2014 - PCMH5B

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The practice:

5.B.1 Considers available performance information on consultants/specialists when making referral recommendations.

Description Example/Screenshot/Documentation Source Date Added

5.B.2 Maintains formal and informal agreements with a subset of specialists based on established criteria.

Description Example/Screenshot/Documentation Source Date Added

5.B.3 Maintains agreements with behavioral healthcare providers.

Description Example/Screenshot/Documentation Source Date Added

5.B.4 Integrates behavioral healthcare providers within the practice site.

Description Example/Screenshot/Documentation Source Date Added

5.B.5 Gives the consultant or specialist the clinical question, the required timing and the type of referral.

Description Example/Screenshot/Documentation Source Date Added

5.B.6 Gives the consultant or specialist pertinent demographic and clinical data, including test results and the current care plan.

Description Example/Screenshot/Documentation Source Date Added

5.B.7 Has the capacity for electronic exchange of key clinical information+ and provides an electronic summary of care record to another provider for more than 50 percent of referrals.

Description Example/Screenshot/Documentation Source Date Added
Description of how PCC EHR can exchange key clinical information electronically. Electronically exchanging key clinical info in PCC EHR PCC EHR 07/07/14

5.B.8 Tracks referrals until the consultant or specialist’s report is available, flagging and following up on overdue reports. (CRITICAL FACTOR)

Description Example/Screenshot/Documentation Source Date Added
Document describing how to use tasks to track the status of referrals Tracking status of referrals in PCC EHR PCC 07/07/14
Document describing how to followup up on referrals in PCC EHR Following up on referrals in PCC EHR PCC 07/07/14

5.B.9 Documents co-management arrangements in the patient’s medical record.

Description Example/Screenshot/Documentation Source Date Added
Document describing how to use Care Plans to document co-management and agreements with specialists in PCC EHR Using Care Plans to document co-management and agreements in PCC EHR PCC 07/07/14

5.B.10 Asks patients/families about self-referrals and requesting reports from clinicians.

Description Example/Screenshot/Documentation Source Date Added