contact to review the provider’s feedback. Based on the PHR and provider input, the provider can work with the patient and/or VCCI staff can outreach to patients to address gaps as appropriate. The PHR also is a referral mechanism to triage patients in the top 5%, or to identify patients who are at high risk of becoming a member in the top 5%. Figure 4: Sample Patient Registry report The Patient Health Brief (PHB) is a 1-6 page document that providers use to review their medical procedures and pharmacy fills over the past 6 months. The PHBs notify providers of individual patient use of the ED, inpatient admissions and medication possession ratio. It gives providers a clear picture of the member’s health care for the recent past and identifies gaps in care. For instance, the PHB can identify lack of pharmacy claims even though a provider has prescribed a certain medication. The PHB informs providers of additional care the patient has received that could be better aligned with the care they are providing. Figure 5 shows page 1 of a sample PHB that includes a conditions lists, clinical interventions, admissions, and emergency department visits.
contact to review the provider’s feedback. Based on the PHR and provider input, the provider can work with the patient and/or VCCI staff can outreach to patients to address gaps as appropriate. The PHR also is a referral mechanism to triage patients in the top 5%, or to identify patients who are at high risk of becoming a member in the top 5%. Figure 4: Sample Patient Registry report The Patient Health Brief (PHB) is a 1-6 page document that providers use to review their medical procedures and pharmacy fills over the past 6 months. The PHBs notify providers of individual patient use of the ED, inpatient admissions and medication possession ratio. It gives providers a clear picture of the member’s health care for the recent past and identifies gaps in care. For instance, the PHB can identify lack of pharmacy claims even though a provider has prescribed a certain medication. The PHB informs providers of additional care the patient has received that could be better aligned with the care they are providing. Figure 5 shows page 1 of a sample PHB that includes a conditions lists, clinical interventions, admissions, and emergency department visits.