum depression screening, family and contraceptive planning and post-partum glucose screening for patients with gestational diabetes) must be performed.

NUMERATOR OPTIONS:

Performance Met: Post-partum screenings, evaluations and education performed (G9357)

OR

Performance Not Met: Post-partum screenings, evaluations and education not performed (G9358)

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