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Well Child
Well Child
Well Child
Well child
Well Child
100
What age range will pull a member into the AWC measure?
Any member that turns 12 to 21 years old in the measurement year
100
What age range pulls a member into the W34 measure?
Any member that turns 3 to 6 years old in the measurement year
100
Can you use care rendered at a specialist? Is there any exception?
No. The one exception is an OBGYN.
100
What component can this be used: "Carlos has a history of ear infections"
Health History
100
What component does this meet: "Michael is beginning to walk"
Physical development
200
Name 2 issues that will allow exclusion from this measure?
1) wrong age 2) expired
200
You are reviewing a progress note. You see this blurb: "immunizations are up to date" Can you use this as anticipatory guidance? Why or why not?
No. This is not guidance or health education.
200
You find a sports physical in the chart from a free clinic in the summer. Can you use this visit?
Yes. But beware that all components are present. Many times sports physicals is simply a head to toe physical assessment and the other components are missing.
200
What component does this meet: "Betty needs immunizations on the next visit"
None
200
Can you use this for Mental and Physical Development? "Development normal for age"
Yes
300
To be compliant for the "Physical Exam" component of any well child visit, how many systems have to be assessed?
At least 3
300
You come across a school based wellness center visit note sent from the kiddo's school. Can you use this? Why or why not?
Yes. You can use visits from school based wellness centers.
300
Can you use a sick visit found in a chart? Why or why not?
The intent of the sick visit does not count if there are prevention and wellness components above and beyond the sick components.
300
You are reviewing a chart and there is only one visit for asthma. Can you use it? Why or why not?
We can not use any acute or chronic condition.
300
You find no formal well child visit rendered at one visit. You mostly find fragmented care rendered over many visits throughout the measurement year. What do you do?
You review all visits, pull out any prevention and wellness from each visit, and hopefully you can piece together a complete well child visit.
400
How many components make up a complete well child visit? Name them?
Health History Mental Development Physical Development Physical Exam Anticipatory Guidance/Health Education
400
A member was seen during an inpatient admission. Can we use this visit? Why or why not?
No. We can not use data from inpatient visits.
400
You are reviewing a chart for a well child measure. You come across consult notes from a recent emergency department visit. Can you use this visit? Why or why not?
No. Emergency department visits data can not be used.
400
You find a progress note for a sick visit. Can you use it? Why or why not?
You can not use any of the components of a sick visit. However, you can use any prevention and wellness rendered above and beyond the sick visit. Remember the INTENT of the visit does not matter.
400
For W15 measure, do you enter visits only for the measurement year (2015)? Why or why not?
No. The member is pulled into this measure because they will turn 15 months old in 2015. That means they could be born in 2013 or 2014. So all well child notes from birth through 15 months of age need to be collected.
500
Name the two types of providers which can render care for well visits?
1) PCP 2) GYN/OBGYN
500
What component is the following: "Susie interacts well with other children"
Mental Development
500
A teen is pregnant and has been going regularly to the OBGYN. You have a chase to that OBGYN office. Can you use the visits? Why or why not?
Yes. Pregnancy is not an illness. Rather a "condition" or "state". If you find prevention and wellness components at the visits, then you can use the data.
500
A kiddo is seen by an ENT for tonsillitis. The visit notes were very comprehensive in this chart which met most of the well visit requirements. Can you use the visit? Why or why not?
No. We can not use data from a specialist visits.