Quality Positioning System (QPS)

Measure Description Display Information

0480e: PC-05 Exclusive Breast Milk Feeding
PC-05 Exclusive Breast Milk Feeding
STEWARD: The Joint Commission
Measure Description:
PC-05 assesses the rate of newborns exclusively fed breast milk during the newborn´s entire hospitalization. This measure is a part of a set of four nationally implemented measures that address perinatal care (PC-01: Elective Delivery, PC-02: Cesarean Section, ePC-02 Cesarean Birth will be added as an eCQM 1/1/2020, PC-06 Unexpected Complications in Term Newborns was added as a chart-based measure on 1/1/2019). ePC-05: Exclusive Breast Milk Feeding, is one of three measures in this set that has been reengineered as eCQMs and is included in the Hospital Inpatient Quality Reporting (IQR) Program and the Medicare and Medicaid Promoting Interoperability programs.

Increasing the number of newborns who are exclusively fed breast milk for the first six months of life remains a major goal of the WHO, DHHS, AAP and ACOG. Guidelines for the promotion of breast milk feeding are available from the CDC to assist hospitals in establishing successful interventions to improve exclusive breast milk feeding rates in newborns. Breast milk feeding results in numerous health benefits for both mother and newborn. Breastfeeding is associated with decreased risk for many early-life diseases and conditions, including otitis media, respiratory tract infections, atopic dermatitis, gastroenteritis, type 2 diabetes, sudden infant death syndrome, and obesity. Breastfeeding also is associated with health benefits to women, including decreased risk for type 2 diabetes, ovarian cancer, and breast cancer. The measure assists health care organizations (HCOs) to track evidence of increases in the number of newborns who were exclusively fed breast milk during the birth hospitalization.
Numerator Statement:
Inpatient hospitalization for newborns that were fed breast milk only since birth
Denominator Statement:
Inpatient hospitalization for single newborns with an estimated gestational age at birth of >=37 weeks who are born in the hospital and who did not have a diagnosis of galactosemia, were not subject to parenteral nutrition, and had a length of stay of less than or equal to 120 days that ends during the measurement period.
- Inpatient hospitalization for newborns who were admitted to the Neonatal Intensive Care Unit (NICU)
- Inpatient hospitalization for newborns who were transferred to an acute care facility
- Inpatient hospitalization for newborns who were transferred to other health care facility
- Inpatient hospitalization for newborns who expired during the hospitalization
Risk Adjustment:
Measure Type:
Measure Format:
Use in Federal Program:
Perinatal Health, Perinatal Health: Newborn Care
Non-Condition Specific:
Person-and Family-Centered Care
Care Setting:
National Quality Strategy Priorities:
Health and Well-Being
Actual/Planned Use:
Regulatory and Accreditation Programs
Data Source:
Electronic Health Data, Electronic Health Records, Other
Level of Analysis:
Facility, Other
Target Population:
Measure Selection Attributes (Learn more):
Measure Steward Contact Information:
For additional measure specification information, please contact the Measure Steward.
Organization Name:
The Joint Commission
Email Address:
Website URL:

Measure Disclaimer:
These performance measures are not clinical guidelines and do not establish a standard of medical care, and have not been tested for all potential applications. The measures and specifications are provided without warranty.
Current Activity:
Last Updated Date:
Nov 20, 2020
Corresponding Measures:
View Specifications:
Measure History:
Found in Portfolio(s)
Measure(s) Considered in Harmonization Request
NQF Disclaimer: Measures may be used for non-commercial implementation and/or reporting of performance data. Contact the Measure Steward if you wish to use the measure for another purpose. NQF is not responsible for the application or outcomes of measures.