PCC PCMH Resources: Difference between revisions

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==PCMH 3: Plan and Manage Care (17 points)==
==PCMH 3: Plan and Manage Care (17 points)==
The practice systematically identifies individual patients and plans, manages and coordinates their care based on their condition and needs and on evidence-based guidelines.


===[[PCMH3A|PMCH3A - Implement Evidence-Based Guidelines (4 points)]]===
===[[PCMH3A|PMCH3A - Implement Evidence-Based Guidelines (4 points)]]===

Revision as of 18:55, 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

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

PCMH 3: Plan and Manage Care (17 points)

The practice systematically identifies individual patients and plans, manages and coordinates their care based on their condition and needs and on evidence-based guidelines.

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

Intent of Standard: The practice acts to improve patients' ability to manage their health by providing a selfcare plan, tools, educational resources and ongoing support.

PCMH 5: Track and Coordinate Care (18 points)

PCMH 6: Measure and Improve Performance (20 points)