2017 - Competency KM-A - Revision history

Tim: Undo revision 997 by Tim (talk)

2019-05-03T15:43:28Z

Undo revision 997 by Tim (talk)

← Older revision		Revision as of 15:43, 3 May 2019
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	! style="background:#8facd9; width:20%;" \|'''Date Added'''		! style="background:#8facd9; width:20%;" \|'''Date Added'''
	\|-		\|-
	\|Store communication preference for patients and generate ~~"Patient Count and Percentage by Primary Preferred Language" within PCMH category of EHR Report Library~~\|\|\|\|PCC\|\|5/3/19		\|Store communication preference for patients and generate report\|\|[[Media:KM08CommPreference.png\|Example spreadsheet pivot table showing breakdown by communication preference]]\|\|PCC\|\|8/11/17
	\|}		\|}

			'''Contact PCC Client Advocate for assistance with creating this report'''

Tim: /* KM 08 (1 Credit): Evaluates patient population demographics/communication preferences/health literacy to tailor development and distribution of patient materials */

2019-05-03T15:40:15Z

KM 08 (1 Credit): Evaluates patient population demographics/communication preferences/health literacy to tailor development and distribution of patient materials

← Older revision		Revision as of 15:40, 3 May 2019
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	! style="background:#8facd9; width:20%;" \|'''Date Added'''		! style="background:#8facd9; width:20%;" \|'''Date Added'''
	\|-		\|-
	\|Store communication preference for patients and generate ~~report~~\|\|~~[[Media:KM08CommPreference.png\|Example spreadsheet pivot table showing breakdown by communication preference]]~~\|\|PCC\|\|8/11/17		\|Store communication preference for patients and generate "Patient Count and Percentage by Primary Preferred Language" within PCMH category of EHR Report Library\|\|\|\|PCC\|\|5/3/19
	\|}		\|}

	~~'''Contact PCC Client Advocate for assistance with creating this report'''~~

Tim: /* KM 06 (1 Credit): Identifies the predominant conditions and health concerns of the patient population */

2019-05-03T15:37:50Z

KM 06 (1 Credit): Identifies the predominant conditions and health concerns of the patient population

← Older revision		Revision as of 15:37, 3 May 2019
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	! style="background:#8facd9; width:20%;" \|'''Date Added'''		! style="background:#8facd9; width:20%;" \|'''Date Added'''
	\|-		\|-
	\|Generate ~~PCC~~ report ~~showing predominant diagnoses for each provider\|~~\|~~[[Media:KM06PredominantICD10.png~~\|~~Example of custom srs report showing ICD-10 codes used most often by provider]]~~\|\|PCC\|\|8/11/17		\|Generate "Predominant Conditions of Your Patient Population" report within PCMH category of EHR Report Library\|\|\|\|PCC\|\|5/3/19
	\|}		\|}

Tim: /* KM 06 (1 Credit): Identifies the predominant conditions and health concerns of the patient population */

2019-05-03T15:35:56Z

KM 06 (1 Credit): Identifies the predominant conditions and health concerns of the patient population

← Older revision		Revision as of 15:35, 3 May 2019
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	\|Generate PCC report showing predominant diagnoses for each provider\|\|[[Media:KM06PredominantICD10.png\|Example of custom srs report showing ICD-10 codes used most often by provider]]\|\|PCC\|\|8/11/17		\|Generate PCC report showing predominant diagnoses for each provider\|\|[[Media:KM06PredominantICD10.png\|Example of custom srs report showing ICD-10 codes used most often by provider]]\|\|PCC\|\|8/11/17
	\|}		\|}

	~~'''Contact PCC Client Advocate for assistance with creating this report'''~~

	=KM 07 (2 Credits): Understands social determinants of health for patients, monitors at the population level and implements care interventions based on these data=		=KM 07 (2 Credits): Understands social determinants of health for patients, monitors at the population level and implements care interventions based on these data=

Tim at 20:51, 11 August 2017

2017-08-11T20:51:24Z

← Older revision		Revision as of 20:51, 11 August 2017
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	[http://pcmh.pcc.com/index.php/2017_Main Table of Contents]		[http://pcmh.pcc.com/index.php/2017_Main Table of Contents]

			[http://pcmh.pcc.com/index.php/2017_-_Competency_TC-C << Move to TC-C]

	[http://pcmh.pcc.com/index.php/2017_-_Competency_KM-B >> Move to KM-B]		[http://pcmh.pcc.com/index.php/2017_-_Competency_KM-B >> Move to KM-B]

Tim at 20:48, 11 August 2017

2017-08-11T20:48:54Z

← Older revision		Revision as of 20:48, 11 August 2017
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	[http://pcmh.pcc.com/index.php/2017_Main Table of Contents]		[http://pcmh.pcc.com/index.php/2017_Main Table of Contents]

	[http://pcmh.pcc.com/index.php/2017_-_Competency_KM-B Move to KM-B]		[http://pcmh.pcc.com/index.php/2017_-_Competency_KM-B >> Move to KM-B]

	= KM 01 (Core): Documents an up-to-date problem list for each patient with current and active diagnoses =		= KM 01 (Core): Documents an up-to-date problem list for each patient with current and active diagnoses =

Tim at 20:39, 11 August 2017

2017-08-11T20:39:38Z

← Older revision		Revision as of 20:39, 11 August 2017
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	\|Generate PCC report showing predominant diagnoses for each provider\|\|[[Media:KM06PredominantICD10.png\|Example of custom srs report showing ICD-10 codes used most often by provider]]\|\|PCC\|\|8/11/17		\|Generate PCC report showing predominant diagnoses for each provider\|\|[[Media:KM06PredominantICD10.png\|Example of custom srs report showing ICD-10 codes used most often by provider]]\|\|PCC\|\|8/11/17
	\|}		\|}

			'''Contact PCC Client Advocate for assistance with creating this report'''

			=KM 07 (2 Credits): Understands social determinants of health for patients, monitors at the population level and implements care interventions based on these data=

			After the practice collects information on social determinants of health, it demonstrates the ability to assess data and address identified gaps using community partnerships, self-management resources or other tools to serve the on-going needs of its population. Routine collection of data on social determinants of health (as required in KM 02) is an important step, but the real benefit to the population comes when the practice uses the information to continuously enhance care systems and community connections to systematically address needs.

			= KM 08 (1 Credit): Evaluates patient population demographics/communication preferences/health literacy to tailor development and distribution of patient materials=

			The practice demonstrates an understanding of the patients’ communication needs by utilizing materials and media that are easy for their patient population to understand and use. The practice considers patient demographics such as age, language needs, ethnicity and education when creating materials for its population. The practice may consider how its patients like to receive information (i.e., paper brochure, phone app, text message, e-mail), in addition to the readability of materials (e.g., general literacy and health literacy).

			{\| border = "1"
			! style="background:#8facd9; width:40%;" \|'''Description'''
			! style="background:#8facd9; width:20%;" \|'''Example/Screenshot/Documentation'''
			! style="background:#8facd9; width:20%;" \|'''Source'''
			! style="background:#8facd9; width:20%;" \|'''Date Added'''
			\|-
			\|Store communication preference for patients and generate report\|\|[[Media:KM08CommPreference.png\|Example spreadsheet pivot table showing breakdown by communication preference]]\|\|PCC\|\|8/11/17
			\|}

			'''Contact PCC Client Advocate for assistance with creating this report'''

Tim at 20:31, 11 August 2017

2017-08-11T20:31:51Z

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 |Monitor Fluoride Varnish rate measure in Dashboard||[[Media:KM05FluorideVarnish.png|Dashboard Fluoride Varnish Rate Example]]||PCC||8/11/17
 |}

Tim at 20:10, 11 August 2017

2017-08-11T20:10:58Z

← Older revision		Revision as of 20:10, 11 August 2017
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	The AAP’s Bright Futures acknowledges that primary care practices that see both infants and their families have a unique opportunity to integrate postpartum depression screening into the well-child care schedule. Validated screening tools may include PHQ-2, PHQ-9 or Edinburgh Postnatal Depression Scale (EPDS) or other validated screening tools, and may be conducted 4–6 weeks postpartum or during the 1-, 2-, 4- or 6-month well-child visits.		The AAP’s Bright Futures acknowledges that primary care practices that see both infants and their families have a unique opportunity to integrate postpartum depression screening into the well-child care schedule. Validated screening tools may include PHQ-2, PHQ-9 or Edinburgh Postnatal Depression Scale (EPDS) or other validated screening tools, and may be conducted 4–6 weeks postpartum or during the 1-, 2-, 4- or 6-month well-child visits.

			=KM 05 (1 Credit): Assesses oral health needs and provides necessary services during the care visit based on evidence-based guidelines or coordinates with oral health partners=

			The practice conducts patient-specific oral health risk assessments and keeps a list of oral health partners such as dentists, endodontists, oral surgeons and/or periodontists from which to refer.

			{\| border = "1"
			! style="background:#8facd9; width:40%;" \|'''Description'''
			! style="background:#8facd9; width:20%;" \|'''Example/Screenshot/Documentation'''
			! style="background:#8facd9; width:20%;" \|'''Source'''
			! style="background:#8facd9; width:20%;" \|'''Date Added'''
			\|-
			\|Monitor Fluoride Varnish rate measure in Dashboard\|\|[[Media:KM05FluorideVarnish.png\|Dashboard Fluoride Varnish Rate Example]]\|\|PCC\|\|8/11/17
			\|}

Tim at 20:00, 11 August 2017

2017-08-11T20:00:06Z

← Older revision		Revision as of 20:00, 11 August 2017
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	\|Use PCC CQM Report “Screening for Clinical Depression and Follow-Up Plan”\|\|[[Media:KM03DepressionCQM.png\|CQM Report Example]]\|\|PCC\|\|8/11/17		\|Use PCC CQM Report “Screening for Clinical Depression and Follow-Up Plan”\|\|[[Media:KM03DepressionCQM.png\|CQM Report Example]]\|\|PCC\|\|8/11/17
	\|}		\|}

			= KM 04 (1 Credit): Conducts behavioral health screenings and/or assessments using a standardized tool. (Implement two or more.) =

			View the [https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Mental-Health/Documents/MH_ScreeningChart.pdf AAP's list of mental health screening and assessment tools]

			*A. Anxiety.

			The practice conducts screening for the presence of emotional distress and symptoms of anxiety using any validated tool (e.g., GAD-2, GAD-7).

			*B. Alcohol use disorder.

			The American Academy of Pediatrics’ (AAP) Bright Futures recommends clinicians screen all adolescents for alcohol and drug use during all appropriate acute care visits using developmentally appropriate screening tools. (e.g., CRAFFT or Alcohol Screening and Brief Intervention for Youth).

			*C. Substance use disorder.

			Available screening tools may include the Screening, Brief Intervention and Referral to Treatment (SBIRT) tool, CAGE AID or DAST-10 instruments which assess a variety of substance use conditions.

			*D. Pediatric behavioral health screening.

			This may include tools such as the Behavioral Assessment System for Children (BASC).

			*E. Post-traumatic stress disorder.

			*F. Attention deficit/hyperactivity disorder.

			The Vanderbilt Assessment Scale or the DSM V ADHD checklist for adults or children/adolescents are examples of screening tools used to determine if a patient has Attention Deficit/ Hyperactivity Disorder (ADHD).

			*G. Postpartum depression.

			The AAP’s Bright Futures acknowledges that primary care practices that see both infants and their families have a unique opportunity to integrate postpartum depression screening into the well-child care schedule. Validated screening tools may include PHQ-2, PHQ-9 or Edinburgh Postnatal Depression Scale (EPDS) or other validated screening tools, and may be conducted 4–6 weeks postpartum or during the 1-, 2-, 4- or 6-month well-child visits.