Physician Reporting Package for Contract Providers © 2016 WellMed Medical Management

Integrity I Compassion I Relationships I Innovation I Performance The WellMed Difference Our Mission and Vision is to change the face of healthcare delivery for seniors by providing quality, proactive patient care with a focus on prevention. By developing a measurable, and results-driven health care delivery system for seniors, we help the sick become well, and help our patients understand and control their health in a lifelong effort at proactive wellness. Integrity I Compassion I Relationships I Innovation I Performance

Introduction As contracted Providers, WellMed provides a suite of reports aimed at helping meet quality of care goals. As contracted Providers, you play a vital role in our mission and vision to change the face of health care for seniors.

What You Will Learn You will learn how to: Locate the Physician Reporting Package on ePRG (eProvider Resource Gateway). Identify measurement gaps by patient and by measure using the “1+” and “1” reports. Slide is animated. Objectives appear on click.

© 2015 WellMed Medical Management. All rights reserved. The following screens display the steps to the 1 Plus report. Locate Reports © 2015 WellMed Medical Management. All rights reserved.

Navigate in ePRG Click eTools (at the top of the screen). Select Physician Reporting Package (PRP).

Find the PRP 1 Plus Report Select Year/Month/Provider. Select 1 Plus Report by PCP.

Summary View 5. Review the summary fields and chart. 6. Click the right-facing arrow.

Identify Patient-Specific Gaps The following slides display the pink box report. Identify Patient-Specific Gaps © 2015 WellMed Medical Management. All rights reserved.

“Pint Box” View The boxes shaded in pink on this report signify gaps.

Column Headers Blue links display a list of patients with a specific metric outstanding. See the next screen.

Trend Data Review trend data for the metric. Click the right-facing arrow to see the patient list.

Patient List The list provides information about the patient, phone number, and other miscellaneous information. It can be exported to Excel if desired.

© 2015 WellMed Medical Management. All rights reserved. The following slides demonstrate how another view provides high-level view of STAR progress and then links to patient-specific data. Another Perspective © 2015 WellMed Medical Management. All rights reserved.

Find the PRP 1 Report Select Year/Month/Provider. Select 1 Report by PCP.

STAR Progress Progress towards STAR ratings is presented in a bar chart format. Hover over the bar in the chart to find details. See the next screen for an example.

STAR Progress Arrow appears on click. Hover annotation

STAR Progress (continued)

Trend and List Click on any of the bars in the graph to view the same Trend chart and Patient List seen previously.

Resource Provide the quick reference which details the steps to the Physician Reporting Package and its data.  

More eTools Also available from the drop-down list: DataRAP: Provider Member List (also Quick Reference Guides) Multiple Attestation RAPSWiki Quality Reports: Member Reporting Package Physician Reporting Package Point out other tools from the eTools tab of ePRG.

Summary You are now able to: Locate the Physician Reporting Package on ePRG. Identify measurement gaps by patient and by measure using the “1+” and “1” reports.