Jan Feb Mar Apr May Jun Jul Aug Sep X X X X X X X. Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov X X X X X X X X X X X X X

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1 Primary Prevention Breast Cancer Prevention Member: Mammography reminder letters to female members ages who are overdue to get a mammogram Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Providers: Mammography quarterly reports of female members ages who are overdue for screening Cervical Cancer Screening Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Members: Pap smear reminder letters to female members ages who are overdue to get a Pap smear. Providers: Pap smear quarterly reports of female members ages who are overdue for screening. Pediatric/ Adolescent Immunization Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Members: Postcard reminding parents of month olds and 12 year olds to complete child's immunization schedule Providers: Pediatric and adolescent immunization quarterly reports listing month olds and 12 year olds (one report for both).

2 Secondary Prevention Asthma Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Members: Monthly letter to members newly identified with asthma informing them that they are eligible for the Asthma Management Program; includes asthma educational materials and asthma action plan. Members: Annual letter to all guardians of members with asthma (ages 3-17) with educational materials such as quiz to assess asthma control. Members: Annual letter to all adult members with asthma (ages 18-63) with educational materials such as quiz to assess asthma control. Members: Secure e-message to members (via HPHConnect) whose Health Questionnaire response indicates they have asthma. Providers: Annual letter and medication adherence report for pediatric and adult patients with persistent asthma who have a controller medication adherence rate of less than 75% Cardiac Disease Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Members: Letter and brochure on importance of beta blocker adherence after a heart attack sent to members who had a recent heart attack. Available in English and Spanish. Members identified on a weekly basis. Providers: Semi-annual letter and medication adherence report to help providers identify their patients with low adherence to cardiac medications.

3 Secondary Prevention Asthma Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Members: Secure e-message to members (via HPHConnect) whose Health Questionnaire response indicates they have cardiac disease.

4 Chronic Obstructive Pulmonary Disease (COPD) Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Members: Patient ed materials sent to members with a new diagnosis of COPD. Encourages spirometry testing, smoking cessation, exercise, appropriate use of medications. Members identified on a monthly basis. Colorectal Cancer Screening Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Members: Secure message to members (via HPHConnect) who have recently turned 50 yrs; offers information about preventive care, including importance of screening for colorectal cancer. Members identified on a monthly basis. Diabetes Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Members: Annual letter to all members with diabetes informing them of the dates of their last diabetes tests during the past year and instructing them to contact their primary care provider if they are overdue for a test. Members: Letter to members newly identified with diabetes informing them that they are eligible for Diabetes Management Program; includes educational material. Members identified on a monthly basis. Members: Secure e-message to members (via HPHConnect) whose Health Questionnaire response indicates they have diabetes.

5 Providers: Annual letter and caselist of diabetic patients that includes most recent diabetes-related exams and test results if available. Hypertension Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Members: Monthly letter and quiz to members newly diagnosed with hypertension stressing importance of keeping blood pressure under control. Members: Secure message to members (via HPHConnect) diagnosed with high blood pressure. Medication Safety Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Members: Educational brochure to members with a new prescription for warfarin. Members identified on a weekly basis. Members: Letter and brochure to members discharged after an acute myocardial infarction (AMI) stressing the importance of beta blocker medication adherence after an AMI. Members identified on a weekly basis. Providers: Semi-annual Multiple Prescriber Report (MPR) to primary care providers who have patients with diabetes who have 5 or more prescribers. Providers: Rheumatoid arthritis (RA) adherence report to primary care providers to improve adherence to disease modifying anti-rheumatic drugs (DMARDs). Providers: Semi-annual Cardiac Medication Adherence Report (CMAR) to primary care providers listing 6-month cardiac prescription refill history for patients discharged after an acute myocardial infarction (AMI).

6 Providers: Annual Asthma Medication Adherence Report (ACMAR) to primary care providers listing their patients with persistent asthma who were prescribed at least one asthma controller medication and have a controller medication adherence rate (as defined by proportion of days covered) less than 75% during the treatment period. Pneumonia Prevention/ Flu Program Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Members: Secure message (via HPHConnect) to all members 18 yrs and older reminding them to get an annual flu shot, if they haven't received one already. Women's Health Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Members: Postcard to women who have delivered a baby within the previous month reminding them to get a postpartum check-up within 4-6 weeks after delivery. Members identified monthly. Members: Patient education brochure about postpartum depression to women who have delivered a baby within the last 2 months; includes Edinburgh Postnatal Depression Screening Test. Sent monthly from United Behavioral Health.

7 Other: Health Questionnaire (HQ) Prompted Interventions Members: Secure message to members (via HPHConnect) who have taken the HQ and triggered for certain Lifestyle Management conditions (e.g., exercise, healthy eating, quitting smoking or chronic conditions); provides wellness information, tools and resources. Messages are sent real time, as soon as HQ is submitted. Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Low Back Pain Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Members: Secure e-message to members (via HPHConnect) who Health Questionnaire response indicates they have low back pain. Online HEDIS LCU and PCP-level reporting tool Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Providers: Online LCU and PCP-level reporting tool is available for selected HEDIS measures, for the commercial member population. Tool provides downloadable lists of members eligible for HEDIS measures, and defects for the measures, by practice site. Behavioral Health Attention Deficit Hyperactivity Disorder (ADHD) Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Members: Monthly letter and patient ed materials to parents of children ages 6-12 yrs. who receive a new prescription for ADHD medication; encourages followup visits to doctor. Members: Call from Clinical Pharmacist to parents whose children have received a new prescription for an ADHD medication, advising them to see the prescriber for drug management within the first 30 days. For New Hampshire members only.

8 Providers: Real time notification sent to providers with patients ages 6-12 yrs. with new prescription for ADHD medication. (Generated from MedImpact.) Antidepressant Medication Management Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Members: UBH sends Feeling Blue, Feeling Good brochure to members who have outpatient or inpatient claim for depression. Providers: UBH sends a letter to behavioral health providers who have recently prescribed an antidepressant about best practices and medication compliance Initiation & Engagement of Alcohol and Other Drug Dependence Treatment Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Members: UBH sends Road to Recovery brochure to members who have outpatient or inpatient claim for alcohol or SA. Providers: Online LCU and PCP-level reporting tool is available for selected HEDIS measures, for the commercial member population. Tool provides downloadable lists of members eligible for HEDIS measures, and defects for the measures, by practice site. Vivitrol Registry Providers: Weekly registry sent to prescribers whose patients have been newly prescribed Vivitrol therapy in an effort to encourage behavioral health support. The registry also provides resources for the physician to help with substance abuse treatment planning.

9 Metabolic Monitoring for Children and Adolescents on Antipsychotics- Providers: Biannual report sent to the child s PCP and specialist and alerts physicians to gaps in cholesterol and blood glucose testing. It also coordinates care amongst multiple practitioners. Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov