Population Health
Synthetic data only
Bayview Primary Care
Regional Health Network
Medicare Risk Provider Network
Last 3 months
Last 6 months
Last 12 months
All providers
Dr. Omar Garza
Dr. Ruth Brooks
Dr. Tomas Stone
Dr. Maya Patel
Dr. Maya Ellis
Dr. Iris Foster
Dr. Ruth Hayes
Dr. Lena Ortiz
ES
Chronic disease cohorts — click to filter
All (48)
Heart failure (20)
Major depression (19)
Type 2 diabetes (18)
Atrial fibrillation (16)
COPD (15)
CKD stage 3 (13)
Hypertension (12)
Morbid obesity (11)
Open care gaps (HEDIS/Stars-style concepts)
Prioritized outreach queue
Staff performs outreach
Luis Garza
Annual wellness visit, Diabetic eye exam, Colorectal cancer screening
3 gaps
Diego Moreno
Annual wellness visit, Statin therapy, Breast cancer screening
3 gaps
Ada Stone
Diabetic eye exam, Colorectal cancer screening, Kidney health evaluation
3 gaps
Ada Khan
Annual wellness visit, Diabetic eye exam, HbA1c control
3 gaps
Diego Stone
Kidney health evaluation, Statin therapy
2 gaps
Lena Garza
Kidney health evaluation, HbA1c control, Diabetic eye exam
3 gaps
Grace Lowe
Breast cancer screening, Kidney health evaluation
2 gaps
Carl Walsh
HbA1c control, Statin therapy, Breast cancer screening
3 gaps
Iris Alvarez
Kidney health evaluation, Annual wellness visit, Colorectal cancer screening
3 gaps
Nadia Foster
Breast cancer screening, Colorectal cancer screening, HbA1c control
3 gaps
Ruth Quinn
Annual wellness visit, Statin therapy
2 gaps
Ana Moreno
Annual wellness visit, Kidney health evaluation, Colorectal cancer screening
3 gaps
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