PCMH1B

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The practice has a written process and defined standards and demonstrates that it monitors performance against the standards for:

1.B.1 Providing access to routine and urgent-care appointments outside regular business hours

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.

Description Example/Screenshot/Documentation Source Date Added
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. Show access to after-hours care Partner srs report 07/03/14

1.B.2 Providing continuity of medical record information for care and advice when office is not open

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 learn.pcc.com.

Description Example/Screenshot/Documentation Source Date Added
Document describing how to connect to PCC remotely and Pocket Partner functionality RDP and Pocket Partner documentation PCC 7/3/14
Policies and Procedures for After-Hours Service Sample Policy PCC Client 04/04/13
Policies and Procedures for After-Hours Service, II Sample Policy II PCC Client 04/04/13

1.B.3 Providing timely clinical advice by telephone when the office is not open (critical factor)

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.

Description Example/Screenshot/Documentation Source Date Added
Documentation for PCC's Phone Encounter Performance Report showing calls documented after-hours Phone Encounter Performance Report PCC 07/03/14
Policies and Procedures for After-Hours Service Sample Policy PCC Client 04/04/13
Policies and Procedures for After-Hours Service, II Sample Policy II PCC Client 04/04/13

1.B.4 Providing timely clinical advice using a secure, interactive electronic system when the office is not open

Description Example/Screenshot/Documentation Source Date Added
Document describing secure messages via patient portal Secure Messaging in PCC's Portal PCC 07/03/14
Policies and Procedures for After-Hours Service Sample Policy PCC Client 04/04/13
Policies and Procedures for After-Hours Service, II Sample Policy II PCC Client 04/04/13

1.B.5 Documenting after-hours clinical advice in patient records

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.

Description Example/Screenshot/Documentation Source Date Added
Document describing how to document after-hours clinical advice Documenting after-hours clinical advice PCC 07/03/14
Policies and Procedures for After-Hours Service Sample Policy PCC Client 04/04/13
Policies and Procedures for After-Hours Service, II Sample Policy II PCC Client 04/04/13