HEDIS
Two part question:
1) True or false: All exclusions are optional and the health plan can choose whether to use the exclusion or not.
2) True or false: No exclusions are optional. Any time an exclusion is identified, it must be used.
What is:
1) False
and
2) also false.
What is Comprehensive Care Plan and Update?
How is that a $100 question?
We'll accept Care Plan update, too. That's a bonkers acronym.
Sue.
What is Harrisburg?
CBP in HEDIS stands for this.
What is "Controlling High Blood Pressure."
(also acceptable: "Consuming Beef Products [from Arby's.]")
Chandler's last name in the sitcom Friends.
What is "Bing"?
This is the organization that creates and distributes the HEDIS technical specifications.
What is the NCQA.
Bonus $100: What does NCQA stand for?
What is QSHR and TruCare?
Mike.
What is Pittsburgh?
COL, BCS, and CCS are all HEDIS measures related to this action.
What is "Cancer Screening" or "Screening" or "preventative medicine?"
Hg is the chemical symbol for this element.
What is Mercury?
This is the stars goal for PHW for HEDIS measures.
What is 4 Stars. (I mean, I think. You probably wanna verify that with someone who knows things.)
John Fictionalname is admitted the hospital on January 28th, 2021. He is discharged from the hospital on February 14th, 2021. He enjoys a lovely Valentine's Day and then takes a train across the state travelling at 60mph. Meanwhile his friend Barry Alsofictionalname takes a train in the opposite direction across the state, travelling at 52mph. John then calls and decides to leave his health plan while still aboard the train on February 15th, 2021. Is he eligibile for the LTSS RAC measure for this discharge?
What is no. (because he was not enrolled with the health plan for 30 days after discharge).
Laurie
What is Pittsburgh?
TRC is pretty cool. These are 2 of the 4 elements of TRC.
What is
1 notification of admission
2 notification of discharge
3 medication reconciliation after discharge.
4 patient engagement after discharge
?
This country produces the most coffee in the world.
What is Brazil?
This is a new measure in 2020-2021 OR a retired measure in 2020-2021.
What is: (any of the following)
New measures
Cardiac Rehabilitation (CRE).
Kidney Health Evaluation for Patients With Diabetes (KED).
Osteoporosis Screening in Older Women (OSW).
Retired measures
Adult BMI Assessment (ABA).
Medication Management for People With Asthma (MMA).
Disease-Modifying Anti-Rheumatic Drug Therapy for Rheumatoid Arthritis (ART).
Note: This measure is retired for MY 2021 but is reported for MY 2020.
Medication Reconciliation Post-Discharge (MRP).* *Note: This measure is still collected as an indicator in the Transitions of Care measure.
Osteoporosis Testing in Older Women (OTO).
Children and Adolescents’ Access to Primary Care Practitioners (CAP).
Board Certification (BCR).
In LTSS this is what RAC stands for and the time frame that is allowed to be numerator compliant.
John
What is Harrisburg?
These are 2 of the elements of the CDC measure.
What is
1. Eye exam performed
2. hba1c (<8%)
3. Blood Pressure control
4. Medical attention for nephropathy (for Medicare LOB)
The painting "La Gioconda" more commonly referred to as this.
What is The Mona Lisa?
This is what HEDIS stands for.
Healthcare.... Something. ? I don't know. No one actually knows.
(Okay I caved and looked it up. What is Healthcare Effectiveness Data and Information Set?)
These are the four LTSS measure names OR acronyms.
What are:
CPU
CAU
RAC
SCP
Heather.
What is Pittsburgh?
(Also accepted: The moon, or another planet.)This is what COA stands for and at least 2 of its 4 elements.
What is Care for Older Adults and
1. advance care planning
2. medication review
3. functional status assessment
4. pain assessment.
This is the highest waterfall in the world.
What is Angel Falls (Venezuela)?