Purpose: to rank patients by priority based on their current, active opportunities

Each patient is assigned a score from 0 to 100 - the higher the score, the more opportunities for clinical intervention.

Patients are listed in descending order by score within the All-Opportunities worklist.

Not all opportunities are scored the same way. A simple example is an opportunity where a patient is either compliant or non-compliant (Ex: Statin gap therapy, Immunizations). If a patient has 6 of these types of opportunities and are compliant in 2 and non-compliant in 4, there score would be:

(2 x 0) + (4 x 100) / 6 = 66.67

PDC based opportunities (Low Adherence) – score is based off the calculated PDC score; the closer a patient is to being considered adherent (80% PDC) are scored the highest. These patients should take less time/effort to help reach the adherence goal. Ex: a patient at 76% PDC would be ranked higher than a patient with a PDC of 50%.

80% PDC = 100 pts

MTMs – score is based on the estimated value of the CMR or TIP. The higher the monetary value, the higher the score

*Suppressed opportunities = 0 pts* Suppression factors opportunities out of the patient’s score, lowering the patient’s overall priority and rank in the worklist

Note: Patient Score can be customized by adjusting the priority and weight of individual opportunities. Currently, the ACS support/enablement team can adjust a pharmacy’s Patient Score calculation based on the pharmacy’s needs and priorities. Ex: Some pharmacies choose to weight immunizations more heavily, especially during Flu season.

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