2014 - PCMH4B: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| Line 6: | Line 6: | ||
The care team and patient/family/caregiver collaborate (at relevant visits) to develop and update an individual care plan that includes the following features for at least 75 percent of the patients identified in Element A: | The care team and patient/family/caregiver collaborate (at relevant visits) to develop and update an individual care plan that includes the following features for at least 75 percent of the patients identified in Element A: | ||
* Incorporates patient preferences and functional/lifestyle goals | |||
* Identifies treatment goals | |||
* Assesses and addresses potential barriers to meeting goals | |||
* Includes a self-management plan | |||
* Is provided in writing to the patient/family/caregiver | |||
According to NCQA, the care team and patient/family/caregiver collaborate on developing and updating an individualized care plan that addresses whole-person care. The care plan specifies the services offered by and responsibilities of the primary care practice and, if appropriate, integrates with a care plan created for the patient by a non-primary care specialty practice, to avoid potential overlap or gap in services and care. | |||
=4.B.1 Incorporates patient preferences and functional/lifestyle goals. = | =4.B.1 Incorporates patient preferences and functional/lifestyle goals. = | ||
Revision as of 19:08, 1 December 2015
<< Move to previous PCMH element - 4A
>> Move to next PCMH element - 4C
The care team and patient/family/caregiver collaborate (at relevant visits) to develop and update an individual care plan that includes the following features for at least 75 percent of the patients identified in Element A:
- Incorporates patient preferences and functional/lifestyle goals
- Identifies treatment goals
- Assesses and addresses potential barriers to meeting goals
- Includes a self-management plan
- Is provided in writing to the patient/family/caregiver
According to NCQA, the care team and patient/family/caregiver collaborate on developing and updating an individualized care plan that addresses whole-person care. The care plan specifies the services offered by and responsibilities of the primary care practice and, if appropriate, integrates with a care plan created for the patient by a non-primary care specialty practice, to avoid potential overlap or gap in services and care.
4.B.1 Incorporates patient preferences and functional/lifestyle goals.
| Description | Example/Screenshot/Documentation | Source | Date Added |
|---|
4.B.2 Identifies treatment goals.
| Description | Example/Screenshot/Documentation | Source | Date Added |
|---|
4.B.3 Assesses and addresses potential barriers to meeting goals.
| Description | Example/Screenshot/Documentation | Source | Date Added |
|---|
4.B.4 Includes a self-management plan.
| Description | Example/Screenshot/Documentation | Source | Date Added |
|---|
4.B.5 Is provided in writing to the patient/family/caregiver.
| Description | Example/Screenshot/Documentation | Source | Date Added |
|---|