PCMH1G
The practice provides a range of patient care services by:
Defining roles for clinical and nonclinical team members
Appropriate job descriptions for all clinical and non-clinical staff, including roles, should be documented.
Holding regular team meetings and communication processes (critical factor)
This is a critical factor, meaning in order to get any of the four points included in this element, they need to fulfill this factor. The practice should provide a description of its communication processes and samples of meeting summaries, agendas, or memos to staff.
Using standing orders for services
Standing orders should be documented and examples provided.
Training and assigning care teams to coordinate care for individual patients
Training and assigning care teams to support patients and families in self-management, self-efficacy and behavior change
Training and assigning care teams for patient population management
Training and designating care team members in communication skills
For all of the training factors above, the practice should document and provide a description of the training process, schedule, and training materials used.
Involving care team staff in the practice’s performance evaluation and quality improvement activities
The practice should provide a description of staff roles in the practice evaluation and improvement process, or minutes from team meetings showing staff involvement and describing staff roles.