MHSPHP Metrics Forum. Well Child Visits in first 15 months of life Judith.email@example.com. Overview. Well Child Visits in first 15 months of Life Methodology of the metric Understanding the prevalence report Metric challenges Suggestions for use of the patient list.
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Well Child Visits in first 15 months of life
The percentage of continuously enrolled children who turned 15 months old during the measurement year and who had 6 well-child visits with a Primary Care Provider during their first 15 months of life.
between 1 May 2010 - 30 Apr 2011
Continuous Enrollment example—must be enrolled 14 of the 15 months after the first month through the end of 15th month old birthday month:
Ex: Born any day in the month of Jan 2011- doesn’t need to be enrolled in Jan but does need to be enrolled for all but one of the following months: Feb 11, Mar 11, Apr 11, May 11, Jun 11, Jul 11, Aug, Sep, Oct, Nov 11, Dec 11, Jan 12, Feb 12, Mar 12, Apr 12
PLEASE check your provider specialty codes in CHCS to ensure the proper codes are assigned
A major medical center found several of their pediatric residents had the specialty code of 010 for internal medicine residents without a licence instead of 039, pediatric resident without a license
This was discovered at San Diego, but data reveals a lot of 010 encounters in pediatric clinic at NNMC
Any of these codes in a PCP encounter excluding inpatient or ER settings:
ICD9: V20.2, V20.3, V70.0, V70.3, V70.5, V70.6, V70.8, V70.9
CPT: 99381, 99382, 99391, 99392, 99432, 99461
HCPCS: G0438, G0439
Displays enrollees up to age 18 months
Displays approximate visits for first month, 2 months, 4 months, 6 months, 9 months, 12 months and 15 months
Counts total well child visits
Counts total visits with a PCP
Well Child List
Well Child Metric
Age in measured month:
Continuous PRIME enrollment required
Enrolled to your DMIS on 15th month birthday month
Counts all well child visits regardless of when they occur (can have more than six)*
*Total number of well child visits are displayed on well child list
Why are babies missing early visits on the list?
Look them up in CHCS to see if child really had visit
One MTF sent list of 50 patients with 17 of the first month enc blank—they identified 14 first month appts in CHCS
Why were they not on the list?....
How can you use the list?
Highlight DOB column
Select Text to columns