---
title: Pharmacy Stars Adherence Correlation Report
slug: onedash/pharmacy-stars-adherence-correlation-report
docTags: 
createdAt: 2025-07-23T18:43:52.402Z
---

## 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\_<br />Texts\_<br />EHR\_<br />AI\_Calls\_<br />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.

