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Blood Pressure Control Diabetes Measures - Glyco and LDL Diabetes Measures - Smoking Cessation Female Measures General Health Measures Medication Measures Persistent Medications Medication Measures Pediatric Measures HEDIS Effectiveness of Acute Care Effectiveness of Chronic Care - Clinic/Hospital Effectiveness of Chronic Care - Clinic Only Effectiveness of Chronic Care Diabetes - Diabetes (Smoking Cessation) Effectiveness of Chronic Care Diabetes - Diabetes (Glyco and LDL) Effectiveness of Chronic Care Diabetes - Diabetes (Blood Pressure Control) Effectiveness of Preventive Care Effectiveness of Preventive Care - Older Adults Effectiveness of Chronic Care - Diabetes Measures Effectiveness of Chronic Care - Persistent Medications (MPM) NCQA PPC 2 Element A PPC 2 Element C PPC 2 Element D PPC 2 Element E: 20 Most Common Acute Diagnosis Codes PPC 3 Element D PPC 4 Element A PPC 4 Element B PPC 5 Element A PCPI PCPI Hypertension PCPI Diabetes PCPI Chronic Stable Angina PCPI Care Transitions PCPI CHF PCPI Weight Management PCPI CKD Stages IV V SETMA Lipid Audit Lipids Treatment Audit Tutorial Lipids Tutorial AQA COGNOS Project SETMA Audit for CKD Stages I III Patient Satisfaction Survey Medical Home Coordination of Care Medical Home Coordination Review Patient Document for Coordination of Care NCQA Requirements NCQA Standards Elements Evidence-based Requirements Follow-up Calls Follow-up Calls Clinic Visit Using The Clinic and Hospital Follow-up Call Templates Plan of Care/Treatment Plan of Care and Treatment Plan Diabetes Tutorial Lipids Tutorial Hypertension Tutorial CHF Tutorial Pre-visit Evaluation Pre-Visit Patient Appointments (Preventive Measures and Elderly Patients) Question and Answer Forum NCQA PC-MH Application Main Application Introduction History Ten Articles 28 Requirements Standards, Elements, and Data Points SETMA's Scores Completed Application Completed Application Note Where To Supporting Documents NCQA PC-MH Applications Documents for Each Standard, Element, Data Point NCQA PPC-1 NCQA PPC-1 Element A 1 NCQA PPC-1 Element A 2,3,5,6 NCQA PPC-1 Element A 2,4 NCQA PPC-1 Element A 4 NCQA PPC-1 Element A 7,8 NCQA PPC-1 Element A 9,10 NCQA PPC-1 Element A 12 NCQA PPC-1 Element B 1,2,3,4,5 NCQA PPC-2 NCQA PPC-2 Element A Description NCQA PPC-2 Element B Description NCQA PPC-2 Element C Cognos Audit NCQA PPC-2 Element D Description NCQA PPC-2 Element F NCQA PPC-3 Element A NCQA PPC-3 Element A 1 NCQA PPC-3 Element A 2 NCQA PPC-3 Element A 3 Element B & C NCQA PPC-3 Element B Description NCQA PPC-3 Element B note and comment NCQA PPC-3 Element C Element D NCQA PPC-3 Element D 2,3,4,5 NCQA PPC-3 Element D General NCQA PPC-3 Element D 11 NCQA PPC-3 Element D 1 NCQA PPC-3 Element D 2 NCQA PPC-3 Element D 2,3 plan of care and treatment plan for dyslipidema NCQA PPC-3 Element D 2, 3 Plan of Care Treatment Plan Hypertension NCQA PPC-3 Element D 2,3 plan of care and treatment plan for diabetes NCQA PPC-3 Element D 6,7,8,9,10 NCQA PPC-3 Element D Coordination of Care document NCQA PPC 3 Element D audit Element E NCQA PPC-3 Element E 1 NCQA PPC-3 Element E 2,3,5 NCQA PPC-3 Element E 4 NCQA PPC-3 Element E 5 NCQA PPC-3 Element E 9 NCQA PPC-4 NCQA PPC-4 Element A 1,2 NCQA PPC-4 Element B 2,4,5,7 NCQA PPC-5 NCQA PPC 5 Element A Audit NCQA PPC-5 Element A 2 NCQA PPC-5 Element B 1-15 Element C 1 NCQA PPC 5 Element B audit A NCQA PPC-6 NCQA PPC-6 Element A 1,2,3 NCQA PPC-6 Element A 4,5,6 NCQA PPC-6 Element B 1,2,3,4,5,6 NCQA PPC-7 NCQA PPC-7 Element A 1,2,3,4 NCQA PPC-8 NCQA PPC-8 Element A 1,2,3,4 NCQA PPC-8 Element B 1,2,3,4 NCQA PPC-8 Element C 1,2 NCQA PPC-8 Element D 1,2 NCQA PPC-8 Element E NCQA PPC-8 Element F NCQA PPC-9 NCQA PPC-9 Elements A B C NextMD What is HIPAA? HIPAA (Health Insurance Portability and Accountability Act) was enacted as a broad Congressional attempt at incremental healthcare reform. The area of HIPAA that most patients are interested in is that of privacy. The privacy portions of HIPAA require that we only disclose PHI (Protected Health Information) to a pre-defined list of people and organizations. These organizations include the patient themselves, payers, other providers involved in treatment, public health organizations, state and federal agencies, etc. SETMA has spent many hours training it’s employees on how to protect your information and why it is so important. If at any time you feel your privacy has been violated you have the right to report it to the proper authorities. However, we certainly hope that you will give us the opportunity to respond to your concerns and to take whatever steps necessary to resolve the situation. You may contact any of the following people regarding a HIPAA complaint: Marianne Snyder - (409) 654-6878 Cori Fredeman - (409) 654-6934 What is Patient Consent? The Patient Consent and Acknowledgement form allows SETMA to use your protected health information by your physician, our office staff and others outside of our office that are involved in your care and treatment for the purpose of providing health care services to you. Your protected health information may also be used and disclosed to pay your health care bills and to support the operation of the physician’s practice.

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