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Regular Review Practices in Place on Targeted Patient Population Needs

Activity ID


Activity Weighting


Subcategory Name

Population Management

Activity Description

Implementation of regular reviews of targeted patient population needs, such as structured clinical case reviews, which includes access to reports that show unique characteristics of eligible clinician's patient population, identification of vulnerable patients, and how clinical treatment needs are being tailored, if necessary, to address unique needs and what resources in the community have been identified as additional resources.


Participation in reviews of targeted patient population needs including access to reports and community resources

Suggested Documentation

1) Targeted Patient Population Identification - Documentation of method for identification and ongoing monitoring/review for a targeted patient population; and
2) Report with Unique Characteristics - Reports that show unique characteristics of patient population and identification of vulnerable patients; and
3) Tailored Clinical Treatments - Medical records demonstrating ways clinical treatment needs are being tailored to meet unique needs including additional community resources, if necessary

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