Stars
The maximum reading to be meet the BP Control Star Measure
What is: 139/89?
(must be BELOW 140/90)
The HEDIS/Star MEASURE age range for Colon Cancer Screening (all lines of business)
What is: 45-75?
How should we talk to the patient about their outstanding measures?
What is: Make it personal, Remind patient, Review health risk and personal/family history, Nurse and provider should both speak to patient about them, etc
Needs to be specified for patients with CKD3
What is: Stage 3a or 3b?
The incentive a patient gets for completing a Senior or Exchange Wellness
The time period from date of fracture to deadline for DEXA/Biphosphenate rx fill for WOMEN ages 67-85
What is 6 months?
The age range for Cervical Cancer Screening in the commercial population
What is: Women 24-64 years of age?
Name one of these that should be reviewed prior to entering the exam room
What are: Patient chart/recent specialist notes, q Summary page, Boarding pass, etc.
The skin of the arms and hands should be checked for this
What is: Senile Purpura?
This should be ordered annually, preferably to be completed prior to the patient's SW
What is: Senior Lab Panel?
DOUBLE JEOPARDY!
Frequency for Mammograms:
Per Star Measures-
Per Best Practices-
What is:
Star Measures- Every two years
Best Practices- Annually
Immunization Combo 10 indications
What is: Children who turn 2 years of age during the measurement year?
Our current key focus measure within CAHPS aka our patient experience ratings
What is: Access
When indicated, we should complete testing at the SW for these two diagnoses if not identified AFTER clinical evaluation
What is: Vascular Disease and Neuropathy?
This problem is a risk when rushing to the restroom due to decreased bladder control
What is: a fall?
These are the 2 Part C triple weighted measures
What are: Blood Pressure Control and HbA1c Diabetes Control?
Age range for Adolescent Well Care Visits (MCAL)
What is: 12-21 years of age?
Two of the many best practices for providers when rendering a senior wellness evaluation
What are:
Address preventive screenings
Discuss common geriatric issues (falls, urinary incontinence, depression)
Order testing and make appropriate referrals to specialists
Complete comprehensive documentation of the patient's health status
Discuss Healthcare POA
These are sent via email to each provider from assigned auditors
What is: q.Health Summary Page?
Age range for highest suicide rates in males
What is: 75 and over?
One of the three exclusions for Diabetes Measures
What is:
PCOS
Gestational Diabetes
Steroid-Induced Diabetes
This line of business has "Core Measures"
What is: MediCal?
Three things that a provider can do to make the patient feel at ease and improve experience
What is: Make eye contact when greeting the patient, Use the patient's name, Ask about family/hobbies, Pause to give the patient an opportunity to ask questions, Thank the patient for coming to see you, Etc.
One of the most important pieces of information for providers on the q.Health summary page
What is: Clinician Comments?
Annual reported goal for HDMG SW completion
What is: 95%?