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Performance Review
 

Clinical Measures for Health Center Grantee Performance Reviews –
Calendar Year 2006


Performance Measure: # 2   Activity Code(s): H 80  
Percentage of women, who had a postpartum visit within 42 days after delivery.
 
Definition:
Numerator:

Number of women with a documented postpartum visit to a health care provider within 42 days after delivery.
Denominator: Total number of perinatal users per UDS table 7 line 19, column h (this line is for deliveries.)
Unit & Text: numerator count/denominator count x 100 = %
 

National Benchmark:

 HEDIS Annual Report on Health Care Quality: 2005
http://www.ncqa.org/docs/SOHCQ_2005.pdf (page 49)
The percentage of women who had a visit to a health care provider
on or between 21 days and 56 days after delivery.

For UDS report on % of post partum visit a roll up request for the information on Table 7 column 23 can be requested.
There is no Benchmark for this measure.

Data Sources:
 UDS report Table 7

Chart audit sample using the sample frame of persons meeting numerator criteria.

 
Background/significance of the measure:

For information on this measure, see:
http://www.qualitymeasures.ahrq.gov/summary/summary.aspx?doc_id=475&string=postpartum

The postpartum visit provides the opportunity for an assessment of the mother, child, family, and social resources and relationships through the provider’s interview, exam and testing. The visit should include an assessment for medical problems and family planning. It is also an opportunity to discuss and offer counseling on topics such as parenting, nutrition, breast feeding, postpartum depression, contraceptive methods, future health and pregnancies, domestic violence, weight management, nutrition and vitamin use, etc.
Physical exam should include: weight, blood pressure, breasts abdomen, and pelvic exam.
Test that should be performed include: Hemoglobin and hematocrit (if indicated), PAP test (if positive initially)