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https://ecqi.healthit.gov/ecqm/eh/2018/cms113v6
Patients with elective vaginal deliveries or elective cesarean births at >= 37 and < 39 weeks of gestation completed Initial Population Patients age >= 8 years and < 65 admitted to the hospital for inpatient acute care to undergo a delivery procedure and had a length of stay less than or equal to 120 days that ends during the measurement period
https://manual.jointcommission.org/releases/TJC2016A/MIF0166.html
ICD-10-CM Principal Diagnosis Code or ICD-10-CM Other Diagnosis Codes for conditions possibly justifying elective delivery prior to 39 weeks gestation as defined in Appendix A, Table 11.07 Less than 8 years of age Greater than or equal to 65 years of age Length of stay > 120 days Gestational Age < 37 or >= 39 weeks or UTD Data Elements:
https://journals.lww.com/co-obgyn/Abstract/2010/12000/Elective_delivery_at_less_than_39_weeks.12.aspx
n raised that many of these procedures are not performed within the parameters of existing clinical guidelines. Recent findings The American College of Obstetricians and Gynecologists (ACOG) recommends that no elective delivery should be performed before the gestational age of 39 weeks; however, studies report rates of 28–35.8% of elective deliveries occurring before 39 weeks and reveal …
https://www.wsha.org/quality-safety/projects/safe-deliveries/elective-delivery-37-to-less-than-39-weeks-gestational-age/
Elective Delivery 37 to less than 39 Weeks Gestational Age Clinical Rationale For almost three decades, the American College of Obstetricians and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP) have had in place a standard requiring 39 completed weeks gestation prior to elective delivery, either vaginal or operative (ACOG, 1996).
https://www.researchgate.net/publication/47556273_Elective_delivery_at_less_than_39_weeks
Elective delivery at less than 39 weeks. ... P=.032), were detected. A policy limiting elective delivery before 39 weeks of gestation was followed by changes in the timing of term deliveries. This ...
https://www.marchofdimes.org/mission/39-weeks-quality-improvement.aspx
See also: Less than 39 weeks toolkit, Prematurity Prevention Resource Center (PPRC), A Multistate Quality Improvement Program to Decrease Elective Deliveries Before 39 Weeks of Gestation, 39+ Weeks Quality Improvement Initiative Marketing Video, Healthy Babies are Worth the Wait® (PDF, 198 KB)
https://www.emedny.org/ProviderManuals/communications/OBSTETRICAL_DELIVERIES_PRIOR_TO_39_WEEKS_GESTATION.pdf
providers for C-sections or inductions performed at less than 39 weeks gestation when deemed medically necessary, and reduce payments for C-sections or inductions performed at less than 39 weeks gestation when deemed elective (not medically necessary). Payment is to be negotiated between providers and the managed care plans.
https://www.emedny.org/ProviderManuals/Inpatient/PDFS/Additional_ICD-10_Acceptable_Diagnosis_Codes_-_1-5-16.pdf
Jan 05, 2016 · Additional . ICD-10 Acceptable Diagnosis Codes . Elective Deliveries Under 39 Weeks . The following ICD10 diagnosis codes have been added to the list of acceptable - diagnosis codes for elective deliveries occurring at less than 39 weeks gestation. Practitioners are responsible for ensuring that the codes submitted for reimbursement
https://www.marchofdimes.org/professionals/less-than-39-weeks-toolkit.aspx
The Elimination of non-medically indicated (elective) deliveries before 39 weeks gestational age toolkit is an important hospital resource that guides and supports obstetrical providers, clinical staff, hospitals and healthcare organizations in implementing a successful quality improvement initiative to eliminate non-medically indicated (elective) deliveries before 39 weeks.
https://www.nih.gov/news-events/news-releases/induced-labor-39-weeks-may-reduce-likelihood-c-section-nih-study-suggests
Aug 08, 2018 · “Our analysis suggests that elective induction at 39 weeks is associated with a lower rate of cesarean delivery and does not increase the risk of major complications for newborns.” Although cesarean delivery is safe for mother and baby, it is major surgery and does carry risks. It takes longer to recover from a C-section, compared to ...
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