• Institute for Clinical Systems Improvement (ICSI). Routine prenatal care. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2008 Aug. 89 p. [290 references]

Does not apply to this measure

This measure is used to assess the percentage of all identified preterm birth (PTB) modifiable risk factors assessed that receive an intervention.

The priority aim addressed by this measure is to increase the rate of appropriate interventions for women with preterm birth (PTB) risk factors.

Prenatal care; preterm birth (PTB) modifiable risk factors; interventions (referral, education, home health nurse visits, ultrasound, advice, any documented plan for action/follow-up)

Number of modifiable risk factors* identified through screening and documentation in patient chart

*Refer to the original measure documentation for details.

Number of modifiable risk factors in the denominator with documented intervention (see the related "Numerator Inclusions/Exclusions" field in the Complete Summary)

• A clinical practice guideline or other peer-reviewed synthesis of the clinical evidence

Unspecified

Current routine use

Internal quality improvement

Physician Group Practices/Clinics

Physicians

Group Clinical Practices

Women of childbearing age

Female (only)

Unspecified

Unspecified

Unspecified

Unspecified

Unspecified

Unspecified

Staying Healthy

Effectiveness
Patient-centeredness

Users of care only

Patients associated with provider

Inclusions
Number of modifiable risk factors* identified through screening and documentation in patient chart

*Refer to the original measure documentation for details.

Exclusions
Unspecified

All cases in the denominator are equally eligible to appear in the numerator

Clinical Condition
Encounter

Time window is a single point in time

Inclusions
Number of modifiable risk factors in the denominator with documented intervention*

*An intervention can be:

• Referral
• Education
• Home health nurse visits
• Ultrasound
• Advice
• Any documented plan for action/follow-up

Exclusions
Unspecified

The measure results are somewhat or substantially under the control of the health care professionals, organizations and/or policymakers to whom the measure applies.

Episode of care

Medical record

Individual Case

Unspecified

Rate

Better quality is associated with a higher score

Unspecified

Internal time comparison

Unspecified

Percentage of all identified PTB modifiable risk factors assessed that receive an intervention.

Institute for Clinical Systems Improvement

The following Minnesota health plans provide direct financial support: Blue Cross and Blue Shield of Minnesota, HealthPartners, Medica, Metropolitan Health Plan, PreferredOne and UCare Minnesota. In-kind support is provided by the Institute for Clinical Systems Improvement's (ICSI) members.

Committee Members: Dale Akkerman, MD (Work Group Leader) (Park Nicollet Health Services) (OB/GYN); Tamara Johnston, MD (Northwest Family Physicians) (Family Medicine); Katie Klingberg, MD (Northpoint Health and Wellness) (Family Medicine); Kari Rabie, MD (Southside Community Health Services) (Family Medicine); Jennifer Schriever, MD (Sioux Valley Hospitals and Health System) (Family Medicine); Carol Stark, MD (Family HealthServices Minnesota) (Family Medicine); Peter Van Eerden, MD (Sioux Valley Hospitals and Health System) (Maternal-Fetal Medicine); Georgeanne Croft, CNM (HealthPartners Medical Group) (Nurse Midwifery); Amy Knox, CNM (Park Nicollet Health Services) (Nurse Midwifery); John A. Jefferies, MD (Mayo Clinic) (OB/GYN); Joan Kreider, MD (HealthPartners Medical Group) (OB/GYN); John Vickers, MD (HealthPartners Medical Group) (OB/GYN); Corinne Esch, RN, CDS (HealthPartners Medical Group) (OB/GYN Nursing); Nancy Jaeckels (Institute for Clinical Systems Improvement) (Implementation Advisor); Linda Setterlund, MA (Institute for Clinical Systems Improvement) (Facilitator)

Measure was not adapted from another source.

2005 Aug

2008 Aug

This is the current release of the measure.

This measure updates a previous version: Institute for Clinical Systems Improvement (ICSI). Routine prenatal care. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2007 Aug. 87 p.

• Institute for Clinical Systems Improvement (ICSI). Routine prenatal care. Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2008 Aug. 89 p. [290 references]

This NQMC summary was completed by ECRI on October 18, 2005. This summary was updated by ECRI Institute on November 30, 2006, December 26, 2007, and again on October 20, 2008.

This NQMC summary (abstracted Institute for Clinical Systems Improvement [ICSI] Measure) is based on the original measure, which is subject to the measure developer's copyright restrictions.

The abstracted ICSI Measures contained in this Web site may be downloaded by any individual or organization. If the abstracted ICSI Measures are downloaded by an individual, the individual may not distribute copies to third parties.

If the abstracted ICSI Measures are downloaded by an organization, copies may be distributed to the organization's employees but may not be distributed outside of the organization without the prior written consent of the Institute for Clinical Systems Improvement, Inc.

All other copyright rights in the abstracted ICSI Measures are reserved by the Institute for Clinical Systems Improvement, Inc. The Institute for Clinical Systems Improvement, Inc. assumes no liability for any adaptations or revisions or modifications made to the abstracts of the ICSI Measures.