reporting. relevant (EPO) specialists) (EPO) Diabetes Mellitus Multi, Multi, 50 words. Percent. Percent. 1 Checkboxes. Checkboxes. N/A OK. N/A OK. 1: Individual 1: Primary care, From 0 to 100. From 0 to 100. Physician, 2: Specialty 2: Practice Site, 3: Medical Group/IPA/Staff model Group, 4: PCMH, 5: ACO, 6: Other (describe), 7: None of the above Preventive Care Multi, Multi, 50 words. Percent. Percent. 2 (Osteoporosis Checkboxes. Checkboxes. N/A OK. N/A OK. screening, urinary 1: Individual 1: Primary care, From 0 to 100. From 0 to 100. Physician, 2: Specialty incontinence, flu 2: Practice Site, shot, pneumonia 3: Medical vaccination, Group/IPA/Staff screening model Group, 4: PCMH, mammography, 5: ACO, colorectal cancer 6: Other screening, BMI (describe), screening and 7: None of the follow-up, above screening unhealthy alcohol use, tobacco screening use and cessation intervention) Coronary Artery Multi, Multi, 50 words. Percent. Percent. 3 Bypass Graft Checkboxes. Checkboxes. N/A OK. N/A OK. 1: Individual 1: Primary care, From 0 to 100. From 0 to 100. Physician, 2: Specialty 2: Practice Site, 3: Medical Group/IPA/Staff model Group, 4: PCMH, 5: ACO, 6: Other (describe), 7: None of the above
reporting. (EPO) relevant specialists) (EPO) Diabetes Mellitus Multi, Checkboxes. 1: Individual Physician, 2: Practice Site, 3: Medical Group/IPA/Staff model Group, 4: PCMH, 5: ACO, 6: Other (describe), 7: None of the above Multi, Checkboxes. 1: Primary care, 2: Specialty 50 words. Percent. N/A OK. From 0 to 100. Percent. N/A OK. From 0 to 100. 1 Preventive Care (Osteoporosis screening, urinary incontinence, flu shot, pneumonia vaccination, screening mammography, colorectal cancer screening, BMI screening and follow-up, screening unhealthy alcohol use, tobacco screening use and cessation intervention) Multi, Checkboxes. 1: Individual Physician, 2: Practice Site, 3: Medical Group/IPA/Staff model Group, 4: PCMH, 5: ACO, 6: Other (describe), 7: None of the above Multi, Checkboxes. 1: Primary care, 2: Specialty 50 words. Percent. N/A OK. From 0 to 100. Percent. N/A OK. From 0 to 100. 2 Coronary Artery Bypass Graft Multi, Checkboxes. 1: Individual Physician, 2: Practice Site, 3: Medical Group/IPA/Staff model Group, 4: PCMH, 5: ACO, 6: Other (describe), 7: None of the above Multi, Checkboxes. 1: Primary care, 2: Specialty 50 words. Percent. N/A OK. From 0 to 100. Percent. N/A OK. From 0 to 100. 3
Qualified%20Health%20Plan%20Certification%20Application%20Fourth%20Quarter%202017%20Smal....docx