2017 - Competency AC-A - Revision history

Tim at 20:21, 6 September 2017

2017-09-06T20:21:23Z

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	Patients can use a secure electronic system (e.g., website, patient portal) to request appointments, prescription refills, referrals and test results. The practice must demonstrate at least two functionalities.		Patients can use a secure electronic system (e.g., website, patient portal) to request appointments, prescription refills, referrals and test results. The practice must demonstrate at least two functionalities.

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			\|Description of how PCC's Patient Portal allows for patient request for appointments, Rx refills, referrals, or test results\|\|[[Media:AC07-PortalRequests.pdf\|Document describing PCC Patient Portal functionality for patient requests]]\|\|PCC\|\|09/06/17
			\|}

	=AC 08 (1 Credit): Has a secure electronic system for two-way communication to provide timely clinical advice=		=AC 08 (1 Credit): Has a secure electronic system for two-way communication to provide timely clinical advice=

Tim at 20:09, 6 September 2017

2017-09-06T20:09:09Z

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			=AC 09 (1 Credit): Uses information about the population served by the practice to assess equity of access that considers health disparities=

			Knowing whether groups of patients experience differences in access to health care can help practices focus efforts to address the inequity. The practice identifies health disparities and evaluates whether those disparities are impacted by access to care differently for underserved patient groups. An example of how a practice may demonstrate this is through a report of how an identified group of patients has lower rates of access than the general patient population.

			Healthy People 2020 defines health disparity as “a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage. Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion.”

Tim at 20:05, 6 September 2017

2017-09-06T20:05:25Z

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 |PCC Documentation showing how to provide timely clinical advice during and after office hours||[[media:2014_-_1B.2.pdf|Providing timely clinical advice]]||PCC|| 7/3/14
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Tim: /* AC 04 (Core): Provides timely clinical advice by telephone */

2017-09-06T19:39:52Z

AC 04 (Core): Provides timely clinical advice by telephone

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	Clinicians return calls in a time frame determined by the practice. Clinical advice must be provided by qualified clinical staff, but may be communicated by any member of the care team, as permitted under state licensing laws. NCQA reviews a report summarizing the practice’s expected response times and how it monitors its performance against standards for timely response. The practice must present data on at least 7- days of such calls.		Clinicians return calls in a time frame determined by the practice. Clinical advice must be provided by qualified clinical staff, but may be communicated by any member of the care team, as permitted under state licensing laws. NCQA reviews a report summarizing the practice’s expected response times and how it monitors its performance against standards for timely response. The practice must present data on at least 7- days of such calls.

	~~Document your~~ process for providing timely advice to patients over the phone. PCC EHR clients should record phone calls as phone encounters. For calls that need a callback, a phone task should be created with an appropriate task type and this task should be completed once the phone call has been initially responded to. As documentation for this factor, users can generate a report of phone calls and response times using the "Phone Encounter Performance Report" in the EHR. This report can be used as a call log showing each phone call including response time to complete the first associated task.		A documented process for providing timely advice to patients over the phone is also required to meet this factor. PCC EHR clients should record phone calls as phone encounters. For calls that need a callback, a phone task should be created with an appropriate task type and this task should be completed once the phone call has been initially responded to. As documentation for this factor, users can generate a report of phone calls and response times using the "Phone Encounter Performance Report" in the EHR. This report can be used as a call log showing each phone call including response time to complete the first associated task.

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Tim at 19:38, 6 September 2017

2017-09-06T19:38:33Z

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 |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||[[media:2014-1A.2.pdf|Example of PCC report showing appointments scheduled outside regular business hours]]||PCC|| 05/27/15
 |}

Tim at 19:34, 6 September 2017

2017-09-06T19:34:42Z

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 |PCC Examples for providing availability for same day appointments||[[media:AC02-SickBlocks.pdf|PCC Documentation re: same day appointments]]||PCC|| 09/06/17
 |}

Tim at 19:26, 6 September 2017

2017-09-06T19:26:50Z

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	As evidence of implementation, a report should be provided that includes a 5-day schedule to demonstrate the appointments are available or a report demonstrating which same-day appointments were used.		As evidence of implementation, a report should be provided that includes a 5-day schedule to demonstrate the appointments are available or a report demonstrating which same-day appointments were used.

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			! style="background:#8facd9; width:20%;" \|'''Example/Screenshot/Documentation'''
			! style="background:#8facd9; width:20%;" \|'''Source'''
			! style="background:#8facd9; width:20%;" \|'''Date Added'''
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			\|PCC Examples for providing availability for same day appointments\|\|[[media:AC02-SickBlocks.pdf\|PCC Documentation re: same day appointments]]\|\|PCC\|\| 09/06/17
			\|}

Tim at 19:25, 6 September 2017

2017-09-06T19:25:10Z

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	=AC 01 (Core): Assesses the access needs and preferences of the patient population=		=AC 01 (Core): Assesses the access needs and preferences of the patient population=

			The practice evaluates patient access from collected data (i.e., survey, patient interviews, comment box) to determine if existing access methods are sufficient for its population. Alternative methods for access may include evening/weekend hours, types of appointments or telephone advice. Documented process and evidence of implementation is required.

			=AC 02 (Core): Provides same-day appointments for routine and urgent care to meet identified patient needs=

			The practice reserves time on the daily appointment schedule to accommodate patient requests for a same-day appointment for routine or for urgent care needs. The time frames allocated for these appointment types are determined by the practice and based on the needs of the patient population, as defined in AC 01.

			As evidence of implementation, a report should be provided that includes a 5-day schedule to demonstrate the appointments are available or a report demonstrating which same-day appointments were used.

Tim at 19:10, 6 September 2017

2017-09-06T19:10:49Z

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Competency A: The practice seeks to enhance access by providing appointments and clinical advice based on patients’ needs.

=AC 01 (Core): Assesses the access needs and preferences of the patient population=