SDRs
Acronyms
Quality Metrics
HOS-M
100

Who can receive an SDR?

What is any PACE employee? 

100

What does NPA stand for?

What is National PACE Association?

100

Why do we complete monthly and annual benchmarking?

What is to allow for comparisons across PACE organizations, provide a standardized approach to performance measurement within PACE and demonstrate the value of care delivered by PACE organizations?

100

What does HOS-M stand for?

What is Health Outcomes Survey - Modified?

200

If a non-IDT member receives an SDR, who should they report this out to?

What is an IDT member or one-up supervisor if unsure?

200

What does KPI stand for?

What is Key Performance Indicator? These are quantifiable measures of performance that help elevate success. 

200

What quality metric do we monitor for utilization?

What is hospital admits, hospital days, ED visits and specialist utilizations? 

200

How can we assist participants who lose their survey?

What is by assisting them with reaching out to the survey vendor to complete it over the phone or requesting a replacement survey?

300

Where should oral notifications of approval or denial be documented?

What is within the SDR template that is uploaded into the ppt's chart by Q/C?

300

What does PMPM stand for?

What is Per Member Per Month?

300

What quality metric do we monitor for quality and safety?

What is number of falls, falls with injury, advanced care planning, diabetes control and poly pharmacy? 

300

Can blank surveys be copied and distributed to participants?

What is no? Each survey has a corresponding tracking code for the vendor and therefore cannot be copied for other participants. 

400

What is the timeframe for an SDR to be presented to a full IDT after being made?

What is 3 calendar days from the day the request is made?

400

What does PMPA stand for?

What is Per Member Per Annum?

400

What quality metric do we monitor for participant satisfaction?

What is participant satisfaction surveys and grievances? 

400

Name a reason that the HOS-M survey is important?

What is one of the following:

  • Understand participant experiences and identify areas where we can improve.
  • Demonstrate the quality of care we provide to regulatory bodies and stakeholders.
  • Support continuous improvement by using real feedback to guide our strategies and training.
  • Ensure our participants’ voices are heard, respected, and acted upon.
500

What is the exception for SDRs to not have to be presented to a full IDT within 3 calendar days?

What is when an SDR has been auto-approved?

500

What does CQPIP stand for?

What is Coordinated Quality Performance Improvement Plan?

500

What quality metric do we monitor for immunizations?

What is influenza and pneumococcal vaccines?

500

How are we evaluated in the survey?

What is by honest participant feedback on how much assistance we are providing?