TRC's
The FOUR requirements needed for patients 18 years and older who have been discharged from the hospital.
What is "Notification of Inpatient Admission", "Receipt of Discharge Information", "Patient Engagement" and "Medication Reconciliation Post Discharge"?
A contributing factor of medication non adherence most common in elderly
What is low health literacy
This is not an exclusion for EED
What is Blindness
Measures how often member is able to get necessary care and get specialist appointments.
What is Getting Needed Care
Patients that are taking a high dose of statin medication complain of this common side effect?
What is muscle pain and tenderness (myalgia)
I can be completed on the date of discharge through 30 days after discharge.
What is medication reconciliation post-discharge?
Adverse health outcomes from non adherence?
What is exacerbations of disease processes to premature death
These Screenings are recommended for patients with diabetes
A1C, CBP, Cholesterol, EED, KED
These are the CAHPS Measures
What is:
1. Coordination of Care
2. Getting appointments in care quickly
3. Getting Needed care
Best practice when starting a statin
What is Start low and go slow. Consider every other day if not tolerating
The NIA consists of these components
What is evidence in the outpatient record within 3 days, Date of admission, source of notification, Indication that patient was admitted, how they were notified
Percent of hospital admission rates are linked to patients non adherence
What is 69%
People with diabetes are 2-4 times more likely than others to develop what disease?
What is cardiovascular disease
2025 CAHPS surveys impact this Star measure year
What is Star Year 2026
Higher cholesterol tests can have what effect on health
What is a higher risk for heart disease and stroke
The THREE types of healthcare providers who can perform the medication reconciliation post-discharge.
What is a Prescribing Practitioner, a Clinical Pharmacist and a Registered Nurse.
Percent of patients do not take their medications appropriately
What is 50%
Number of people walking around undiagnosed with Diabetes in the U.S.
What is 8.7 Million
2025 HOS surveys impact this Star year
What is Star year 2027
Statins that are least likely to cause toxicity and is better for members with renal impairment
What is Pravastatin and Fluvastatin
The six components of RDI
What are:
Inpatient provider, procedures and treatments, Discharge Diagnosis, Discharge med list, Testing results(labs or comment no tests pending), Post Discharge Patient Instructions.
Negative attitudes or beliefs that people hold towards medication or people taking medication.
What is stigma?
Documentation required for a self-reported eye exam in a progress note
What is a dilated eye exam by a qualified provider with the date of the exam, the eye care professional, and the result (positive or negative for retinopathy)
These steps can be used to improve patient experience utilizing CAHPS data
What is Identifying areas for improvement, tailor care, and engage patients in decision-making.
This many American adults have one or more types of Cardiovascular disease
What is 121 Million