Hearing Screening Prior To Hospital Discharge

Last updated: January 31, 2017

CMS Measure ID: CMS31v5
Version: 5
NQF Number: 1354
Measure Description:

This measure assesses the proportion of births that have been screened for hearing loss before hospital discharge

Initial Patient Population:

Live birth encounters at a hospital or birthing facility where the newborn was discharged with hospital stays <= 120 days during the measurement period

Denominator Statement:

Denominator is equal to the Initial Population

Denominator Exclusions:

Live birth encounters where the patient expires prior to discharge and has not received hearing screening for the left or right ear

Numerator Statement:

Live birth encounters during the measurement period where a patient born at the facility is screened for hearing loss prior to discharge or not screened due to medical reasons

Numerator Exclusions:

Not applicable

Denominator Exceptions:

None

Measure Steward: CDC National Center on Birth Defects and Developmental Disabilities
Domain: Effective Clinical Care
Short Name: EHDI_1a
Previous Version: Hearing Screening Prior To Hospital Discharge
Improvement Notation:

Improvement noted as an increase in rate

Guidance:

The measurement period is one calendar year but the reporting period is jurisdictionally defined.

Specifications

Release Notes

Header

  • Incremented eMeasure Version number.

    Section: eMeasure Version number

    Source: Measure Lead

  • Added 'with hospital stays <= 120 days' during the measure period to be more concise and to align with the logic.

    Section: Initial Population

    Source: Measure Lead

  • Updated Reference.

    Section: Reference

    Source: Measure Lead

Logic

  • Added new attribute 'diagnosis' to 'Encounter, performed' datatype to conform to QDM 4.2 changes and provide more accurate logic.

    Section: Initial Population

    Source: QDM Standards

  • Combined Livebirth to Liveborn Newborn Born in Hospital value set and introduced the operator Intersection of to condense logic and reduce complexity.

    Section: Initial Population

    Source: Measure Lead

  • Replaced datatypes 'Diagnosis, Active; with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: Initial Population

    Source: QDM Standards

  • Value set Livebirth (2.16.840.1.114222.4.1.214079.1.1.1): Removed Livebirth.

    Section: Initial Population

    Source: None

  • Value set Liveborn Newborn Born in Hospital (2.16.840.1.113762.1.4.1046.6): Renamed Liveborn Newborn Born in Hospital to Live Birth Newborn Born in Hospital.

    Section: Initial Population

    Source: None

  • Added new attribute 'diagnosis' to 'Encounter, performed' datatype to conform to QDM 4.2 changes and provide more accurate logic.

    Section: QDM Data Elements

    Source: QDM Standards

  • Replaced datatypes 'Diagnosis, Active; with the re-specified 'Diagnosis' datatype to conform to QDM 4.2 changes.

    Section: QDM Data Elements

    Source: QDM Standards

  • Value set Livebirth (2.16.840.1.114222.4.1.214079.1.1.1): Removed Livebirth.

    Section: QDM Data Elements

    Source: None

  • Value set Liveborn Newborn Born in Hospital (2.16.840.1.113762.1.4.1046.6): Renamed Liveborn Newborn Born in Hospital to Live Birth Newborn Born in Hospital.

    Section: QDM Data Elements

    Source: None

Value Set

  • Value set Live Birth Newborn Born in Hospital (2.16.840.1.113762.1.4.1046.6): Deleted 18 ICD9CM codes. Added SNOMEDCT extensional value set (2.16.840.1.114222.4.1.214079.1.1.1) including 24 codes.

    Section: None

    Source: None

  • Value set Liveborn Newborn Born in Hospital (2.16.840.1.113762.1.4.1046.6): Renamed Liveborn Newborn Born in Hospital to Live Birth Newborn Born in Hospital.

    Section: None

    Source: None

External Resources