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Exclusive Breast Milk Feeding

eCQM Compare View
Measure Information 2023 Reporting Period
Title Exclusive Breast Milk Feeding
CMS eCQM ID CMS9v11
Short Name

PC-05

CBE ID* 0480e
Measure Steward The Joint Commission
Description

PC-05 Exclusive breast milk feeding during the newborn's entire hospitalization.

The measure is reported as an overall rate which includes all newborns that were exclusively fed breast milk during the entire hospitalization.

Measure Scoring Proportion measure
Measure Type Process
Stratification *See CMS9v11.html
Risk Adjustment *See CMS9v11.html
Rationale *See CMS9v11.html
Clinical Recommendation Statement *See CMS9v11.html
Improvement Notation

Improvement noted as an increase in the rate

Definition *See CMS9v11.html
Guidance

A discharge to a designated cancer center or children's hospital should be captured as a discharge to an acute care facility.

Data show that the majority of newborns with gestational age 37 weeks or more have a birth weight 3000 grams or more. Birth weight 3000 grams or more is a proxy to...

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Initial Population

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...

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Denominator

Initial Population

Denominator Exclusions

Inpatient hospitalizations for newborns who were with any of the following conditions:

• admitted to the Neonatal Intensive Care Unit (NICU) or transferred to a regular intensive care unit (ICU)

• transferred to an acute care facility, or other health care facility

• expired during the...

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Numerator

Inpatient hospitalizations for newborns who were fed breast milk only since birth

Numerator Exclusions

Not Applicable

Denominator Exceptions

None

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Last Updated: May 01, 2025