PCMH1G

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The practice provides a range of patient care services by:

Defining roles for clinical and nonclinical team members

Appropriate job descriptions for all clinical and non-clinical staff, including roles, should be documented.

Holding regular team meetings and communication processes (critical factor)

This is a critical factor, meaning in order to get any of the four points included in this element, they need to fulfill this factor. The practice should provide a description of its communication processes and samples of meeting summaries, agendas, or memos to staff.

Using standing orders for services

Standing orders should be documented and examples provided.

Training and assigning care teams to coordinate care for individual patients

Training and assigning care teams to support patients and families in self-management, self-efficacy and behavior change

Training and assigning care teams for patient population management

Training and designating care team members in communication skills

For all of the training factors above, the practice should document and provide a description of the training process, schedule, and training materials used.

Involving care team staff in the practice’s performance evaluation and quality improvement activities