Universal NQF Measure NJ Data Reporting Entity/ Reporting Measure Name DSRIP # P4P or P4R Code # Steward Source Setting of Care Period Follow-up After Hospitalization for Annual; 11 41 0576 NCQA MMIS Multi-setting P4P Mental Illness – 7 days post discharge April Engagement of alcohol and other drug Annual; 12 38 0004 NCQA MMIS Multi-setting P4P treatment April Chart/ Annual; 16 Controlling High Blood Pressure 31 0018 NCQA Outpatient P4P EHR April Ischemic Vascular Disease (IVD): 0075 Chart/ Annual; 18 Complete Lipid Profile and LDL-C 55 (based NCQA Outpatient P4R EHR April Control <100mg/dL on) Preventive Care & Screening: Tobacco Chart/ Annual; 19 76 0028 AMA-PCPI Outpatient P4R Use: Screening & Cessation Intervention EHR April Not Annual; 21 CD4 T-Cell Count 20 HRSA MMIS Multi-Setting P4R Found April Annual; 25 Chlamydia Screening in Women 28 0033 NCQA MMIS Multi-Setting P4R April 0038 Annual; 26 Child Immunization Status 25 (based NCQA MMIS Multi-Setting P4R April on) 1392 Well-Child Visits in First 15 Months of Annual; 27 88 (based NCQA MMIS Outpatient P4P Life April on) Hospital Acquired Potentially Not Joint Chart/ Hospital/ Annual; 30 47 P4R Preventable Venous Thromboembolism Found Commission EHR Inpatient April 0272 Diabetes Short-Term Complications Hospital/ Annual; 32 36 (based AHRQ MMIS P4P Admission Rate Inpatient April on) Hospital/ Ambulatory Care – Emergency Not Annual; 33 8 NCQA MMIS Emergency P4P Department Visits Found April Department Cesarean Rate for Nulliparous Singleton Joint Chart/ Hospital/ Annual; 40 23 0471 P4R Visits Commission EHR Inpatient April 30-Day All-Cause Readmission 0330 Hospital/ Annual; 42 Following Heart Failure (HF) 3 (based CMS MMIS P4P Inpatient April Hospitalization on)
Universal Code Measure Name DSRIP # NQF # Measure Steward NJ Data Source Reporting Entity/ Setting of Care Reporting Period P4P or P4R 11 Follow-up After Hospitalization for Mental Illness – 7 days post discharge 41 0576 NCQA MMIS Multi-setting Annual; April P4P 12 Engagement of alcohol and other drug treatment 38 0004 NCQA MMIS Multi-setting Annual; April P4P 16 Controlling High Blood Pressure 31 0018 NCQA Chart/ EHR Outpatient Annual; April P4P 18 Ischemic Vascular Disease (IVD): Complete Lipid Profile and LDL-C Control <100mg/dL 55 0075 (based on) NCQA Chart/ EHR Outpatient Annual; April P4R 19 Preventive Care & Screening: Tobacco Use: Screening & Cessation Intervention 76 0028 AMA-PCPI Chart/ EHR Outpatient Annual; April P4R 21 CD4 T-Cell Count 20 Not Found HRSA MMIS Multi-Setting Annual; April P4R 25 Chlamydia Screening in Women 28 0033 NCQA MMIS Multi-Setting Annual; April P4R 26 Child Immunization Status 25 0038 (based on) NCQA MMIS Multi-Setting Annual; April P4R 27 Well-Child Visits in First 15 Months of Life 88 1392 (based on) NCQA MMIS Outpatient Annual; April P4P 30 Hospital Acquired Potentially Preventable Venous Thromboembolism 47 Not Found Joint Commission Chart/ EHR Hospital/ Inpatient Annual; April P4R 32 Diabetes Short-Term Complications Admission Rate 36 0272 (based on) AHRQ MMIS Hospital/ Inpatient Annual; April P4P 33 Ambulatory Care – Emergency Department Visits 8 Not Found NCQA MMIS Hospital/ Emergency Department Annual; April P4P 40 Cesarean Rate for Nulliparous Singleton Visits 23 0471 Joint Commission Chart/ EHR Hospital/ Inpatient Annual; April P4R 42 30-Day All-Cause Readmission Following Heart Failure (HF) Hospitalization 3 0330 (based on) CMS MMIS Hospital/ Inpatient Annual; April P4P
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