Smooth Transitions
This is the recommended number of days after hospital discharge in which a patient should have a follow-up visit.
What is 7 days?
This PHQ-9 score is the threshold for identifying moderate to severe major depression.
What is a PHQ-9 score of 10?
A Mini-Cog test score of this number or lower is considered positive for possible cognitive impairment.
What is 2?
In patients with COPD, this single intervention is the most effective to slow disease progression and reduce mortality.
What is smoking cessation?
The concurrent use of these two classes of medications increases the risk of sedation, respiratory suppression, cognitive impairment, overdose, and death—and is now tracked by a new HEDIS metric called COB.
What are opioids and benzodiazepines?
The CPT code 1111F represents this requirement, which must be documented following a patient’s transition from hospital to outpatient care.
What is medication reconciliation of discharge medications with the outpatient medication list?
This is the diagnostic criteria for smokers’ cough.
A productive cough lasting three months per year for the last two years?
Before diagnosing dementia, this acute, reversible confusion condition should be ruled out.
What is delirium or encephalopathy?
You should consider deprescribing this group of medications due to the risk of complications, including bone fractures, vitamin deficiencies, and an increased risk of infections like C. diff and pneumonia.
What are PPIs (Proton Pump Inhibitors)?
Patients taking this type of medication are excluded from the HEDIS diabetes medication adherence measure.
What is insulin.
This daily self-monitoring activity is crucial for patients with heart failure to help prevent hospitalizations.
What is daily weight monitoring?
The need for this type of medications at a specific dose is considered part of the diagnostic criteria for severe asthma.
What are high-dose inhaled corticosteroids?
This is the percentage of Hispanic adults aged 65 and older in the U.S. have dementia.
What is 13% (10%-15%)?
This diabetes medication is contraindicated in patients with congestive heart failure with reduced ejection fraction or macular edema.
What is pioglitazone?
This is the required time frame for a follow-up service after an emergency department visit for members 18 and older with multiple high-risk chronic conditions.
What is 7 days?
These are the three most common reasons for hospital admission among Suvida patients.
What are heart failure, COPD exacerbations, and infections (pneumonia, UTI)?
This condition can develop from taking medications like benzodiazepines or opioids—even at therapeutic doses—and may occur without a substance use disorder.
What is physical dependence?
Problems with these types of activities help differentiate mild neurocognitive disorder from major neurocognitive disorder and are used to support the diagnosis of mild dementia.
What are instrumental activities of daily living (IADLs)?
These 4 groups of medications are part of guideline-directed therapy for heart failure with reduced ejection fraction?
What are angiotensin inhibitors, beta-blockers, ARNIs, and SGLT2i?
This is the time frame following a fracture, during which female patient aged 67–85 must receive either a bone mineral density test or a prescription for osteoporosis treatment to meet the HEDIS Osteoporosis measure.
What is 6 months?
This group of medications—available both over the counter and by prescription—is associated with increased risk of falls, cognitive decline and hospitalizations, especially in older adults.
What are anticholinergic medications?
This type of hematologic malignancy is considered curable, in contrast to the other types that aim for remission.
What is Hodgkin's lymphoma?
These are the five words you would ask your patients to remember later when performing the SLUMS test.
What are apple, pen, tie, house, and car (perro in Spanish)?
This SSRI has a reduced maximum dose of 20 mg in older adults due to its potential to prolong the QT interval and increase the risk of arrhythmias.
What is citalopram (Celexa)
These two types of conditions, which significantly impact patients' functioning and overall quality of life, may allow exclusions from certain HEDIS Star measures when documented during two office visits in a year.
What are a diagnosis of advanced illness and evidence of frailty (e.g., use of a walker, recent hospitalization, or functional impairment)?