APM/SSD
The in-office procedure that closes this gap in care
The number of days after being discharged from a hospital that a RFH must be attended
What is 7 days?
ABC, 123, these are the words that make up "DRE"!
What is a Diabetic Retinopathy Exam?
Batter up! This is a frequently attended doctors appointment that many people mistake for being a full annual wellness visit
What is a sports physial?
The last step in confirming a gap has been closed
What is a PCP call?
This is the reason this gap in care opens
What is being prescribed an antipsychotic medication within the calendar year?
Following any inpatient event, whether medical or psych, the consumer must receive a follow up call within this time frame.
What is 24 hours?
There are 3 things required to complete a DRE. One is an open EYE gap in care, the second is a blood sugar related medical diagnosis such as diabetes, hyperlipedemia, insulin resistance etc, and the 3rd is this:
What is an active PCP ROI?
This many days can go by without a WCV gap showing closed on the consumers chart after the appointment has been attended
What is 90 days?
Quality sheets completed monthly reviewing CM notes for proper Gaps in Care documentation
What are Gap in Care Audits?
This is the most common reason for the inability to close this gap for our consumers
What is being afraid of needles?
Your consumer reports having pneumonia and has been in the hospital for 3 days. This is the first thing a CM should do
What is communicate as many details as possible to their PHC?
What is smoking?
This is the age span that Wellness visits are tracked through gaps in care
What is 7-21 years old?
This is the name of the data wars sheet where all current open and closed gaps in care can be found
What is the THL Annual Measures report?
The main side effect that can occur when taking an antipsychotic, and is the reason for the gap in care
What is diabetes? (blood sugar irregularities)
The title of an eCW screener completed by a PHC following an inpatient stay, that contains a summary of learned information about the IP stay and treatment recommendations
What is an Inpatient Follow Up Form?
The disease that is the #1 leading cause of blindness in adults
What is Diabetes?
This is the tab on eCW where any known information about a consumers last WCV date is located
What is the Medical History Tab?
The title for a consumer who has gone to the ER or IP 10 or more times in the last 12 months
This is the hormone produced by the pituitary gland that can cause breast development in young males who take antipsychotic medications if not monitored
What is Prolactin?
A team of remote MHC employees who manage hospital discharge planning
Who are the Hospital Engagement Specialists?
The term used to describe when diabetic retinopathy is detected during a DRE
What is Pathology?
This is the least helpful way to document in a progress note about an open gap in care
What is, saying "CM will follow up" for 5 progress notes in a row?
The number of months required in a row to pick up a medication on time, in order to close the SAA gap in care
What is 12 months?