Care Gaps

Last updated: 13 July 2026

Care gaps highlight clinical actions that are needed across your patient population. They help you identify patients who may be overdue for a screening, have unreviewed results, or need a follow-up.

How Care Gaps Work

Each care gap is defined by a cohort rule that identifies patients who meet specific criteria. The system counts how many patients fall into each gap and groups them by severity.

Severity Levels

Severity Colour Examples
High Red Unreviewed lab results
Medium Amber Overdue recalls, overdue tasks
Low Grey Screening overdue (e.g. BP, HbA1c)

System Care Gaps

Jump includes five built-in care gaps:

  1. Unreviewed Lab Results (High) - lab results that have been received but not yet reviewed by a clinician
  2. Overdue Recalls (Medium) - patient recalls that have passed their due date
  3. Overdue Tasks (Medium) - tasks that are past their due date and still incomplete
  4. Hypertension: BP Overdue (Low) - patients on the hypertension register who have not had a blood pressure reading in the last 6 months
  5. Diabetes: HbA1c Overdue (Low) - patients on the diabetes register who have not had an HbA1c test in the last 12 months

Care Gap Detail View

Click a care gap to see:

  • The full description and cohort definition
  • The number of patients currently in the gap
  • How many of those patients are already enrolled in a recall
  • A list of affected patients for review

Resolving Care Gaps

Each care gap has a recommended action:

  • Review - open and review the outstanding items (e.g. lab results, tasks)
  • Recall - set up a recall to contact affected patients for a screening or follow-up

For recall-type gaps, you can set up a recall directly from the care gap detail page using the Setup Recall button.

Custom Care Gaps

Beyond the five built-in gaps, your practice can have custom care gaps — each with its own cohort definition and severity level. A custom gap can override a system gap or add an entirely new one; organisation-specific gaps take priority over system defaults with the same key.

Custom care gaps aren't self-serve — there's no screen to build one yourself. To set one up, contact support with the cohort you'd like to track and we'll configure it for you.

Tip: Review the Care Gaps page regularly as part of your practice's quality improvement workflow. High-severity gaps should be addressed as a priority.