PCMH1B

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

1.B.1 Providing access to routine and urgent-care appointments outside regular business hours

You must produce a documented process for arranging after-hours access. You should also produce a report from Partner of appointments restricted to appointment times happening outside of regular business hours.

Description	Example/Screenshot/Documentation	Source	Date Added
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.	Report of after-hours appointments	Partner srs report	03/20/13

1.B.2 Providing continuity of medical record information for care and advice when office is not open

You can access medical records remotely using the EHR and/or Pocket Partner from your smart phone or home computer. Screenshots of Pocket Partner can be found on learn.pcc.com.

Description	Example/Screenshot/Documentation	Source	Date Added
Policies and Procedures for After-Hours Service	Sample Policy	PCC Client	04/04/13

1.B.3 Providing timely clinical advice by telephone when the office is not open (critical factor)

This is a critical factor which means you must do this in order to get any of the 4 points for element 1B. Here, you should describe their after-hours phone service. As of EHR version 6.15, practices will be able to generate a report of phone calls and responses restricting to just times when the office is not open.

1.B.4 Providing timely clinical advice using a secure, interactive electronic system when the office is not open

This one might be a tough one to get credit for without a patient portal with secure messaging capabilities. However, some practices may work with an after-hours call service that provides the ability to get clinical advice via a secure web "chat room" or something similar.

1.B.5 Documenting after-hours clinical advice in patient records

As of PCC EHR version 6.15, the practice can generate a log of phone calls with "Call Taken At" during times when the office is not open. Screenshots of the documented clinical advice for these calls (and the timestamp of the call) could then be created.