PCMH1A: Difference between revisions

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[http://pcmh.pcc.com Back to PCMH Resources Page]
[http://pcmh.pcc.com Back to PCMH Resources Page]


[http://pcmh.pcc.com/index.php/PCMH1B Move to next PCMH element - 1B]


The practice has a written process and defined standards, and demonstrates that it monitors performance against the standards for:
The practice has a written process and defined standards, and demonstrates that it monitors performance against the standards for:


=Providing same-day appointments (critical factor)=
=1.A.1 Providing same-day appointments (critical factor)=


To show that they provide same day appointments, the practice will need to document their process for using sick call blocks to reserve time for sick patients every day.  They also need to produce a report from Partner that shows these blocks in the schedule or shows how much total time was reserved for sick appointments and how much was actually used.
To show that they provide same day appointments, the practice will need to document their process for using sick call blocks to reserve time for sick patients every day.  They also need to produce a report from Partner that shows these blocks in the schedule or shows how much total time was reserved for sick appointments and how much was actually used.
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{| border = "1"
{| border = "1"
! style="background:#8facd9; width:40%;" |'''Description'''
! style="background:#8facd9; width:40%;" |'''Description'''
! style="background:#8facd9; width:20%;" |'''Example/Screenshot'''
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''
! style="background:#8facd9; width:20%;" |'''Source'''
! style="background:#8facd9; width:20%;" |'''Source'''
! style="background:#8facd9; width:20%;" |'''Date Added'''
! style="background:#8facd9; width:20%;" |'''Date Added'''
|-
|-
|Sample Schedule view showing reservation of time for same-day appointments||||Partner||03/20/13
|Specific Scheduling Policies and Procedures||[[media:During_hrs_advice&scheduling.pdf|Policy Part 2]]||TPC|| 03/25/13
|-
|Two sample Partner 'appts' report outputs. One shows total sick blocks and time reserved by day for a five day time span.  The other shows total actual sick appointments scheduled for the same five day time span. Also included is the recommended restriction criteria to use for this report  ||||Partner||03/20/13
|-
|-
|PCC Examples for providing availability for same day appointments||[[media:1A.1.pdf|PCC Documentation re: same day appointments]]||PCC|| 07/02/14
|}
|}


=Providing timely clinical advice by telephone during office hours=
=1.A.2 Providing timely clinical advice by telephone during office hours=


With this factor, the practice needs to document their process for providing timely advice to patients over the phone. PCC EHR clients should be recording phone calls as phone encounters. For calls that need a callback, a phone task should be created with an appropriate task type.
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.
As documentation for this factor, the practice needs to produce a call log for at least five days showing the time the call was taken and the time the call was responded to. Partner clients using pen, can generate a report of phone notes created in a time period including the time the call was taken and the time a followup note was added.
As documentation for this factor, produce a call log for at least five days showing the time the call was taken and the time the call was responded to. Partner clients using [http://learn.pcc.com/Default_CSH.htm#pen pen] can generate a report of phone notes created in a time period including the time the call was taken and the time a followup note was added.


As of PCC EHR version 6.14, users will be able to document the time a phone task was responded to within the "Task Completion" functionality. With EHR version 6.15, users will be able to generate a report of phone calls to monitor and report the response time for phone tasks.
As of PCC EHR version 6.14, users will be able to document the time a phone task was responded to within the "Task Completion" functionality. With EHR version 6.15, users will be able to generate a report of phone calls to monitor and report the response time for phone tasks.
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{| border = "1"
{| border = "1"
! style="background:#8facd9; width:40%;" |'''Description'''
! style="background:#8facd9; width:40%;" |'''Description'''
! style="background:#8facd9; width:20%;" |'''Example/Screenshot'''
! style="background:#8facd9; width:20%;" |'''Example/Screenshot/Documentation'''
! style="background:#8facd9; width:20%;" |'''Source'''
! style="background:#8facd9; width:20%;" |'''Source'''
! style="background:#8facd9; width:20%;" |'''Date Added'''
! style="background:#8facd9; width:20%;" |'''Date Added'''
|-
|-
|Sample log of PCC EHR phone tasks with response time||Coming in version 6.15||PCC EHR||
|Policy and Procedure Documentation||[[media:1A2_-_Policy_and_Process.pdf|Policy Part 1]]||TPC|| 03/21/13
|-
|Specific Scheduling Policies and Procedures||[[media:During_hrs_advice&scheduling.pdf|Policy Part 2]]||TPC|| 03/25/13
|-
|PCC Documentation showing how to provide timely clinical advice during office hours||[[media:1A.2.pdf|Providing timely clinical advice]]||PCC|| 7/3/14
|-
|-
|}
|}


=Providing timely clinical advice by secure electronic messages during office hours=
=1.A.3 Providing timely clinical advice by secure electronic messages during office hours=
{| 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'''
|-
|PCC Documentation showing how to provide timely clinical advice by secure electronic messages during office hours||[[media:1A.3.pdf|Providing timely clinical advice via secure messages]]||PCC|| 7/3/14
|-
|}


As of March 2013, it's unlikely that PCC practices will get credit for this as Partner or PCC EHR does not have a built-in tool for secure electronic messaging.


=Documenting clinical advice in the patient medical record=
=1.A.4 Documenting clinical advice in the patient medical record=
 
For Partner clients, the [http://learn.pcc.com/Default_CSH.htm#pen pen] program is used to electronically track phone messages. In PCC EHR, [http://learn.pcc.com/Content/PCCEHR/PhoneNotes/ehrPhoneNotesIntro.htm phone notes] are also documented and can be printed. Describe your process for storing clinical advice and show three examples of clinical advice being documented in the medical record.
 
{| 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'''
|-
|Specific Scheduling Policies and Procedures||[[media:During_hrs_advice&scheduling.pdf|Policy Part 2]]||TPC|| 03/25/13
|-
|Screen shots of the EHR process||[[media:1.A.4-2.pdf|Screen Shots]]||TPC|| 03/25/13
|-
|PCC documentation showing how to document clinical advice||[[media:1A.4.pdf|How to document clinical advice]]||PCC|| 7/3/14
|-
|}

Latest revision as of 13:49, 3 July 2014

Back to PCMH Resources Page

Move to next PCMH element - 1B

The practice has a written process and defined standards, and demonstrates that it monitors performance against the standards for:

1.A.1 Providing same-day appointments (critical factor)

To show that they provide same day appointments, the practice will need to document their process for using sick call blocks to reserve time for sick patients every day. They also need to produce a report from Partner that shows these blocks in the schedule or shows how much total time was reserved for sick appointments and how much was actually used.

Here are some samples that might be useful:

Description Example/Screenshot/Documentation Source Date Added
Specific Scheduling Policies and Procedures Policy Part 2 TPC 03/25/13
PCC Examples for providing availability for same day appointments PCC Documentation re: same day appointments PCC 07/02/14

1.A.2 Providing timely clinical advice by telephone during office hours

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. As documentation for this factor, produce a call log for at least five days showing the time the call was taken and the time the call was responded to. Partner clients using pen can generate a report of phone notes created in a time period including the time the call was taken and the time a followup note was added.

As of PCC EHR version 6.14, users will be able to document the time a phone task was responded to within the "Task Completion" functionality. With EHR version 6.15, users will be able to generate a report of phone calls to monitor and report the response time for phone tasks.

Description Example/Screenshot/Documentation Source Date Added
Policy and Procedure Documentation Policy Part 1 TPC 03/21/13
Specific Scheduling Policies and Procedures Policy Part 2 TPC 03/25/13
PCC Documentation showing how to provide timely clinical advice during office hours Providing timely clinical advice PCC 7/3/14

1.A.3 Providing timely clinical advice by secure electronic messages during office hours

Description Example/Screenshot/Documentation Source Date Added
PCC Documentation showing how to provide timely clinical advice by secure electronic messages during office hours Providing timely clinical advice via secure messages PCC 7/3/14


1.A.4 Documenting clinical advice in the patient medical record

For Partner clients, the pen program is used to electronically track phone messages. In PCC EHR, phone notes are also documented and can be printed. Describe your process for storing clinical advice and show three examples of clinical advice being documented in the medical record.

Description Example/Screenshot/Documentation Source Date Added
Specific Scheduling Policies and Procedures Policy Part 2 TPC 03/25/13
Screen shots of the EHR process Screen Shots TPC 03/25/13
PCC documentation showing how to document clinical advice How to document clinical advice PCC 7/3/14
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