Internal Training Documents

Quality Measures User Guide

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Commercial Module Glossary | Glossary of Terms—Commercial June 2018 Quality Measures 18.3 A-2 User Guide v1.4 Glossary of Terms—Commercial Term Definition All Payers The roll-up view of all payer products. At Risk Patients The total number of patients who are on the current roster, but the last visit date is 9 months or greater from the last reporting period date. Average Performance The average performance of all physicians within the network. Average Performance in TIN The average performance of all physicians who report under the same TIN. Care Gap An individual care metric that can be open or closed on a patient level. Care Measure A roll-up of an individual care metric across patients to assess performance. Care Measure Grouping A category that can be used to group care measures. Example: All Diabetes measures can be aggre- gated under an "Adult Diabetes" grouping. The client will provide a grouping for the Care Measures. Lost Patients The total number of patients who no longer appear on the roster as compared to the previous reporting period. Measures Met A subset of the Total Number of Quality Care Measures where the performance percentage is equal to or greater than the designated performance percentage threshold. Measures Not Met A subset of the Total Number of Quality Care Measures where the performance percentage is less than the designated performance percentage threshold. New Patients The total number of patients that are on the roster as of the latest reporting period. Patient List A list of patients that can be exported to an Excel document. For information on exporting, see "Exporting" on page 1-7. Roster Management The section of the application that breaks down the data from the payer member Attribution reports. Summary A dashboard that displays important performance data as of the latest reporting period. Top Performer The physician who has achieved the highest performance rate as of the latest reporting period. Total Patients The total number of patients who are on the roster as of the latest reporting period. User Name The logged-in user displayed as [Title. First Name Last Name]

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