https://pcmh.pcc.com/api.php?action=feedcontributions&user=Chip&feedformat=atomPCMH - User contributions [en]2024-03-28T17:10:59ZUser contributionsMediaWiki 1.40.1https://pcmh.pcc.com/index.php?title=PCMH4A&diff=447PCMH4A2013-06-03T14:08:21Z<p>Chip: </p>
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<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
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The practice conducts activities to support patients/families in self management:<br />
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=4.A.1 Provides educational resources or refers at least 50 percent of patients/families to educational resources to assist in self-management=<br />
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{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|A patient's primary care provider is documented in the patient editor in Partner. Look for the yellow highlights in the left margin||[[Media:Continuity_pcp_process.pdf|PCP Process]]||TPC||03/25/13<br />
|-<br />
|}<br />
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=4.A.2 Uses an EHR to identify patient-specific education resources and provide to more than 10 percent of patients, if appropriate=<br />
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{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|}<br />
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=4.A.3 Develops and documents self-management plans and goals in collaboration with at least 50 percent of patients/families (critical factor)=<br />
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{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|}<br />
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=4.A.4 Documents self-management abilities for at least 50 percent of patients/families=<br />
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{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|}<br />
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=4.A.5 Provides self-management tools to record self-care results for at least 50 percent of patients/families=<br />
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{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|}<br />
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=4.A.6 Counsels at least 50 percent of patients/families to adopt healthy behaviors=<br />
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{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|}</div>Chiphttps://pcmh.pcc.com/index.php?title=File:PCMH_5_C_1-7.pdf&diff=446File:PCMH 5 C 1-7.pdf2013-05-30T21:00:03Z<p>Chip: PHI Removed</p>
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<div>PHI Removed</div>Chiphttps://pcmh.pcc.com/index.php?title=File:PCMH_5_A_5_Flow.pdf&diff=445File:PCMH 5 A 5 Flow.pdf2013-05-23T18:43:05Z<p>Chip: </p>
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<div></div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH5A&diff=444PCMH5A2013-05-23T18:41:41Z<p>Chip: /* 5.A.5 Notifies patients/families of normal and abnormal lab and imaging test results */</p>
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<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
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[http://pcmh.pcc.com/index.php/PCMH5B >> Move to next PCMH element - 5B]<br />
<br />
The practice has a documented process for and demonstrates that it:<br />
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=5.A.1 Tracks lab tests until results are available, flagging and following up on overdue results=<br />
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{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Written Policy<br />
||[[Media:PCMH_5_A_1.pdf | Printed Policy (written orders)]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|EHR Examples<br />
||[[Media:PCMH_5_A_1_Screenshots.pdf | Screenshots and Lab Request]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|}<br />
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=5.A.2 Tracks imaging tests until results are available, flagging and following up on overdue results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
||Printed Sample Policy<br />
||[[Media:PCMH_5_A_2.pdf | Sample Policy (written orders)]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
||Printed Sample Policy 2<br />
||[[Media:PCMH_5_A_2-2.pdf | Sample Policy]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
||EHR View<br />
||[[Media:PCMH_5_A_2_Sample.pdf | Screenshots]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|}<br />
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=5.A.3 Flags abnormal lab results, bringing them to the attention of the clinician=<br />
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{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
||EHR Views with Abnormals Highlighted<br />
||[[Media:PCMH_5_A_3.pdf | Screenshots ]]<br />
||PCC EHR<br />
||05/23/13<br />
|-<br />
|}<br />
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=5.A.4 Flags abnormal imaging results, bringing them to the attention of the clinician=<br />
=5.A.5 Notifies patients/families of normal and abnormal lab and imaging test results=<br />
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{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
||Various EHR Views in Flow order<br />
||[[Media:PCMH_5_A_5_Flow.pdf | Screenshots ]]<br />
||PCC EHR<br />
||05/23/13<br />
|-<br />
|}<br />
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=5.A.6 Follows-up with inpatient facility on newborn hearing and newborn blood-spot screening (NA for adults)=<br />
=5.A.7 Electronically communicates with labs to order tests and retrieve results=<br />
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{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|PCC EHR electronically communicates with labs and retrieves results.<br />
||[[Media:PCMH5A7.pdf|Description of how PCC EHR Electronically communicates with labs and retrieves results]]<br />
||PCC EHR<br />
||03/25/13<br />
|-<br />
|}<br />
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=5.A.8 Electronically communicates with facilities to order and retrieve imaging results=<br />
=5.A.9 Electronically incorporates at least 40 percent of all clinical lab test results into structured fields in the medical record=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|This is reported in the PCC EHR MU report. Look for the "Incorporates Lab Test Results as Structured Data" measure<br />
||<br />
||PCC EHR<br />
||<br />
|-<br />
|}<br />
<br />
=5.A.10 Electronically incorporates imaging test results into in the medical record.=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-}</div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH5A&diff=443PCMH5A2013-05-23T18:41:20Z<p>Chip: /* 5.A.5 Notifies patients/families of normal and abnormal lab and imaging test results */</p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH5B >> Move to next PCMH element - 5B]<br />
<br />
The practice has a documented process for and demonstrates that it:<br />
<br />
=5.A.1 Tracks lab tests until results are available, flagging and following up on overdue results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Written Policy<br />
||[[Media:PCMH_5_A_1.pdf | Printed Policy (written orders)]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|EHR Examples<br />
||[[Media:PCMH_5_A_1_Screenshots.pdf | Screenshots and Lab Request]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|}<br />
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=5.A.2 Tracks imaging tests until results are available, flagging and following up on overdue results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
||Printed Sample Policy<br />
||[[Media:PCMH_5_A_2.pdf | Sample Policy (written orders)]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
||Printed Sample Policy 2<br />
||[[Media:PCMH_5_A_2-2.pdf | Sample Policy]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
||EHR View<br />
||[[Media:PCMH_5_A_2_Sample.pdf | Screenshots]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|}<br />
<br />
=5.A.3 Flags abnormal lab results, bringing them to the attention of the clinician=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
||EHR Views with Abnormals Highlighted<br />
||[[Media:PCMH_5_A_3.pdf | Screenshots ]]<br />
||PCC EHR<br />
||05/23/13<br />
|-<br />
|}<br />
<br />
=5.A.4 Flags abnormal imaging results, bringing them to the attention of the clinician=<br />
=5.A.5 Notifies patients/families of normal and abnormal lab and imaging test results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
||Various EHR Views in Flow order<br />
||[[Media:PCMH_5_A_3.pdf | Screenshots ]]<br />
||PCC EHR<br />
||05/23/13<br />
|-<br />
|}<br />
<br />
=5.A.6 Follows-up with inpatient facility on newborn hearing and newborn blood-spot screening (NA for adults)=<br />
=5.A.7 Electronically communicates with labs to order tests and retrieve results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|PCC EHR electronically communicates with labs and retrieves results.<br />
||[[Media:PCMH5A7.pdf|Description of how PCC EHR Electronically communicates with labs and retrieves results]]<br />
||PCC EHR<br />
||03/25/13<br />
|-<br />
|}<br />
<br />
=5.A.8 Electronically communicates with facilities to order and retrieve imaging results=<br />
=5.A.9 Electronically incorporates at least 40 percent of all clinical lab test results into structured fields in the medical record=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|This is reported in the PCC EHR MU report. Look for the "Incorporates Lab Test Results as Structured Data" measure<br />
||<br />
||PCC EHR<br />
||<br />
|-<br />
|}<br />
<br />
=5.A.10 Electronically incorporates imaging test results into in the medical record.=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-}</div>Chiphttps://pcmh.pcc.com/index.php?title=File:PCMH_5_A_3.pdf&diff=442File:PCMH 5 A 3.pdf2013-05-23T18:41:17Z<p>Chip: Chip uploaded a new version of &quot;File:PCMH 5 A 3.pdf&quot;</p>
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<div></div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH5A&diff=441PCMH5A2013-05-23T18:23:13Z<p>Chip: /* 5.A.3 Flags abnormal lab results, bringing them to the attention of the clinician */</p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH5B >> Move to next PCMH element - 5B]<br />
<br />
The practice has a documented process for and demonstrates that it:<br />
<br />
=5.A.1 Tracks lab tests until results are available, flagging and following up on overdue results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Written Policy<br />
||[[Media:PCMH_5_A_1.pdf | Printed Policy (written orders)]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|EHR Examples<br />
||[[Media:PCMH_5_A_1_Screenshots.pdf | Screenshots and Lab Request]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|}<br />
<br />
=5.A.2 Tracks imaging tests until results are available, flagging and following up on overdue results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
||Printed Sample Policy<br />
||[[Media:PCMH_5_A_2.pdf | Sample Policy (written orders)]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
||Printed Sample Policy 2<br />
||[[Media:PCMH_5_A_2-2.pdf | Sample Policy]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
||EHR View<br />
||[[Media:PCMH_5_A_2_Sample.pdf | Screenshots]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|}<br />
<br />
=5.A.3 Flags abnormal lab results, bringing them to the attention of the clinician=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
||EHR Views with Abnormals Highlighted<br />
||[[Media:PCMH_5_A_3.pdf | Screenshots ]]<br />
||PCC EHR<br />
||05/23/13<br />
|-<br />
|}<br />
<br />
=5.A.4 Flags abnormal imaging results, bringing them to the attention of the clinician=<br />
=5.A.5 Notifies patients/families of normal and abnormal lab and imaging test results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|When reviewing lab results, phone tasks can be added to have staff notify patients of results<br />
||<br />
||PCC EHR<br />
||<br />
|-<br />
|}<br />
<br />
=5.A.6 Follows-up with inpatient facility on newborn hearing and newborn blood-spot screening (NA for adults)=<br />
=5.A.7 Electronically communicates with labs to order tests and retrieve results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|PCC EHR electronically communicates with labs and retrieves results.<br />
||[[Media:PCMH5A7.pdf|Description of how PCC EHR Electronically communicates with labs and retrieves results]]<br />
||PCC EHR<br />
||03/25/13<br />
|-<br />
|}<br />
<br />
=5.A.8 Electronically communicates with facilities to order and retrieve imaging results=<br />
=5.A.9 Electronically incorporates at least 40 percent of all clinical lab test results into structured fields in the medical record=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|This is reported in the PCC EHR MU report. Look for the "Incorporates Lab Test Results as Structured Data" measure<br />
||<br />
||PCC EHR<br />
||<br />
|-<br />
|}<br />
<br />
=5.A.10 Electronically incorporates imaging test results into in the medical record.=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-}</div>Chiphttps://pcmh.pcc.com/index.php?title=File:PCMH_5_A_3.pdf&diff=440File:PCMH 5 A 3.pdf2013-05-23T18:22:53Z<p>Chip: </p>
<hr />
<div></div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH5A&diff=439PCMH5A2013-05-23T18:14:05Z<p>Chip: /* 5.A.2 Tracks imaging tests until results are available, flagging and following up on overdue results */</p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH5B >> Move to next PCMH element - 5B]<br />
<br />
The practice has a documented process for and demonstrates that it:<br />
<br />
=5.A.1 Tracks lab tests until results are available, flagging and following up on overdue results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Written Policy<br />
||[[Media:PCMH_5_A_1.pdf | Printed Policy (written orders)]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|EHR Examples<br />
||[[Media:PCMH_5_A_1_Screenshots.pdf | Screenshots and Lab Request]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|}<br />
<br />
=5.A.2 Tracks imaging tests until results are available, flagging and following up on overdue results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
||Printed Sample Policy<br />
||[[Media:PCMH_5_A_2.pdf | Sample Policy (written orders)]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
||Printed Sample Policy 2<br />
||[[Media:PCMH_5_A_2-2.pdf | Sample Policy]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
||EHR View<br />
||[[Media:PCMH_5_A_2_Sample.pdf | Screenshots]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|}<br />
<br />
=5.A.3 Flags abnormal lab results, bringing them to the attention of the clinician=<br />
=5.A.4 Flags abnormal imaging results, bringing them to the attention of the clinician=<br />
=5.A.5 Notifies patients/families of normal and abnormal lab and imaging test results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|When reviewing lab results, phone tasks can be added to have staff notify patients of results<br />
||<br />
||PCC EHR<br />
||<br />
|-<br />
|}<br />
<br />
=5.A.6 Follows-up with inpatient facility on newborn hearing and newborn blood-spot screening (NA for adults)=<br />
=5.A.7 Electronically communicates with labs to order tests and retrieve results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|PCC EHR electronically communicates with labs and retrieves results.<br />
||[[Media:PCMH5A7.pdf|Description of how PCC EHR Electronically communicates with labs and retrieves results]]<br />
||PCC EHR<br />
||03/25/13<br />
|-<br />
|}<br />
<br />
=5.A.8 Electronically communicates with facilities to order and retrieve imaging results=<br />
=5.A.9 Electronically incorporates at least 40 percent of all clinical lab test results into structured fields in the medical record=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|This is reported in the PCC EHR MU report. Look for the "Incorporates Lab Test Results as Structured Data" measure<br />
||<br />
||PCC EHR<br />
||<br />
|-<br />
|}<br />
<br />
=5.A.10 Electronically incorporates imaging test results into in the medical record.=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-}</div>Chiphttps://pcmh.pcc.com/index.php?title=File:PCMH_5_A_2_Sample.pdf&diff=438File:PCMH 5 A 2 Sample.pdf2013-05-23T18:01:22Z<p>Chip: </p>
<hr />
<div></div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH5A&diff=437PCMH5A2013-05-23T17:51:42Z<p>Chip: /* 5.A.2 Tracks imaging tests until results are available, flagging and following up on overdue results */</p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH5B >> Move to next PCMH element - 5B]<br />
<br />
The practice has a documented process for and demonstrates that it:<br />
<br />
=5.A.1 Tracks lab tests until results are available, flagging and following up on overdue results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Written Policy<br />
||[[Media:PCMH_5_A_1.pdf | Printed Policy (written orders)]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|EHR Examples<br />
||[[Media:PCMH_5_A_1_Screenshots.pdf | Screenshots and Lab Request]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|}<br />
<br />
=5.A.2 Tracks imaging tests until results are available, flagging and following up on overdue results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
||Printed Sample Policy<br />
||[[Media:PCMH_5_A_2.pdf | Sample Policy (written orders)]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
||Printed Sample Policy 2<br />
||[[Media:PCMH_5_A_2-2.pdf | Sample Policy]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|}<br />
<br />
=5.A.3 Flags abnormal lab results, bringing them to the attention of the clinician=<br />
=5.A.4 Flags abnormal imaging results, bringing them to the attention of the clinician=<br />
=5.A.5 Notifies patients/families of normal and abnormal lab and imaging test results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|When reviewing lab results, phone tasks can be added to have staff notify patients of results<br />
||<br />
||PCC EHR<br />
||<br />
|-<br />
|}<br />
<br />
=5.A.6 Follows-up with inpatient facility on newborn hearing and newborn blood-spot screening (NA for adults)=<br />
=5.A.7 Electronically communicates with labs to order tests and retrieve results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|PCC EHR electronically communicates with labs and retrieves results.<br />
||[[Media:PCMH5A7.pdf|Description of how PCC EHR Electronically communicates with labs and retrieves results]]<br />
||PCC EHR<br />
||03/25/13<br />
|-<br />
|}<br />
<br />
=5.A.8 Electronically communicates with facilities to order and retrieve imaging results=<br />
=5.A.9 Electronically incorporates at least 40 percent of all clinical lab test results into structured fields in the medical record=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|This is reported in the PCC EHR MU report. Look for the "Incorporates Lab Test Results as Structured Data" measure<br />
||<br />
||PCC EHR<br />
||<br />
|-<br />
|}<br />
<br />
=5.A.10 Electronically incorporates imaging test results into in the medical record.=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-}</div>Chiphttps://pcmh.pcc.com/index.php?title=File:PCMH_5_A_2-2.pdf&diff=436File:PCMH 5 A 2-2.pdf2013-05-23T17:51:19Z<p>Chip: </p>
<hr />
<div></div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH5A&diff=435PCMH5A2013-05-23T17:49:40Z<p>Chip: /* 5.A.1 Tracks lab tests until results are available, flagging and following up on overdue results */</p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH5B >> Move to next PCMH element - 5B]<br />
<br />
The practice has a documented process for and demonstrates that it:<br />
<br />
=5.A.1 Tracks lab tests until results are available, flagging and following up on overdue results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Written Policy<br />
||[[Media:PCMH_5_A_1.pdf | Printed Policy (written orders)]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|EHR Examples<br />
||[[Media:PCMH_5_A_1_Screenshots.pdf | Screenshots and Lab Request]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|}<br />
<br />
=5.A.2 Tracks imaging tests until results are available, flagging and following up on overdue results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
||Printed Sample Policy<br />
||[[Media:PCMH_5_A_2.pdf | Sample Policy (written orders)]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|}<br />
<br />
=5.A.3 Flags abnormal lab results, bringing them to the attention of the clinician=<br />
=5.A.4 Flags abnormal imaging results, bringing them to the attention of the clinician=<br />
=5.A.5 Notifies patients/families of normal and abnormal lab and imaging test results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|When reviewing lab results, phone tasks can be added to have staff notify patients of results<br />
||<br />
||PCC EHR<br />
||<br />
|-<br />
|}<br />
<br />
=5.A.6 Follows-up with inpatient facility on newborn hearing and newborn blood-spot screening (NA for adults)=<br />
=5.A.7 Electronically communicates with labs to order tests and retrieve results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|PCC EHR electronically communicates with labs and retrieves results.<br />
||[[Media:PCMH5A7.pdf|Description of how PCC EHR Electronically communicates with labs and retrieves results]]<br />
||PCC EHR<br />
||03/25/13<br />
|-<br />
|}<br />
<br />
=5.A.8 Electronically communicates with facilities to order and retrieve imaging results=<br />
=5.A.9 Electronically incorporates at least 40 percent of all clinical lab test results into structured fields in the medical record=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|This is reported in the PCC EHR MU report. Look for the "Incorporates Lab Test Results as Structured Data" measure<br />
||<br />
||PCC EHR<br />
||<br />
|-<br />
|}<br />
<br />
=5.A.10 Electronically incorporates imaging test results into in the medical record.=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-}</div>Chiphttps://pcmh.pcc.com/index.php?title=File:PCMH_5_A_1_Screenshots.pdf&diff=434File:PCMH 5 A 1 Screenshots.pdf2013-05-23T17:49:23Z<p>Chip: </p>
<hr />
<div></div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH5A&diff=433PCMH5A2013-05-23T17:40:52Z<p>Chip: /* 5.A.1 Tracks lab tests until results are available, flagging and following up on overdue results */</p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH5B >> Move to next PCMH element - 5B]<br />
<br />
The practice has a documented process for and demonstrates that it:<br />
<br />
=5.A.1 Tracks lab tests until results are available, flagging and following up on overdue results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Written Policy<br />
||[[Media:PCMH_5_A_1.pdf | Printed Policy (written orders)]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|}<br />
<br />
=5.A.2 Tracks imaging tests until results are available, flagging and following up on overdue results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
||Printed Sample Policy<br />
||[[Media:PCMH_5_A_2.pdf | Sample Policy (written orders)]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|}<br />
<br />
=5.A.3 Flags abnormal lab results, bringing them to the attention of the clinician=<br />
=5.A.4 Flags abnormal imaging results, bringing them to the attention of the clinician=<br />
=5.A.5 Notifies patients/families of normal and abnormal lab and imaging test results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|When reviewing lab results, phone tasks can be added to have staff notify patients of results<br />
||<br />
||PCC EHR<br />
||<br />
|-<br />
|}<br />
<br />
=5.A.6 Follows-up with inpatient facility on newborn hearing and newborn blood-spot screening (NA for adults)=<br />
=5.A.7 Electronically communicates with labs to order tests and retrieve results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|PCC EHR electronically communicates with labs and retrieves results.<br />
||[[Media:PCMH5A7.pdf|Description of how PCC EHR Electronically communicates with labs and retrieves results]]<br />
||PCC EHR<br />
||03/25/13<br />
|-<br />
|}<br />
<br />
=5.A.8 Electronically communicates with facilities to order and retrieve imaging results=<br />
=5.A.9 Electronically incorporates at least 40 percent of all clinical lab test results into structured fields in the medical record=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|This is reported in the PCC EHR MU report. Look for the "Incorporates Lab Test Results as Structured Data" measure<br />
||<br />
||PCC EHR<br />
||<br />
|-<br />
|}<br />
<br />
=5.A.10 Electronically incorporates imaging test results into in the medical record.=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-}</div>Chiphttps://pcmh.pcc.com/index.php?title=File:PCMH_5_A_1.pdf&diff=432File:PCMH 5 A 1.pdf2013-05-23T17:40:04Z<p>Chip: </p>
<hr />
<div></div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH5A&diff=431PCMH5A2013-05-23T17:38:44Z<p>Chip: /* 5.A.2 Tracks imaging tests until results are available, flagging and following up on overdue results */</p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH5B >> Move to next PCMH element - 5B]<br />
<br />
The practice has a documented process for and demonstrates that it:<br />
<br />
=5.A.1 Tracks lab tests until results are available, flagging and following up on overdue results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Chart samples, handouts, etc.<br />
||[[Media:PCMH_3_A_1.pdf | Asthma Example]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|Additional examples<br />
||[[Media:Revised__2_PCMH+3A_1-3.pdf | Additional examples]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|}<br />
<br />
=5.A.2 Tracks imaging tests until results are available, flagging and following up on overdue results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
||Printed Sample Policy<br />
||[[Media:PCMH_5_A_2.pdf | Sample Policy (written orders)]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|}<br />
<br />
=5.A.3 Flags abnormal lab results, bringing them to the attention of the clinician=<br />
=5.A.4 Flags abnormal imaging results, bringing them to the attention of the clinician=<br />
=5.A.5 Notifies patients/families of normal and abnormal lab and imaging test results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|When reviewing lab results, phone tasks can be added to have staff notify patients of results<br />
||<br />
||PCC EHR<br />
||<br />
|-<br />
|}<br />
<br />
=5.A.6 Follows-up with inpatient facility on newborn hearing and newborn blood-spot screening (NA for adults)=<br />
=5.A.7 Electronically communicates with labs to order tests and retrieve results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|PCC EHR electronically communicates with labs and retrieves results.<br />
||[[Media:PCMH5A7.pdf|Description of how PCC EHR Electronically communicates with labs and retrieves results]]<br />
||PCC EHR<br />
||03/25/13<br />
|-<br />
|}<br />
<br />
=5.A.8 Electronically communicates with facilities to order and retrieve imaging results=<br />
=5.A.9 Electronically incorporates at least 40 percent of all clinical lab test results into structured fields in the medical record=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|This is reported in the PCC EHR MU report. Look for the "Incorporates Lab Test Results as Structured Data" measure<br />
||<br />
||PCC EHR<br />
||<br />
|-<br />
|}<br />
<br />
=5.A.10 Electronically incorporates imaging test results into in the medical record.=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-}</div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH5A&diff=430PCMH5A2013-05-23T17:38:16Z<p>Chip: /* 5.A.2 Tracks imaging tests until results are available, flagging and following up on overdue results */</p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH5B >> Move to next PCMH element - 5B]<br />
<br />
The practice has a documented process for and demonstrates that it:<br />
<br />
=5.A.1 Tracks lab tests until results are available, flagging and following up on overdue results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Chart samples, handouts, etc.<br />
||[[Media:PCMH_3_A_1.pdf | Asthma Example]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|Additional examples<br />
||[[Media:Revised__2_PCMH+3A_1-3.pdf | Additional examples]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|}<br />
<br />
=5.A.2 Tracks imaging tests until results are available, flagging and following up on overdue results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
Printed Sample Policy<br />
||[[Media:PCMH_5_A_2.pdf | Sample Policy (written orders)]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|}<br />
<br />
=5.A.3 Flags abnormal lab results, bringing them to the attention of the clinician=<br />
=5.A.4 Flags abnormal imaging results, bringing them to the attention of the clinician=<br />
=5.A.5 Notifies patients/families of normal and abnormal lab and imaging test results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|When reviewing lab results, phone tasks can be added to have staff notify patients of results<br />
||<br />
||PCC EHR<br />
||<br />
|-<br />
|}<br />
<br />
=5.A.6 Follows-up with inpatient facility on newborn hearing and newborn blood-spot screening (NA for adults)=<br />
=5.A.7 Electronically communicates with labs to order tests and retrieve results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|PCC EHR electronically communicates with labs and retrieves results.<br />
||[[Media:PCMH5A7.pdf|Description of how PCC EHR Electronically communicates with labs and retrieves results]]<br />
||PCC EHR<br />
||03/25/13<br />
|-<br />
|}<br />
<br />
=5.A.8 Electronically communicates with facilities to order and retrieve imaging results=<br />
=5.A.9 Electronically incorporates at least 40 percent of all clinical lab test results into structured fields in the medical record=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|This is reported in the PCC EHR MU report. Look for the "Incorporates Lab Test Results as Structured Data" measure<br />
||<br />
||PCC EHR<br />
||<br />
|-<br />
|}<br />
<br />
=5.A.10 Electronically incorporates imaging test results into in the medical record.=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-}</div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH5A&diff=429PCMH5A2013-05-23T17:36:48Z<p>Chip: /* 5.A.2 Tracks imaging tests until results are available, flagging and following up on overdue results (critical factor) */</p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH5B >> Move to next PCMH element - 5B]<br />
<br />
The practice has a documented process for and demonstrates that it:<br />
<br />
=5.A.1 Tracks lab tests until results are available, flagging and following up on overdue results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Chart samples, handouts, etc.<br />
||[[Media:PCMH_3_A_1.pdf | Asthma Example]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|Additional examples<br />
||[[Media:Revised__2_PCMH+3A_1-3.pdf | Additional examples]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|}<br />
<br />
=5.A.2 Tracks imaging tests until results are available, flagging and following up on overdue results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Chart samples, handouts, etc.<br />
||[[Media:PCMH_5_A_2.pdf | Sample Policy 1]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
}<br />
<br />
=5.A.3 Flags abnormal lab results, bringing them to the attention of the clinician=<br />
=5.A.4 Flags abnormal imaging results, bringing them to the attention of the clinician=<br />
=5.A.5 Notifies patients/families of normal and abnormal lab and imaging test results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|When reviewing lab results, phone tasks can be added to have staff notify patients of results<br />
||<br />
||PCC EHR<br />
||<br />
|-<br />
|}<br />
<br />
=5.A.6 Follows-up with inpatient facility on newborn hearing and newborn blood-spot screening (NA for adults)=<br />
=5.A.7 Electronically communicates with labs to order tests and retrieve results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|PCC EHR electronically communicates with labs and retrieves results.<br />
||[[Media:PCMH5A7.pdf|Description of how PCC EHR Electronically communicates with labs and retrieves results]]<br />
||PCC EHR<br />
||03/25/13<br />
|-<br />
|}<br />
<br />
=5.A.8 Electronically communicates with facilities to order and retrieve imaging results=<br />
=5.A.9 Electronically incorporates at least 40 percent of all clinical lab test results into structured fields in the medical record=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|This is reported in the PCC EHR MU report. Look for the "Incorporates Lab Test Results as Structured Data" measure<br />
||<br />
||PCC EHR<br />
||<br />
|-<br />
|}<br />
<br />
=5.A.10 Electronically incorporates imaging test results into in the medical record.=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-}</div>Chiphttps://pcmh.pcc.com/index.php?title=File:PCMH_5_A_2.pdf&diff=428File:PCMH 5 A 2.pdf2013-05-23T17:32:17Z<p>Chip: </p>
<hr />
<div></div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH5A&diff=427PCMH5A2013-05-23T17:27:59Z<p>Chip: /* 5.A.1 Tracks lab tests until results are available, flagging and following up on overdue results (critical factor) */</p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH5B >> Move to next PCMH element - 5B]<br />
<br />
The practice has a documented process for and demonstrates that it:<br />
<br />
=5.A.1 Tracks lab tests until results are available, flagging and following up on overdue results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Chart samples, handouts, etc.<br />
||[[Media:PCMH_3_A_1.pdf | Asthma Example]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|Additional examples<br />
||[[Media:Revised__2_PCMH+3A_1-3.pdf | Additional examples]]<br />
||PCC Client<br />
||05/23/13<br />
|-<br />
|}<br />
<br />
=5.A.2 Tracks imaging tests until results are available, flagging and following up on overdue results (critical factor)=<br />
=5.A.3 Flags abnormal lab results, bringing them to the attention of the clinician=<br />
=5.A.4 Flags abnormal imaging results, bringing them to the attention of the clinician=<br />
=5.A.5 Notifies patients/families of normal and abnormal lab and imaging test results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|When reviewing lab results, phone tasks can be added to have staff notify patients of results<br />
||<br />
||PCC EHR<br />
||<br />
|-<br />
|}<br />
<br />
=5.A.6 Follows-up with inpatient facility on newborn hearing and newborn blood-spot screening (NA for adults)=<br />
=5.A.7 Electronically communicates with labs to order tests and retrieve results=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|PCC EHR electronically communicates with labs and retrieves results.<br />
||[[Media:PCMH5A7.pdf|Description of how PCC EHR Electronically communicates with labs and retrieves results]]<br />
||PCC EHR<br />
||03/25/13<br />
|-<br />
|}<br />
<br />
=5.A.8 Electronically communicates with facilities to order and retrieve imaging results=<br />
=5.A.9 Electronically incorporates at least 40 percent of all clinical lab test results into structured fields in the medical record=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|This is reported in the PCC EHR MU report. Look for the "Incorporates Lab Test Results as Structured Data" measure<br />
||<br />
||PCC EHR<br />
||<br />
|-<br />
|}<br />
<br />
=5.A.10 Electronically incorporates imaging test results into in the medical record.=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-}</div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH2C&diff=426PCMH2C2013-04-11T19:13:51Z<p>Chip: </p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH2B << Move to previous PCMH element - 2B]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH2D >> Move to next PCMH element - 2D]<br />
<br />
<br />
<br />
To understand the health risks and information needs of patients/families, the practice conducts and documents a comprehensive health assessment that includes:<br />
<br />
* 2.C.1 - Documentation of age- and gender appropriate immunizations and screenings<br />
* 2.C.2 - Family/social/cultural characteristics<br />
* 2.C.3 - Communication needs<br />
* 2.C.4 - Medical history of patient and family<br />
* <del>2.C.5 - Advance care planning (NA for pediatric practices)</del> Not appropriate for pediatric offices<br />
* 2.C.6 - Behaviors affecting health<br />
* 2.C.7 - Patient and family mental health/substance abuse<br />
* 2.C.8 - Developmental screening using a standardized tool (NA for practices with no pediatric patients)<br />
* 2.C.9 - Depression screening for adults and adolescents using a standardized<br />
<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Examples for 2.C.1,2,3,4,6,7 ||[[Media:PCMH 2.C-1.2.3.4.6.7.pdf|Sample Chart]]<br />
||PCC Client||04/11/13<br />
|-<br />
|Examples for 2.C.8 ||[[Media:PCMH 2.C-8.pdf|Sample Chart]]<br />
||PCC Client||04/11/13<br />
|-<br />
|Examples for 2.C.9 ||[[Media:PCMH 2.C-9.pdf|Sample Chart]]<br />
||PCC Client||04/11/13<br />
|}<br />
<br />
Partner and/or PCC EHR practices that use Bright Futures protocols should qualify for all of these. Or if you have defined or customized your own protocols on paper or within PCC EHR, you would just need to document that you address all of these areas. Examples and screenshots from the EHR or paper chart forms would be required.</div>Chiphttps://pcmh.pcc.com/index.php?title=File:PCMH_2.C-8.pdf&diff=425File:PCMH 2.C-8.pdf2013-04-11T19:12:52Z<p>Chip: </p>
<hr />
<div></div>Chiphttps://pcmh.pcc.com/index.php?title=File:PCMH_2.C-9.pdf&diff=424File:PCMH 2.C-9.pdf2013-04-11T19:11:38Z<p>Chip: </p>
<hr />
<div></div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH2C&diff=423PCMH2C2013-04-11T19:10:10Z<p>Chip: </p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH2B << Move to previous PCMH element - 2B]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH2D >> Move to next PCMH element - 2D]<br />
<br />
<br />
<br />
To understand the health risks and information needs of patients/families, the practice conducts and documents a comprehensive health assessment that includes:<br />
<br />
* 2.C.1 - Documentation of age- and gender appropriate immunizations and screenings<br />
* 2.C.2 - Family/social/cultural characteristics<br />
* 2.C.3 - Communication needs<br />
* 2.C.4 - Medical history of patient and family<br />
* 2.C.5 - Advance care planning (NA for pediatric practices)<br />
* 2.C.6 - Behaviors affecting health<br />
* 2.C.7 - Patient and family mental health/substance abuse<br />
* 2.C.8 - Developmental screening using a standardized tool (NA for practices with no pediatric patients)<br />
* 2.C.9 - Depression screening for adults and adolescents using a standardized<br />
<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Examples for 2.C.1,2,3,4,6,7 ||[[Media:PCMH 2.C-1.2.3.4.6.7.pdf|Sample Chart]]<br />
||PCC Client||04/11/13<br />
|-<br />
|Examples for 2.C.8 ||[[Media:PCMH 2.C-8.pdf|Sample Chart]]<br />
||PCC Client||04/11/13<br />
|-<br />
|Examples for 2.C.9 ||[[Media:PCMH 2.C-9.pdf|Sample Chart]]<br />
||PCC Client||04/11/13<br />
|}<br />
<br />
Partner and/or PCC EHR practices that use Bright Futures protocols should qualify for all of these. Or if you have defined or customized your own protocols on paper or within PCC EHR, you would just need to document that you address all of these areas. Examples and screenshots from the EHR or paper chart forms would be required.</div>Chiphttps://pcmh.pcc.com/index.php?title=File:PCMH_2.C-1.2.3.4.6.7.pdf&diff=422File:PCMH 2.C-1.2.3.4.6.7.pdf2013-04-11T19:08:18Z<p>Chip: 2.C 1-4, 6,7 sample</p>
<hr />
<div>2.C 1-4, 6,7 sample</div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH2C&diff=421PCMH2C2013-04-11T18:48:55Z<p>Chip: </p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH2B << Move to previous PCMH element - 2B]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH2D >> Move to next PCMH element - 2D]<br />
<br />
<br />
<br />
To understand the health risks and information needs of patients/families, the practice conducts and documents a comprehensive health assessment that includes:<br />
<br />
* 2.C.1 - Documentation of age- and gender appropriate immunizations and screenings<br />
* 2.C.2 - Family/social/cultural characteristics<br />
* 2.C.3 - Communication needs<br />
* 2.C.4 - Medical history of patient and family<br />
* 2.C.5 - Advance care planning (NA for pediatric practices)<br />
* 2.C.6 - Behaviors affecting health<br />
* 2.C.7 - Patient and family mental health/substance abuse<br />
* 2.C.8 - Developmental screening using a standardized tool (NA for practices with no pediatric patients)<br />
* 2.C.9 - Depression screening for adults and adolescents using a standardized<br />
<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Examples for 2.C.1,2,3,4,6,7 ||[[Media:PCMH 2.C-1.2.3.4.6.7.pdf|Sample Chart]]<br />
||PCC Client||04/11/13<br />
|}<br />
<br />
Partner and/or PCC EHR practices that use Bright Futures protocols should qualify for all of these. Or if you have defined or customized your own protocols on paper or within PCC EHR, you would just need to document that you address all of these areas. Examples and screenshots from the EHR or paper chart forms would be required.</div>Chiphttps://pcmh.pcc.com/index.php?title=PCC_PCMH_Resources&diff=420PCC PCMH Resources2013-04-08T18:19:18Z<p>Chip: </p>
<hr />
<div><br />
This wiki serves as an informal repository of PCMH documentation. Much of the content here comes from PCC clients who have generously allowed us to use their material. Nothing in this wiki is official PCC documentation and should be used at your own risk.<br />
<br />
{| style="float: right; border:2px solid #616F7C;background-color:whitesmoke;padding:2px;width:30%;margin: 0 auto 1em auto;"<br />
|-<br />
| Most Recently Updated Elements<br />
|-<br />
|<news limit="10" nominor unique><br />
* [[{{{pagename}}}]] ({{{timeanddate}}})<br />
</news><br />
|-<br />
|}<br />
<br />
==PCMH 1: Enhance Access and Continuity (20 points)==<br />
<br />
The intent of this standard is:<br />
* Patients have access to routine/urgent care and clinical advice during/after hours that is culturally and linguistically appropriate.<br />
* Patients have electronic access<br />
* Clinician selected by patient<br />
* Team based Care - trained staff<br />
<br />
===[[PCMH1A|PCMH1A - Access During Office Hours (4 points) ('''Must Pass''')]]===<br />
===[[PCMH1B|PCMH1B - After-hours access (4 points)]]===<br />
===[[PCMH1C|PCMH1C - Electronic Access (2 points)]]===<br />
===[[PCMH1D|PCMH1D - Continuity (2 points)]]===<br />
===[[PCMH1E|PCMH1E - Medical Home Responsibilities (2 points)]]===<br />
===[[PCMH1F|PCMH1F - Culturally and Linguistically Appropriate Services (2 points)]]===<br />
===[[PCMH1G|PCMH1G - The Practice Team (4 points)]]===<br />
<br />
==PCMH 2: Identify and Manage Patient Populations (16 points)==<br />
<br />
The intent of this standard is:<br />
<br />
* Electronic systems have searchable fields for demographic and clinical data<br />
* Patients receive documented comprehensive health assessments<br />
* Electronic systems used to identify patients who need services<br />
<br />
===[[PCMH2A|PCMH2A - Patient Information (3 points)]]===<br />
===[[PCMH2B|PCMH2B - Clinical Data (4 points)]]===<br />
===[[PCMH2C|PCMH2C - Comprehensive Health Assessment (4 points)]]===<br />
===[[PCMH2D|PCMH2D - Use Data for Population Management ('''Must Pass''') (5 points)]]===<br />
<br />
==PCMH 3: Plan and Manage Care (17 points)==<br />
<br />
The practice systematically identifies individual patients and plans, manages and coordinates their care based on their condition and needs and on evidence-based guidelines.<br />
<br />
===[[PCMH3A|PMCH3A - Implement Evidence-Based Guidelines (4 points)]]===<br />
===[[PCMH3B|PMCH3B - Identify High Risk Patients (3 points)]]===<br />
===[[PCMH3C|PMCH3C - Care Management ('''Must Pass''') (4 points)]]===<br />
===[[PCMH3D|PMCH3D - Medication Management (3 points)]]===<br />
===[[PCMH3E|PMCH3E - Use Electronic Prescribing (3 points)]]===<br />
<br />
==PCMH 4: Provide Self-Care Support and Community Resources (9 points)==<br />
<br />
Intent of Standard: The practice acts to improve patients' ability to manage their health by providing a selfcare<br />
plan, tools, educational resources and ongoing support.<br />
<br />
===[[PCMH4A|PMCH4A - Support Self-Care Process ('''Must Pass''') (6 points)]]===<br />
===[[PCMH4B|PMCH4B - Provide Referrals to Community Resources (3 points)]]===<br />
<br />
==PCMH 5: Track and Coordinate Care (18 points)==<br />
<br />
The practice systematically tracks tests and coordinates care across specialty care, facility-based care and community organizations.<br />
<br />
===[[PCMH5A|PMCH5A - Test Tracking and Follow-Up (6 points)]]===<br />
===[[PCMH5B|PMCH5B - Referral Tracking and Follow-Up ('''Must Pass''') (6 points)]]===<br />
===[[PCMH5C|PMCH5C - Coordinate With Facilities and Care Transitions (6 points)]]===<br />
<br />
==PCMH 6: Measure and Improve Performance (20 points)==<br />
<br />
The practice uses performance data to identify opportunities for improvement and acts to improve clinical quality, efficiency and patient experience.<br />
<br />
===[[PCMH6A|PMCH6A - Measure Performance (4 points)]]===<br />
===[[PCMH6B|PMCH6B - Measure Patient/Family Experience (4 points)]]===<br />
===[[PCMH6C|PMCH6C - Implement Continuous Quality Improvement ('''Must Pass''') (4 points)]]===<br />
===[[PCMH6D|PMCH6D - Demonstrate Continuous Quality Improvement (3 points)]]===<br />
===[[PCMH6E|PMCH6E - Report Performance (3 points)]]===<br />
===[[PCMH6F|PMCH6F - Report Data Externally (2 points)]]===</div>Chiphttps://pcmh.pcc.com/index.php?title=PCC_PCMH_Resources&diff=419PCC PCMH Resources2013-04-08T18:01:09Z<p>Chip: </p>
<hr />
<div><br />
This wiki serves as an informal repository of PCMH documentation. Much of the content here comes from PCC clients who have generously allowed us to use their material. Nothing in this wiki is official PCC documentation and should be used at your own risk.<br />
<br />
<news limit="10" nominor unique><br />
* [[{{{pagename}}}]]([[User:{{{user}}}]], {{{timeanddate}}})<br />
</news><br />
<br />
==PCMH 1: Enhance Access and Continuity (20 points)==<br />
<br />
The intent of this standard is:<br />
* Patients have access to routine/urgent care and clinical advice during/after hours that is culturally and linguistically appropriate.<br />
* Patients have electronic access<br />
* Clinician selected by patient<br />
* Team based Care - trained staff<br />
<br />
===[[PCMH1A|PCMH1A - Access During Office Hours (4 points) ('''Must Pass''')]]===<br />
===[[PCMH1B|PCMH1B - After-hours access (4 points)]]===<br />
===[[PCMH1C|PCMH1C - Electronic Access (2 points)]]===<br />
===[[PCMH1D|PCMH1D - Continuity (2 points)]]===<br />
===[[PCMH1E|PCMH1E - Medical Home Responsibilities (2 points)]]===<br />
===[[PCMH1F|PCMH1F - Culturally and Linguistically Appropriate Services (2 points)]]===<br />
===[[PCMH1G|PCMH1G - The Practice Team (4 points)]]===<br />
<br />
==PCMH 2: Identify and Manage Patient Populations (16 points)==<br />
<br />
The intent of this standard is:<br />
<br />
* Electronic systems have searchable fields for demographic and clinical data<br />
* Patients receive documented comprehensive health assessments<br />
* Electronic systems used to identify patients who need services<br />
<br />
===[[PCMH2A|PCMH2A - Patient Information (3 points)]]===<br />
===[[PCMH2B|PCMH2B - Clinical Data (4 points)]]===<br />
===[[PCMH2C|PCMH2C - Comprehensive Health Assessment (4 points)]]===<br />
===[[PCMH2D|PCMH2D - Use Data for Population Management ('''Must Pass''') (5 points)]]===<br />
<br />
==PCMH 3: Plan and Manage Care (17 points)==<br />
<br />
The practice systematically identifies individual patients and plans, manages and coordinates their care based on their condition and needs and on evidence-based guidelines.<br />
<br />
===[[PCMH3A|PMCH3A - Implement Evidence-Based Guidelines (4 points)]]===<br />
===[[PCMH3B|PMCH3B - Identify High Risk Patients (3 points)]]===<br />
===[[PCMH3C|PMCH3C - Care Management ('''Must Pass''') (4 points)]]===<br />
===[[PCMH3D|PMCH3D - Medication Management (3 points)]]===<br />
===[[PCMH3E|PMCH3E - Use Electronic Prescribing (3 points)]]===<br />
<br />
==PCMH 4: Provide Self-Care Support and Community Resources (9 points)==<br />
<br />
Intent of Standard: The practice acts to improve patients' ability to manage their health by providing a selfcare<br />
plan, tools, educational resources and ongoing support.<br />
<br />
===[[PCMH4A|PMCH4A - Support Self-Care Process ('''Must Pass''') (6 points)]]===<br />
===[[PCMH4B|PMCH4B - Provide Referrals to Community Resources (3 points)]]===<br />
<br />
==PCMH 5: Track and Coordinate Care (18 points)==<br />
<br />
The practice systematically tracks tests and coordinates care across specialty care, facility-based care and community organizations.<br />
<br />
===[[PCMH5A|PMCH5A - Test Tracking and Follow-Up (6 points)]]===<br />
===[[PCMH5B|PMCH5B - Referral Tracking and Follow-Up ('''Must Pass''') (6 points)]]===<br />
===[[PCMH5C|PMCH5C - Coordinate With Facilities and Care Transitions (6 points)]]===<br />
<br />
==PCMH 6: Measure and Improve Performance (20 points)==<br />
<br />
The practice uses performance data to identify opportunities for improvement and acts to improve clinical quality, efficiency and patient experience.<br />
<br />
===[[PCMH6A|PMCH6A - Measure Performance (4 points)]]===<br />
===[[PCMH6B|PMCH6B - Measure Patient/Family Experience (4 points)]]===<br />
===[[PCMH6C|PMCH6C - Implement Continuous Quality Improvement ('''Must Pass''') (4 points)]]===<br />
===[[PCMH6D|PMCH6D - Demonstrate Continuous Quality Improvement (3 points)]]===<br />
===[[PCMH6E|PMCH6E - Report Performance (3 points)]]===<br />
===[[PCMH6F|PMCH6F - Report Data Externally (2 points)]]===</div>Chiphttps://pcmh.pcc.com/index.php?title=PCC_PCMH_Resources&diff=418PCC PCMH Resources2013-04-08T17:59:49Z<p>Chip: </p>
<hr />
<div><br />
This wiki serves as an informal repository of PCMH documentation. Much of the content here comes from PCC clients who have generously allowed us to use their material. Nothing in this wiki is official PCC documentation and should be used at your own risk.<br />
<br />
<news limit="20" nominor><br />
* [[{{{pagename}}}]]([[User:{{{user}}}]], {{{timeanddate}}})<br />
</news><br />
<br />
==PCMH 1: Enhance Access and Continuity (20 points)==<br />
<br />
The intent of this standard is:<br />
* Patients have access to routine/urgent care and clinical advice during/after hours that is culturally and linguistically appropriate.<br />
* Patients have electronic access<br />
* Clinician selected by patient<br />
* Team based Care - trained staff<br />
<br />
===[[PCMH1A|PCMH1A - Access During Office Hours (4 points) ('''Must Pass''')]]===<br />
===[[PCMH1B|PCMH1B - After-hours access (4 points)]]===<br />
===[[PCMH1C|PCMH1C - Electronic Access (2 points)]]===<br />
===[[PCMH1D|PCMH1D - Continuity (2 points)]]===<br />
===[[PCMH1E|PCMH1E - Medical Home Responsibilities (2 points)]]===<br />
===[[PCMH1F|PCMH1F - Culturally and Linguistically Appropriate Services (2 points)]]===<br />
===[[PCMH1G|PCMH1G - The Practice Team (4 points)]]===<br />
<br />
==PCMH 2: Identify and Manage Patient Populations (16 points)==<br />
<br />
The intent of this standard is:<br />
<br />
* Electronic systems have searchable fields for demographic and clinical data<br />
* Patients receive documented comprehensive health assessments<br />
* Electronic systems used to identify patients who need services<br />
<br />
===[[PCMH2A|PCMH2A - Patient Information (3 points)]]===<br />
===[[PCMH2B|PCMH2B - Clinical Data (4 points)]]===<br />
===[[PCMH2C|PCMH2C - Comprehensive Health Assessment (4 points)]]===<br />
===[[PCMH2D|PCMH2D - Use Data for Population Management ('''Must Pass''') (5 points)]]===<br />
<br />
==PCMH 3: Plan and Manage Care (17 points)==<br />
<br />
The practice systematically identifies individual patients and plans, manages and coordinates their care based on their condition and needs and on evidence-based guidelines.<br />
<br />
===[[PCMH3A|PMCH3A - Implement Evidence-Based Guidelines (4 points)]]===<br />
===[[PCMH3B|PMCH3B - Identify High Risk Patients (3 points)]]===<br />
===[[PCMH3C|PMCH3C - Care Management ('''Must Pass''') (4 points)]]===<br />
===[[PCMH3D|PMCH3D - Medication Management (3 points)]]===<br />
===[[PCMH3E|PMCH3E - Use Electronic Prescribing (3 points)]]===<br />
<br />
==PCMH 4: Provide Self-Care Support and Community Resources (9 points)==<br />
<br />
Intent of Standard: The practice acts to improve patients' ability to manage their health by providing a selfcare<br />
plan, tools, educational resources and ongoing support.<br />
<br />
===[[PCMH4A|PMCH4A - Support Self-Care Process ('''Must Pass''') (6 points)]]===<br />
===[[PCMH4B|PMCH4B - Provide Referrals to Community Resources (3 points)]]===<br />
<br />
==PCMH 5: Track and Coordinate Care (18 points)==<br />
<br />
The practice systematically tracks tests and coordinates care across specialty care, facility-based care and community organizations.<br />
<br />
===[[PCMH5A|PMCH5A - Test Tracking and Follow-Up (6 points)]]===<br />
===[[PCMH5B|PMCH5B - Referral Tracking and Follow-Up ('''Must Pass''') (6 points)]]===<br />
===[[PCMH5C|PMCH5C - Coordinate With Facilities and Care Transitions (6 points)]]===<br />
<br />
==PCMH 6: Measure and Improve Performance (20 points)==<br />
<br />
The practice uses performance data to identify opportunities for improvement and acts to improve clinical quality, efficiency and patient experience.<br />
<br />
===[[PCMH6A|PMCH6A - Measure Performance (4 points)]]===<br />
===[[PCMH6B|PMCH6B - Measure Patient/Family Experience (4 points)]]===<br />
===[[PCMH6C|PMCH6C - Implement Continuous Quality Improvement ('''Must Pass''') (4 points)]]===<br />
===[[PCMH6D|PMCH6D - Demonstrate Continuous Quality Improvement (3 points)]]===<br />
===[[PCMH6E|PMCH6E - Report Performance (3 points)]]===<br />
===[[PCMH6F|PMCH6F - Report Data Externally (2 points)]]===</div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH1B&diff=417PCMH1B2013-04-04T15:08:12Z<p>Chip: </p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH1A << Move to previous PCMH element - 1A]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH1C >> Move to next PCMH element - 1C]<br />
<br />
The practice has a written process and defined standards and demonstrates that it monitors performance against the standards for:<br />
=1.B.1 Providing access to routine and urgent-care appointments outside regular business hours=<br />
<br />
You must produce a documented process for arranging after-hours access. You should also produce a report from Partner of appointments restricted to appointment times happening outside of regular business hours. <br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|The srs "Appointment Stat Report - Day of Week/Reason" in the "Scheduling Reports" category can be used. Restrict this to show only appointments for after-hours times when the office is not open (Sat, Sun after 12:00pm for example). Be sure to exclude cancelled/missed appointments.||[[File:AfterhoursAccess1B1.png|thumb|75px|Report of after-hours appointments|link=file:AfterhoursAccess1B1.png]]||Partner srs report||03/20/13<br />
|-<br />
|}<br />
<br />
=1.B.2 Providing continuity of medical record information for care and advice when office is not open =<br />
<br />
You can access medical records remotely using the EHR and/or Pocket Partner from your smart phone or home computer. Screenshots of Pocket Partner can be found on [http://learn.pcc.com/Default_Left.htm#CSHID=PocketPartner%2FTaskDetails%2FPP_PatientDetails.htm|StartTopic=Content%2FPocketPartner%2FTaskDetails%2FPP_PatientDetails.htm|SkinName=pccfinal learn.pcc.com].<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Policies and Procedures for After-Hours Service||[[Media:PCMH1_B_1afterhours.pdf|Sample Policy]]||PCC Client ||04/04/13<br />
|-<br />
|Policies and Procedures for After-Hours Service, II||[[Media:PCMH1.B.3.pdf|Sample Policy II]]||PCC Client ||04/04/13<br />
|-<br />
|}<br />
<br />
=1.B.3 Providing timely clinical advice by telephone when the office is not open (critical factor) =<br />
<br />
This is a critical factor which means you must do this in order to get any of the 4 points for element 1B. Here, you should describe their after-hours phone service. As of EHR version 6.15, practices will be able to generate a report of phone calls and responses restricting to just times when the office is not open.<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Policies and Procedures for After-Hours Service||[[Media:PCMH1_B_1afterhours.pdf|Sample Policy]]||PCC Client ||04/04/13<br />
|-<br />
|Policies and Procedures for After-Hours Service, II||[[Media:PCMH1.B.3.pdf|Sample Policy II]]||PCC Client ||04/04/13<br />
|-<br />
|}<br />
=1.B.4 Providing timely clinical advice using a secure, interactive electronic system when the office is not open =<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Policies and Procedures for After-Hours Service||[[Media:PCMH1_B_1afterhours.pdf|Sample Policy]]||PCC Client ||04/04/13<br />
|-<br />
|Policies and Procedures for After-Hours Service, II||[[Media:PCMH1.B.3.pdf|Sample Policy II]]||PCC Client ||04/04/13<br />
|-<br />
|}<br />
<br />
=1.B.5 Documenting after-hours clinical advice in patient records=<br />
<br />
As of PCC EHR version 6.15, the practice can generate a log of phone calls with "Call Taken At" during times when the office is not open. Screenshots of the documented clinical advice for these calls (and the timestamp of the call) could then be created.<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Policies and Procedures for After-Hours Service||[[Media:PCMH1_B_1afterhours.pdf|Sample Policy]]||PCC Client ||04/04/13<br />
|-<br />
|Policies and Procedures for After-Hours Service, II||[[Media:PCMH1.B.3.pdf|Sample Policy II]]||PCC Client ||04/04/13<br />
|-<br />
|}</div>Chiphttps://pcmh.pcc.com/index.php?title=File:PCMH1.B.3.pdf&diff=416File:PCMH1.B.3.pdf2013-04-04T15:07:18Z<p>Chip: Another sample policy.</p>
<hr />
<div>Another sample policy.</div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH1B&diff=415PCMH1B2013-04-04T15:06:54Z<p>Chip: /* 1.B.2 Providing continuity of medical record information for care and advice when office is not open */</p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH1A << Move to previous PCMH element - 1A]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH1C >> Move to next PCMH element - 1C]<br />
<br />
The practice has a written process and defined standards and demonstrates that it monitors performance against the standards for:<br />
=1.B.1 Providing access to routine and urgent-care appointments outside regular business hours=<br />
<br />
You must produce a documented process for arranging after-hours access. You should also produce a report from Partner of appointments restricted to appointment times happening outside of regular business hours. <br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|The srs "Appointment Stat Report - Day of Week/Reason" in the "Scheduling Reports" category can be used. Restrict this to show only appointments for after-hours times when the office is not open (Sat, Sun after 12:00pm for example). Be sure to exclude cancelled/missed appointments.||[[File:AfterhoursAccess1B1.png|thumb|75px|Report of after-hours appointments|link=file:AfterhoursAccess1B1.png]]||Partner srs report||03/20/13<br />
|-<br />
|}<br />
<br />
=1.B.2 Providing continuity of medical record information for care and advice when office is not open =<br />
<br />
You can access medical records remotely using the EHR and/or Pocket Partner from your smart phone or home computer. Screenshots of Pocket Partner can be found on [http://learn.pcc.com/Default_Left.htm#CSHID=PocketPartner%2FTaskDetails%2FPP_PatientDetails.htm|StartTopic=Content%2FPocketPartner%2FTaskDetails%2FPP_PatientDetails.htm|SkinName=pccfinal learn.pcc.com].<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Policies and Procedures for After-Hours Service||[[Media:PCMH1_B_1afterhours.pdf|Sample Policy]]||PCC Client ||04/04/13<br />
|-<br />
|Policies and Procedures for After-Hours Service, II||[[Media:PCMH1.B.3.pdf|Sample Policy II]]||PCC Client ||04/04/13<br />
|-<br />
|}<br />
<br />
=1.B.3 Providing timely clinical advice by telephone when the office is not open (critical factor) =<br />
<br />
This is a critical factor which means you must do this in order to get any of the 4 points for element 1B. Here, you should describe their after-hours phone service. As of EHR version 6.15, practices will be able to generate a report of phone calls and responses restricting to just times when the office is not open.<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Policies and Procedures for After-Hours Service||[[Media:PCMH1_B_1afterhours.pdf|Sample Policy]]||PCC Client ||04/04/13<br />
|-<br />
|}<br />
<br />
=1.B.4 Providing timely clinical advice using a secure, interactive electronic system when the office is not open =<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Policies and Procedures for After-Hours Service||[[Media:PCMH1_B_1afterhours.pdf|Sample Policy]]||PCC Client ||04/04/13<br />
|-<br />
|}<br />
<br />
This one might be a tough one to get credit for without a patient portal with secure messaging capabilities. However, some practices may work with an after-hours call service that provides the ability to get clinical advice via a secure web "chat room" or something similar.<br />
<br />
=1.B.5 Documenting after-hours clinical advice in patient records=<br />
<br />
As of PCC EHR version 6.15, the practice can generate a log of phone calls with "Call Taken At" during times when the office is not open. Screenshots of the documented clinical advice for these calls (and the timestamp of the call) could then be created.<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Policies and Procedures for After-Hours Service||[[Media:PCMH1_B_1afterhours.pdf|Sample Policy]]||PCC Client ||04/04/13<br />
|-<br />
|}</div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH1B&diff=414PCMH1B2013-04-04T15:04:01Z<p>Chip: </p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH1A << Move to previous PCMH element - 1A]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH1C >> Move to next PCMH element - 1C]<br />
<br />
The practice has a written process and defined standards and demonstrates that it monitors performance against the standards for:<br />
=1.B.1 Providing access to routine and urgent-care appointments outside regular business hours=<br />
<br />
You must produce a documented process for arranging after-hours access. You should also produce a report from Partner of appointments restricted to appointment times happening outside of regular business hours. <br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|The srs "Appointment Stat Report - Day of Week/Reason" in the "Scheduling Reports" category can be used. Restrict this to show only appointments for after-hours times when the office is not open (Sat, Sun after 12:00pm for example). Be sure to exclude cancelled/missed appointments.||[[File:AfterhoursAccess1B1.png|thumb|75px|Report of after-hours appointments|link=file:AfterhoursAccess1B1.png]]||Partner srs report||03/20/13<br />
|-<br />
|}<br />
<br />
=1.B.2 Providing continuity of medical record information for care and advice when office is not open =<br />
<br />
You can access medical records remotely using the EHR and/or Pocket Partner from your smart phone or home computer. Screenshots of Pocket Partner can be found on [http://learn.pcc.com/Default_Left.htm#CSHID=PocketPartner%2FTaskDetails%2FPP_PatientDetails.htm|StartTopic=Content%2FPocketPartner%2FTaskDetails%2FPP_PatientDetails.htm|SkinName=pccfinal learn.pcc.com].<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Policies and Procedures for After-Hours Service||[[Media:PCMH1_B_1afterhours.pdf|Sample Policy]]||PCC Client ||04/04/13<br />
|-<br />
|}<br />
<br />
=1.B.3 Providing timely clinical advice by telephone when the office is not open (critical factor) =<br />
<br />
This is a critical factor which means you must do this in order to get any of the 4 points for element 1B. Here, you should describe their after-hours phone service. As of EHR version 6.15, practices will be able to generate a report of phone calls and responses restricting to just times when the office is not open.<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Policies and Procedures for After-Hours Service||[[Media:PCMH1_B_1afterhours.pdf|Sample Policy]]||PCC Client ||04/04/13<br />
|-<br />
|}<br />
<br />
=1.B.4 Providing timely clinical advice using a secure, interactive electronic system when the office is not open =<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Policies and Procedures for After-Hours Service||[[Media:PCMH1_B_1afterhours.pdf|Sample Policy]]||PCC Client ||04/04/13<br />
|-<br />
|}<br />
<br />
This one might be a tough one to get credit for without a patient portal with secure messaging capabilities. However, some practices may work with an after-hours call service that provides the ability to get clinical advice via a secure web "chat room" or something similar.<br />
<br />
=1.B.5 Documenting after-hours clinical advice in patient records=<br />
<br />
As of PCC EHR version 6.15, the practice can generate a log of phone calls with "Call Taken At" during times when the office is not open. Screenshots of the documented clinical advice for these calls (and the timestamp of the call) could then be created.<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Policies and Procedures for After-Hours Service||[[Media:PCMH1_B_1afterhours.pdf|Sample Policy]]||PCC Client ||04/04/13<br />
|-<br />
|}</div>Chiphttps://pcmh.pcc.com/index.php?title=File:PCMH1_B_1afterhours.pdf&diff=413File:PCMH1 B 1afterhours.pdf2013-04-04T15:03:16Z<p>Chip: Sample Policy from TPC, v2.</p>
<hr />
<div>Sample Policy from TPC, v2.</div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH1B&diff=412PCMH1B2013-04-04T15:02:49Z<p>Chip: /* 1.B.2 Providing continuity of medical record information for care and advice when office is not open */</p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH1A << Move to previous PCMH element - 1A]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH1C >> Move to next PCMH element - 1C]<br />
<br />
The practice has a written process and defined standards and demonstrates that it monitors performance against the standards for:<br />
=1.B.1 Providing access to routine and urgent-care appointments outside regular business hours=<br />
<br />
You must produce a documented process for arranging after-hours access. You should also produce a report from Partner of appointments restricted to appointment times happening outside of regular business hours. <br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|The srs "Appointment Stat Report - Day of Week/Reason" in the "Scheduling Reports" category can be used. Restrict this to show only appointments for after-hours times when the office is not open (Sat, Sun after 12:00pm for example). Be sure to exclude cancelled/missed appointments.||[[File:AfterhoursAccess1B1.png|thumb|75px|Report of after-hours appointments|link=file:AfterhoursAccess1B1.png]]||Partner srs report||03/20/13<br />
|-<br />
|}<br />
<br />
=1.B.2 Providing continuity of medical record information for care and advice when office is not open =<br />
<br />
You can access medical records remotely using the EHR and/or Pocket Partner from your smart phone or home computer. Screenshots of Pocket Partner can be found on [http://learn.pcc.com/Default_Left.htm#CSHID=PocketPartner%2FTaskDetails%2FPP_PatientDetails.htm|StartTopic=Content%2FPocketPartner%2FTaskDetails%2FPP_PatientDetails.htm|SkinName=pccfinal learn.pcc.com].<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Policies and Procedures for After-Hours Service||[[Media:PCMH1_B_1afterhours.pdf|Sample Policy]]||PCC Client ||04/04/13<br />
|-<br />
|}<br />
<br />
=1.B.3 Providing timely clinical advice by telephone when the office is not open (critical factor) =<br />
<br />
This is a critical factor which means you must do this in order to get any of the 4 points for element 1B. Here, you should describe their after-hours phone service. As of EHR version 6.15, practices will be able to generate a report of phone calls and responses restricting to just times when the office is not open.<br />
<br />
=1.B.4 Providing timely clinical advice using a secure, interactive electronic system when the office is not open =<br />
<br />
This one might be a tough one to get credit for without a patient portal with secure messaging capabilities. However, some practices may work with an after-hours call service that provides the ability to get clinical advice via a secure web "chat room" or something similar.<br />
<br />
=1.B.5 Documenting after-hours clinical advice in patient records=<br />
<br />
As of PCC EHR version 6.15, the practice can generate a log of phone calls with "Call Taken At" during times when the office is not open. Screenshots of the documented clinical advice for these calls (and the timestamp of the call) could then be created.</div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH1B&diff=411PCMH1B2013-04-04T15:02:14Z<p>Chip: /* 1.B.2 Providing continuity of medical record information for care and advice when office is not open */</p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH1A << Move to previous PCMH element - 1A]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH1C >> Move to next PCMH element - 1C]<br />
<br />
The practice has a written process and defined standards and demonstrates that it monitors performance against the standards for:<br />
=1.B.1 Providing access to routine and urgent-care appointments outside regular business hours=<br />
<br />
You must produce a documented process for arranging after-hours access. You should also produce a report from Partner of appointments restricted to appointment times happening outside of regular business hours. <br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|The srs "Appointment Stat Report - Day of Week/Reason" in the "Scheduling Reports" category can be used. Restrict this to show only appointments for after-hours times when the office is not open (Sat, Sun after 12:00pm for example). Be sure to exclude cancelled/missed appointments.||[[File:AfterhoursAccess1B1.png|thumb|75px|Report of after-hours appointments|link=file:AfterhoursAccess1B1.png]]||Partner srs report||03/20/13<br />
|-<br />
|}<br />
<br />
=1.B.2 Providing continuity of medical record information for care and advice when office is not open =<br />
<br />
You can access medical records remotely using the EHR and/or Pocket Partner from your smart phone or home computer. Screenshots of Pocket Partner can be found on [http://learn.pcc.com/Default_Left.htm#CSHID=PocketPartner%2FTaskDetails%2FPP_PatientDetails.htm|StartTopic=Content%2FPocketPartner%2FTaskDetails%2FPP_PatientDetails.htm|SkinName=pccfinal learn.pcc.com].<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Policies and Procedures for After-Hours Service||[[Media:Afterhours-Policy.pdf|Sample Policy]]||PCC Client ||04/04/13<br />
|-<br />
|}<br />
<br />
=1.B.3 Providing timely clinical advice by telephone when the office is not open (critical factor) =<br />
<br />
This is a critical factor which means you must do this in order to get any of the 4 points for element 1B. Here, you should describe their after-hours phone service. As of EHR version 6.15, practices will be able to generate a report of phone calls and responses restricting to just times when the office is not open.<br />
<br />
=1.B.4 Providing timely clinical advice using a secure, interactive electronic system when the office is not open =<br />
<br />
This one might be a tough one to get credit for without a patient portal with secure messaging capabilities. However, some practices may work with an after-hours call service that provides the ability to get clinical advice via a secure web "chat room" or something similar.<br />
<br />
=1.B.5 Documenting after-hours clinical advice in patient records=<br />
<br />
As of PCC EHR version 6.15, the practice can generate a log of phone calls with "Call Taken At" during times when the office is not open. Screenshots of the documented clinical advice for these calls (and the timestamp of the call) could then be created.</div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH1B&diff=410PCMH1B2013-04-04T15:01:01Z<p>Chip: /* 1.B.2 Providing continuity of medical record information for care and advice when office is not open */</p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH1A << Move to previous PCMH element - 1A]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH1C >> Move to next PCMH element - 1C]<br />
<br />
The practice has a written process and defined standards and demonstrates that it monitors performance against the standards for:<br />
=1.B.1 Providing access to routine and urgent-care appointments outside regular business hours=<br />
<br />
You must produce a documented process for arranging after-hours access. You should also produce a report from Partner of appointments restricted to appointment times happening outside of regular business hours. <br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|The srs "Appointment Stat Report - Day of Week/Reason" in the "Scheduling Reports" category can be used. Restrict this to show only appointments for after-hours times when the office is not open (Sat, Sun after 12:00pm for example). Be sure to exclude cancelled/missed appointments.||[[File:AfterhoursAccess1B1.png|thumb|75px|Report of after-hours appointments|link=file:AfterhoursAccess1B1.png]]||Partner srs report||03/20/13<br />
|-<br />
|}<br />
<br />
=1.B.2 Providing continuity of medical record information for care and advice when office is not open =<br />
<br />
You can access medical records remotely using the EHR and/or Pocket Partner from your smart phone or home computer. Screenshots of Pocket Partner can be found on [http://learn.pcc.com/Default_Left.htm#CSHID=PocketPartner%2FTaskDetails%2FPP_PatientDetails.htm|StartTopic=Content%2FPocketPartner%2FTaskDetails%2FPP_PatientDetails.htm|SkinName=pccfinal learn.pcc.com].<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Policies and Procedures for After-Hours Service||[[Media:Afterhours_Policy.pdf|Sample Policy]]||PCC Client ||04/04/13<br />
|-<br />
|}<br />
<br />
=1.B.3 Providing timely clinical advice by telephone when the office is not open (critical factor) =<br />
<br />
This is a critical factor which means you must do this in order to get any of the 4 points for element 1B. Here, you should describe their after-hours phone service. As of EHR version 6.15, practices will be able to generate a report of phone calls and responses restricting to just times when the office is not open.<br />
<br />
=1.B.4 Providing timely clinical advice using a secure, interactive electronic system when the office is not open =<br />
<br />
This one might be a tough one to get credit for without a patient portal with secure messaging capabilities. However, some practices may work with an after-hours call service that provides the ability to get clinical advice via a secure web "chat room" or something similar.<br />
<br />
=1.B.5 Documenting after-hours clinical advice in patient records=<br />
<br />
As of PCC EHR version 6.15, the practice can generate a log of phone calls with "Call Taken At" during times when the office is not open. Screenshots of the documented clinical advice for these calls (and the timestamp of the call) could then be created.</div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH1B&diff=409PCMH1B2013-04-04T14:59:41Z<p>Chip: /* 1.B.2 Providing continuity of medical record information for care and advice when office is not open */</p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH1A << Move to previous PCMH element - 1A]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH1C >> Move to next PCMH element - 1C]<br />
<br />
The practice has a written process and defined standards and demonstrates that it monitors performance against the standards for:<br />
=1.B.1 Providing access to routine and urgent-care appointments outside regular business hours=<br />
<br />
You must produce a documented process for arranging after-hours access. You should also produce a report from Partner of appointments restricted to appointment times happening outside of regular business hours. <br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|The srs "Appointment Stat Report - Day of Week/Reason" in the "Scheduling Reports" category can be used. Restrict this to show only appointments for after-hours times when the office is not open (Sat, Sun after 12:00pm for example). Be sure to exclude cancelled/missed appointments.||[[File:AfterhoursAccess1B1.png|thumb|75px|Report of after-hours appointments|link=file:AfterhoursAccess1B1.png]]||Partner srs report||03/20/13<br />
|-<br />
|}<br />
<br />
=1.B.2 Providing continuity of medical record information for care and advice when office is not open =<br />
<br />
You can access medical records remotely using the EHR and/or Pocket Partner from your smart phone or home computer. Screenshots of Pocket Partner can be found on [http://learn.pcc.com/Default_Left.htm#CSHID=PocketPartner%2FTaskDetails%2FPP_PatientDetails.htm|StartTopic=Content%2FPocketPartner%2FTaskDetails%2FPP_PatientDetails.htm|SkinName=pccfinal learn.pcc.com].<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Policies and Procedures for After-Hours Service||[[Media:Culture&language_services.pdf|Sample Policy]]||PCC Client ||04/04/13<br />
|-<br />
|}<br />
<br />
=1.B.3 Providing timely clinical advice by telephone when the office is not open (critical factor) =<br />
<br />
This is a critical factor which means you must do this in order to get any of the 4 points for element 1B. Here, you should describe their after-hours phone service. As of EHR version 6.15, practices will be able to generate a report of phone calls and responses restricting to just times when the office is not open.<br />
<br />
=1.B.4 Providing timely clinical advice using a secure, interactive electronic system when the office is not open =<br />
<br />
This one might be a tough one to get credit for without a patient portal with secure messaging capabilities. However, some practices may work with an after-hours call service that provides the ability to get clinical advice via a secure web "chat room" or something similar.<br />
<br />
=1.B.5 Documenting after-hours clinical advice in patient records=<br />
<br />
As of PCC EHR version 6.15, the practice can generate a log of phone calls with "Call Taken At" during times when the office is not open. Screenshots of the documented clinical advice for these calls (and the timestamp of the call) could then be created.</div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH1B&diff=408PCMH1B2013-04-04T14:51:29Z<p>Chip: /* 1.B.2 Providing continuity of medical record information for care and advice when office is not open */</p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH1A << Move to previous PCMH element - 1A]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH1C >> Move to next PCMH element - 1C]<br />
<br />
The practice has a written process and defined standards and demonstrates that it monitors performance against the standards for:<br />
=1.B.1 Providing access to routine and urgent-care appointments outside regular business hours=<br />
<br />
You must produce a documented process for arranging after-hours access. You should also produce a report from Partner of appointments restricted to appointment times happening outside of regular business hours. <br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|The srs "Appointment Stat Report - Day of Week/Reason" in the "Scheduling Reports" category can be used. Restrict this to show only appointments for after-hours times when the office is not open (Sat, Sun after 12:00pm for example). Be sure to exclude cancelled/missed appointments.||[[File:AfterhoursAccess1B1.png|thumb|75px|Report of after-hours appointments|link=file:AfterhoursAccess1B1.png]]||Partner srs report||03/20/13<br />
|-<br />
|}<br />
<br />
=1.B.2 Providing continuity of medical record information for care and advice when office is not open =<br />
<br />
You can access medical records remotely using the EHR and/or Pocket Partner from your smart phone or home computer. Screenshots of Pocket Partner can be found on [http://learn.pcc.com/Default_Left.htm#CSHID=PocketPartner%2FTaskDetails%2FPP_PatientDetails.htm|StartTopic=Content%2FPocketPartner%2FTaskDetails%2FPP_PatientDetails.htm|SkinName=pccfinal learn.pcc.com].<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Policies and Procedures for After-Hours Service||[[Media:Afterhours_policy.pdf|Sample Policy]]||PCC Client ||04/04/13<br />
|-<br />
|}<br />
<br />
=1.B.3 Providing timely clinical advice by telephone when the office is not open (critical factor) =<br />
<br />
This is a critical factor which means you must do this in order to get any of the 4 points for element 1B. Here, you should describe their after-hours phone service. As of EHR version 6.15, practices will be able to generate a report of phone calls and responses restricting to just times when the office is not open.<br />
<br />
=1.B.4 Providing timely clinical advice using a secure, interactive electronic system when the office is not open =<br />
<br />
This one might be a tough one to get credit for without a patient portal with secure messaging capabilities. However, some practices may work with an after-hours call service that provides the ability to get clinical advice via a secure web "chat room" or something similar.<br />
<br />
=1.B.5 Documenting after-hours clinical advice in patient records=<br />
<br />
As of PCC EHR version 6.15, the practice can generate a log of phone calls with "Call Taken At" during times when the office is not open. Screenshots of the documented clinical advice for these calls (and the timestamp of the call) could then be created.</div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH1B&diff=407PCMH1B2013-04-04T14:48:57Z<p>Chip: /* 1.B.2 Providing continuity of medical record information for care and advice when office is not open */</p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH1A << Move to previous PCMH element - 1A]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH1C >> Move to next PCMH element - 1C]<br />
<br />
The practice has a written process and defined standards and demonstrates that it monitors performance against the standards for:<br />
=1.B.1 Providing access to routine and urgent-care appointments outside regular business hours=<br />
<br />
You must produce a documented process for arranging after-hours access. You should also produce a report from Partner of appointments restricted to appointment times happening outside of regular business hours. <br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|The srs "Appointment Stat Report - Day of Week/Reason" in the "Scheduling Reports" category can be used. Restrict this to show only appointments for after-hours times when the office is not open (Sat, Sun after 12:00pm for example). Be sure to exclude cancelled/missed appointments.||[[File:AfterhoursAccess1B1.png|thumb|75px|Report of after-hours appointments|link=file:AfterhoursAccess1B1.png]]||Partner srs report||03/20/13<br />
|-<br />
|}<br />
<br />
=1.B.2 Providing continuity of medical record information for care and advice when office is not open =<br />
<br />
You can access medical records remotely using the EHR and/or Pocket Partner from your smart phone or home computer. Screenshots of Pocket Partner can be found on [http://learn.pcc.com/Default_Left.htm#CSHID=PocketPartner%2FTaskDetails%2FPP_PatientDetails.htm|StartTopic=Content%2FPocketPartner%2FTaskDetails%2FPP_PatientDetails.htm|SkinName=pccfinal learn.pcc.com].<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Policies and Procedures for After-Hours Service||[[file:Afterhours.pdf|Sample Policy]]||PCC Client ||04/04/13<br />
|-<br />
|}<br />
<br />
=1.B.3 Providing timely clinical advice by telephone when the office is not open (critical factor) =<br />
<br />
This is a critical factor which means you must do this in order to get any of the 4 points for element 1B. Here, you should describe their after-hours phone service. As of EHR version 6.15, practices will be able to generate a report of phone calls and responses restricting to just times when the office is not open.<br />
<br />
=1.B.4 Providing timely clinical advice using a secure, interactive electronic system when the office is not open =<br />
<br />
This one might be a tough one to get credit for without a patient portal with secure messaging capabilities. However, some practices may work with an after-hours call service that provides the ability to get clinical advice via a secure web "chat room" or something similar.<br />
<br />
=1.B.5 Documenting after-hours clinical advice in patient records=<br />
<br />
As of PCC EHR version 6.15, the practice can generate a log of phone calls with "Call Taken At" during times when the office is not open. Screenshots of the documented clinical advice for these calls (and the timestamp of the call) could then be created.</div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH1B&diff=406PCMH1B2013-04-04T14:45:08Z<p>Chip: /* 1.B.2 Providing continuity of medical record information for care and advice when office is not open */</p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH1A << Move to previous PCMH element - 1A]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH1C >> Move to next PCMH element - 1C]<br />
<br />
The practice has a written process and defined standards and demonstrates that it monitors performance against the standards for:<br />
=1.B.1 Providing access to routine and urgent-care appointments outside regular business hours=<br />
<br />
You must produce a documented process for arranging after-hours access. You should also produce a report from Partner of appointments restricted to appointment times happening outside of regular business hours. <br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|The srs "Appointment Stat Report - Day of Week/Reason" in the "Scheduling Reports" category can be used. Restrict this to show only appointments for after-hours times when the office is not open (Sat, Sun after 12:00pm for example). Be sure to exclude cancelled/missed appointments.||[[File:AfterhoursAccess1B1.png|thumb|75px|Report of after-hours appointments|link=file:AfterhoursAccess1B1.png]]||Partner srs report||03/20/13<br />
|-<br />
|}<br />
<br />
=1.B.2 Providing continuity of medical record information for care and advice when office is not open =<br />
<br />
You can access medical records remotely using the EHR and/or Pocket Partner from your smart phone or home computer. Screenshots of Pocket Partner can be found on [http://learn.pcc.com/Default_Left.htm#CSHID=PocketPartner%2FTaskDetails%2FPP_PatientDetails.htm|StartTopic=Content%2FPocketPartner%2FTaskDetails%2FPP_PatientDetails.htm|SkinName=pccfinal learn.pcc.com].<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Policies and Procedures for After-Hours Service||[[file:Afterhours_Policy.pdf|Sample Policy]]||PCC Client ||04/04/13<br />
|-<br />
|}<br />
<br />
=1.B.3 Providing timely clinical advice by telephone when the office is not open (critical factor) =<br />
<br />
This is a critical factor which means you must do this in order to get any of the 4 points for element 1B. Here, you should describe their after-hours phone service. As of EHR version 6.15, practices will be able to generate a report of phone calls and responses restricting to just times when the office is not open.<br />
<br />
=1.B.4 Providing timely clinical advice using a secure, interactive electronic system when the office is not open =<br />
<br />
This one might be a tough one to get credit for without a patient portal with secure messaging capabilities. However, some practices may work with an after-hours call service that provides the ability to get clinical advice via a secure web "chat room" or something similar.<br />
<br />
=1.B.5 Documenting after-hours clinical advice in patient records=<br />
<br />
As of PCC EHR version 6.15, the practice can generate a log of phone calls with "Call Taken At" during times when the office is not open. Screenshots of the documented clinical advice for these calls (and the timestamp of the call) could then be created.</div>Chiphttps://pcmh.pcc.com/index.php?title=File:Afterhours_Policy.pdf&diff=405File:Afterhours Policy.pdf2013-04-04T14:44:04Z<p>Chip: TPC Policy for after hours access</p>
<hr />
<div>TPC Policy for after hours access</div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH1B&diff=404PCMH1B2013-04-04T14:43:32Z<p>Chip: </p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH1A << Move to previous PCMH element - 1A]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH1C >> Move to next PCMH element - 1C]<br />
<br />
The practice has a written process and defined standards and demonstrates that it monitors performance against the standards for:<br />
=1.B.1 Providing access to routine and urgent-care appointments outside regular business hours=<br />
<br />
You must produce a documented process for arranging after-hours access. You should also produce a report from Partner of appointments restricted to appointment times happening outside of regular business hours. <br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|The srs "Appointment Stat Report - Day of Week/Reason" in the "Scheduling Reports" category can be used. Restrict this to show only appointments for after-hours times when the office is not open (Sat, Sun after 12:00pm for example). Be sure to exclude cancelled/missed appointments.||[[File:AfterhoursAccess1B1.png|thumb|75px|Report of after-hours appointments|link=file:AfterhoursAccess1B1.png]]||Partner srs report||03/20/13<br />
|-<br />
|}<br />
<br />
=1.B.2 Providing continuity of medical record information for care and advice when office is not open =<br />
<br />
You can access medical records remotely using the EHR and/or Pocket Partner from your smart phone or home computer. Screenshots of Pocket Partner can be found on [http://learn.pcc.com/Default_Left.htm#CSHID=PocketPartner%2FTaskDetails%2FPP_PatientDetails.htm|StartTopic=Content%2FPocketPartner%2FTaskDetails%2FPP_PatientDetails.htm|SkinName=pccfinal learn.pcc.com].<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Policies and Procedures for After-Hours Service||[[media:Afterhours_Policy.pdf|Sample Policy]]||PCC Client ||04/04/13<br />
|-<br />
|}<br />
<br />
=1.B.3 Providing timely clinical advice by telephone when the office is not open (critical factor) =<br />
<br />
This is a critical factor which means you must do this in order to get any of the 4 points for element 1B. Here, you should describe their after-hours phone service. As of EHR version 6.15, practices will be able to generate a report of phone calls and responses restricting to just times when the office is not open.<br />
<br />
=1.B.4 Providing timely clinical advice using a secure, interactive electronic system when the office is not open =<br />
<br />
This one might be a tough one to get credit for without a patient portal with secure messaging capabilities. However, some practices may work with an after-hours call service that provides the ability to get clinical advice via a secure web "chat room" or something similar.<br />
<br />
=1.B.5 Documenting after-hours clinical advice in patient records=<br />
<br />
As of PCC EHR version 6.15, the practice can generate a log of phone calls with "Call Taken At" during times when the office is not open. Screenshots of the documented clinical advice for these calls (and the timestamp of the call) could then be created.</div>Chiphttps://pcmh.pcc.com/index.php?title=File:3.E.4.pdf&diff=403File:3.E.4.pdf2013-03-28T17:50:25Z<p>Chip: Alerts from PCC's eRX.</p>
<hr />
<div>Alerts from PCC's eRX.</div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH3E&diff=402PCMH3E2013-03-28T17:48:58Z<p>Chip: /* 3.E.4 Performs patient-specific checks for drug-drug and drug-allergy interactions */</p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH3D << Move to previous PCMH element - 3D]<br />
<br />
The practice uses an electronic prescription system with the following capabilities.<br />
=3.E.1 Generates and transmits at least 40 percent of eligible prescriptions to pharmacies=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|}<br />
<br />
=3.E.2 Generates at least 75 percent of eligible prescriptions=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|}<br />
<br />
=3.E.3 Enters electronic medication orders into the medical record for more than 30 percent of patients with at least one medication in their medication list=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|}<br />
<br />
=3.E.4 Performs patient-specific checks for drug-drug and drug-allergy interactions=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|-<br />
|Your PCC eRX provides these alerts ||[[media:3.E.4.pdf|eRX Alerts]]||PCC EHR||03/25/13<br />
|-<br />
|}<br />
<br />
=3.E.5 Alerts prescriber to generic alternatives=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Your PCC eRX can provide a list of alternatives ||[[media:3.E.5-6.pdf|Generic Resources Sample]]||PCC Client||03/25/13<br />
|-<br />
|Your PCC eRX can provide a list of alternatives ||[[File:3.E.5-6.png|thumb|75px|Generix eRX Screen Shot|link=file:3.E.5-6.png]]||PCC EHR||03/25/13<br />
|-<br />
|}<br />
=3.E.6 Alerts prescriber to formulary status=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Your PCC eRX can provide a list of alternatives ||[[media:3.E.5-6.pdf|Generic Resources Sample]]||PCC Client||03/25/13<br />
|-<br />
|Your PCC eRX can provide a list of alternatives ||[[File:3.E.5-6.png|thumb|75px|Generix eRX Screen Shot|link=file:3.E.5-6.png]]||PCC EHR||03/25/13<br />
|-<br />
|}</div>Chiphttps://pcmh.pcc.com/index.php?title=File:5.B.2.pdf&diff=401File:5.B.2.pdf2013-03-27T21:43:37Z<p>Chip: 1 week referral example from BCD</p>
<hr />
<div>1 week referral example from BCD</div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH5B&diff=400PCMH5B2013-03-27T21:42:22Z<p>Chip: </p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH5A << Move to previous PCMH element - 5A]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH5C >> Move to next PCMH element - 5C]<br />
<br />
The practice coordinates referrals by:<br />
<br />
=5.B.1 Giving the consultant or specialist the clinical reason for the referral and pertinent clinical information=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|}<br />
=5.B.2 Tracking the status of the referrals, including required timing report=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Sample PCC EHR Referral Report<br />
||[[Media:5.B.2.pdf | 1 Week Sample]]<br />
||PCC Client<br />
||03/26/13<br />
|-<br />
|}<br />
<br />
=5.B.3 Following up to obtain specialist's report=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|}<br />
=5.B.4 Establishing and documenting agreements with specialists in the medical record if comanagement is needed=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|}<br />
<br />
=5.B.5 Asking patients/families about self-referrals and requesting reports from clinicians=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|}<br />
<br />
=5.B.6 Demonstrating capacity for electronic exchange of key clinical information (e.g., problem list, medication list, allergies, diagnostic test results) between clinicians*=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|PCC EHR has the ability to exchange key clinical information electronically.<br />
||[[Media:PCMH5B.pdf|Description of how PCC EHR can electronically exchange key clinical info]]<br />
|| PCC EHR<br />
|| 03/25/13<br />
|-<br />
|}<br />
<br />
=5.B.7 Providing an electronic summary of care record to another provider for more than 50 percent of referrals.=<br />
<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|This data is available in the PCC EHR Meaningful Use reports. Since the MU reports can only be run by provider, you'll need to produce these reports individually by provider and then tally the results for the practice<br />
||[[Media:SampleMUreport.pdf|Sample PCC EHR MU Report. Refer to "Provide Summary of Care Record for Transitions of Care"]]<br />
||PCC EHR||03/25/13<br />
|}</div>Chiphttps://pcmh.pcc.com/index.php?title=File:3.E.5-6.png&diff=399File:3.E.5-6.png2013-03-27T21:35:36Z<p>Chip: Alternative Screen Shot</p>
<hr />
<div>Alternative Screen Shot</div>Chiphttps://pcmh.pcc.com/index.php?title=PCMH3E&diff=398PCMH3E2013-03-27T21:34:24Z<p>Chip: </p>
<hr />
<div>[http://pcmh.pcc.com Back to PCMH Resources Page]<br />
<br />
[http://pcmh.pcc.com/index.php/PCMH3D << Move to previous PCMH element - 3D]<br />
<br />
The practice uses an electronic prescription system with the following capabilities.<br />
=3.E.1 Generates and transmits at least 40 percent of eligible prescriptions to pharmacies=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|}<br />
<br />
=3.E.2 Generates at least 75 percent of eligible prescriptions=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|}<br />
<br />
=3.E.3 Enters electronic medication orders into the medical record for more than 30 percent of patients with at least one medication in their medication list=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|}<br />
<br />
=3.E.4 Performs patient-specific checks for drug-drug and drug-allergy interactions=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|}<br />
<br />
=3.E.5 Alerts prescriber to generic alternatives=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Your PCC eRX can provide a list of alternatives ||[[media:3.E.5-6.pdf|Generic Resources Sample]]||PCC Client||03/25/13<br />
|-<br />
|Your PCC eRX can provide a list of alternatives ||[[File:3.E.5-6.png|thumb|75px|Generix eRX Screen Shot|link=file:3.E.5-6.png]]||PCC EHR||03/25/13<br />
|-<br />
|}<br />
=3.E.6 Alerts prescriber to formulary status=<br />
{| border = "1"<br />
! style="background:#8facd9; width:40%;" |'''Description'''<br />
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''<br />
! style="background:#8facd9; width:20%;" |'''Source'''<br />
! style="background:#8facd9; width:20%;" |'''Date Added'''<br />
|-<br />
|Your PCC eRX can provide a list of alternatives ||[[media:3.E.5-6.pdf|Generic Resources Sample]]||PCC Client||03/25/13<br />
|-<br />
|Your PCC eRX can provide a list of alternatives ||[[File:3.E.5-6.png|thumb|75px|Generix eRX Screen Shot|link=file:3.E.5-6.png]]||PCC EHR||03/25/13<br />
|-<br />
|}</div>Chip