Well-Child Visits in the First 30 Months of Life (W30)

HEDIS Measure

Well-Child Visits in the First 30 Months of Life (W30)

Line of business: Commercial Medicaid

Data Collection Method: Administrative (Claims)

Rate 1 Only

Supplemental Data Submission

• Standard – Electronic Clinical Data System (ECDS) Layout

Measure Description

The percentage of members who had the following number of well- child visits with a PCP during the last 15 months.

The following rates are reported:

• Well-Child Visits in the First 15 Months. Children who turned 15 months old during the measurement year: Six or more well-child visits.
• Well-Child Visits for Age 15 Months–30 Months. Children who turned 30 months old during the measurement year: Two or more well-child visits.

Numerator Compliance

Rate 1 – Well Child Visits in the First 15 Months of Life: Six or more well-child visits on different dates of service on or before the 15-month birthday.

NOTE: The well-child visit must occur with a PCP, but the PCP does not have to be the practitioner assigned to the child.

Best Practices

• Take advantage of every visit, including sick visits, to capture the components of this measure
• Schedule visits within the recommended time frames
• Use standardized templates in charts and EMRs that allow checkboxes for standard counseling activities
• Based on the well visit schedule by the American Academy of Pediatrics – there are seven opportunities of capture these visits: Newborn (not just weight check) 1, 2, 4, 6, 9, 12, 15, 18, 24, 30 months
• Encourage parents/patients to maintain the relationship with a PCP to promote consistent and coordinated health care
• Educate parents/patients on the importance of having preventive care visits
• Consider offering extended practice hours to increase care access
• Remind patients of their appointment by making calls or sending texts
• Make outreach calls and/or send letters to advise members of the need for a visit
• Partner with Horizon Healthy Journey Program to assist with targeted outreach activities

Referent BRIGHT FUTURES

• A national health promotion and prevention initiative led by the American Academy of Pediatrics (AAP)
• Provides theory and evidence-based guidance for all preventive care screenings and well-child visits
  brightfutures.aap.org/Pages/default.aspx

Quality Value Set Directory Coding Tips

Well-Care