PCMH1A

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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)

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
Sample Schedule view showing reservation of time for same-day appointments	Sample Day View	Partner	03/20/13
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	link=file:ReservedSickBlocks.pdf link=file:TotalSickScheduled.pdf Report restriction criteria	Partner	03/20/13

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. 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 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/Credit
Sample log of PCC EHR phone tasks with response time	Coming in version 6.15	PCC EHR

Providing timely clinical advice by secure electronic messages during office hours

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

For Partner clients, the pen (Phone Encounter Notes) 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.