Stars Terms
What is our term for time blocked off for all care teams for work on Stars?
Panel Management
What does BCS stand for?
Breast Cancer Screening
Do readings/records from outside providers count towards our Stars program?
Yes! Outside records can contribute to both closing and re-opening of gaps
What dashboard do you use to run care gap reports?
The Director Scorecard
Which care team member(s) can help impact medication adherence?
Everyone!
What does it mean for a patient to be "in the denominator" for a measure?
This means the patient is eligible to be counted in the measure
What does CBP stand for?
Controlled Blood Pressure
How can we close the EYE (diabetic eye exam) gap during visits?
Complete a Retinavue
What do Care Gap Reports allow you to see?
A list of patient included in a measure. This helps us action on patients efficiently outside of visits.
If a provider changes the dose of a medication, or switches to a different medication to manage the condition, will the patient automatically gap?
No! Dose, or even change of medication within a certain measure, is completely fine. What matters is that the patient continues to pick up and take their medication consistently.
What does it mean when a patient is "gapping" for a measure?
They meet the inclusion criteria for the measure but have not fulfilled the necessary steps to close the gap
What does RX 90/3 stand for?
Prescriptions written as 90 day supply with 3 refills
What do the systolic and diastolic readings need to be below for the controlled blood pressure gap to be closed?
Systolic: Under 140
Diastolic: Under 90
Reminder - we can count the lowest of each when we recheck the BP during a visit
Where in the patient's chart can you find a patient's Stars gaps?
Care Gaps (storyboard on the left of the screen) or Health Maintenance tab
When does a patient start being counted towards this measure?
After their second fill of the medication
What does it mean for a gap to be "closed"?
The patient has met the necessary criteria to be compliant for the measure
What does KED stand for?
Kidney Evaluation for Diabetics
What are two reasons why a patient could be gapping for for A1c?
1. They do not have an A1c reading in the chart this year.
2. Their most recent A1c reading this year is >9
MAs
How much of the year does a patient need to have taken their medication to be compliant with this measure?
80%
What is an "exclusion" and how are patients excluded from a measure?
What do MAD, MAH, and MAS stand for?
Medication Adherence for Diabetes
Medication Adherence for Hypertension
Medication Adherence for Statins
What are the 3 ways that a COL (Colon Cancer Screening) gap can be closed and how many years does each method close the gap for?
FIT: 1 year
Cologuard: 3 years
Colonoscopy: 10 years
Does changing when a patient needs their next colonoscopy affect when they start gapping again in stars?
No
33% - 66%