MEETINGS THAT MATTER
This meeting reviews upcoming scheduling patients needs, referrals, and other information
What is Care Team Huddle?
These are the three lifetime measures for CMAP
What is EKG, Labs, ECHO?
The average time to resolve a STAT Phone Message
What is within 1 hour?
This system provides a snapshot of the Phone Scripts and the CPL
What is RITS?
The CCM should work closely with this role to ensure teams are working together for patient flow
Who is the FD Supervisor?
The Transforming Care Meeting is held on this day of the week
What is Wednesday?
For CBP, a blood pressure reading of __ or less for the patient to be compliant with the measure?
139/89
This group supports the center with phone messages
Who is CareLine?
The tool allows you to view which patients are in the hospital
What is HITS?
The category is for center with admits/1k of 161-200
What is Great?
The CP for each care team should use the Super Huddle discussion form to take notes during Super Huddle. These roles should be responsible if the CP is not available.
What is CF or CC?
This report in PowerBi is used to review the centers or providers Star score.
What is the STARs Gap Report
A CF should recommend this to a patient that calls and needs a medication refill for an external medication
What is call th pharmacy directly for medication refill?
This tool shows the percent of patients vaccinated with the flu vaccine
What is the Vaccination Toolkit?
Patients with this risk score or greater should be considered by the PCP for the inclusion in the Top 40.
What is 70?
This tool provides critical information that should be reviewed by the Center Ops Director and Center Clinical Director.
What is the Center Manager Dashboard?
This is the CMAP end of year goal
What is 86%
These CMAP measures should be completed annually
What is Depression screening, A1C (diabetic patients), COPD, VPT (diabetic pts), Dementia, Flu
These four meetings must occur in the center each week. List all four.
What is the Daily Standup, Care Team Huddle, Super Huddle and Transforming Care Meeting (TCM)?
Within these many days of discharge a Medication Reconciliation must be completed
What is 30 days?
Along with Top 40 patients, these other groups of patients should receive a Weekend Tuck In Call
What is Patients after Hospital/ER, Patients In Need (Walk-Ins), New Patients and any additional patients identified by the PCP