Pharmacy Stars Adherence Correlation Report

quick reference column definitions column definition gap id unique identifier for the care gap measure medicarestarsras, medicarestarsstatin, or medicarestarsdm gap creation date when the care gap was generated gap close date date the care gap was automatically or manually closed days to close number of days the gap remained open gap outcome outcome status (successful, unsuccessful, inapplicable, or open) cardholder id / md number / name / lob member identifiers and demographics total actions delivered number of manual calls or system automated actions marked as “sent” total all actions total actions attempted for the gap action list combined text list of action types, status, and dates faxes texts ehr ai calls calls counts of successful/failed communications per channel and automation status pre gap pdc member’s pdc on the date the gap was generated current pdc most recent pdc available as of report run time delta difference between current pdc and pre gap pdc identifier numeric categorization of pdc movement (1–4) explained in threshold indicator section threshold indicator value meaning 1 pdc ≥ 80% at both timepoints 2 increased from <80% to ≥80% 3 remained <80% 4 dropped from ≥80% to <80% overview this report summarizes the correlation between medication adherence and care gap impact for three cms medicare stars adherence measures medicarestarsras (medication adherence for ras medications) medicarestarsstatin (medication adherence for statin medications) medicarestarsdm (medication adherence for diabetes medications) it includes metrics at the care gap level such as closure timelines, outreach efforts, and changes in medication adherence over time, measured via proportion of days covered (pdc) use case this report is designed to track which members received outreach and how frequently assess adherence improvements following interventions identify performance patterns based on outreach types and timing understand which members crossed the 80% pdc threshold correlate interventions with stars adherence impact data sources source description care gaps generated care gaps for the selected stars measures members latest member demographics and plan information actions outreach activity across channels (fax, text, call, ehr, ai call) pdc snapshots daily member level pdc by measure (ras, dm, statin) report columns care gap metrics column description gap id unique identifier for the care gap measure medicarestarsras, medicarestarsstatin, or medicarestarsdm gap creation date when the gap was generated gap close date date of manual or automatic closure days to close elapsed time from creation to closure gap outcome successful, unsuccessful, inapplicable, or open member info includes member id, md number, first name, last name, and plan line of business (lob) outreach summary column description total actions delivered count of sent messages or completed manual calls total all actions total attempts regardless of outcome action list concatenated list of action type, status, and timestamp channel specific columns breakdowns by method and automation type (e g , faxes auto delivered, texts manual failed, ai calls manual delivered) manual call results count of successful or failed/voicemail calls medication adherence (pdc) definitions pre gap pdc member's pdc on the date the care gap was created current pdc member's pdc as of the latest available data delta change in pdc between the two dates notes & considerations missing pre gap pdc a care gap may lack a historical pdc if it was created before the member’s first fill of the year filtering only includes care gaps where member is included in onedash's calculated denominator per measure lob restriction members must be enrolled in dsnp, egwp, mapd, or pdp plans automation attribution actions are categorized as automated or manual using the creator field data coverage the report respects the user selected date from and date to values, which define the range for care gap creation dates the “current pdc” is always based on the latest available snapshot date across the respective measure’s dataset