Our mission is to end preventable morbidity, mortality and racial disparities in California maternity care. Information on Joint Commission Requirements. subject to parenteral nutrition, Inpatient hospitalizations for newborns who were with any of the following conditions: /Type /Annot Strikethrough text highlighted in red indicates information changed from the previous version. performance on the measure across the larger patient population. 13 0 obj By not making a selection you will be agreeing to the use of our cookies. Lower quality care during pregnancy, childbirth, and the postpartum period can lead to unnecessary complications in women and newborns and wasted resources from overused procedures, prolonged hospital stays, and costly neonatal intensive care unit admissions, said Carol Sakala, PhD, MSPH, director of programs at Childbirth Connection and co-chair of the Perinatal and Reproductive Health Endorsement Maintenance Steering Committee. The Perinatal and Women's Health Standing Committee oversees NQF's perinatal and women's health measures. /Type /Metadata transferred to an acute care facility, or other health care facility << The Perinatal Center Database (PCDB) has become one of the largest repositories for hospital-based perinatal data in the country. Patients and families can use core measure performance to objectively compare hospitals locally or nationally. endobj A hospital's PC-Newborn Population size is 350 cases during the second quarter. /H /N A hospital's PC-Newborn Population size is 25 cases during the second quarter. (h6}qA%Zb60 Moved the criteria of length of stay (LOS), diagnosis of galactosemia and subject to parenteral nutrition from initial population to denominator exclusions. /IF 42 0 R /Metadata 3 0 R /Length 54 0 R /Border [0 0 0] Using the monthly sampling table for the Exclusive Breast Milk Feeding measure, the sample size required 9 cases for the month. These processes are proven to reduce complications and lead to better patient outcomes. Updated definitions and functions in the MAT Global Common Functions Library to align with standards changes, CQL Style Guide, and to include one new function related to calculating length of hospital stays with observation stays. Added text to indicate whether the measure is patient-based or episode-based. /BS 50 0 R /Type /Annot Core Curriculum for Neonatal Intensive Care Nursing - E-Book Lippincott Williams & Wilkins More children born today will survive to adulthood than at any time in history. This Core Set, which consists of 7 measures from CMS's Child Core Set and 4 measures from the Adult Core Set, will be used by CMS to measure and evaluate progress toward improvement of maternal and perinatal health in Medicaid and CHIP. Fact Sheet on Maternity Care. American Academy of Pediatrics, American College of Obstetricians and Gynecologists. The endorsed measures include those previously endorsed by NQF and newly submitted measures for initial endorsement. stream << Download Citation | Assessing the neonatal health policy landscape in low- and middle-income countries: Findings from the 2018 WHO SRMNCAH policy survey | Background: We aimed to describe the . Updated Clinical Quality Language (CQL) expression to conform with the HL7 Standard: Clinical Quality Language Specification, Release 1 STU 4 (CQL 1.4). /A 47 0 R /Kids [9 0 R 10 0 R] /BleedBox [0 0 612 792] Custom Analytic Interactive Reporting Network, Discuss the Perinatal Care (PC) measures updates, Describe the Perinatal Care (PC) measures, key data elements and recent revisions to the measures, Identify some of the resources available for improving perinatal care. hYkS+3'Xf Rc$qHh~~yd9,DD={fez>EPcD0N4U }\KI(9ap*i1:cRJ6H CMS9v9. You acknowledge that the American Medical Association (AMA) holds all copyright, trademark and other rights in CPT. /Creator () /P 10 0 R All Rights Reserved. Mothers The population of the PC-Mother measures (PC-01, and 02) are identified using 4 data elements: Admission Date Birthdate Discharge Date Public lists NHS workforce in England [January 2023] Transgender health [September 2022] Weekly additions - 2023-02-26 Financial pressures in the NHS in England [January 2023] Introduction to the NHS in England [February 2023] Devolved National Health Service : the NHS in England, Northern Ireland, Scotland and Wales [March 2022] Adult social . The National Quality Forum. Revised the initial population and denominator exclusions to align with eCQM PC-06, Unexpected Complications in Term Newborns. NQF # QDM v5.5 standards update: Added 'relevantDatetime' attribute to QDM datatypes. Patients admitted to the hospital for inpatient acute care are included in the PC Newborn Initial population if they have: A Patient Age (Admission Date Birthdate) <= 1 day and ICD-10-CM Principal or Other Diagnosis Codes as defined in Appendix A, Table 11.20.1 Single Liveborn Newborn. Share this page with a friend or colleague by Email. /N 40 0 R 8th ed. /Resources 29 0 R /BleedBox [0 0 612 792] CMQCC also developed the following measure, which was previously endorsed by NQF but was not submitted for re-approval as it is not currently being used for hospital-level performance: NQF# 0477 <1500g Infant Not Delivered at Appropriate Level. Building U.S. Capacity to Review and Prevent Maternal Deaths. /CropBox [0 0 612 792] expired during the hospitalization was introduced in Q4 2018. Johns Hopkins Medicine also established a reporting system to track core measure compliance on each unit. stream hVQo0+~4E#UuQfk4Z4B*B(%g\)B W "J"\DD>H\ A@X@$a*p&>Pv*`ff They provide a snapshot of how health is influenced by where we live, learn, work, and play. Retrieved from http://reviewtoaction.org/Report_from_Nine_MMRCs. This Agreement will terminate upon notice if you violate its terms. Perinatal Core Measure Set PC-01: Elective delivery PC-02: Cesarean section PC-03: Antenatal steroids PC-04: Health care associated bloodstream infections in newborns PC-05: Exclusive breast milk feeding For hospitals with 1,100 or more births per year, the perinatal care measure set will become the mandatory fifth measure set. transferred to an acute care facility, or other health care facility section measure. This field is for validation purposes and should be left unchanged. No national benchmarking systems existed for gathering or comparing institutional data. /RI 41 0 R >> Using the quarterly sampling table for the Mother population, the sample size required is 301 cases for the quarter. outcomes for a newborn. Learn about the priorities that drive us and how we are helping propel health care forward. << A8.-Fb$)" N0(V#B0H$i5H CZeHf;I#1'?DR1 I$~#6 EMPOWERED "j9ZV",,-^ UHTXs}? endobj /ZaDb 39 0 R Masks are required inside all of our care facilities. Only one birth weight value should be recorded. Added birth weight criteria to the initial population as an alternative to estimated gestational age at birth. /I 40 0 R 2 0 obj PC-05. The Joint Commission tracks compliance with core measures and each year recognizes the top performing hospitals for key quality metrics. HMO corresponds to All LOBs (excluding PPO and EPO) within Quality Compass. That's because The Joint Commission's eCQM option only applies to hospitals submitting all four perinatal measures. 6 0 obj The goal of QualityNet is to help improve the quality of health care . based on a sample of patients and may not reflect the hospitals overall "The National Database of Nursing Quality Indicators (NDNQI) is a proprietary database of the American Nurses Association. Pregnancy and childbirth-related procedures account for the five most common medical procedures for women of child-bearing age, yet deaths during pregnancy and childbirth have doubled for women in the United States in the last 20 years. 8 0 obj All Records, Calculation, Used in calculation of the Joint Commission's aggregate data. NQF Number. Note however that the calculation may yield a non-whole number and gestational age should be rounded off to the nearest completed week. >> Get more information about cookies and how you can refuse them by clicking on the learn more button below. This field is for validation purposes and should be left unchanged. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product. *Benchmark Source: National and state averages are the most recent If dextrose or glucose 40% gel is given, it is considered a medication not a feeding. /Subtype /Link The ongoing evaluation and updating of endorsed measures ensures the currency and relevance of NQFs perinatal care portfolio. 15 0 obj /Subtype /Link Meta Phillips, R.N.Stroke Compliance Specialist, Sibley Memorial Hospital. QDM v5.5 standards update: Modified 'Encounter, Performed' diagnosis attribute to reference diagnosis codes in value sets specified in the logic. /Title () For example, an infant born on the 5th day of the 36th week (35 weeks and 5/7 days) is at a gestational age of 35 weeks, not 36 weeks. HVYk@~?SqKCB gc@QuVG+q;l\cKwWkEPf`VYg(}8|r%,U|y%KRST@yA,L Wu'MA\kt$c&/B o Perinatal measures ZSFG is at or below ZSFG-defined goals and the Vizient median for 5 perinatal core measures: Elective Delivery, cesarean section rate, antenatal steroids, healthcare associated BSI, and exclusive . endobj We are vaccinating all eligible patients. /Type /Annot by Purpose. Using the quarterly sampling table for the Exclusive Breast Milk Feeding measure, the sample size required 27 cases for the quarter. /MediaBox [0 0 612 792] The goal of prenatal care is the birth of a healthy child with minimal risk for the mother. Note: District of Columbia state average not available for the cesarean CMQCC has developed four quality measures that are used by government and quality review agencies such as the Joint Commission and the Leapfrog Group to help measure maternity care performance. A hospital's PC-Newborn Population size is 100 cases for the month of March. Objectives: Discuss the Perinatal Care (PC) measures updates Review PC measure reporting requirements Using the quarterly sampling table for the Mother population, the sample size required is 20% of this sub-population or 300 cases for the quarter. and Human Services' Healthy People 2020 goal. endobj endobj In fact only 160 hospitalsout of thousandsvoluntarily adopted the perinatal core measures. Report on Quality and Safety 2013 Measure Number Measure Name 2012 Rate Perinatal Care Composite 57.6% PC-01 Elective Delivery 8.2% PC-02 Cesarean Section* 26.3% Be sure you clearly understand how to manage your health as you prepare to leave the hospital, such as any new prescription medications you may need. Submitting all the initial patient population provides a more precise estimate of the performance rate for the measures. The Joint Commission Disclaimer: This presentation is current as of August 31, 2021. << 7 0 obj Value set Parenteral Nutrition (2.16.840.1.113883.3.117.1.7.1.38): Deleted 1 SNOMED CT code (304055007) based on terminology update. The study was carried out with the following aims: 1) to assess the quality of perinatal care (PC) by measuring the frequencies of the five PC indicators developed by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and comparing results with . Core measures are national standardized processes and best practices to improve patient care. /Author () endstream endobj 309 0 obj <>stream /BS 48 0 R exclusively fed breast milk during the entire hospital stay. process and established selection principles. /A 51 0 R Today, the Core Quality Measures Collaborative (CQMC) released four updated core measure sets covering specific clinical areas as part of its mission to provide useful quality metrics as the nation's health care system moves from one that pays based on volume of services to one that pays for value. /AcroForm 2 0 R admitted to the Neonatal Intensive Care Unit (NICU) In cases where there is conflicting data, use the document recording the birth weight closest to the start of encounter. Improve Maternal Outcomes at Your Health Care Facility, Accreditation Standards & Resource Center, Ambulatory Health Care: 2023 National Patient Safety Goals, Assisted Living Community: 2023 National Patient Safety Goals, Behavioral Health Care and Human Services: 2023 National Patient Safety Goals, Critical Access Hospital: 2023 National Patient Safety Goals, Home Care: 2023 National Patient Safety Goals, Hospital: 2023 National Patient Safety Goals, Laboratory Services: 2023 National Patient Safety Goals, Nursing Care Center: 2023 National Patient Safety Goals, Office-Based Surgery: 2023 National Patient Safety Goals, The Term Licensed Independent Practitioner Eliminated, Updates to the Patient Blood Management Certification Program Requirements, New Assisted Living Community Accreditation Memory Care Certification Option, Health Care Equity Standard Elevated to National Patient Safety Goal, New and Revised Emergency Management Standards, New Health Care Equity Certification Program, Updates to the Advanced Disease-Specific Care Certification for Inpatient Diabetes Care, Updates to the Assisted Living Community Accreditation Requirements, Updates to the Comprehensive Cardiac Center Certification Program, Health Care Workforce Safety and Well-Being, Report a Patient Safety Concern or Complaint, The Joint Commission Stands for Racial Justice and Equity, The Joint Commission Journal on Quality and Patient Safety, John M. Eisenberg Patient Safety and Quality Award, Bernard J. Tyson National Award for Excellence in Pursuit of Healthcare Equity, Continuing Education Credit Information FAQs, ePC-06 Unexpected Complications in Term Newborns, PC-06 Unexpected Complications in Term Newborns. For PC-05, Reference Date is the Birth Date. Applications are available at the American Medical Association Web site, www.ama- assn.org/go/cpt. %PDF-1.6 % 39 weeks of gestation. The program has an important role to play in improving maternal and perinatal health outcomes. The purpose of a balancing measure to is guard against any unanticipated or unintended consequences of quality improvement activities for these measures. By using this site, you agree to our use of cookies. We develop and implement measures for accountability and quality improvement. >> >> Maternity Care Bibliography. Results - National Averages Timeliness of Prenatal Care Postpartum Care This State of Healthcare Quality Report classifies health plans differently than NCQA's Quality Compass. By using this site, you agree to our use of cookies. PC-05 Exclusive breast milk feeding during the newborn's entire hospitalization. A hospital's Mother Population size is 125 cases during March. What does this measure mean for quality of care?The American College of Obstetricians and Gynecologists and << Importantly, this metric also serves as a balancing measure for other maternal mea-sures such as NTSV (Nulliparous, Term, Singleton, Vertex) cesarean rates and early elective delivery rates. **National Goal Benchmark Source: The United States Department of Health /Subtype /Widget Birth weight 3000 grams or more is a proxy to capture term newborns without gestational age recorded in EHR system. Connected Patients may benefit from discussing with their healthcare provider the disruptions COVID-19 may have caused on quality and safety of care. /MK 15 0 R /Rotate 0 . PC-05 Exclusive breast milk feeding during the newborn's entire hospitalization. All rights reserved. Data show that the majority of newborns with gestational age 37 weeks or more have a birth weight 3000 grams or more. The /Type /Annot 17 0 obj << >> /Helv 38 0 R and the National Perinatal Information Center in addition to expert clinical faculty from a variety of organizations. PQC members identify health care processes that need to be improved and use the best available methods to make changes as quickly as possible. This State of Healthcare Quality Report classifies health plans differently than NCQAs Quality Compass. Patients admitted to the hospital for inpatient acute care are included in the PC Mother Initial sampling group if they have: /Type /Action /Length 8 0 R Contact Information Products viamy.ncqa.orgfor analysis that accounts for trend breaks. NPIC Perinatal Quality Improvement Dashboard Clinical and Utilization Profile for Term Inborns by Gestational Age Maternal Hypertension Complicating Pregnancy and Neonatal Outcomes Low Risk Primary C-section Analysis AHRQ Inpatient Quality Indicator (IQI) # 33: Primary Cesarean Delivery Rate, Uncomplicated Expand All DATABASE SPECIAL ANALYSIS And a CDC survey found that 8 to 19% of women reported having frequent postpartum depressive symptoms. A hospital's Mother Population size is 300 cases during the second quarter. A discharge to a designated cancer center or children's hospital should be captured as a discharge to an acute care facility. This measure tracks the number of term singleton newborns The organizations quality and safety performance may have been impacted by the COVID-19 pandemic. In 2011 Johns Hopkins Medicine developed a plan to become a national leader in core measures with a goal of reaching 96 percent compliance. This site uses cookies and other tracking technologies to assist with navigation, providing feedback, analyzing your use of our products and services, assisting with our promotional and marketing efforts, and provide content from third parties. Data Source: The Centers for Medicare and Medicaid Services and Johns No data is available because Suburban Hospital currently does not 16 0 obj This measures the percentage of patients who had an early elective Perinatal Quality Collaboratives (PQCs) are state or multistate networks of teams working to improve the quality of care for mothers and babies. endstream Drive performance improvement using our new business intelligence tools. lz;2[&EPI:+O/A@Fg0{NlAYIS*yIQ6Hfw}I5wMo}#F>juLt!aj-?}a)4g]xo/3sst7o6vso^u|;?=MGmnNgw;{~Kom6:Lc|:;Ow7y}dCy2W79{/]-we33'Wa7i-b| =LNq3d4N'9k{n,~35LWe.cCAX)&I]Ie\E'ZQ+T5.0N=iw]2c3>EZq>-7iNp.~:-Ao>W4e1p0ZTifYg:<6'(>ji{{%6sW L8O;SB&Z:hL:0Mv{(CQE9PCQE9P:`7R8Px&v`i`#fq(bq(>T8%,q`|&f0TAi%Y%y%E%eJ4+H_I4%XelY-o{MlF.I]Rif]lCtcbFSLq|I;%m;*:LQj9o`gKK05o$3;#7 h/?neC%1_}\=wIZn!B4$.Rr\}=O|ikS4@ 9_aMimyT{f7\sB^E@Uo6[Xq2oQr4;w"uFWXr.dK=<. endobj The new perinatal core measures were ready for hospitals to use in the fall of 2009, and data collection began in April 2010. Perinatal Care measures focuses on achieving integrated, coordinated, patient-centered care for clinically uncomplicated pregnancies and births. A. /Type /Catalog Learn about the development and implementation of standardized performance measures. Chart Abstracted Measures for Certification. LEARN MORE ABOUT PCDB 0 Perinatal Discharges Since 1985 Connecting Through Education Recorded NPIC Events having a vaginal delivery. :K(bX1)6 iNwu+f>J+}~^%1rQX;J/oP1|cMvjSdVE-nE+TS]Pi Q8c0]&DSr+Ku2PImgkEG/]h By . Lower numbers are better. Because cesarean sections are not 225 Chapman Street Suite 200 Providence, RI 02905. << A hospital's PC-Newborn Population size is 99 cases during the second quarter. >> )YQDF: X9:O4Lal4)#p /EKk= American College of Obstetricians and Gynecologists (ACOG). /S /Named 8 Depressed mothers may have infants that display delayed psychological, cognitive, neurologic, and motor development. The National Perinatal Information Center is driven by data, collaboration and research to strengthen, connect and empower our shared purpose of improving patient care. A hospital's Mother Population size is 20 cases during March. connection among participants to achieve project goals. Data shows that the majority of newborns with gestational age 37 weeks or more have a birth weight 3000 grams or more. measures the percentage of women who had an elective cesarean 225 Chapman Street Suite 200 Providence, RI 02905. /AP 14 0 R These perinatal measures are a welcome addition to the NQF portfolio, said Laura Riley, MD, medical director of labor and delivery at Massachusetts General Hospital and co-chair of the Perinatal and Reproductive Health Endorsement Maintenance Steering Committee. 21,22 These studies have demonstrated that persons who were classified as having high levels of SHS . Specifications Manual for Joint Commission National Quality Measures (v2022A), Perinatal Care (PC) Initial Patient Population, Appendix E - Overview of Measure Information Form and Flowchart Formats, Cover Page for the Joint Commission Manual, Joint Commission National Quality Measures Data Processing, Using the The Joint Commission's National Measure Specifications Manual, Unexpected Complications in Term Newborns, All Records, Not collected for HBIPS-2 and HBIPS-3, All Records, Optional for HBIPS-2, HBIPS-3, All Records, Optional for All HBIPS Records. << Recently, the National Quality Forum, a consensus-based body that endorses quality measure, endorsed 24 measures related to maternity care. << Perinatal Care (PC) Core Measures: Updates for Fall, 2021. >> Replaced 'weeks' with the UCUM code wk to be consistent with HL7 standards. Patients in the newborn population always run against the Unexpected Complication in Term Newborns measure and they may run against Exclusive Breast Milk Feeding measure if sampled. a diagnosis of galactosemia endobj endobj The core sets focus primarily on ambulatory care measures at the clinician reporting level. You can also ask your health care provider how you can prepare for surgery or other procedures to reduce your risk of complications. reflect the reporting period of OctoberMarch. endobj a length of stay greater than 120 days that ends during the measurement period In addition to accreditation, certification, and verification, we provide tools and resources for health care professionals that can help make a difference in the delivery of care. 306 0 obj <>stream Obstet Gynecol, 131:140-150. The following indicator sets are considered appropriate and useful for public reports as well: The AMA is a third party beneficiary to this Agreement. national benchmarks for perinatal core measures. Updated version number of the Measure Authoring Tool (MAT) Global Common Functions Library (MATGlobalCommonFunctions-5.0.000). 736. 290 /Rotate 0 P-znw$Z*$iwA EcdxzK4\nG )1s6@rZ6ZkSx7i'8`ab+Iot#v{*]Es cE1!b%55FGe[f/uo ;wVzEqw,*;^^mDJFYZb(8A;)vwX|T$;bKYTAVZKQ^-,0\6f{hCM T;s[ OXSWyz4E-5-uOf`*UH 0vhlEcA+ "+ETf5-kj /A 13 0 R /Count 2 Perinatal Care (PC) Initial Patient Population The PC measure set is unique in that there are two distinct Initial Patient Populations within the measure set, mothers and newborns. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the (AMA is not recommending their use. expired during the hospitalization on . typically recommended for low-risk, first-time mothers, this Reviewing these best practices requires a team effort. Specifications for these measures are available below: Chart-abstracted measures specificationsScreen Reader Text. In my experience, good communication is critical to meeting the core measures. Warning: Creating default object from empty value in /homepages/17/d4294970467/htdocs/morpheus/wp-content/themes/virtue/themeoptions/inc/class.redux_filesystem.php on . /H /P NQF also endorsed measures dealing with hepatitis B vaccination rates for newborns, neonatal bloodstream infection rates, and exclusive breastfeeding rates during hospitalization. This Core Set, which consists of 7 measures from CMS's Child Core Set and 4 measures from the Adult Core Set, will be used by CMS to measure and evaluate progress toward improvement of maternal and perinatal health in Medicaid and CHIP. Copyright /Border [0 0 0] Core measure compliance shows how often a hospital provides each recommended treatment for certain medical conditions. << What are the national benchmarks for the PC measures? The core measure work groups allowed hospitals to share best practices and lessons learned and improve internal processes to increase core measure compliance. ICD-10-PCS Principal or Other Procedure Codes as defined in Appendix A, Table 11.01.1 Delivery, a Patient Age (Admission Date Birthdate) >= 8 years and < 65 and a Length of Stay (Discharge Date - Admission Date) 120 days. /Type /Pages We can make a difference on your journey to provide consistently excellent care for each and every patient. /Subtype /Link Medicaid Services' Hospital Compare. /Encoding 11 0 R For over 30 years, NPIC has worked with hospitals, patient safety organizations, insurers and researchers to collect and interpret the data that drives better outcomes for mothers and newborns. /Contents [21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R] A hospital's Mother Population size is 400 cases during March. The measures address a wide range of care concerns, including childbirth, pregnancy and post-partum care, and newborn care. (2018). Wentworth-Douglass Hospital has been named among the best hospitals in the United States for the third straight year, according to Newsweek's 2023 "World's Best Hospitals" rankings published today. Our team shares information every day and talks about ways to address problems both large and small. But back to those of you submitting all four. Our team presented these findings to our medications committee, whose support was helpful in educating our doctors on how to change their practice. Author links open overlay panel Sabrina da Conceio Pereira a, Raul Manhes-de-Castro a b c, Diego Bulco Visco b c, . Specifications for these measuresare available below: In late 2007, The Joint Commissions Board of Commissioners recommended retiring and replacing the Pregnancy and Related Conditions (PR) measure set with an expanded set of evidenced-based measures. supported the measure overall. Copyright 2023 National Committee for Quality Assurance. She was awarded the 2015 Moran Medal in statistics from the Australian Academy of Science in recognition of her work on developing methods for molecular data arising in cutting edge biomedical research. % One commenter. /Group 34 0 R Optimizing Postpartum Care. Acute-care hospitals SIX core measure sets, effective with January 1, 2014 discharges . the American Academy of Pediatrics have in place a standard V AQ"]_tRIRo;Ioda`Y$a'qj fNxh1Yb8MVfuzf|Fugzt=nI"-jckBxUKqK4wKCZ[>Lf7p6q-?!Bc^YQADSJI_,KY-sqh9=1 ,DY jRb|]&JA ;{J%jc 9c$;)Z %hU#!FT6n9RrlZW~/i~4kId5h_`ASPBAbP0a 2hKU%.UlO22j+ bd-hWJ =QJewl=b&x~f00PM?D!rK!p4-t=UK$9'9}Q S]:tIGX4VmpZPv>$2k!%mA = f^/)No@ $;L6kP2@ u #%xg /TrimBox [0 0 612 792] /Keywords () CMS eCQM ID. A hospital's PC-Newborn Population size is 600 cases during the second quarter. admitted to the Neonatal Intensive Care Unit (NICU) or transferred to a regular intensive care unit (ICU) /H /N The higher percentage compliance means the hospital is following the best steps to care for a patients particular condition. /BS 52 0 R Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this Agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT.