Outreach and Enrollment Process
The first Initial Outreach attempt must occurs within this many days of being queued for outreach
What is seven
Members with a readmission risk of 49% or less have this many days to receive a post discharge call
What is 2
Trimester reviews must be completed within this many weeks of second and third trimester
What is 2 weeks
The amount of calendar days required between CME closing and new referral submission
What is 30
This event is used to document changes in address, phone and email
What is the address phone or email change event
The number of outreach attempts candidates for Intensive receive before CME can be closed
What is 5
Total number of follow up attempts required before closing an IP Alert
What is 3 (two calls and an UTR letter)
If the members only dx is pregnancy this tool is not required for a CMA to complete during enrollment
What is SF
Members with a CME that closed less than 30 days require referral to be documented on this event
What is CM Activity Tracker
This assessment is used to scored and used to determine a member's CM level candidacy
What is the HRQ
The total number of calendar days each member has for outreach to be completed before being out of compliance
What is 14
What is "Create RAP Initial Questionnaire" button
This agency partners with us to provide breast feeding support
What is Nest
Once referral is received and document in Dynamo, documentation of referral is also needed in this program
What is QNXT
This event is used to generate a CME and begin the outreach process
What is the referral event
The name of the dashboard used to locate alternate contact numbers from CVS pharmacy database
What is salesforce or engagement dashboard
Members with a readmission risk score of 50% and above are tasked to an Intensive CM within how many days of Ip alert being generated
What is 1
The maternal age of member in which they would be considered high risk
What is
Name of the log that is generated every day detailing all referrals to CM
What is daily call tracking log
Two assessments required at the delivery follow up
What is
Post-Partum Questionnaire
Edinburgh Questionnaire
The number of days an AAPCA member's outreach process to be completed
What is five
All members with readmission score of 50% or greater are assigned to this candidacy level
What is Intensive
The amount of months a member is kept in Pop Health after delivery
What is 12
Urgent referrals must be followed up on in 1 business day. Non urgent referrals must be followed up on within this amount of days
What is 3
Event required to document requests for Krames information
What is a materials request