BCACP cheat sheet

ADA: A1C goal <7% for most nonpregnant adults; relax to <8% with limited life expectancy, extensive comorbidity, or recurrent hypoglycemia.

ACC/AHA blood pressure goal <130/80 mm Hg for most adults, including those with diabetes or chronic kidney disease.

ASCVD 10-year risk ≥20% = high-intensity statin; 7.5% to <20% = moderate-intensity plus risk enhancers; diabetes age 40-75 = moderate-intensity.

Atrial fibrillation anticoagulation: CHA2DS2-VASc ≥2 in men or ≥3 in women warrants anticoagulation; 1 in men or 2 in women is individualized.

Cockcroft-Gault: CrCl = [(140 - age) x weight in kg] / (72 x SCr), multiplied by 0.85 for females.

HFrEF guideline-directed therapy = ARNI/ACEi/ARB + evidence-based beta-blocker + MRA + SGLT2 inhibitor.

Warfarin INR targets: 2.0-3.0 for most indications; 2.5-3.5 for mechanical mitral valve or caged-ball prosthesis.

Beers Criteria: avoid benzodiazepines, long-acting sulfonylureas, strong anticholinergics, and chronic NSAIDs in adults 65 and older.

GINA asthma: inhaled corticosteroid-containing therapy for every patient; as-needed SABA alone is no longer a preferred strategy.

MTM CPT codes: 99605 = initial face-to-face consultation, first 15 minutes; 99606 = subsequent; 99607 = each additional 15 minutes.

A collaborative practice agreement must specify covered drugs, scope of authority, monitoring parameters, documentation, and communication with the prescriber.

340B covered entities must maintain auditable records; diversion to ineligible patients and duplicate discounts with Medicaid are prohibited.

SOAP documentation = Subjective, Objective, Assessment, Plan.

Break-even volume = total fixed costs / (unit price - unit variable cost).

Revenue cycle sequence: charge capture, coding, claim submission, denial management, collections.

Vaccine administration is billed with a separate administration code in addition to the product code.

Prior authorization workflow: verify formulary status, submit clinical rationale, document the decision, and file any appeal before the payer deadline.

Inventory ABC analysis concentrates control effort on the small number of items representing the largest share of spend.

Sensitivity = TP / (TP + FN); specificity = TN / (TN + FP); PPV = TP / (TP + FP); NPV = TN / (TN + FN).

NNT = 1 / absolute risk reduction, where ARR = control event rate - treatment event rate.

Prevalence counts all existing cases at a point in time; incidence counts new cases arising over a period.

Herd immunity threshold is approximated as 1 - (1 / R0).

USPSTF grade A or B services must be covered without cost sharing by non-grandfathered ACA plans; grade C is individualized; grade D is discouraged.

PPV rises as disease prevalence rises, even when sensitivity and specificity are unchanged.

Reportable disease lists are set by state law; suspected outbreaks and immediately notifiable conditions require prompt reporting to the health department.

HEDIS measures (for example, HbA1c testing and statin therapy in diabetes) are used to benchmark population-level quality.

Opioid stewardship: check the prescription drug monitoring program before prescribing and offer naloxone at doses of 50 MME/day or more.

Kotter's 8 steps: urgency, guiding coalition, vision, communicate, remove barriers, short-term wins, consolidate gains, anchor in culture.

PDSA = Plan, Do, Study, Act; small rapid tests of change that are then adopted, adapted, or abandoned.

SMART goals: Specific, Measurable, Achievable, Relevant, Time-bound.

Situational leadership: directing, coaching, supporting, and delegating, matched to follower competence and commitment.

SWOT separates internal Strengths and Weaknesses from external Opportunities and Threats.

Thomas-Kilmann conflict modes: competing, collaborating, compromising, avoiding, accommodating; collaborating suits high-stakes issues where both parties' concerns matter.

One-minute preceptor microskills: get a commitment, probe for evidence, teach a general rule, reinforce what went well, correct errors.

The CPD cycle is reflect, plan, learn, evaluate, and record, replacing time-based continuing education credit.

BCACP certification is maintained through periodic recertification or an approved continuing education plus assessment pathway.