PFS Project Reporting. 1. Reports will take the forms provided for in the Appendix hereto, and will be delivered in accordance with the table below: Report Title Frequency Responsible Party Recipients Sample Report Program Output Summary Report 90 days prior to the end of each Funding Period NFP Executive and Operations Committee Appendix 1 PFS Outcome Metrics Results Reports 45 days prior to the fourth and fifth anniversary of the Commencement of the Service Delivery Period Independent Evaluator Executive, Committee, Operations Committee, and Children’s Trust Annex E, Article II.L Appendix 1: Sample Program Output Summary Report Annex G - Description of PFS Outcome Metrics Outcome Definition Data Source Measurement Participant- Level Measurement Preterm birth Live xxxxxxxxx birth where the obstetric estimate of gestation in completed weeks is less than 37. For births without an obstetric estimate of gestation, gestation will be calculated from the self- reported date of last menses. Birth Certificate Obstetric estimate of gestation < 37 weeks Binary – Yes or No (i.e. birth was preterm or birth was not preterm) Child Injury Child emergency department visits (outpatient) and hospitalizations (inpatient) of the index birth due to acute injury within the 24 month period following the first child’s date of birth Inpatient and Emergency Department hospital claims from all hospitals in South Carolina’s Medicaid Service Area (all-payer database) Number of unique hospital admissions with a claim containing one or more of the following Any of T01 to T35; T51 to T78; or T36 to T50 if the intent code is between 1 and 4; (for example, only if the sixth character of the 7-character code is between 1 and 4 such as T36.xx4x); or any S code in the first 3 diagnoses positions of the record; or any of the ICD-10 codes above in any position when an ICD10 external cause of injury code is indicated on the record. Should codes be updated differently than anticipated or again during the project period, the Independent Evaluator will consult with an expert mutually agreed to by the Parties and propose a revised definition, which may be approved by the Executive Committee without requiring an amendment to this Agreement. Numerical - # of unique admissions Healthy Birth Interval No subsequent live births observed within 24 months of the index birth, where subsequent multiple births only count as one birth. Birth Certificate No subsequent live birth occurring 24 months or less from the initial child’s dat...
