APM/ SSD
The common in-office procedure that closes this GIC
what is labs/ bloodwork
Following an inpatient/ED event, a consumer must be contacted in this time frame
What is 24 hours.
This annual screening is recommended for consumers with diabetes to detect damage caused by the disease
What is the diabetic retinal exam
This quality measure emphasizes preventive care visits that assess growth, development, and overall health.
what is well child visits
The DataWars report where all open and closed GIC can be found.
The reason these GIC open
what is being prescribed an antipsychotic within the calendar year
Supporting consumers to attend these appointments within 7 days of discharge helps reduce readmissions.
what is Return from Hospital
True or false: Diabetic retinopathy always has early symptoms that affect a consumer's vision
False
The gift cards consumers can receive for completing their wcv
insurance incentives
This measure emphasizes seeing consumers after a substance-use-related hospitalization.
What is FUA 30
APM applies to this age group of consumers taking antipsychotic medications.
What is 1-17
Following this individualized set of instructions after discharge can help prevent rehospitalization.
what is discharge plan
Early detection through DREs can help prevent this serious outcome.
Vision loss/ blindness
During well-child visits, providers typically address these three important areas of a child's health.
What are physical health, developmental milestones, and preventative screenings/ immunizations
The number of months of timely medication pickup (or LAI administration) required to close the SAA GIC
What is 12 months
Antipsychotic medications increase the risk for these metabolic conditions, making annual monitoring essential.
What are diabetes and high cholesterol
A team of remote MHC employees who manage hospital discharge planning
what is hospital engagement specialists
One of the three requirements for scheduling a DRE is an open EYE gap in care. What are the other two necessities
what is a diabetes diagnosis (or related condition) and a valid PCP ROI.
What are two of the major barriers to well child completion, when the consumer attends an appointment with their PCP
The visit is billed as sick visit or sports physical
This efficiency strategy includes educating consumers on when to use urgent care instead of the ED.
what is reducing ED utilization
Care management can improve APM/SSD performance by helping consumers overcome these common barriers to lab completion.
fear of needles and lack of understanding about the importance of labs.
This efficiency measure tracks whether consumers return to inpatient care shortly after discharge.
What is readmission
The specialist a consumer gets referred to when pathology is found in a DRE
What is an ophthalmologist
This is the last step in confirming a well visit GIC has been closed
What is a PCP contact
THL monitors readmissions during these two critical timeframes after discharge.
What is 7 and 30 days