PCC PCMH Resources: Difference between revisions

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==Introduction==
What is this page all about?  Why did we create it?  Who is it for?
What is this page all about?  Why did we create it?  Who is it for?


Revision as of 18:03, 25 March 2013

What is this page all about? Why did we create it? Who is it for?

PCMH 1: Enhance Access and Continuity (20 points)

The intent of this standard is:

  • Patients have access to routine/urgent care and clinical advice during/after hours that is culturally and linguistically appropriate.
  • Patients have electronic access
  • Clinician selected by patient
  • Team based Care - trained staff

PCMH1A - Access During Office Hours (4 points) (Must Pass)

PCMH1B - After-hours access (4 points)

PCMH1C - Electronic Access (2 points)

PCMH1D - Continuity (2 points)

PCMH1E - Medical Home Responsibilities (2 points)

PCMH1F - Culturally and Linguistically Appropriate Services (2 points)

PCMH1G - The Practice Team (4 points)

PCMH 2: Identify and Manage Patient Populations (16 points)

The intent of this standard is:

  • Electronic systems have searchable fields for demographic and clinical data
  • Patients receive documented comprehensive health assessments
  • Electronic systems used to identify patients who need services

PCMH2A - Patient Information (3 points)

PCMH2B - Clinical Data (4 points)

PCMH2C - Comprehensive Health Assessment (4 points)

PCMH2D - Use Data for Population Management (Must Pass) (5 points)

PCMH 3: Plan and Manage Care (17 points)

PMCH3A - Implement Evidence-Based Guidelines (4 points)

PMCH3B - Identify High Risk Patients (3 points)

PMCH3C - Care Management (Must Pass) (4 points)

PMCH3D - Medication Management (3 points)

PMCH3E - Use Electronic Prescribing (3 points)

PCMH 4: Provide Self-Care Support and Community Resources (9 points)

PMCH4A - Support Self-Care Process (Must Pass) (6 points)

PMCH4B - Provide Referrals to Community Resources (3 points)

PCMH 5: Track and Coordinate Care (18 points)

PMCH5A - Test Tracking and Follow-Up (6 points)

PMCH5B - Referral Tracking and Follow-Up (Must Pass) (6 points)

PMCH5C - Coordinate With Facilities and Care Transitions (6 points)

PCMH 6: Measure and Improve Performance (20 points)

PMCH6A - Measure Performance (4 points)

PMCH6B - Measure Patient/Family Experience (4 points)

PMCH6C - Implement Continuous Quality Improvement (Must Pass) (6 points)

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