PCC PCMH Resources

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Introduction

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

PCMH1D - Continuity

PCMH1E - Medical Home Responsibilities

PCMH1F - Culturally and Linguistically Appropriate Services

PCMH1G - The Practice Team

PCMH2: Identify and Manage Patient Populations

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

There are four elements to this standard. When combined they add up to 16 points.

PCMH2A- Patient Information (3 points)

PCMH2B - Clinical Data (4 points)

PCMH2C - Comprehensive Health Assessment (4 points)

PCMH2D - Use Data for Population Management (5 points)