Module 06 of 06 · Contract & Configuration
Configurator · Quality Programs
Step 3 of 7 · Define quality measures, thresholds, and Doppler triage rules for this contract
✓
Step 1
Contract
✓
Step 2
Population
3
Step 3
Quality & Triage
4
Step 4
VIDA
5
Step 5
Devices
6
Step 6
IRIS Rules
7
Step 7
Review
A
Active Programs
3 of 5 enabled
★
MA Stars Quality
CMS Star Ratings program — measures, contract weights, period management
≋
RPM (CPT 99453/99454/99457/99458)
Remote patient monitoring — device-derived vitals, BIM threshold tracking
⊞
CCM (CPT 99490/99439)
Chronic care management — care coordination time tracking
⊕
PCM (Principal Care Management)
Single-condition focused care management
◈
BHI (Behavioral Health Integration)
PHQ-9 / GAD-7 cadenced screening + collaborative care model
B
CQID Quality Measures
9 active · MA Stars 2026 spec
C10
Wt 3
Diabetes A1c < 9%
C11
Wt 3
Hypertension Control
C12
Wt 3
SUPD Statin Use
D08
Wt 2
Statin Adherence (PDC)
D09
Wt 2
Annual Wellness Visit
C04
Wt 1
Influenza Vaccine
C05
Wt 3
BHI / PHQ-9 Screen
C06
Wt 1
Falls Risk Screening
D04
Wt 1
Med Reconciliation Post-D/C
Click a measure to edit numerator / denominator / cut-points.
+ Add custom measure
C
Doppler Triage Thresholds
5 rules · 2 modified from default
Post-discharge LACE+ trigger
Modified
Trigger when LACE+
→
Bucket Assignment
EMERGENT
PHQ-9 severity escalation
Trigger when PHQ-9
→
Bucket Assignment
EMERGENT
CHF weight gain alert
Modified
Trigger when Δ weight
→
Bucket Assignment
EMERGENT
BIM 99454 reading-day risk
When days remaining
→
Bucket Assignment
STARS / GAP
CQID gap-to-period proximity
When period close
→
Bucket Assignment
STARS / GAP