RAF
Members should be evaluated this often for all disease burdens
Annually
It is a continual challenge to reach higher than three stars in this measure
Colorectal Cancer Screening
Through Health Net MediCal, women are eligible for a $25 gift card for completing this screening
Cervical Cancer Screening
Double Jeopardy Validation! Name the following:
1. This adorable character's full name
2. What the "RA" stands for in a RAD-V audit
1. Sponge Bob Square Pants
2. Risk Adjustment
Happy members are MORE likely to do this
Be compliant with treatment plans
These three elements are required to submit a condition for RAF calculation
Diagnosis
Status
Plan
Women may be excluded from the Breast Cancer Screening measure for this reason
Bilateral Mastectomy or Unilateral Mastectomy x2
Double Vision!
This actress has both:
1. Twin Sisters
2. Played the wife of Vision
Elizabeth Olsen
TRUE or FALSE
Presence of a medication list including Prozac is sufficient to demonstrate a treatment plan for a diagnosis of Recurrent Major Depression, Mild in Severity
FALSE
This simple instruction helps bring your visit to a close so the patient knows what to expect
Example:
Thank you for coming to see me, my nurse will be right in with your after care instructions
True or False
RAF from disease categories is additive
True
DOUBLE JEOPARDY!
Name the two Care of Older Adults (COA) measures
Pain Screening
Medication Review
For measurement purposes, Breast Cancer Screening should be done on this population and this frequently
Women 50-74, at least every other year
TRUE or FALSE
A reported diagnosis does not have to be documented in the chart note
FALSE
TRUE or FALSE
Member experience measures are triple weighted
TRUE!
Double Jeopardy!
This organization, formed 04/01/1918 and also abbreviated RAF is what?
Royal Air Force
This is the threshold (%) a member must reach to be considered compliant with the Proportion of Days Covered (PDC) Part D measure
80%
The Timeliness of Prenatal Care measures states pregnant women should be seen within this timeframe
First Trimester
TRUE
This character is known for being anything but patient
Donald Duck!
DOUBLE JEOPARDY!
Higher RAF indicates this, where as lower RAF should indicate this
Higher RAF = Sicker Patient
Lower RAF = Healthier Patient
Star sighting!
Which of these mustached men is Alex Trebek?
(Left, Center, Right)
Center
Children ages 3-18 should have this within the seven day window surrounding the initial diagnosis of Pharyngitis
Group A Strep test
Your 80 year old male patient is there to establish with you. He's a robust man and states he has a history of RA, but he only takes Tylenol for the pain. This is your diagnosis.
NOT RHEUMATOID ARTHRITIS
Run Labs
Send to Rheumatology for confirmation
DOUBLE JEOPARDY!
List three things you can do to make a patient feel like you listened to them and care about their health
Smile
Make eye contact
Use their name
Ask about their family or interests (be specific)
Shake their hand (bump elbows, etc.)