2014 - PCMH3D

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At least annually the practice proactively identifies populations of patients and reminds them, or their families/caregivers, of needed care based on patient information, clinical data, health assessments and evidence-based guidelines including:

3.D.1 At least two different preventive care services.

Description Example/Screenshot/Documentation Source Date Added
Examples of using the recaller and Dashboard for generating lists and reminding patients of preventive care services Preventive care reporting examples PCC 07/07/14

3.D.2 At least two different immunizations.

Description Example/Screenshot/Documentation Source Date Added

3.D.3 At least three different chronic or acute care services.

Description Example/Screenshot/Documentation Source Date Added
Examples of using the recaller and Dashboard for generating lists and reminding patients of chronic care services Chronic care reporting examples PCC 07/07/14

3.D.4 Patients not recently seen by the practice.

Description Example/Screenshot/Documentation Source Date Added
Examples of using the recaller to identify patients not recently seen by the practice How to identify patients not recently seen PCC 07/07/14

3.D.5 Medication monitoring or alert.

The practice generates lists of patients on specific medications. Lists may be used to:

  • Manage patients prescribed medications with potentially harmful side effects.
  • Identify patients prescribed a brand-name drug instead of a generic drug.
  • Notify patients about a medication recall or warning.
  • Remind patients about necessary monitoring because of specific medications (e.g., warfarin, liver function test for patients on selected medications, growth hormone).
  • Inform patients about drug-drug or dosage concerns.
Description Example/Screenshot/Documentation Source Date Added