This excerpt taken from the MOH 10-K filed Mar 14, 2007.
1.a.vii. Incomplete Birth Weight Data
Measure: The percentage of newborn delivery inpatient encounters during the report period which contained a birth weight. If a value of 88 through 96 is found on any of the five condition code fields on the UB-92 inpatient claim format, then the encounter will be considered to have a birth weight. The condition code fields are described in Items 24-30 of the Inpatient Hospital, UB-92 Claim Form Instructions. The measure will be calculated per MCP (i.e., to include all counties in which the MCP has CFC membership).
Report Period: For the SFY 2007 contract period, performance will be evaluated using the JanuaryDecember 2006 report period. For the SFY 2008 contract period, performance will be evaluated using the JanuaryDecember 2007 report period.
Data Quality Standard: The data quality standard is 90%.
Penalty for noncompliance: If an MCP is determined to be noncompliant with the standard, ODJFS will impose a monetary sanction (see Section 6.) of one percent of the current months premium payment. Once the MCP is performing at standard levels and violations/deficiencies are resolved to the satisfaction of ODJFS, the money will be refunded.