Witch Avatar Maker The concept of a witch avatar maker is an online tool or application that allows users to create customizable avatars of witches. Avatars are digital representations or symbols that users can use to represent themselves in virtual spaces such as social media platforms, video games, or online forums. A witch avatar maker specifically focuses on creating avatars that depict witches, which are often associated with magic, spells, and supernatural abilities. These avatars may include various elements such as different types of clothing, hairstyles, accessories, and magical items like broomsticks or cauldrons. The purpose of a witch avatar maker is to provide a fun and creative outlet for users to express their interest in witches and magic. It allows users to customize their avatars according to their preferences, helping them to create a unique representation of themselves or a fictional character.

COL-E - Colorectal Cancer Screening

Product Lines:
Advantage MD, Dual Eligible Special Needs Plans (D-SNP), EHP, Priority Partners and USFHP.

Eligible Population:
Members age 45-75 years as of December 31 of the measurement year.

Definition:
Members age 45-75 who received one or more of the following screenings for colorectal cancer:

• Colonoscopy (also known as lower endoscopy) during the MY or the (9) years prior.
• Flexible sigmoidoscopy during the MY or the four (4) years prior or flexible sigmoidoscopy every 10 years, with FIT every year.
• CT Colonography (Virtual colonoscopy) during the MY or the four (4) years prior.
• Stool DNA (sDNA) with FIT test (Cologuard) during the MY or two (2) years prior.
• Fecal occult blood test (FOBT) during the MY. gFOBT (guaiac), FIT/iFOBT (immunochemical).

Members 46–75 years as of December 31 of the measurement year. Report two age stratifications and a total rate:

• 46–49 years.
• 50–75 years.
• Total. *** The total is the sum of the age stratifications.

Report Stratification by race and ethnicity.

*Note: Only the administrative data collection method may be used when reporting this measure for Priority Partners (Medicaid product line). There will be no medical records review.

Continuous Enrollment:

• The measurement period and the year prior to the measurement period.

It allows users to customize their avatars according to their preferences, helping them to create a unique representation of themselves or a fictional character. With the increasing popularity of online gaming and virtual communities, the demand for avatar makers has grown significantly. Many websites and applications now offer avatar creation tools for various themes, including witches.

Best Practice and Measure Tips

• Best practice to have the actual screening test and result. However, result is not required as long as documentation is part of the medical record and clearly indicates screening was completed and not merely ordered. If this is not clear, the result or finding must also be present.
  • The member's "medical history" can be located within any section of the member's medical record in order to count, including the treatment/plan, problem list, progress note, health maintenance summary, HPI etc.
  • If the colonoscopy is documented in the "medical history" section of the medical record, then a result/finding is not required regardless of the setting (i.e., inpatient, outpatient or member reported).
    • Examples of notation in member’s medical history:
      • “Colonoscopy 6/2021”
      • “Last colonoscopy 2015”
      • “H/O colonoscopy 2021”
      • “Had last colonoscopy in 2016 per pt.”
      • Provider documentation states “colonoscopy done earlier this year”

      **Note: A stool DNA (sDNA) with FIT test is Cologuard. A FIT test is the FOBT immunochemical test. They are not the same.

      Acceptable:

      • Two types of FOBT tests: guaiac (gFOBT) and immunochemical (iFOBT/FIT). Depending on the type of FOBT test, a certain number of samples are required for numerator compliance.
        • The fecal immunochemical test (FIT) (iFOBT) uses antibodies to detect blood in the stool. Foods do not alter test results.
          • Regardless of how many samples were returned and as long as the medical record indicates that a FIT was done, the member meets criteria.
          • For gFOBT and unspecified type of test:
            • If the medical record does not indicate the number of samples (assume correct number returned) OR indicates three or more samples were returned, the member meets criteria.
            • A result is not required if documentation includes:
              • Type of screening (colonoscopy, flexible sigmoidoscopy, etc.)
              • Date the test was performed, this is considered part of the member's medical history and a result is not required.
              • If a pathology report does not indicate the type of screening, or if the procedure report indicates an incomplete exam or poor prep, Look for evidence of where scope advanced to:
                • To the Cecum = colonoscopy.
                • To the sigmoid colon = flexible sigmoidoscopy.
                  • From a procedure report: refer to the report documentation for evidence.
                  • From a pathology report: Look for location in colon where specimen(s) was removed from to identify how far the scope advanced.
                    • Example: “Polyp removed from ascending colon.” This member would be compliant for flexible sigmoidoscopy only. Attempt to locate procedure report to verify if member had a colonoscopy.
                    • If report indicates the type of screening, the date the screening was performed (collected date) and resulted date, use collected date since this is the procedure date.
                    • If collected date is not available, the resulted date can be used.

                    Not Acceptable:

                    • Tests performed in an office setting or from any specimen collected during a digital rectal exam (DRE).
                    • CT scan of the abdomen and pelvis. (It is not the same as a CT Colonography and is not acceptable.)
                    • Unclear documentation in medical record as “COL” or “COLON 20XX” by provider without mention of the actual screening test completed.
                    • Colonoscopy indicating “poor bowel prep” or “incomplete exam” without documentation scope advanced to cecum for a colonoscopy or into the sigmoid colon for flexible sigmoidoscopy.
                    

                    These avatar makers usually offer a wide range of customization options, allowing users to choose from different facial features, hairstyles, eye colors, skin tones, and clothing styles. Some even provide advanced options like adding magical effects or animations to the avatars. The process of creating a witch avatar may involve selecting the desired features and modifications from a menu or drag-and-drop interface. The flexibility of these tools allows users to experiment with different combinations until they create an avatar that matches their vision. Once the avatar has been finalized, users can often save it as an image file or use it directly in their preferred online platforms or gaming applications. In conclusion, witch avatar makers provide a fun and engaging way for users to create personalized avatars that represent their interest in witches and magic. These tools offer a wide range of customization options, allowing users to express their creativity and individuality in the virtual world..

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