Share Your Care Gap Closure STORY! - both sucesses and failures are helpful!

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1. Your name

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2. Your role

PCP

Office Manager

Clerk

HIT

Internal QI staff

Practice facilitator

Other (please specify)

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3. The practice name

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4. What care gap (or HEDIS Metric) did the practice work on?

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5. Why did the practice select this one?

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6. What care gap closure approach/s does the practice use for this one? (check all that apply)

At-visit

Between visit with outreach/follow-up/navigation

Referral/lab order inititated at visit

Referral/lab order initiative between visit

Single issue campaign

Single issue campaign with outreach

Mailed based care gap closure (FIT kit etc)

Remote monitoring (BP etc)

Administrative gap closure (upload supplemental data, confirm closure, etc)

Other (please specify)

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7. Describe the care gap process -what is its starting point, ending point, who does what when?

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8. What data resource/s are they using for the new process to identify the gap?

Data hand abstracted from EHR

Automated EHR dashboard or alert

Data from a PHM platform (Cozeva, Azara, Innovacer, other)

an IPA report

a health plan report

Faxed ADT reports

e-ADT reports/alerts

a QHIO portal

an integrated service from a QHIO

Other (please specify)

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9. What special tools/processes are used:

Gap report printed on paper or previsit checklist

Clinical reminders or health maintenance dashboard

Clinical reminders EHR alert or similar

Standing orders

Pre-visit checklists

Manual patient reminders

Automated patient reminders

Pre-visit checklist

Pre-visit huddle

Call scripts

Patient education or engagement

Patient incentives

None

Other (please specify)

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10. Who are key players in this process at the practice and why?

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11. How effective is the process in closing the focus care gap/s?

Not at all

Somewhat

Average

Very

Extremely

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12. How do you know this:

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13. What 3 "tips" would you give to another PF or practice trying to make improvements to their care gap closure process/es? And any other thoughts and recommendations?

Share Your Care Gap Closure STORY! - both sucesses and failures are helpful!

Question Title

* 1. Your name

Question Title

* 2. Your role

Question Title

* 3. The practice name

Question Title

* 4. What care gap (or HEDIS Metric) did the practice work on?

Question Title

* 5. Why did the practice select this one?

Question Title

* 6. What care gap closure approach/s does the practice use for this one? (check all that apply)

Question Title

* 7. Describe the care gap process -what is its starting point, ending point, who does what when?

Question Title

* 8. What data resource/s are they using for the new process to identify the gap?

Question Title

* 9. What special tools/processes are used:

Question Title

* 10. Who are key players in this process at the practice and why?

Question Title

* 11. How effective is the process in closing the focus care gap/s?

Question Title

* 12. How do you know this:

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* 13. What 3 "tips" would you give to another PF or practice trying to make improvements to their care gap closure process/es? And any other thoughts and recommendations?

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* 14. Whose names should be listed as authors of this example and their emails so they can review the draft?

1. Your name

2. Your role

3. The practice name

4. What care gap (or HEDIS Metric) did the practice work on?

5. Why did the practice select this one?

6. What care gap closure approach/s does the practice use for this one? (check all that apply)

7. Describe the care gap process -what is its starting point, ending point, who does what when?

8. What data resource/s are they using for the new process to identify the gap?

9. What special tools/processes are used:

10. Who are key players in this process at the practice and why?

11. How effective is the process in closing the focus care gap/s?

12. How do you know this:

13. What 3 "tips" would you give to another PF or practice trying to make improvements to their care gap closure process/es? And any other thoughts and recommendations?

14. Whose names should be listed as authors of this example and their emails so they can review the draft?