PCMH TOOLBOX. Emily Williams, PCMH CCE Tim Perry, PCMH CCE

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1 PCMH TOOLBOX Emily Williams, PCMH CCE Tim Perry, PCMH CCE

2 Introduction OPCPCC Patient Engagement Toolbox (toolbox.opcpcc.com) Emily Williams, PCMH CCE Tim Perry, PCMH CCE

3 EMILY WILLIAMS, PCMH CCE Emily Williams is a long time active workgroup member of the OPCPCC Patient Engagement Learning Center. She has worked for Pfizer for nearly 10 years, and is in an Account Management role designated to collaborate with Medical Groups and Integrated Delivery Networks to help drive quality with unbranded tools and resources in the chronic disease market. Emily is certified by NCQA as a PCMH Content Expert, and has been a leader in contributing to the development of the new OPCPCC PCMH Toolbox. Emily Williams NCQA PCMH Certified Content Expert Pfizer, Key Account Manager Columbus, Ohio emily.moor@pfizer.com toolbox.opcpcc.com

TIM PERRY MPA, MS, CPHIMS, CHTS-IS, PCMH CCE tim.perry@healthcaretoo.

4 TIM PERRY MPA, MS, CPHIMS, CHTS-IS, PCMH CCE Tim Perry is the Chief Information Officer of HealthCare Too, which is helping to transform healthcare by bringing enterprise-level capabilities to small and medium-sized practices for affordable and reliable Care Coordination services, Health Information Technology, Compliance and Security. Tim has over 25 years of Health IT and Compliance experience, ranging from application development to global infrastructure to FDA and HIPAA Compliance. Before starting HealthCare Too, Tim was Chief Technology Officer of Ecommerce, Inc., Senior VP of Infrastructure Services for Reed Elsevier and a Global Director of Johnson & Johnson's Networking and Computing Services. Tim holds a Master of Science in Technology Management from the University of Pennsylvania, a Master of Public Administration from The Ohio State University and multiple industry certifications, including the NCQA s PCMH Certified Content Expert (PCMH CCE). Tim lives in Powell, OH where he enjoys spending time with his wife and two children. toolbox.opcpcc.com

5 WHAT IS THE TOOLBOX? WHAT S IN IT, AND WHY IS IT IMPORTANT? toolbox.opcpcc.com

6 Expectations for Toolbox History Tool Selection Contributors toolbox.opcpcc.com

8 Toolbox Categories What is PCMH? Partner with Patient Self-care Goals Improve Patient Safety Tools for the Practice toolbox.opcpcc.com

9 PCMH Toolbox 1.What is a PCMH? (tools for patients) 2. Partner with Patients (tools for patients) Preventive Care Screening o Chronic D1sease The toolbox is an organized reference tool that o Managed Care contains devoted sections on topics that align Policy with the guidance from the Agency for 3. Self-care Goals (tools for patients) Healthcare Section Topic and Category Diet and Exercise Reference. My Medic1nes Diaries Trackers, and Checklists 4.1mprove Patient Safety (tools for patients) Each resource contains a website link or an Medication Safety Adobe PDF document, available for you to click, Hospital Discharge access, and use immediately. Other Safety 5. Tools for the Practice (for providers and staff) Easy to access and easy to use Staff Education Mobvationallnterviewing No cost to use o Medication Reconciliation o Health Literacy Evidence-Based What's inside the box? Health Equity and Health Disparities Cultural Competency toolbox.opcpcc.com

10 NAVIGATION AND TECHNICAL COMPONENTS OF THE TOOLBOX

Widespread Use of Toolbox.q~~l.-11...,., _... _..._ - - -- - - - C.llhl '.. 11-Sn.l..,_,_,._ -- --... -...... - -...... -,....... 616 69.48% 428 59.90% 2.79 00024 6 0.00% 0 $0.00 h.

11 Widespread Use of Toolbox.q~~l ,., _... _..._ C.llhl '.. 11-Sn.l..,_,_,._ , % % % 0 $0.00 h. (ll U3 t~ ' It I $ t4 12'1ft.. N wyor..!u"-l n.c2._,,.,,6~ 12?~4 c_,....,.,_ 1'-'1. I I I I... 'IIIII - """'"'"'-...,.. _.. -- ~ '"'... ' ""' " ).)36 -,,,.... tl35%,. OOOOZt ,.. 16,., )O.C:)~ >71 O't OS 4l cot '" " 1000 to~i """ "'' ',.._,..,_... cu,r~,., ".,... " - >n 0> ,... ~ """'... co Qlft) 01,, "'-..,..,_ PI"..,..,.,, lnm " ''"''..., sooo soao,.. 0- Oto- sooo - 0 J;)C)_OQ... T2 ll3l"rt T-2< oocon Nc<w.l..,.y ",, 7t"ro.) 90.91" TO 54 55"' T ""... TO. IICCMI' _ jttn.) IOO.o:l... J kilo 1 ~000"4 too to 1000 olbox.opcpcc.com

12 Menu Overview Toolbox Español Menu Overview Toolbox Español Excel Version Search Recent Posts Categories

13 practice. Posts Articles / tools that you can use in your practice.

14 Example Tool

15 A Lifetime of Good Health Your Guide to Staying Healthy womens/jeo/thqcw TDD: page Guide for Women s Health from HHS

16 Another Example Tool Another Example Tool

Patient Health Questionnaire ---(PHQ-9) :_._.. Name Date Overtho last2 weeks. low often haveyou been bothered :>y anyof thelouowi:lg problems? IU,/" to md eete your onswer.

17 Patient Health Questionnaire ---(PHQ-9) :_._.. Name Date Overtho last2 weeks. low often haveyou been bothered :>y anyof thelouowi:lg problems? IU,/" to md eete your onswer.) Mo:e Not Seveattl than ~all Nowly at all Cays tbedoyo every day 2. F'etllng dovn, deprflssed, orhopeless 3. 'f'loc.ubt.lonno or POyUtg osloep. or ping 1oo much 6. rm!ang bad abot:t ~~~hot )"QQU area 'au\;..; "'bow1o<,.,.,...u"' your m-'l-f dc>'r.> 7. 'IK~""""""""'"Qonth;tQS.sudlosroock>olho nt...-.p::lpofof worlm; :9~ 8. Mcvlno 0<._longooolowlyc'><nO!lm~ <OUld hct 9t>C>ticod. 0.thecppos.w- betngoo ild9etror 1hr11 yn11 hma ha.pn "'VY.nnt) t"fnund oln! n'lt"'l'*lhntt 11"'1,! 9. Th:~UQhtt 1hat you v.wld 00 be-11er off ~ead. oro! hurting yc"ui'aaif!.n ~ma wtt'l AJ Uf«:.-..t ccmt ' foemlliiij4iabjucd DfAl.,...,...tor:-... ""UdX.a...u 10. Urwdtocl:odoi""'J):'Obaems.l= diff""'h bow thenp:ob'!t-ms r'iode :»:you:o :!oyouz W<>rk. \Qlot oo:reol hlr:.gsathomec.oroe:~wl:hother~l

18 HOW DOES THE TOOLBOX ALIGN WITH VARIOUS EMR S?

20 Example Diabetes Screener Search for a Tool Select a Tool Setup Tool for Your Intent and Workflow Send Tool to Patient Population Measure Tool s impact

PC:PC:C: 0Yff'l1ffl PCUH Toolbo:x v Ea-p1~ Diabetes Pain Identification Screener OPCPCC cos.p...-2. 201' --P C # E.a nos IOOios lid< ciabetic:padercs. 10 screen lor pan.

21 PC:PC:C: 0Yff'l1ffl PCUH Toolbo:x v Ea-p1~ Diabetes Pain Identification Screener OPCPCC cos.p ' --P C # E.a nos IOOios lid< ciabetic:padercs. 10 screen lor pan. l01abet>c Pain lderllllic:zooon 5creene< Download the OPCPCC PCMH Toolbox ~ ~2-:'0ts-ltlJ.- Togo Endoucc boudi P T"'ad -~~~~s,.t P - 01sclauner Tho ill< rf otoods _.liompr..-lnopcpccr.-...,be...,.._., enhence ~ t*"e..taaftily 'fm"*'*'niato be ed!jcii Wit edknot "fxr"hm b...sp 1 101~-ioliObo-aslogolor--. 1-~-1 Leave a Reply Recent Posts At>IOI!cao Medal Ass< f <-t.llo<aqo llldoo U.rch ElhnoiED lraogooiojvc-.ollnloomolioo"*' ~- M lloh<oai..iiht... A6-""""''-hf.,;tyll Evely Point clccluclloeardo Poy-Rl!lonn oo lqw-helldl CoteFD\Iory

22 ;;; '"'-"''' ill """"'"' "...,. fm r:'-""' ' """ f1 ~"-.o.u -l :u.v ~ '"'' 'l :.;-1' " ID'''f ~H :..c o~ :r.: ~t :. ~ ~-~oe lil;! K, III.I. "...,.,,..,.."''''""' Q t<:1:...:,,.., (i:i M>< ~»~ (:;j: l:l.'lff>'. - ~,;,..,.,..,...,,,.,.,;,.," IQ-~~,1~,.- ~(fl'll*t o:'f;v/'1);$ -~OI"&!Jif (lci'i"'w~te! Cjrf<l! '4 ~ R&CU f.dacf~,..~~!l'!;t ~..... ~..,.,.~-...;;<..- e!2.! ::1::;r:~:u :.t ny~t ~tl.!::t in lh tc~wl >'N f~<11.!iou l ' j<o;v I'll'" m,.(, ta:n Qfl!l' ~ll r 1J ~~, r.l e-..."""" ;at~<;t tr.:r h:.1:~a11. yt~ lr.«l ~ ~~~ (o ('fllll;.l"'ivi' m.:r, 'Jlil> ~';'Ill'rwt:o ur""<t;.rd1fl' >:; ~ r,._..,.,,...,..,.,,...,.,,..,_._.,.. ~-,_,,...,...-..,-,ff,... '"'"O'K-"'";.;,,.,...,. 1.. ~ '""'" Y :~,,.,,. J:.. " ~.,.,.1!l. r... no.;y<,,..,._ <1.,..o'r...!IA... Ir'l.~41 "......r.-...-v..!---;i.w...io' "'--~.,..~.. :...,...~..,,.,... JOo'O.."' ~,:.:;:~':'.:~:= ~ ~;.:.. ~ :~,::.: ; ~~ -::;.~ :":;'i~7;,~:;;; ~.;.; ~~!/ v...w,..:t' v,._ ~ " e..._,.,

24 Working Toward Patient Engagement Tools Integrated into Practice Get Familiar with Toolbox and Your PCMH Goals Understand Patient Needs & Capabilities Engage Patients on Their Level with Your Intent Time Spent

25 Summary Define your challenges for PCMH & Patient Engagement What is Your Intent for the Practice? What is Your Patient Census Capabilities? Set realistic expectation PCMH and Patient Engagement Take Time OPCPCC Toolbox Has Done Some of the Work Keep your eye on the goal Improving Patient Experience Improving Health of Populations Reduce costs / Promote Efficiency Allow Providers to Practice What They Do Best

26 Upcoming OPCPCC Patient Engagement Webinar Join us for the following webinars August 25, 2015: Linking patients to selfmanagement programs November 24, 2015: Topic TBD

27 Join OPCPCC Sign up online for a free OPCPCC membership: es/membership.aspx

28 Resources OPCPCC PCMH Toolbox toolbox.opcpcc.net Send Feedback or Add New Tools OPCPCC Membership s/membership.aspx OPCPCC Annual Conference s/opcpcc.aspx

29 QUESTIONS

30 ANNOUNCEMENTS

Moving Toward Recognition: Understanding Patient-Centered Medical Home (PCMH) and the NCQA PCMH 2011 Standards

Moving Toward Recognition: Understanding Patient-Centered Medical Home (PCMH) and the NCQA PCMH 2011 Standards Presented by Lori-Anne Russo, Director of Clinical Programs to the PCMH Learning Collaborative