Quality Measure
Less than 140/90
What is the number for blood pressure control?
WCE
What is Well Child Exam?
Less than 10% of PCHS revenue.
What is our 330 Federal Grant?
The Insurance Company with highest Apple Health enrollment with PCHS?
What is Molina?
Medicare pays 100% without co-pay for this office visit.
What is annual Medicare Wellness Visit?
Hemoglobin A1c
What is the blood work used to measure diabetes control?
UDS
What is Uniform Data System?
Medicare Advantage programs prioritize these two chronic conditions for value-based incentives.
What is blood pressure and diabetes control?
An average of 3 office visits per year is needed to avoid pay back to Health Care Authority.
What is qualified office visits?
Greeters at clinics improved this important quality metrics..
What is patient experience survey?
Colonoscopy is one of the gold standard to screen for this cancer.
What is the procedure to screen for colon cancer?
MCO
What is Managed Care Organization?
The insurance company with the highest Medicare Advantage enrollment.
What is OCN?
The Apple Health Insurance company that is co-owned by community health centers.
What is CHPW?
The accrediting program for high quality care as well as medical/dental home.
What is Accreditation Association for Ambulatory Health Care?
Mammogram is the gold standard to screen for this cancer.
What is breast cancer screening?
iFOBT
What is immunochemical fecal occult test for colon cancer screening?
This value-based metrics has been challenging in attaining incentive payments.
What are yearly Well Child Exams for 3-11 years old?
All Apple Health programs have this cancer screening as part of value-based metric.
What is Breast Cancer screening (Mammogram)?
The two clinical measures PCHS excels.
What is blood pressure and diabetes control?
Papapinicolaou is the test to screen for this cancer.
What is cervical cancer?
PAP
What is Papanicolaou for cervical screening test?
Clinical score based on most specific and complicated diagnosis which optimized Medicare Advantage payments.
What is risk adjustment or gap scores?
PCHS works with 5 MCOs
What is Molina, United Health Care, Wellpoint, CHPW and Coordinated Care.
The test used to screen for diabetes kidney disease.
What is urine microalbumin/creatine ratio?