AI prompts for quality directors

Attached is our [payer] quality scorecard for [measurement year] to date, with numerator, denominator and rate by measure, plus the plan's cut points or targets. For each measure, calculate how many more numerator hits we need to reach the next threshold. Rank measures by hits needed, lowest first. Note which measures are inverse, where lower is better. Show your math for the top five.

Attached are [payer]'s open gap list and our lab and procedure export for [date range]. Match patients by member ID, then by name and date of birth. List every open gap where our data shows a qualifying result in the measurement period: [e.g., HbA1c result, colonoscopy date, mammogram date]. Show the gap, the matching record and its date. List unmatched patients separately so I can check them by hand.

Attached are [payer]'s gap list for [measure] and our problem list and encounter export. List patients on the gap list whose records show a possible exclusion for this measure: [e.g., hospice, palliative care, bilateral mastectomy, total colectomy, ESRD]. Quote the record that suggests it, with its date. Mark each one as possible only. I'll confirm against the measure spec.

Attached are our open gap list and the appointment schedule for the next [30] days. List patients with an appointment and at least one open gap. For each, show appointment date, provider, visit type and every open gap. Sort by appointment date. Then list patients with three or more open gaps and no appointment, grouped by PCP.

From the attached gap file, build a scorecard for each PCP on these measures: [list measures]. For each measure, show the provider's numerator, denominator and rate next to the practice-wide rate. Rank providers within each measure. Write a two-sentence note per provider naming their strongest and weakest measure. One page per provider, counts only, no patient names.

Attached is the measure specification for [measure name, e.g., Controlling High Blood Pressure]. Summarize who's in the denominator, what counts for the numerator, the exclusions, the measurement period, and exactly what has to be in the chart or on the claim to close it. Then write five tips for MAs at check-in. Quote the spec for every rule, with page numbers.

Attached are open gap lists for [measures or payers] and our do-not-contact list. Combine them into one outreach list with one row per patient: name, phone, preferred language, PCP, every open gap and the earliest deadline. Dedupe on member ID, or name plus date of birth. Remove patients marked deceased, in hospice or on the do-not-contact list. Tell me how many rows you merged and removed.

Attached are our [payer] scorecards for [this month] and the same month last year. For each measure, show both rates and the change in percentage points. Flag any measure down more than [3] points, or where the denominator changed by more than [10]%. For each flag, list two questions I should answer before the quality committee meets.

Attached are [number] de-identified patient survey comments from [vendor] for [period], with location and provider. Group them into themes and count each theme by location and provider. Quote two representative comments per theme. Separate comments about access (appointments, phones, wait times) from comments about care. Flag any comment that suggests a safety issue.

Attached are our performance rates on [list candidate MIPS quality measures] and CMS's quality benchmark file for [year]. For each measure, show our rate, the benchmark decile it falls in, and whether the file marks it topped out. Recommend six measures that maximize points, including at least one outcome or high-priority measure. Show the deciles you used.

Draft a one-page quality improvement project charter to raise [measure, e.g., colorectal cancer screening] from [current rate]% to [target]% by [date]. Include the problem statement, aim, scope, team roles for [names], measures (outcome, process and balancing), three change ideas, and a first PDSA cycle with a 30-day test.

From the attached denominator list for [measure], pick a random sample of [30] patients, stratified by PCP so every provider has at least [3]. Tell me the method you used so I can repeat it. Then build an audit sheet with columns for patient, date of service, numerator evidence found (Y/N), where in the chart, exclusion found and reviewer notes.

Attached is [plan]'s Part D adherence report as of [date]. For diabetes medications, RAS antagonists and statins, list patients with a PDC under 80%, and patients at 80 to 85% with a refill due in the next [14] days. Show drug, last fill date, days' supply, PDC and pharmacy. Group by PCP. Sort by days until the next fill is late.

Attached are this quarter's scorecards from [payers] and last quarter's committee minutes. Write a two-page committee summary: measures at or above target; measures below target, with the gap in numerator hits; last quarter's action items and their status; and three decisions the committee needs to make. Counts and rates only, no patient names.

Attached are tomorrow's schedule for [location] and our consolidated open gap list. Make a huddle sheet by provider and appointment time. For each patient with an open gap, list the gap and the action at the visit: [e.g., point-of-care A1c, BP recheck if the first reading is 140/90 or higher, FIT kit, depression screen]. One page per provider, large font.