Elective Delivery

Last updated: May 3, 2018

CMS Measure ID: CMS113v3
Version: 3
NQF Number: 0469
Measure Description:

Patients with elective vaginal deliveries or elective cesarean sections at >= 37 and < 39 weeks of gestation completed

Initial Patient Population:

Patients age >= 8 years and < 65 admitted to the hospital for inpatient acute care and had a length of stay < 120 days.

Denominator Statement:

Patients delivering newborns with >= 37 and < 39 weeks of gestation completed

Denominator Exclusions:

Patients with conditions possibly justifying elective delivery prior to 39 weeks gestation

Numerator Statement:

Patients with elective deliveries with medical induction of labor or cesarean section and not in labor.

Numerator Exclusions:

Not Applicable

Denominator Exceptions:


Measure Steward: The Joint Commission
Domain: Effective Clinical Care
Short Name: PC01
Next Version:
Measure Score: Proportion
Score Type: Process
Improvement Notation:

Decrease in the rate


The unit of measurement for this measure is an inpatient episode of care. Each distinct hospitalization should be reported, regardless of whether the same patient is admitted for inpatient care more than once during the measurement period. In addition, the eMeasure logic intends to represent events within or surrounding a single occurrence of an inpatient hospitalization.

Wherever the gestational age is mentioned with relative timing to delivery, the intent is to capture the estimated gestational age on the day of delivery.

Gestational age should be rounded off to the nearest completed week, not the following week. 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.


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