User contributions for Tim
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3 July 2014
- 15:5915:59, 3 July 2014 diff hist +193 PCMH1F →1.F.1 Assesses the racial and ethnic diversity of its population
- 15:5715:57, 3 July 2014 diff hist +11 N File:1F.4.pdf 2011 - 1F.4 current
- 15:5615:56, 3 July 2014 diff hist +20 N File:1F.1.pdf 2011 - 1F.1 and 1F.2 current
- 15:4915:49, 3 July 2014 diff hist +9 N File:1D.3.pdf 2011 1D.3 current
- 15:4915:49, 3 July 2014 diff hist +9 N File:1D.2.pdf 2011 1D.2 current
- 15:4915:49, 3 July 2014 diff hist −385 PCMH1D →1.D.3 Monitoring the percentage of patient visits with selected clinician or team. current
- 15:4515:45, 3 July 2014 diff hist −337 PCMH1D →1.D.2 Documenting the patient’s/family’s choice of clinician
- 15:2615:26, 3 July 2014 diff hist +9 N File:1C.6.pdf 2011 1C.6 current
- 15:2515:25, 3 July 2014 diff hist +9 N File:1C.5.pdf 2011 1C.5 current
- 15:2515:25, 3 July 2014 diff hist +9 N File:1C.4.pdf 2011 1C.4 current
- 15:2515:25, 3 July 2014 diff hist +9 N File:1C.3.pdf 2011 1C.3 current
- 15:2515:25, 3 July 2014 diff hist +9 N File:1C.2.pdf 2011 1C.2 current
- 15:2415:24, 3 July 2014 diff hist +638 PCMH1C No edit summary current
- 14:0714:07, 3 July 2014 diff hist +144 PCMH1B →1.B.5 Documenting after-hours clinical advice in patient records current
- 14:0614:06, 3 July 2014 diff hist 0 PCMH1B →1.B.2 Providing continuity of medical record information for care and advice when office is not open
- 14:0614:06, 3 July 2014 diff hist 0 PCMH1B →1.B.3 Providing timely clinical advice by telephone when the office is not open (critical factor)
- 14:0614:06, 3 July 2014 diff hist +127 PCMH1B →1.B.4 Providing timely clinical advice using a secure, interactive electronic system when the office is not open
- 14:0414:04, 3 July 2014 diff hist +171 PCMH1B →1.B.3 Providing timely clinical advice by telephone when the office is not open (critical factor)
- 14:0214:02, 3 July 2014 diff hist +158 PCMH1B →1.B.2 Providing continuity of medical record information for care and advice when office is not open
- 13:5913:59, 3 July 2014 diff hist −62 PCMH1B No edit summary
- 13:5513:55, 3 July 2014 diff hist +9 N File:1B.5.pdf 2011 1B.5 current
- 13:5513:55, 3 July 2014 diff hist +9 N File:1B.4.pdf 2011 1B.4 current
- 13:5413:54, 3 July 2014 diff hist +9 N File:1B.3.pdf 2011 1B.3 current
- 13:5413:54, 3 July 2014 diff hist +9 N File:1B.2.pdf 2011 1B.2 current
- 13:5413:54, 3 July 2014 diff hist +9 N File:1B.1.pdf 2011 1B.1 current
- 13:4913:49, 3 July 2014 diff hist −1 PCMH1A →1.A.4 Documenting clinical advice in the patient medical record current
- 13:4713:47, 3 July 2014 diff hist +615 PCMH1A No edit summary
- 13:4413:44, 3 July 2014 diff hist +155 PCMH1A →1.A.2 Providing timely clinical advice by telephone during office hours
- 13:3913:39, 3 July 2014 diff hist −688 PCMH1A No edit summary
2 July 2014
- 20:4820:48, 2 July 2014 diff hist +4 PCMH1A No edit summary
- 20:4620:46, 2 July 2014 diff hist +112 PCMH1A →1.A.1 Providing same-day appointments (critical factor)
- 20:4320:43, 2 July 2014 diff hist +11 N File:1A.4.pdf 2011 - 1A.4 current
- 20:4320:43, 2 July 2014 diff hist +11 N File:1A.3.pdf 2011 - 1A.3 current
- 20:4320:43, 2 July 2014 diff hist +9 N File:1A.2.pdf 2011 1A.2
- 20:4220:42, 2 July 2014 diff hist +32 N File:1A.1.pdf Providing Same Day appointments. current
- 17:5717:57, 2 July 2014 diff hist −28 PCC PCMH Resources No edit summary
- 17:5617:56, 2 July 2014 diff hist +139 PCC PCMH Resources No edit summary
- 17:5217:52, 2 July 2014 diff hist +1 PCC PCMH Resources No edit summary
- 17:5117:51, 2 July 2014 diff hist −3,038 PCC PCMH Resources No edit summary
- 17:3617:36, 2 July 2014 diff hist +3,908 N 2011 PCMH Standards Created page with "This wiki serves as an informal repository of PCMH documentation related to the 2011 PCMH Standards. Much of the content here comes from PCC clients who have generously allow..."
24 April 2014
- 22:0422:04, 24 April 2014 diff hist +35 PCC PCMH Resources No edit summary
25 July 2013
- 14:2914:29, 25 July 2013 diff hist +152 PCMH3E No edit summary
24 June 2013
- 18:4918:49, 24 June 2013 diff hist 0 File:VisitsWithPCP.jpg Tim uploaded a new version of "File:VisitsWithPCP.jpg": Reverted to version as of 18:47, 24 June 2013 current
- 18:4918:49, 24 June 2013 diff hist 0 File:VisitsWithPCP.jpg Tim uploaded a new version of "File:VisitsWithPCP.jpg": Removed identifying provider info
- 18:4718:47, 24 June 2013 diff hist 0 File:VisitsWithPCP.jpg Tim uploaded a new version of "File:VisitsWithPCP.jpg"
27 March 2013
- 15:5015:50, 27 March 2013 diff hist +78 PCMH6F No edit summary
- 15:5015:50, 27 March 2013 diff hist +152 PCMH6E No edit summary
- 15:4915:49, 27 March 2013 diff hist +152 PCMH6D No edit summary
- 15:4615:46, 27 March 2013 diff hist +152 PCMH6C No edit summary current
- 15:4515:45, 27 March 2013 diff hist +152 PCMH6B No edit summary
- 15:4515:45, 27 March 2013 diff hist +74 PCMH6A No edit summary
- 15:4515:45, 27 March 2013 diff hist −74 PCMH5C No edit summary
- 15:4415:44, 27 March 2013 diff hist +152 PCMH5C No edit summary
- 15:4415:44, 27 March 2013 diff hist +152 PCMH5B No edit summary
- 15:4415:44, 27 March 2013 diff hist +74 PCMH5A No edit summary
- 15:4315:43, 27 March 2013 diff hist +78 PCMH4B No edit summary
- 15:4315:43, 27 March 2013 diff hist +74 PCMH4A No edit summary
- 15:4215:42, 27 March 2013 diff hist −74 PCMH3E No edit summary
- 13:1413:14, 27 March 2013 diff hist +152 PCMH3E No edit summary
- 13:1313:13, 27 March 2013 diff hist +152 PCMH3D No edit summary current
- 13:1213:12, 27 March 2013 diff hist +152 PCMH3C No edit summary
- 13:1213:12, 27 March 2013 diff hist +152 PCMH3B No edit summary current
- 13:1213:12, 27 March 2013 diff hist +74 PCMH3A No edit summary
- 13:1113:11, 27 March 2013 diff hist +78 PCMH2D No edit summary
- 13:1113:11, 27 March 2013 diff hist +152 PCMH2C No edit summary
- 13:1013:10, 27 March 2013 diff hist +152 PCMH2B No edit summary
- 13:1013:10, 27 March 2013 diff hist +74 PCMH2A No edit summary
- 13:0713:07, 27 March 2013 diff hist +4 PCMH1C No edit summary
- 13:0613:06, 27 March 2013 diff hist +4 PCMH1D No edit summary
- 13:0613:06, 27 March 2013 diff hist +4 PCMH1E No edit summary current
- 13:0613:06, 27 March 2013 diff hist +4 PCMH1F No edit summary
- 13:0613:06, 27 March 2013 diff hist +78 PCMH1G No edit summary
- 13:0513:05, 27 March 2013 diff hist +77 PCMH1F No edit summary
- 13:0413:04, 27 March 2013 diff hist +77 PCMH1E No edit summary
- 13:0013:00, 27 March 2013 diff hist +77 PCMH1D No edit summary
- 13:0013:00, 27 March 2013 diff hist +77 PCMH1C No edit summary
- 12:5912:59, 27 March 2013 diff hist +81 PCMH1B No edit summary
26 March 2013
- 21:0221:02, 26 March 2013 diff hist +72 PCMH1A →1.A.4 Documenting clinical advice in the patient medical record
- 20:5220:52, 26 March 2013 diff hist +71 PCMH1F No edit summary
- 20:5220:52, 26 March 2013 diff hist +71 PCMH1E No edit summary
- 20:5120:51, 26 March 2013 diff hist +71 PCMH1D No edit summary
- 20:5120:51, 26 March 2013 diff hist +71 PCMH1C No edit summary
- 20:5120:51, 26 March 2013 diff hist +71 PCMH1B No edit summary
- 20:5020:50, 26 March 2013 diff hist +70 PCMH1A No edit summary
25 March 2013
- 20:5520:55, 25 March 2013 diff hist +190 PCMH3C →3.C.7 Follows up with patients/families who have not kept important appointments
- 20:5220:52, 25 March 2013 diff hist +119 PCMH3C →3.C.6 Identifies patients/families who might benefit from additional care management support
- 20:5120:51, 25 March 2013 diff hist −6 PCMH3C →3.C.5 Provides patient/family a clinical summary at each relevant visit
- 20:5120:51, 25 March 2013 diff hist +329 PCMH3C →3.C.5 Provides patient/family a clinical summary at each relevant visit
- 20:5020:50, 25 March 2013 diff hist +576 PCMH3C →3.C.4 Assesses and addresses barriers when patient has not met treatment goals
- 20:4820:48, 25 March 2013 diff hist +255 PCMH3C →3.C.3 Gives the patient/family a written plan of care
- 20:4620:46, 25 March 2013 diff hist +1,638 PCMH3C No edit summary
- 20:3120:31, 25 March 2013 diff hist −1,660 PCMH3C No edit summary
- 20:2620:26, 25 March 2013 diff hist +21 PCMH3A No edit summary
- 20:2320:23, 25 March 2013 diff hist +218 PCMH5B →5.B.7 Providing an electronic summary of care record to another provider for more than 50 percent of referrals.
- 20:1920:19, 25 March 2013 diff hist +423 PCMH5B →5.B.7 Providing an electronic summary of care record to another provider for more than 50 percent of referrals.
- 20:1620:16, 25 March 2013 diff hist −2 PCMH5B →5.B.6 Demonstrating capacity for electronic exchange of key clinical information (e.g., problem list, medication list, allergies, diagnostic test results) between clinicians*
- 20:1620:16, 25 March 2013 diff hist +95 PCMH5B →5.B.6 Demonstrating capacity for electronic exchange of key clinical information (e.g., problem list, medication list, allergies, diagnostic test results) between clinicians*
- 20:1520:15, 25 March 2013 diff hist +67 N File:PCMH5B.pdf Description of how to electronically share clinical summary of care current
- 20:1220:12, 25 March 2013 diff hist +110 PCMH5B No edit summary
- 20:0820:08, 25 March 2013 diff hist +413 PCMH5A →5.A.9 Electronically incorporates at least 40 percent of all clinical lab test results into structured fields in the medical record
- 20:0620:06, 25 March 2013 diff hist +393 PCMH5A →5.A.5 Notifies patients/families of normal and abnormal lab and imaging test results
- 19:5819:58, 25 March 2013 diff hist +108 PCMH5A →5.A.7 Electronically communicates with labs to order tests and retrieve results
- 19:5719:57, 25 March 2013 diff hist +41 N File:PCMH5A7.pdf Description of how PCC EHR handles e-labs current
- 19:5319:53, 25 March 2013 diff hist +97 PCMH5A →5.A.7 Electronically communicates with labs to order tests and retrieve results
- 19:5219:52, 25 March 2013 diff hist +279 PCMH5A No edit summary
- 19:5019:50, 25 March 2013 diff hist +125 PCMH3D →3.D.2 Reviews and reconciles medications with patients/families for more than 80 percent of care transitions
- 19:4719:47, 25 March 2013 diff hist 0 PCMH3D →3.D.2 Reviews and reconciles medications with patients/families for more than 80 percent of care transitions
- 19:4619:46, 25 March 2013 diff hist +140 PCMH3D No edit summary
- 19:4419:44, 25 March 2013 diff hist +503 PCMH3D No edit summary
- 19:4419:44, 25 March 2013 diff hist +70 N File:MedicationReconciliation.jpg Example visit where the "Transition of Care (ARRA)" component appears. current
- 19:3819:38, 25 March 2013 diff hist +156 PCMH3B →3.B.2 Determines the percentage of high risk or complex patients in its population
- 19:3719:37, 25 March 2013 diff hist +177 PCMH3B →3.B.1 Establishes criteria and a systematic process to identify high risk or complex patients
- 19:3619:36, 25 March 2013 diff hist +171 PCMH3B →3.B.1 Establishes criteria and a systematic process to identify high risk or complex patients
- 19:3219:32, 25 March 2013 diff hist +110 PCMH3B No edit summary
- 19:3019:30, 25 March 2013 diff hist +45 N File:HighRiskBMI.png PCC EHR Patient Lists - BMI >=95th percentile current
- 19:2619:26, 25 March 2013 diff hist −170 PCMH3B No edit summary
- 19:1819:18, 25 March 2013 diff hist +701 PCMH3B No edit summary
- 18:5618:56, 25 March 2013 diff hist +151 PCC PCMH Resources →PCMH 6: Measure and Improve Performance (20 points)
- 18:5618:56, 25 March 2013 diff hist +135 PCC PCMH Resources →PCMH 5: Track and Coordinate Care (18 points)
- 18:5518:55, 25 March 2013 diff hist +175 PCC PCMH Resources →PCMH 3: Plan and Manage Care (17 points)
- 18:5218:52, 25 March 2013 diff hist +602 N PCMH6F Created page with "[http://pcmh.pcc.com Back to PCMH Resources Page] The practice electronically reports: =6.F.1 Ambulatory clinical quality measures to CMS= =6.F.2 Ambulatory clinical quality..."
- 18:4918:49, 25 March 2013 diff hist +610 N PCMH6E Created page with "[http://pcmh.pcc.com Back to PCMH Resources Page] The practice shares performance data from Element A and Element B: =6.E.1 Within the practice, results by individual clinici..."
- 18:4818:48, 25 March 2013 diff hist +612 N PCMH6D Created page with "[http://pcmh.pcc.com Back to PCMH Resources Page] The practice demonstrates ongoing monitoring the effectiveness of its improvement process by: =6.D.1 Tracking results over t..."
- 18:4618:46, 25 March 2013 diff hist +763 N PCMH6C Created page with "[http://pcmh.pcc.com Back to PCMH Resources Page] The practice uses an ongoing quality improvement process to: =6.C.1 Set goals and act to improve on at least three measures..."
- 18:4418:44, 25 March 2013 diff hist +941 N PCMH6B Created page with "[http://pcmh.pcc.com Back to PCMH Resources Page] The practice obtains feedback from patients/families on experiences with the practice and their care. =6.B.1 The practice c..."
- 18:4118:41, 25 March 2013 diff hist +661 N PCMH6A Created page with "[http://pcmh.pcc.com Back to PCMH Resources Page] The practice measures or receives data on the following: =6.A.1 At least three preventive care measures= =6.A.2 At least th..."
- 18:4018:40, 25 March 2013 diff hist +1,497 N PCMH5C Created page with "[http://pcmh.pcc.com Back to PCMH Resources Page] On its own or in conjunction with an external organization, the practice systematically: =5.C.1 Demonstrates its process fo..."
- 18:3718:37, 25 March 2013 diff hist +1,109 N PCMH5B Created page with "[http://pcmh.pcc.com Back to PCMH Resources Page] The practice coordinates referrals by: =5.B.1 Giving the consultant or specialist the clinical reason for the referral and ..."
- 18:3118:31, 25 March 2013 diff hist +1,395 N PCMH5A Created page with "[http://pcmh.pcc.com Back to PCMH Resources Page] The practice has a documented process for and demonstrates that it: =5.A.1 Tracks lab tests until results are available, fl..."
- 18:2318:23, 25 March 2013 diff hist +747 N PCMH4B Created page with "[http://pcmh.pcc.com Back to PCMH Resources Page] The practice supports patients/families that need access to community resources: =4.B.1 Maintains a current resource list o..."
- 18:2018:20, 25 March 2013 diff hist +105 PCMH4A No edit summary
- 18:1818:18, 25 March 2013 diff hist +1,011 N PCMH4A Created page with "[http://pcmh.pcc.com Back to PCMH Resources Page] =4.A.1 Reviews and reconciles medications with patients/families for more than 50 percent of care transitions**= =4.A.2 Revi..."
- 18:1718:17, 25 March 2013 diff hist +172 PCC PCMH Resources →PCMH 4: Provide Self-Care Support and Community Resources (9 points)
- 18:1318:13, 25 March 2013 diff hist +196 PCC PCMH Resources →PCMH 6: Measure and Improve Performance (20 points)
- 18:0318:03, 25 March 2013 diff hist −17 PCC PCMH Resources No edit summary
- 18:0318:03, 25 March 2013 diff hist +805 PCC PCMH Resources No edit summary
- 17:4317:43, 25 March 2013 diff hist −1 PCMH3E No edit summary
- 17:4217:42, 25 March 2013 diff hist +908 N PCMH3E Created page with " [http://pcmh.pcc.com Back to PCMH Resources Page] The practice uses an electronic prescription system with the following capabilities. =3.E.1 Generates and transmits at leas..."
- 16:3916:39, 25 March 2013 diff hist +1,011 N PCMH3D Created page with "[http://pcmh.pcc.com Back to PCMH Resources Page] =3.D.1 Reviews and reconciles medications with patients/families for more than 50 percent of care transitions**= =3.D.2 Revi..."
- 16:3616:36, 25 March 2013 diff hist +566 PCMH3C No edit summary
- 14:2414:24, 25 March 2013 diff hist +21 PCMH3C No edit summary
- 14:1414:14, 25 March 2013 diff hist +1 PCMH3C No edit summary
- 14:1414:14, 25 March 2013 diff hist +6 PCMH3C No edit summary
- 14:1414:14, 25 March 2013 diff hist +2,686 N PCMH3C Created page with "[http://pcmh.pcc.com Back to PCMH Resources Page] Tim will put the description here; I don't know where he is getting it from and I want to be consistent. =3.C.1 Conducts pr..."
22 March 2013
- 21:0521:05, 22 March 2013 diff hist +1,435 N PCMH3A Created page with "[http://pcmh.pcc.com Back to PCMH Resources Page] The practice implements evidence-based guidelines through point of care reminders for patients with: * The first important c..."
- 20:5020:50, 22 March 2013 diff hist +393 PCC PCMH Resources No edit summary
- 20:3520:35, 22 March 2013 diff hist +149 PCMH2D →At least three different chronic or acute care services
- 20:0120:01, 22 March 2013 diff hist −466 PCMH2D No edit summary
- 20:0120:01, 22 March 2013 diff hist +1,088 PCMH2D →At least three different preventive care services
- 19:3919:39, 22 March 2013 diff hist +286 PCMH2D →At least three different preventive care services
- 19:2919:29, 22 March 2013 diff hist +635 PCMH2D →At least three different preventive care services
- 19:2319:23, 22 March 2013 diff hist +679 PCMH2D →At least three different preventive care services
- 19:2119:21, 22 March 2013 diff hist +100 N File:DevScreeningOduePats.png Example Recaller restriction criteria to get listing of patients overdue for developmental screening current
- 18:5418:54, 22 March 2013 diff hist +127 PCMH2D →At least three different chronic or acute care services
- 18:5218:52, 22 March 2013 diff hist 0 File:DepressionMedsCheckup.png Tim uploaded a new version of "File:DepressionMedsCheckup.png": added commentary to the screenshot current
- 18:4618:46, 22 March 2013 diff hist +83 N File:DepressionMedsCheckup.png Patient List from PCC EHR for patients needing followup for Depression Meds Checkup
- 18:3018:30, 22 March 2013 diff hist +1 PCMH2D →At least three different chronic or acute care services
- 16:1716:17, 22 March 2013 diff hist +229 PCMH2D →At least three different chronic or acute care services
- 16:1416:14, 22 March 2013 diff hist +3 PCMH2D →At least three different chronic or acute care services
- 16:1416:14, 22 March 2013 diff hist +2 PCMH2D →At least three different chronic or acute care services
- 16:1316:13, 22 March 2013 diff hist +381 PCMH2D →At least three different chronic or acute care services
- 16:1116:11, 22 March 2013 diff hist +476 PCMH2D →At least three different chronic or acute care services
- 16:0516:05, 22 March 2013 diff hist −1 PCMH2D →At least three different chronic or acute care services
- 16:0416:04, 22 March 2013 diff hist −1 PCMH2D →At least three different chronic or acute care services
- 16:0416:04, 22 March 2013 diff hist +159 PCMH2D →At least three different chronic or acute care services
- 16:0316:03, 22 March 2013 diff hist +62 N File:ADHDOduePats-Recaller.png Recaller restriction criteria to get overdue ADD/ADHD patients current
- 15:5115:51, 22 March 2013 diff hist +142 PCMH2D →At least three different chronic or acute care services
- 15:4915:49, 22 March 2013 diff hist +60 N File:ADHDTotPats-Recaller.png Recaller restriction criteria to get total ADD/ADHD patients current
- 15:4115:41, 22 March 2013 diff hist +209 PCMH2D →At least three different chronic or acute care services
- 15:4015:40, 22 March 2013 diff hist +170 PCMH2D →At least three different preventive care services
- 15:3015:30, 22 March 2013 diff hist +289 PCMH2D →At least three different chronic or acute care services
- 15:2315:23, 22 March 2013 diff hist +6 PCMH2D →At least three different chronic or acute care services
- 15:2315:23, 22 March 2013 diff hist +45 PCMH2D →At least three different chronic or acute care services
- 15:2215:22, 22 March 2013 diff hist +63 N File:ADHDFollowup.png Dashboard section for ADHD patients overdue for followup visit. current
- 15:1915:19, 22 March 2013 diff hist −178 PCMH2D →At least three different chronic or acute care services
- 15:1915:19, 22 March 2013 diff hist +212 PCMH2D →At least three different chronic or acute care services
- 14:3314:33, 22 March 2013 diff hist +3 PCMH2D →At least three different preventive care services
- 14:3314:33, 22 March 2013 diff hist +407 PCMH2D →At least three different preventive care services
- 14:2914:29, 22 March 2013 diff hist +56 N File:AsthmaFluShot.png Dashboard "Asthma patients overdue for Flu Shot" measure current
- 14:2514:25, 22 March 2013 diff hist +16 PCMH2D →At least three different preventive care services
- 14:2514:25, 22 March 2013 diff hist +118 PCMH2D →At least three different preventive care services
- 14:2314:23, 22 March 2013 diff hist +81 N File:WellPats-recaller.png Example recaller restriction criteria for getting patients overdue for well visit current
- 14:1214:12, 22 March 2013 diff hist 0 File:WellPats.png Tim uploaded a new version of "File:WellPats.png": Updated version showing the whole Dashboard section for this measure current
- 14:0614:06, 22 March 2013 diff hist −1 PCMH2D →At least three different preventive care services
- 14:0514:05, 22 March 2013 diff hist +62 N File:WellPats.png Dashboard summary of well visit rates broken down by age range
- 14:0314:03, 22 March 2013 diff hist +10 PCMH2D →At least three different preventive care services
- 13:4013:40, 22 March 2013 diff hist +6 PCMH2D →At least three different preventive care services
- 13:4013:40, 22 March 2013 diff hist +478 PCMH2D →At least three different preventive care services
- 13:3713:37, 22 March 2013 diff hist −179 PCMH2D →At least three different preventive care services
- 13:3613:36, 22 March 2013 diff hist +211 PCMH2D →At least three different preventive care services
- 13:3113:31, 22 March 2013 diff hist +567 PCMH2D →At least three different preventive care services
21 March 2013
- 20:5820:58, 21 March 2013 diff hist +21 PCMH2D No edit summary
- 20:5720:57, 21 March 2013 diff hist +84 N File:PCMH-PCCMeasures.pdf Document describing various preventive and chronic care measures reportable from PCC current
- 20:5620:56, 21 March 2013 diff hist +544 PCMH2D →At least three different chronic or acute care services
- 20:5420:54, 21 March 2013 diff hist +3 PCMH2B No edit summary
- 20:5320:53, 21 March 2013 diff hist +1,868 N PCMH2D Created page with "[http://pcmh.pcc.com Back to PCMH Resources Page] The practice uses patient information, clinical data and evidence-based guidelines to generate lists of patients and to proa..."
- 20:2620:26, 21 March 2013 diff hist +377 PCMH2C No edit summary
- 20:2420:24, 21 March 2013 diff hist +683 N PCMH2C Created page with "[http://pcmh.pcc.com Back to PCMH Resources Page] To understand the health risks and information needs of patients/families, the practice conducts and documents a comprehensi..."
- 20:2120:21, 21 March 2013 diff hist −91 PCMH2B No edit summary
- 20:2020:20, 21 March 2013 diff hist +29 N File:SampleMUreport.pdf Sample MU report from PCC EHR current
- 20:1820:18, 21 March 2013 diff hist +672 PCMH2B No edit summary
- 20:1420:14, 21 March 2013 diff hist +994 N PCMH2B Created page with "[http://pcmh.pcc.com Back to PCMH Resources Page] The practice uses an electronic system to record the following as structured (searchable) data: *An up-to-date problem list..."
- 20:0720:07, 21 March 2013 diff hist −63 PCMH2A No edit summary
- 20:0520:05, 21 March 2013 diff hist +67 N File:PCMH-2a.jpg Spreadsheet screenshot showing patient demographic fields populated current
- 20:0420:04, 21 March 2013 diff hist −43 PCMH2A No edit summary
- 20:0320:03, 21 March 2013 diff hist −12 PCMH2A No edit summary
- 20:0220:02, 21 March 2013 diff hist −45 PCMH2A No edit summary
- 20:0120:01, 21 March 2013 diff hist +31 N File:PCMH-Standard2a-template.xls Spreadsheet template for PCMH2a current
- 20:0020:00, 21 March 2013 diff hist +70 PCMH2A No edit summary
- 19:5919:59, 21 March 2013 diff hist −1 PCMH2A No edit summary
- 19:5819:58, 21 March 2013 diff hist −50 PCMH2A No edit summary
- 19:5819:58, 21 March 2013 diff hist +2,506 PCMH2A No edit summary
- 19:4519:45, 21 March 2013 diff hist +273 N PCMH2A Created page with "[http://pcmh.pcc.com Back to PCMH Resources Page] Intent of standard *Electronic systems have searchable fields for demographic and clinical data *Patients receive documente..."
- 19:4119:41, 21 March 2013 diff hist +50 PCMH1F →Assesses the racial and ethnic diversity of its population
- 19:4019:40, 21 March 2013 diff hist +109 PCMH1F →Assesses the racial and ethnic diversity of its population
- 19:3919:39, 21 March 2013 diff hist +80 N File:Race-ethnicity-lang.jpg Spreadsheet screenshot showing stratification of race, ethnicity, preferred lang current
- 19:3719:37, 21 March 2013 diff hist +56 PCMH1D →Monitoring the percentage of patient visits with selected clinician or team.
- 19:3619:36, 21 March 2013 diff hist +51 N File:VisitsWithPCP.jpg Spreadsheet screenshot showing visits with each PCP
- 19:3519:35, 21 March 2013 diff hist +80 PCMH1D →Monitoring the percentage of patient visits with selected clinician or team.
- 19:0819:08, 21 March 2013 diff hist +30 N File:SamPCP.png PCP as it appears in scheduler current
- 19:0719:07, 21 March 2013 diff hist 0 PCMH1D →Documenting the patient’s/family’s choice of clinician
- 19:0619:06, 21 March 2013 diff hist +79 PCMH1D →Documenting the patient’s/family’s choice of clinician
- 19:0219:02, 21 March 2013 diff hist +28 PCMH1D →Documenting the patient’s/family’s choice of clinician
- 19:0219:02, 21 March 2013 diff hist +1 PCMH1D →Documenting the patient’s/family’s choice of clinician
- 19:0119:01, 21 March 2013 diff hist +80 PCMH1D →Documenting the patient’s/family’s choice of clinician
- 19:0019:00, 21 March 2013 diff hist +38 N File:NotjanePCP1D2.png Patient editor screen highlighting PCP current
- 18:5718:57, 21 March 2013 diff hist +1 PCMH1B →Documenting after-hours clinical advice in patient records
- 18:5718:57, 21 March 2013 diff hist +44 PCMH1B →Providing access to routine and urgent-care appointments outside regular business hours
- 18:5518:55, 21 March 2013 diff hist +52 PCMH1B →Providing access to routine and urgent-care appointments outside regular business hours
- 18:5418:54, 21 March 2013 diff hist +2 PCMH1B →Providing access to routine and urgent-care appointments outside regular business hours
- 18:5418:54, 21 March 2013 diff hist +66 PCMH1B →Providing access to routine and urgent-care appointments outside regular business hours
- 18:5318:53, 21 March 2013 diff hist +53 N File:AfterhoursAccess1B1.png srs report showing after hours appointments scheduled current
- 18:3918:39, 21 March 2013 diff hist +44 PCMH1A →Providing same-day appointments (critical factor)
- 18:3918:39, 21 March 2013 diff hist +31 PCMH1A →Providing same-day appointments (critical factor)
- 18:3818:38, 21 March 2013 diff hist −65 PCMH1A →Providing same-day appointments (critical factor)
- 18:3618:36, 21 March 2013 diff hist −22 PCMH1A →Providing same-day appointments (critical factor)
- 18:3118:31, 21 March 2013 diff hist 0 File:TotalSickScheduled.pdf Tim uploaded a new version of "File:TotalSickScheduled.pdf" current
- 18:2818:28, 21 March 2013 diff hist +2 PCC PCMH Resources →PCMH2D - Use Data for Population Management Must Pass (5 points)
- 18:2818:28, 21 March 2013 diff hist +2 PCC PCMH Resources →PCMH 1: Enhance Access and Continuity (20 points)
- 18:2718:27, 21 March 2013 diff hist +16 PCC PCMH Resources →PCMH2: Identify and Manage Patient Populations
- 16:5316:53, 21 March 2013 diff hist +95 PCMH1A →Providing same-day appointments (critical factor)
- 16:5116:51, 21 March 2013 diff hist +32 N File:ApptsCriteria.png Report criteria for appts report current
- 16:2916:29, 21 March 2013 diff hist +62 PCMH1A →Providing same-day appointments (critical factor)
- 16:2516:25, 21 March 2013 diff hist +92 PCMH1A →Providing same-day appointments (critical factor)
- 16:2216:22, 21 March 2013 diff hist 0 File:TotalSickScheduled.pdf Tim uploaded a new version of "File:TotalSickScheduled.pdf"
- 16:2216:22, 21 March 2013 diff hist +48 N File:TotalSickScheduled.pdf Total # and time for scheduled sick appointments
- 16:2016:20, 21 March 2013 diff hist 0 File:ReservedSickBlocks.pdf Tim uploaded a new version of "File:ReservedSickBlocks.pdf" current
- 16:1716:17, 21 March 2013 diff hist +60 N File:ReservedSickBlocks.pdf appts report output showing total # and time for Sick Blocks
- 16:1416:14, 21 March 2013 diff hist −84 PCC PCMH Resources →PCMH2: Identify and Manage Patient Populations
- 16:0416:04, 21 March 2013 diff hist −5 PCMH1A →Providing same-day appointments (critical factor)
- 15:5415:54, 21 March 2013 diff hist +6 PCMH1A →Providing same-day appointments (critical factor)
- 15:5315:53, 21 March 2013 diff hist −1 PCMH1A →Providing same-day appointments (critical factor)
- 13:4213:42, 21 March 2013 diff hist +55 PCC PCMH Resources →PCMH 1: Enhance Access and Continuity (20 points)
- 13:4113:41, 21 March 2013 diff hist −36 PCC PCMH Resources →PCMH 1: Enhance Access and Continuity
- 13:4013:40, 21 March 2013 diff hist +629 PCC PCMH Resources No edit summary
- 13:3213:32, 21 March 2013 diff hist +5 PCMH1A →Providing same-day appointments (critical factor)
- 13:3013:30, 21 March 2013 diff hist −5 PCMH1A →Providing same-day appointments (critical factor)
- 13:2413:24, 21 March 2013 diff hist +1 PCMH1A →Providing same-day appointments (critical factor)
- 13:2413:24, 21 March 2013 diff hist +33 PCMH1A →Providing same-day appointments (critical factor)
- 13:2313:23, 21 March 2013 diff hist +47 PCMH1A →Providing same-day appointments (critical factor)
- 12:4012:40, 21 March 2013 diff hist +58 PCC PCMH Resources →PCMH 1: Enhance Access and Continuity
20 March 2013
- 21:0621:06, 20 March 2013 diff hist −27 PCMH1A →Providing same-day appointments (critical factor)
- 21:0121:01, 20 March 2013 diff hist −39 PCMH1A →Providing same-day appointments (critical factor)
- 21:0121:01, 20 March 2013 diff hist −2 PCMH1A →Providing same-day appointments (critical factor)
- 21:0021:00, 20 March 2013 diff hist +6 PCMH1A →Providing same-day appointments (critical factor)
- 20:5920:59, 20 March 2013 diff hist +43 PCMH1A →Providing same-day appointments (critical factor)
- 20:5720:57, 20 March 2013 diff hist −2 PCMH1A →Providing same-day appointments (critical factor)
- 20:5420:54, 20 March 2013 diff hist +21 PCMH1A →Providing same-day appointments (critical factor)
- 20:5320:53, 20 March 2013 diff hist +46 N File:DayView.png Day view of scheduler showing sick block times current
- 20:3320:33, 20 March 2013 diff hist +193 PCMH1G →Involving care team staff in the practice’s performance evaluation and quality improvement activities
- 20:3320:33, 20 March 2013 diff hist +159 PCMH1G →Training and designating care team members in communication skills
- 20:3320:33, 20 March 2013 diff hist +61 PCMH1G →Using standing orders for services
- 20:3220:32, 20 March 2013 diff hist +270 PCMH1G →Holding regular team meetings and communication processes (critical factor)
- 20:3220:32, 20 March 2013 diff hist +110 PCMH1G →Defining roles for clinical and nonclinical team members
- 20:3220:32, 20 March 2013 diff hist +731 N PCMH1G Created page with "[http://pcmh.pcc.com Back to PCMH Resources Page] The practice provides a range of patient care services by: =Defining roles for clinical and nonclinical team members= =Hold..."
- 20:3020:30, 20 March 2013 diff hist +44 PCC PCMH Resources →PCMH 1: Enhance Access and Continuity
- 20:2920:29, 20 March 2013 diff hist +24 PCC PCMH Resources →PCMH 1: Enhance Access and Continuity
- 20:2820:28, 20 March 2013 diff hist −62 PCMH1F No edit summary
- 20:2820:28, 20 March 2013 diff hist +483 PCMH1F →Provides printed materials in the languages of its population
- 20:2720:27, 20 March 2013 diff hist +211 PCMH1F →Provides interpretation or bilingual services to meet the language needs of its population
- 20:2620:26, 20 March 2013 diff hist +20 PCMH1F →Assesses the racial and ethnic diversity of its population
- 20:2620:26, 20 March 2013 diff hist +292 PCMH1F →Assesses the language needs of its population
- 20:2420:24, 20 March 2013 diff hist +1,357 N PCMH1F Created page with "[http://pcmh.pcc.com Back to PCMH Resources Page] The practice engages in activities to understand and meet the cultural and linguistic needs of its patients/families. =Asse..."
- 20:1520:15, 20 March 2013 diff hist +1,309 N PCMH1E Created page with "[http://pcmh.pcc.com Back to PCMH Resources Page] The practice has a process and materials that it provides patients/families on the role of the medical home, which include t..."
- 20:1220:12, 20 March 2013 diff hist +56 PCC PCMH Resources No edit summary
- 20:0420:04, 20 March 2013 diff hist +711 PCMH1D No edit summary
- 19:5919:59, 20 March 2013 diff hist +440 PCMH1D →Monitoring the percentage of patient visits with selected clinician or team.
- 19:5319:53, 20 March 2013 diff hist +130 PCMH1D →Documenting the patient’s/family’s choice of clinician
- 19:4319:43, 20 March 2013 diff hist +310 PCMH1D No edit summary
- 19:2419:24, 20 March 2013 diff hist +784 N PCMH1D Created page with "[http://pcmh.pcc.com Back to PCMH Resources Page] The practice provides the following information and services to patients and families through a secure electronic system. In..."
- 19:0919:09, 20 March 2013 diff hist +237 PCMH1C →Request for referrals or test results
- 19:0919:09, 20 March 2013 diff hist +175 PCMH1C →Request for appointments or prescription refills
- 19:0819:08, 20 March 2013 diff hist +175 PCMH1C →Two-way communication between patients/families and the practice
- 19:0819:08, 20 March 2013 diff hist +198 PCMH1C →Clinical summaries are provided to patients for more than 50 percent of office visits within three business days
- 19:0719:07, 20 March 2013 diff hist +84 PCMH1C No edit summary
- 19:0519:05, 20 March 2013 diff hist +14 PCMH1B No edit summary
- 19:0419:04, 20 March 2013 diff hist +28 PCMH1A No edit summary
- 19:0419:04, 20 March 2013 diff hist +65 PCMH1C No edit summary
- 19:0319:03, 20 March 2013 diff hist +411 PCMH1C No edit summary
- 18:5618:56, 20 March 2013 diff hist +192 PCMH1C →At least 10 percent of patients have electronic access to their current health information (including lab results, problem list, medication lists and allergies) within four business days of when the information is available to the practice
- 18:5518:55, 20 March 2013 diff hist +442 PCMH1C →More than 50 percent of patients who request an electronic copy of their health information (e.g., problem list, diagnoses, diagnostic test results, medication lists, allergies) receive it within three business days
- 18:5418:54, 20 March 2013 diff hist +959 N PCMH1C Created page with "The practice provides the following information and services to patients and families through a secure electronic system. In order to get the full 2 points for this one, they ..."
- 18:5318:53, 20 March 2013 diff hist +44 PCC PCMH Resources →PCMH 1: Enhance Access and Continuity
- 18:5118:51, 20 March 2013 diff hist +1,426 PCMH1B No edit summary
- 18:4218:42, 20 March 2013 diff hist −263 PCC PCMH Resources No edit summary
- 18:4218:42, 20 March 2013 diff hist −2,176 PCMH1B No edit summary
- 18:3718:37, 20 March 2013 diff hist +307 PCMH1A →Documenting clinical advice in the patient medical record
- 18:3618:36, 20 March 2013 diff hist +163 PCMH1A →Providing timely clinical advice by secure electronic messages during office hours
- 18:3618:36, 20 March 2013 diff hist +3,192 N PCMH1B Created page with "[http://pcmh.pcc.com Back to PCMH Resources Page] The practice has a written process and defined standards and demonstrates that it monitors performance against the standards..."
- 18:2318:23, 20 March 2013 diff hist +356 PCMH1A →Providing timely clinical advice by telephone during office hours
- 18:2018:20, 20 March 2013 diff hist +903 PCMH1A →Providing timely clinical advice by telephone during office hours
- 16:2316:23, 20 March 2013 diff hist +78 PCMH1A →Providing same-day appointments (critical factor)
- 16:2216:22, 20 March 2013 diff hist +240 PCMH1A →Providing same-day appointments (critical factor)
- 16:0816:08, 20 March 2013 diff hist +1 PCMH1A →Providing same-day appointments (critical factor)
- 16:0716:07, 20 March 2013 diff hist +765 PCMH1A →Providing same-day appointments (critical factor)
- 15:5915:59, 20 March 2013 diff hist +52 PCMH1A No edit summary
- 15:5615:56, 20 March 2013 diff hist +396 N PCMH1A Created page with "The practice has a written process and defined standards, and demonstrates that it monitors performance against the standards for: =Providing same-day appointments (critical ..."
- 15:3915:39, 20 March 2013 diff hist −5 PCC PCMH Resources No edit summary
- 15:3715:37, 20 March 2013 diff hist +13 PCC PCMH Resources No edit summary
- 15:3615:36, 20 March 2013 diff hist +442 PCC PCMH Resources No edit summary