This measures the percentage of patients who had an early elective endobj This measure tracks the number of term singleton newborns << transferred to an acute care facility, or other health care facility Contact Information Products viamy.ncqa.orgfor analysis that accounts for trend breaks. Perinatal Care measures focuses on achieving integrated, coordinated, patient-centered care for clinically uncomplicated pregnancies and births. Through leading practices, unmatched knowledge and expertise, we help organizations across the continuum of care lead the way to zero harm. /Count 2 by Purpose. /BleedBox [0 0 612 792] EMPOWERED /Parent 4 0 R /A 51 0 R /BS 46 0 R Please refer to the eCQI resource center for more information on the QDM. Some hospitals now have CB rates over 50%. >> The guideline uses the term 'contact' as it implies . Data show that the majority of newborns with gestational age 37 weeks or more have a birth weight 3000 grams or more. A hospital's PC-Newborn Population size is 8 cases during the second quarter. 39 weeks of gestation. collection and reporting for collaboratives, insurers, and supported the measure overall. With improved outcomes, the other metrics of success can fall into alignment, with improvement in one area leading to improvement in others. Having a baby is one of life's most exciting experiences, but the type of care received in the hospital can vary greatly. stream /A 45 0 R endstream endobj 308 0 obj <>stream 10 0 obj Author links open overlay panel Sabrina da Conceio Pereira a, Raul Manhes-de-Castro a b c, Diego Bulco Visco b c, . Stay up to date with all the latest Joint Commission news, blog posts, webinars, and communications. The << /Type /Annot Women and families should use Leapfrog's Hospital Survey results to consider which hospital they'd like to use for their child's delivery. As a data partner, NPIC can strengthen the Elk Grove Village, Ill. American Academy of Pediatrics, and Washington, DC. The Perinatal Center Database (PCDB) has become one of the largest repositories for hospital-based perinatal data in the country. The patients in each measure are processed independently. National and state averages for Its critical that providers have the right measurement tools to help ensure mothers and newborns receive safe, high-quality care.. by Data. Sample Size: A hospitals performance on some of the core measures is In fact only 160 hospitalsout of thousandsvoluntarily adopted the perinatal core measures. >> Hospitals that choose to sample have the option of sampling quarterly or sampling monthly. researchers. Added text to identify the Quality Data Model (QDM)version used in themeasure specification. (2017). Recently, the National Quality Forum, a consensus-based body that endorses quality measure, endorsed 24 measures related to maternity care. /BleedBox [0 0 612 792] Fact Sheet on Maternity Care. /FT /Btn What does this measure mean for quality of care?There is no data to suggest that having an elective cesarean Although cesarean births can be lifesaving and medically needed, the rapid rise and the extreme hospital variation suggests that "grey-zone" indications seem to be driving much of these trends . /Font 12 0 R A discharge to a designated cancer center or children's hospital should be captured as a discharge to an acute care facility. As we said above, if you decide to submit these traditionally chart-abstracted measures . 290 8th ed. /Rect [254.1430053711 572.7540283203 346.3569946289 602.5] The best practice included using high levels of cholesterol-lowering medications to treat stroke patients. The measures address a wide range of care concerns, including childbirth, pregnancy and post-partum care, and newborn care. One measure is exclusive breast milk feeding. Report from nine maternal mortality review committees. /Type /Annot The core sets focus primarily on ambulatory care measures at the clinician reporting level. A hospital may choose to use vital records to identify the PC-Mother Initial Patient Population as given in the Population section earlier. Find the exact resources you need to succeed in your accreditation journey. The Inpatient Web-based Measure, Elective Delivery, documents the number of patients with elective vaginal deliveries or elective Cesarean sections at greater than or equal to (>=) 37 and less than (<) 39 . reporting by state Medicaid and CHIP agencies. Background . The Joint Commission, Chris Walas, RN, MSN, and Melissa Potts, RN, BSN, CCDS, CDIP. Birth weight 3000 grams or more is a proxy to capture term newborns without gestational age recorded in EHR system. A hospital's Mother Population size is 20 cases during March. We use cookies to improve your experience and analyze our website traffic. The purpose of a balancing measure to is guard against any unanticipated or unintended consequences of quality improvement activities for these measures. /Ff 65536 6 0 obj Our mission is to end preventable morbidity, mortality and racial disparities in California maternity care. That's because The Joint Commission's eCQM option only applies to hospitals submitting all four perinatal measures. /A 47 0 R 18 0 obj The VSAC is the source of truth for the value set content, please visit the VSAC for downloads of current value sets. 'RelevantDatetime' indicates when the action occurred whereas 'authorDatetime' indicates when the action was recorded. 306 0 obj <>stream Eight or more contacts for antenatal care can reduce perinatal deaths by up to 8 per 1000 births when compared to 4 visits. process and established selection principles. The Joint Commissions Advanced Perinatal Care Certification requires the use of this set of standardized performance measures in order to meet the performance measurement requirements for certification. **National Goal Benchmark Source: The United States Department of Health Connected Using the monthly sampling table for the Exclusive Breast Milk Feeding measure, the sample size required 9 cases for the month. 5 0 obj endobj lz;2[&EPI:+O/A@Fg0{NlAYIS*yIQ6Hfw}I5wMo}#F>juLt!aj-?}a)4g]xo/3sst7o6vso^u|;?=MGmnNgw;{~Kom6:Lc|:;Ow7y}dCy2W79{/]-we33'Wa7i-b| =LNq3d4N'9k{n,~35LWe.cCAX)&I]Ie\E'ZQ+T5.0N=iw]2c3>EZq>-7iNp.~:-Ao>W4e1p0ZTifYg:<6'(>ji{{%6sW L8O;SB&Z:hL:0Mv{(CQE9PCQE9P:`7R8Px&v`i`#fq(bq(>T8%,q`|&f0TAi%Y%y%E%eJ4+H_I4%XelY-o{MlF.I]Rif]lCtcbFSLq|I;%m;*:LQj9o`gKK05o$3;#7 h/?neC%1_}\=wIZn!B4$.Rr\}=O|ikS4@ 9_aMimyT{f7\sB^E@Uo6[Xq2oQr4;w"uFWXr.dK=<. Building on a pilot version used by more than 100 hospitals since 2017, the Perinatal Quality Dashboard is the industry's only integrated analytics dashboard that aggregates and benchmarks more than 80 measures to help providers drill into patient-level detail, including payer mix and risk factors for COVID-19 maternal patients. NQF also endorsed measures dealing with hepatitis B vaccination rates for newborns, neonatal bloodstream infection rates, and exclusive breastfeeding rates during hospitalization. These were the first nursing-sensitive measures developed by ANA, and were prioritized by the Measures Application Partnership (MAP) . One of the five core measures includes exclusive breastmilk feeding. This eCQM is an episode-based measure. 2023 /Author () /H /N << You acknowledge that the American Medical Association (AMA) holds all copyright, trademark and other rights in CPT. /Rotate 0 Chart Abstracted Measures for Certification. /BS 48 0 R Electronic Clinical Quality Measures (eCQMs) for Accreditation Chart Abstracted Measures for Accreditation Electronic Clinical Quality Measures (eCQMs) for Certification These findings prompted us to evaluate our compliance not only with the Perinatal Core Measures (which was 100% for patients less than 34 weeks), but also with the evolving recommendations. >> endobj Twelve measures were previously endorsed, and two are new. A hospital's Mother Population size is 72 cases during the second quarter. For you, the electronic versions of the same measures are ePC-01, ePC-02, ePC-05 and ePC-06. Birth weight 3000 grams or more is a proxy to capture term newborns without gestational age recorded in EHR system. Lower numbers are better. /Length 54 0 R /ArtBox [0 0 612 792] Replaced 'weeks' with the UCUM code wk to be consistent with HL7 standards. z eHrtBZ%0e f/SFjM~%)pQ What does this measure mean for quality of care?Breast-feeding provides the best nutrition and health endobj #M'*?l62oO9P8(SvbWe w "The National Database of Nursing Quality Indicators (NDNQI) is a proprietary database of the American Nurses Association. This measure compares the number of MRSA-positive blood samples collected 4 or more days after the patient entered the hospital to a national benchmark. Be sure you clearly understand how to manage your health as you prepare to leave the hospital, such as any new prescription medications you may need. The Perinatal and Women's Health Standing Committee oversees NQF's perinatal and women's health measures. A hospital's PC-Newborn Population size is 100 cases for the month of March. Pediatric Quality Measures Program PQMP Measures SHARE: Search PQMP Measures Center of Excellence (COE) Quality Measurement, Evaluation, Testing, Review, and Implementation Consortium (Q-METRIC) (44) Center of Excellence on Quality of Care Measures for Children with Complex Needs (COE4CCN) (42) Of the 257 practices participating in the 2017 ACNM Benchmarking The following are Perinatal Care eCQMs used by The Joint Commission. Copyright We can make a difference on your journey to provide consistently excellent care for each and every patient. /CreationDate () endobj Revised the initial population and denominator exclusions to align with eCQM PC-06, Unexpected Complications in Term Newborns. This product includes CPT which is commercial technical data, which was developed exclusively at private expense by the American Medical Association, 330 North Wabash Avenue, Chicago, Illinois 60611. Our team presented these findings to our medications committee, whose support was helpful in educating our doctors on how to change their practice. Find more COVID-19 testing locations on Maryland.gov. The California Maternal Quality Care Collaborative has long been committed to supporting vaginal birth and reducing first birth cesareans. Quality metric meeting national benchmarks. /ArtBox [0 0 612 792] She was awarded the 2015 Moran Medal in statistics from the Australian Academy of Science in recognition of her work on developing methods for molecular data arising in cutting edge biomedical research. Effective January 1, 2019, all hospitals that provide obstetric care and deliver at least 300 babies annually will be required to collect data for the newest Joint Commission Perinatal Core (PC) measure, called "PC-06 Unexpected Complications in Term Newborns.". << Perinatal mental health services should be flexible and women-centred, and delivered by well trained health-care professionals working within a structure that facilitates continuity of carer. CMQCC has developed four quality measures that are used by government and quality review agencies such as the Joint Commission and the Leapfrog Group to help measure maternity care performance. Perinatal Core Measure PC-05 Exclusive Breastmilk Feeding As of January 1, 2014, The Joint Commission's Perinatal Care core measure set became mandatory for all hospitals with 1100 or more births per year. Revised the Guidance to reflect the rationale for adding birth weight to capture term newborns. 12 0 obj transferred to an acute care facility, or other health care facility endobj A hospital's PC-Newborn Population size is 25 cases during the second quarter. Share this page with a friend or colleague by Email. /MediaBox [0 0 612 792] We are vaccinating all eligible patients. By closely reviewing these care processes, we have the opportunity to concentrate on areas that need improvement. Using the quarterly sampling table for the Mother population, the sample size required is 20% of this sub-population or 300 cases for the quarter. The PC measure set is unique in that there are two distinct Initial Patient Populations within the measure set, mothers and newborns. connection among participants to achieve project goals. endobj A hospital's Mother Population size is 125 cases during March. NQF Endorses Perinatal Measures Washington, DC - the National Quality Forum (NQF) Board of Directors has approved for endorsement 14 quality measures on perinatal care. This measure is the overall rate of newborns A. All Rights Reserved. /H /P Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. Using the quarterly sampling table for for the Exclusive Breast Milk Feeding measure, the sample size required is 20% of this sub-population or 70 cases for the quarter . As a stroke compliance specialist, Meta Phillips, R.N., advocates for a personal touch when reviewing patient charts to help improve processes and patient care. Retrieved from http://reviewtoaction.org/Report_from_Nine_MMRCs. /P 10 0 R 2 0 obj This Core Set, which consists of 7 measures from CMS's Child Core Set and 4 measures from the Adult Core Set, will be used by CMS to measure and evaluate progress toward improvement of maternal and perinatal health in Medicaid and CHIP. Information on Joint Commission Requirements. /Parent 4 0 R CPT only copyright 2019 American Medical Association. Using the monthly sampling table for the Mother population, the sample size required is 20% of this sub-population or 80 cases for the month. /Type /Page Patients may benefit from discussing with their healthcare provider the disruptions COVID-19 may have caused on quality and safety of care. << NQF# 0471 NTSV Cesarean Birth (now managed by The Joint Commission as PC-02) Any party may request reconsideration of any of the 14 endorsed quality measures listed below by submitting an appeal no later than May 3 (to submit an appeal, go to the NQF Measure Database). endobj >> /Rect [338.3640136719 337.2290039062 515.7030029297 321.7850036621] /Type /Annot The Joint Commission and the Centers for Medicare and Medicaid Services periodically redefine the core measures based on the latest evidence and nationwide hospital performance. Timely postpartum visits provide an opportunity to assess a woman's physical recovery from pregnancy and childbirth. ICD-10-PCS Principal or Other Procedure Codes as defined in Appendix A, Table 11.01.1 Delivery, a Patient Age (Admission Date Birthdate) >= 8 years and < 65 and a Length of Stay (Discharge Date - Admission Date) 120 days. Lower quality care during pregnancy, childbirth, and the postpartum period can lead to unnecessary complications in women and newborns and wasted resources from overused procedures, prolonged hospital stays, and costly neonatal intensive care unit admissions, said Carol Sakala, PhD, MSPH, director of programs at Childbirth Connection and co-chair of the Perinatal and Reproductive Health Endorsement Maintenance Steering Committee. Inpatient hospitalizations for single newborns who were born in the hospital that ends during the measurement period, and with either of the following conditions: - An estimated gestational age at birth of >= 37 weeks, - Birth weight >= 3000 grams without an estimated gestational age at birth. A hospital's Mother Population size is 400 cases during March. vaginal delivery or elective cesarean section before the recommended Our team shares information every day and talks about ways to address problems both large and small. /Border [0 0 0] Data shows that the majority of newborns with gestational age 37 weeks or more have a birth weight 3000 grams or more. Short Name. . This version of the eCQM uses QDM version 5.5. Building U.S. Capacity to Review and Prevent Maternal Deaths. Birth weight 3000 grams or more is a proxy to capture term newborns without gestational age recorded in EHR system. Perinatal Quality Collaboratives (PQCs) are state or multistate networks of teams working to improve the quality of care for mothers and babies. The higher percentage compliance means the hospital is following the best steps to care for a patients particular condition. /Filter /FlateDecode This set of measures will help promote the type of high-quality care these populations deserve.. This field is for validation purposes and should be left unchanged. A technical advisory panel (TAP) comprising experts in the perinatal care field was convened in February 2009 to select the replacement set of measures from among those endorsed for national use by the National Quality Forum. Note: District of Columbia state average not available for the cesarean Disclaimer of Warranties and Liabilities. Poster Presentation Purpose for the Program In 2010, the Joint Commission developed perinatal core measures. /DA (/Helv 0 Tf 0 g ) /Subtype /XML /H /N Center for Academic Medicine, Neonatology, MC 5660, 453 Quarry Road, Palo Alto, CA 94304, CA-PAMR Pregnancy-Associated Mortality Surveillance System Committee, Unexpected Complications in Term Newborns, <1500g Infant Not Delivered at Appropriate Level, COVID-19 Resources for Maternal and Infant Health, Mother & Baby Substance Exposure Initiative Toolkit, OB Hemorrhage Task Force and Update Task Force, Hypertensive Disorders of Pregnancy Toolkit, Hypertensive Disorders of Pregnancy Task Force, Maternal Sepsis Task Force Advisory Group, Support Vaginal Birth and Reduce Primary Cesareans Toolkit, Supporting Vaginal Birth and Reducing Primary Cesarean Delivery Taskforce, Toolkit to Support Vaginal Birth and Reduce Primary Cesareans, Medical School Office Building, 1265 Welch Road, MS 5415, Stanford, CA 94305 USA. License to use CPT for any use not authorized herein must be obtained through the American Medical Association, Intellectual Property Services, AMA Plaza, 330 North Wabash Avenue, Suite 39300, Chicago, Illinois 60611-5885. /Annots [16 0 R 17 0 R 18 0 R 19 0 R 20 0 R] endobj To provide a benchmark of local health department effectiveness in addressing the core functions and to assess implications for achieving the year 2000 target, a random national sample (stratified by jurisdiction and population base) of local health departments was surveyed to determine self-reported compliance with 10 public health practice . /Length 8 0 R * Bei Fragen einfach anrufen oder schreiben: +49 (0)176 248 87 424. betheme google analytics; crave burger calories; pipp program application; chaps advantages and disadvantages Specific steps for each condition vary, but examples include providing preventative medication to patients at risk for developing blood clots or determining rehabilitation needs for a stroke patient. Data shows that the majority of newborns with gestational age 37 weeks or more have a birth weight 3000 grams or more. This should be reflected as such in the newborn's EHR documentation. Value set Birth Weight (2.16.840.1.113762.1.4.1029.194): Added Birth Weight based on change in measure requirements, using birth weight to capture term newborns whose the estimated gestational age at birth information is missing. endobj /Metadata 3 0 R NQF# 0480 Exclusive Breast Milk Feeding, also in electronic measure as 0480e (now managed by The Joint Commission as PC-05). One commenter. If a hospital uses this method to identify the initial patient population, then the hospital is encouraged to submit all the records of the initial population rather than using sampling to identify the cases for submission. 21 0 obj Masks are required inside all of our care facilities. Inpatient hospitalizations for newborns who were with any of the following conditions: admitted to the Neonatal Intensive Care Unit (NICU), transferred to an acute care facility, or other health care facility, a length of stay greater than 120 days that ends during the measurement period, Inpatient hospitalizations for newborns who were fed breast milk only since birth, Improvement noted as an increase in the rate. a0,eJl-sxbuH6@T;4XpI _lLvzs_[6`,0^G@. 14 0 obj >> Patients in the newborn population always run against the Unexpected Complication in Term Newborns measure and they may run against Exclusive Breast Milk Feeding measure if sampled. /Type /Page NQF Number. According to a national survey, approximately 8% of pregnant women experienced major depression in the past year. Added text to indicate whether the measure is patient-based or episode-based. Using the monthly sampling table for the Exclusive Breast Milk Feeding measure, the sample size is less than the minimum required monthly sample size, so 100% of this sub-population or all 8 cases are sampled. provide labor and delivery care. = AU?U m!p\;4TPC[H < kIO!0Q)tji Oc2Pe` i)[ XAbRPp&p /Border [0 0 0] /N 40 0 R Strikethrough text highlighted in red indicates information changed from the previous version. Pregnancy and childbirth-related procedures account for the five most common medical procedures for women of child-bearing age, yet deaths during pregnancy and childbirth have doubled for women in the United States in the last 20 years. /TrimBox [0 0 612 792] where Reference Date is the date on which you are trying to determine gestational age. American College of Obstetricians and Gynecologists (ACOG). /Group 34 0 R /MediaBox [0 0 612 792] endobj The chart abstracted Perinatal Care measures were re-endorsed by the National Quality Forum (NQF) on November 20, 2020. We do not share your information with third parties. The purpose of the project was to demonstrate how the electric medical record could be used for data collection, quality improvement, and benchmarking . requiring 39 completed weeks gestation prior to elective delivery. Public lists NHS workforce in England [January 2023] Transgender health [September 2022] Weekly additions - 2023-02-26 Financial pressures in the NHS in England [January 2023] Introduction to the NHS in England [February 2023] Devolved National Health Service : the NHS in England, Northern Ireland, Scotland and Wales [March 2022] Adult social . With more than four million births in the United States each year, perinatal measures are needed to ensure the health and well-being of new mothers and newborns, said Janet Corrigan, PhD, MBA, president and CEO of NQF. /Annots [31 0 R 32 0 R 7 0 R] endstream Using the monthly sampling table for the Exclusive Breast Milk Feeding measure, the sample size required is 37 cases. /Rect [80 351.2290039062 296.5539855957 335.7850036621] Using the quarterly sampling table for the Exclusive Breast Milk Feeding measure, the sample size required 27 cases for the quarter. /Helv 38 0 R Maternity Care Bibliography. Optimizing Postpartum Care. Using the quarterly sampling table for the Exclusive Breast Milk Feeding measure, the sample size required is 109 cases. Response: Please note that electronic clinical quality measures are not sampled. Updated definitions and functions in the MAT Global Common Functions Library to align with standards changes, CQL Style Guide, and to include one new function related to calculating length of hospital stays with observation stays. outcomes for a newborn. >> HMO corresponds to All LOBs (excluding PPO and EPO) within Quality Compass. The measure is reported as an overall rate which includes all newborns that were exclusively fed breast milk during the entire hospitalization. endobj In cases where there is conflicting data, use the document recording the birth weight closest to the start of encounter. /R 41 0 R What does this measure mean for quality of care?The American College of Obstetricians and Gynecologists and The following indicator sets are considered appropriate and useful for public reports as well: was introduced in Q4 2018. calendar year numbers publicly available on the Centers for Medicare and CMQCC has developed four quality measures that are used by government and quality review agencies such as the Joint Commission and the Leapfrog Group to help measure maternity care performance. Use of this measure set for quality improvement and public reporting will help strengthen maternal and newborn health and the value of our considerable investment in maternity care.. Value set Parenteral Nutrition (2.16.840.1.113883.3.117.1.7.1.38): Deleted 1 SNOMED CT code (304055007) based on terminology update. NPIC Blog: The Devastating Impact of Sepsis. /T (Next 9) View them by specific areas by clicking here. )YQDF: X9:O4Lal4)#p /EKk= /RI 41 0 R section who have not previously given birth. endobj /C [] /Border [0 0 0] hQJ@4mEKHFd-wZkwQ#&p#`ZX94![k@IV, LF7P{(WJH*5#u&){+*ro2*>92Ax'78q/>IF0~*n`JFcx9m/wu"kLW!4IX4uT!+hex|qzp+xjt lr$hSkZ8-4Io |F"X[H 9 /Rect [45 47.2192001343 154.7259979248 35.9873008728] Patients and families can use core measure performance to objectively compare hospitals locally or nationally. section leads to better outcomes for the mother or newborn than Perinatal Core Measure Set PC-01: Elective delivery PC-02: Cesarean section PC-03: Antenatal steroids PC-04: Health care associated bloodstream infections in newborns PC-05: Exclusive breast milk feeding For hospitals with 1,100 or more births per year, the perinatal care measure set will become the mandatory fifth measure set. o Perinatal measures ZSFG is at or below ZSFG-defined goals and the Vizient median for 5 perinatal core measures: Elective Delivery, cesarean section rate, antenatal steroids, healthcare associated BSI, and exclusive . Only one birth weight value should be recorded. Eligible Hospital / Critical Access Hospital eCQMs, FHIR - Fast Healthcare Interoperability Resources, QRDA - Quality Reporting Document Architecture, Inpatient hospitalizations for newborns who were with any of the following conditions: Locomotion is impacted differently according to the perinatal brain injury model: Meta-analysis of preclinical studies with implications for cerebral palsy. The database collects and evaluates unit-specific nurse-sensitive data from hospitals in the United States." Source: National Database of Nursing Quality Indicators Measures Patient falls << >> They provide a snapshot of how health is influenced by where we live, learn, work, and play. %PDF-1.6 % /Kids [9 0 R 10 0 R] This version of the eCQM uses QDM version 5.6. >> Meta Phillips, R.N.Stroke Compliance Specialist, Sibley Memorial Hospital. Acute-care hospitals SIX core measure sets, effective with January 1, 2014 discharges . Patients admitted to the hospital for inpatient acute care are included in the PC Mother Initial sampling group if they have: And a CDC survey found that 8 to 19% of women reported having frequent postpartum depressive symptoms. Results - National Averages Timeliness of Prenatal Care Postpartum Care This State of Healthcare Quality Report classifies health plans differently than NCQA's Quality Compass. 15 0 obj *Benchmark Source: National and state averages are the most recent Click on the link(s) below to access measure specific resources: The Joint Commission is a registered trademark of the Joint Commission enterprise. EMPOWERED A hospital's PC-Newborn Population size is 99 cases during the second quarter. Specifications for these measuresare available below: In late 2007, The Joint Commissions Board of Commissioners recommended retiring and replacing the Pregnancy and Related Conditions (PR) measure set with an expanded set of evidenced-based measures. The organizations quality and safety performance may have been impacted by the COVID-19 pandemic. exclusively fed breast milk during the entire hospital stay. In its 2020 review process, the National Quality Forum endorsed 15 Perinatal and Women's Health measures, of which CMQCC was the developer of three: /Encoding 11 0 R endobj The following are Perinatal Care chart abstracted measures used by The Joint Commission. What are the national benchmarks for the PC measures? The Joint Commission tracks compliance with core measures and each year recognizes the top performing hospitals for key quality metrics. The Joint Commission reserves the right to change the content of the information as appropriate.. A hospital may choose to use a larger sample size than is required. Our Stroke Program team is small and communicates well. The National Quality Forum. NQF is a voluntary consensus standards-setting organization. Medicaid.gov: the official U.S. government site for Medicare | Medicaid Pr]< OZq_(yO 5gUfjE\VS,Fw- 9[)_6DX{}n9Iw6 For example, an infant born on the 5th day of the 36th week (35 weeks and 5/7 days) is at a gestational age of 35 weeks, not 36 weeks. /Contents 33 0 R 16 0 obj The goal of QualityNet is to help improve the quality of health care .
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