What is a Potential Future Admission Risk (UAMCC) Alert?
Pearl's UAMCC alerts use a predictive algorithm to identify patients with multiple chronic conditions who may be at risk for a potentially preventable admission. Patients who are due for an Annual Wellness Visit (AWV) or who may benefit from Chronic Care Management (CCM) are highlighted. Alerts are sent at the beginning of each month
Factors used by the predictive algorithm to identify at-risk patients:
Historical utilization patterns
Chronic conditions
Risk score
Frailty cohort
Other factors
Recommended Actions
Contact patient within 2 days
Schedule an appointment or have discussion in 7-14 days to review:
Health status and risk
Chronic conditions
Admission risk
Suggest chronic care management if warranted
The Importance of Taking Action
Co-morbid chronic conditions can deteriorate patient health, making patients more susceptible to complications that could lead to an unplanned hospital admission.
Additionally, UAMCC is one of ACO REACH’s 4 quality measures, so taking action may improve your quality scores.
Priority on platform:
Do Now (red)