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SYSTEMS
PEDIATRIC MEASURES
RANDOM
WOMEN'S MEASURES
ADULT MEASURES
100
A paperless, digital and computerized system of maintaining patient data.
What is an EMR (electronic medical record)?
100
Measure that assess immunizations from birth to 2nd birthday.
What is CIS (childhood immunization status)?
100
Notation in an EMR that a "Electronically signed by:Provider Name".
What is a compliant provider signature?
100
Measure that monitors deliveries between November 6, 2014 and November 5, 2015 that had the expected number of prenatal visits.
What is the FPC (frequency of prenatal visits)?
100
Colonoscopy (completed during the measure ment year or 9 years prior), Flex sigmoidoscopy (completed measurement year or 4 years prior) and fobt (ifobt or gfobt completed during the measurement year).
What are compliant componenets for COL measure?
200
System used at Molina Healthcare for electronic housing for medical records.
What is CMCM (central medical chart management)?
200
Girls age 9-13 fall into this measure to evaluate this specific immunization.
What is HPV (Human Papillomavirus Vaccine for Female Adolescents)?
200
A chart states Colonoscopy done 12/15, document the date as 12/31/2015.
What is the default date or default date rule?
200
Thin prep tests can be accepted for compliance.
What is the CCS (cervical cancer screening) measure?
200
Consult with a nephrologist within the measurement year?
What is an example of nephropathy screening in the CDC measure?
300
System used to enter data for all medical records reviewed/abstracted during PMRR and HEDIS.
What is QSHR (quality spectrum hybrid recorder)?
300
Height, weight, BMI %, nutrition assessment and/or counseling and physical activity assesment and/or counseling is evaluated in this measure.
What is WCC (Weight Assessment & Counseling for Nutrition & Physical Activity for Children/Adolescents) ?
300
A signature line with no provider signature.
What is a non-compliant provider signature?
300
21-56 days.
What is the compliant post-partum visit time frame?
300
This must occur prior to June 30th of the measurement year.
What is the HTN diagnosis date?
400
Internal shared site that links all educational infomration.
What is the Training Forum?
400
Health history, physical exam, physical development, mental development and anticipatory guidance/health education each need to be documented at least once within the measurement year for these two measures.
What are W34 (Well-Child Visit in the Third, Fourth, Fifth, and Sixth Years of Life ) and AWC (Adolescent Well Care) ?
400
These two measures are retrieved by the WI staff but ALWAYS reviewed/abstracted by the corporated HEDIS staff.
What are COA (Care of Older Adults) and MRP (Medication reconcilliation post discharge) ?
400
A delivery that does not result in a live birth.
What is an exclusion example for FPC and PPC?
400
Validation of member names, DOB and provider signature as well as date of service, weight and BMI value for members 20 years of age aor older on the date of service
What is compliant for ABA (Adult BMI assessment)?
500
System that houses supplemental data.
What is SDCT?
500
This measure requires 6 visits containing all 5 components (health history, physical exam, physical dev't, mental dev't. and anticipatory guidance/health history).
What is W15 (Well-Child Visits in the First 15 Months of Life) ?
500
Medical record review project which covers a specific set of measures during the fall season.
What is PMRR (pre medical record review)?
500
Visit as a member of the organization in the first trimester or within 42 days of enrollment in the organization.
What is the timeliness of prenatal care in the PPC (prental and postpartum care) measure?
500
A positive, negative, or unknown result of a retinal OR dilated eye exam by an eye care professional (optometrist or ophthalmologist) in the measurement year
What is one example of Compliance for CDC eye?