Topic 3B: Documentation Prep for NCQA Recognition Focus on Standards 3, 4, and 1F

Size: px
Start display at page:

Download "Topic 3B: Documentation Prep for NCQA Recognition Focus on Standards 3, 4, and 1F"

Transcription

1 Topic 3B: Documentation Prep for NCQA Recognition Focus on Standards 3, 4, and 1F Diane Altman Dautoff, MSW, EdD, Senior Consultant Heather Russo, Consultant January 2013

2 Welcome Introductions and Housekeeping Please visit the AIR FQHC Learning Portal for more information on upcoming events at Speaker introductions 2

3 PCMH Transformation Framework 3

4 Learning Objectives Understand documentation requirements for NCQA PCMH TM 2011 recognition by Standard, Element and Factor Understand formatting tips for outlining documentation in a clear and understandable manner Review documentation examples and tips for formatting documentation for submission 4

5 Session Road Map Documentation Tips PCMH Standard 3 Plan and Manage Care: Element A: Implement Evidence-Based Guidelines (4 points) Element B: Identify High- Risk Patients (3 points) Element C: Care Management (4 points) (Must Pass) Element D: Medication Management (3 points) Element E: Use Electronic Prescribing (3 points) PCMH Standard 4 Provide Self-Care Support and Community Resources: Element A: Support Self-Care Process (6 points) (Must Pass) Element B: Provide Referrals to Community Resources (3 points) PCMH Standard 1 Enhance Access and Continuity: * Element A: Access and Continuity (4 points) (Must Pass) Element B: After-Hours Access (4 points) Element C: Electronic Access (2 points) Element D: Continuity (2 points) Element E: Medical Home Responsibilities (2 points) Element F: Culturally and Linguistically Appropriate Services (2 points) Element G: The Practice Team (4 points) * This webinar covers element F of PCMH Standard 1. Elements A, B, C, D, E, and G of Standard 1 will be covered in other webinars. 5

6 General Tips on Documentation Accentuate information for the NCQA surveyor Format documentation in a clear and organized manner Include a narrative description as a summary of information presented in the documentation Save documentation for a single element into one document, with sub-headers for each factor 6

7 General Tips on Documentation (Cont d) Reports: Include the name of the report, reporting period, numeric values of the numerator and denominator Policies: Include date of most recent update Screen shots: use real patient data, de-identified Policies, procedures and job descriptions must not be younger than 3-months from date of submission. Data must not be older than 12-months. 7

8 Example of Documentation Formatting 8

9 PCMH 3: Plan and Manage Care The practice systematically identifies individual patients and plans, manages and coordinates their care, based on their condition and needs and on evidence-based guidelines. Elements: A. Implement Evidence-Based Guidelines (4 points) B. Identify High-Risk Patients (3 points) C. Care Management (4 points) (Must Pass) D. Medication Management (3 points) E. Use Electronic Prescribing (3 points) 9

10 PCMH 3A: Implement Evidence-Based Guidelines Practice implements evidence-based guidelines through point-of-care reminders for patients with: Factors: 1. The first important condition 2. The second important condition 3. The third condition, related to unhealthy behaviors or mental health or substance abuse (Critical Factor) 10

11 PCMH 3A Scoring 4 points for this element Scoring: 3 factors = 100% 2 factors (including factor 3 [critical factor]) = 50% 1 factor = 25% 0 factors = 0% 11

12 PCMH 3A Documentation Example Example of format: XXX Clinic s Three Important Conditions: 1. Name First Condition Here (ex. Diabetes) List name and source of evidence-based guidelines for first condition 2. Name Second Condition Here List name and source of evidence-based guideline for second condition 3. Name Third Condition Here List name and source of evidence-based guideline for third condition, related to unhealthy behavior, mental health or substance abuse 12

13 PCMH 3A-1, 3A-2 or 3A-3 Documentation Example 13

14 PCMH 3A-1, 3A-2, or 3A-3 Documentation Example 14

15 PCMH 3A-1, 3A-2, or 3A-3 Documentation Example 15

16 PCMH 3A-1, 3A-2, or 3A-3 Documentation Example 16

17 PCMH 3B: Identify High-Risk Patients To identify high-risk or complex patients, the practice: Factors: 1. Establishes criteria and a systematic process to identify high-risk or complex patients 2. Determines the percentage of high-risk patients in its population. 17

18 PCMH 3B Scoring 3 points for this element Scoring: 2 factors = 100% 1 factor = 25% 0 factors = 0% 18

19 PCMH 3B-1 Documentation Example High-Risk Patient Definition: Patients with co-morbidities of diabetes and hypertension Process for Identification: Patients diagnosed with diabetes and hypertension will receive a high-risk flag in the EHR. Once a month, the Nurse Manager will run a report to determine if there are any patients newly meeting this criteria. If so, the Nurse Manager will designate these patients within the EHR with a high-risk flag. 19

20 PCMH 3B-2 Documentation Example 20

21 PCMH 3C: Care Management (Must Pass) The care team performs the following for at least 75 percent of the patients identified in Elements A and B. Factors: 1. Conducts pre-visit preparations 2. Collaborates with the patient/family to develop an individual care plan, including treatment goals that are reviewed and updated at each relevant visit 3. Gives the patient/family a written plan of care 4. Assesses and addresses barriers when the patient has not met treatment goals 5. Gives the patient/family a clinical summary at each relevant visit 6. Identifies patients/families who might benefit from additional care management support 7. Follows up with patients/families who have not kept important appointments 21

22 PCMH 3C Scoring (Must Pass) 4 points for this element Scoring: 6-7 factors = 100% 5 factors = 75% 3-4 factors = 50% 1 factor = 25% 0 factors = 0% 22

23 Record Review Workbook 48 patient records 12 high-risk patient records 36 patient records of the three important conditions (12 patient records x 3 separate conditions) 3C: Care Management (Must Pass) 3D: Medication Management 4A: Support Self-Care Process (Must Pass) 23

24 Record Review Workbook 24

25 Record Review Workbook 25

26 Record Review Workbook 26

27 Record Review Workbook 27

28 Record Review Workbook 28

29 Record Review Workbook 29

30 PCMH 3C: Care Management (Must Pass) The care team performs the following for at least 75 percent of the patients identified in Elements A and B. Factors: 1. Conducts pre-visit preparations 2. Collaborates with the patient/family to develop an individual care plan, including treatment goals that are reviewed and updated at each relevant visit 3. Gives the patient/family a written plan of care 4. Assesses and addresses barriers when the patient has not met treatment goals 5. Gives the patient/family a clinical summary at each relevant visit 6. Identifies patients/families who might benefit from additional care management support 7. Follows up with patients/families who have not kept important appointments 30

31 PCMH 3D: Medication Management The practice manages medications in the following ways: Factors: 1. Reviews and reconciles medications with patients/families for more than 50% of care transitions (Critical Factor) 2. Reviews and reconciles medications with patients/families for more than 80% of care transitions 3. Provides information about new prescriptions to more than 80% of patients/families 4. Assesses patient/family understanding of medications for more than 50% of patients with date of assessment 5. Assesses patient response to medications and barriers to adherence for more than 50% of patients with date of assessment 6. Documents over-the-counter medications, herbal therapies and supplements for more than 50% of patients/families, with the date of updates 31

32 PCMH 3D Scoring 3 points for this element Scoring: 5-6 factors (including factor 1 [critical factor]) = 100% 3-4 factors (including factor 1) = 75% 2 factors (including factor 1) = 50% Only factor 1 = 25% 0 factors or does not meet factor 1 = 0% 32

33 Record Review Workbook 33

34 PCMH 3D: Medication Management The practice manages medications in the following ways: Factors: 1. Reviews and reconciles medications with patients/families for more than 50% of care transitions (Critical Factor) 2. Reviews and reconciles medications with patients/families for more than 80% of care transitions 3. Provides information about new prescriptions to more than 80% of patients/families 4. Assesses patient/family understanding of medications for more than 50% of patients with date of assessment 5. Assesses patient response to medications and barriers to adherence for more than 50% of patients with date of assessment 6. Documents over-the-counter medications, herbal therapies and supplements for more than 50% of patients/families, with the date of updates 34

35 PCMH 3E: Use Electronic Prescribing The practice uses e-prescribing system with the following capabilities: Factors: 1. Generates and transmits at least 40% of eligible prescriptions to pharmacies 2. Generates at least 75% of eligible prescriptions (Critical Factor) 3. Enters electronic medication orders into the medical record for more than 30% of patients with at least one medication in their medication list 4. Performs patient-specific checks for drug-drug and drug-allergy interactions 5. Alerts prescribers to generic alternatives 6. Alerts prescribers to formulary status 35

36 PCMH 3E Scoring 3 points for this element Scoring: 5-6 factors (including factor 2 [critical factor]) = 100% 4 factors (including factor 2) = 75% 2-3 factors (including factor 2) = 50% 1 factor or 2-5 (but not factor 2)= 25% 0 factors = 0% 36

37 PCMH 3E-1 Documentation Example 37

38 PCMH 3E-2 Documentation Example 38

39 PCMH 3E-3 Documentation Example 39

40 PCMH 3E-4 Documentation Example 40

41 PCMH 3E-5 Documentation Example 41

42 PCMH 3E-6 Documentation Example 42

43 PCMH 4: Provide Self-Care Support and Community Resources The practice acts to improve patients ability to manage their health by providing a self-care plan, tools, educational resources and ongoing support. Elements: A. Support Self-Care Process (6 points) (Must Pass) B. Provide Referrals to Community Resources (3 points) 43

44 PCMH 4A: Support Self-Care Process (Must Pass) The practice conducts activities to support patients/families in self-management: Factors: 1. Provides educational resources or refers at least 50% of patients/families to educational resources to assist in self-management 2. Uses an EHR to identify patient-specific education resources and provide them to more than 10% of patients, if appropriate 3. Develops and documents self-management plans and goals in collaboration with at least 50% of patients/families (Critical Factor) 4. Documents self-managements abilities for at least 50% of patients/families 5. Provides self-management tools to record self-care results for at least 50% of patients/families 6. Counsels at least 50% of patients/families to adopt healthy behaviors 44

45 PCMH 4A Scoring (Must Pass) 6 points for this element Scoring: 5-6 factors (including factor 3 [critical factor]) = 100% 4 factors (including factor 3) = 75% 3 factors (including factor 3) = 50% 1-2 factors or 3-5 (but not factor 3)= 25% 0 factors = 0% 45

46 Record Review Workbook 46

47 PCMH 4A: Support Self-Care Process (Must Pass) The practice conducts activities to support patients/families in self-management: Factors: 1. Provides educational resources or refers at least 50% of patients/families to educational resources to assist in self-management 2. Uses an EHR to identify patient-specific education resources and provide them to more than 10% of patients, if appropriate 3. Develops and documents self-management plans and goals in collaboration with at least 50% of patients/families (Critical Factor) 4. Documents self-managements abilities for at least 50% of patients/families 5. Provides self-management tools to record self-care results for at least 50% of patients/families 6. Counsels at least 50% of patients/families to adopt healthy behaviors 47

48 PCMH 4B: Provide Referrals to Community Resources Practice support patients who need access to community resources: Factors: 1. Maintains current resource list covering five (5) community service areas. 2. Tracks referrals provided to patients 3. Arranges for or provides treatment for mental health/substance abuse disorders 4. Offers opportunities for health education and peer support 48

49 PCMH 4B Scoring 3 points for this element Scoring: 4 factors = 100% 3 factors = 75% 2 factors = 50% 1 factor = 25% 0 factors = 0% 49

50 PCMH 4B-1 Documentation Example 50

51 PCMH 4B-2 Documentation Example 51

52 PCMH 4B-3 Documentation Example Example Policy Excerpt Behavioral Health Referral Procedures Effective 12/10/ Evaluation Outpatient: Patients who are assessed by their provider to be in need of Behavioral Health care will be evaluated by the Behavioral Health Consultant. Based on the outcome of that assessment, the Behavioral Health consultant will either resolve or agree to manage the patient within the clinic or arrange for or refer care to one of the resources listed below. Inpatient: Following assessment by either their provider or the Behavioral Health Consultant, patients in need of voluntary psychiatric care will have their care coordinated by the care team. Refer to Inpatient Admission procedures for inpatient care coordination. If involuntary psychiatric admission is determined to be necessary, refer to the Involuntary Admission policy and procedure. 2. Referrals Adults and adolescents who are experiencing psychiatric, emotional, behavioral and/or addictive disorders should be referred to the services provided by ABCD Hospital Center, unless the provider has identified another facility to meet the immediate needs of the patient. 52

53 PCMH 4B-4 Documentation Example XYZ Community Health Center Asthma Health Education Program for Adults For 2012, this program is scheduled the first Tuesday of the month, 7-8:30pm If you have asthma, you may breathe easier when you join our innovative program, which complements your doctor's care. All participants, ages five and older, have access to professional care specialists and educational materials to help them better understand and manage their asthma. If you participate in the program, we can help you understand: Your asthma medications How to properly use an inhaler device and peak flow meter How to develop an action plan Understand the danger signs when you have symptoms For more information, please call xxx-9006, 53

54 PCMH 1: Enhance Access and Continuity The practice has a written process and defined standards, and demonstrates that it monitors performance against the standards for: Elements: * A. Access During Office Hours (4 points) (Must Pass) B. After-Hours Access (4 points) C. Electronic Access (2 points) D. Continuity (2 points) E. Medical Home Responsibilities (2 points) F. Culturally and Linguistically Appropriate Services (2 points) G. The Practice Team (4 points) * This webinar focuses only element F. 54

55 PCMH 1F: Culturally and Linguistically Appropriate Services The practice engages in activities to understand and meet the cultural and linguistic needs of its patients/families by: Factors: 1. Assessing the racial and ethnic diversity of its population 2. Assessing the language needs of its population 3. Providing interpretation or bilingual services to meet the language needs of its population 4. Providing printed materials in the languages of its population 55

56 PCMH 1F Scoring 2 points for this element Scoring: 4 factors = 100% 3 factors = 75% 2 factors = 50% 1 factor = 25% 0 factors = 0% 56

57 PCMH 1F-1 Documentation Example Patients By Ethnicity 1/1/ /31/2012 Non- Total Refused to Hispanic/La Hispanic/La Unique Report tino tino Patients # % 15% 23% 62% 100% Patients By Race 1/1/ /31/2012 American Indian or Hawaiian or Pacific Islander Other Total Unique Patients Refused African Alaska to Report White American Native Asian # % 7% 50% 32% 5% 3% 0% 3% 100% 57

58 PCMH 1F-2 Documentation Example Patients By Language English Spanish Other Total # % 79% 18% 3% 100% 58

59 PCMH 1F-3 Documentation Example 59

60 PCMH 1F-4 Documentation Example 60

61 Review of Session Utilize NCQA Standards, Policies and Procedures as a resource Ensure the information presented in your documentation is clear and easy to understand Create and modify documentation for your practice, not for NCQA Create a plan for completing documentation, prioritize Must Pass Elements Stay focused on the purpose: to enhance patient care 61

62 Acknowledgment This presentation was produced by Qualis Health under a contract with the American Institutes for Research (AIR), with funding from the Center for Medicare & Medicaid Innovation, as part of the Federally Qualified Health Center (FQHC) Advanced Primary Car Practice Demonstration (contract no. GS-10F-0112J, order no. HHSM G). AIR would like to thank its partners the National Association of Community Health Centers, Inc.; Qualis Health; and the MacColl Center for Health Care Innovation at Group Health Research Institute for assisting with this endeavor. 62

APPENDIX 2 NCQA PCMH 2011 AND CMS STAGE 1 MEANINGFUL USE REQUIREMENTS

APPENDIX 2 NCQA PCMH 2011 AND CMS STAGE 1 MEANINGFUL USE REQUIREMENTS Appendix 2 NCQA PCMH 2011 and CMS Stage 1 Meaningful Use Requirements 2-1 APPENDIX 2 NCQA PCMH 2011 AND CMS STAGE 1 MEANINGFUL USE REQUIREMENTS CMS Meaningful Use Requirements* All Providers Must Meet

More information

Appendix 5. PCSP PCMH 2014 Crosswalk

Appendix 5. PCSP PCMH 2014 Crosswalk Appendix 5 Crosswalk NCQA Patient-Centered Medical Home 2014 July 28, 2014 Appendix 5 Crosswalk 5-1 APPENDIX 5 Crosswalk The table compares NCQA s Patient-Centered Specialty Practice () standards with

More information

PCSP 2016 PCMH 2014 Crosswalk

PCSP 2016 PCMH 2014 Crosswalk - Crosswalk 1 Crosswalk The table compares NCQA s Patient-Centered Specialty Practice (PCSP) 2016 standards with NCQA s Patient-Centered Medical Home (PCMH) 2014 standards. The column on the right identifies

More information

PCMH 2014 Recognition Checklist

PCMH 2014 Recognition Checklist 1 PCMH1: Patient Centered Access 10.00 points Element A - Patient-Centered Appointment Access ~~ MUST PASS 4.50 points 1 Providing same-day appointments for routine and urgent care (Critical Factor) Policy

More information

Patient Centered Medical Home 2011

Patient Centered Medical Home 2011 Patient Centered Medical Home 2011 NCQA Standards Rand David, MD, FACP Associate Professor of Medicine Director, Dept. of Ambulatory Care Mount Sinai School of Medicine Elmhurst Hospital Center I have

More information

Patient-Centered Connected Care 2015 Recognition Program Overview. All materials 2016, National Committee for Quality Assurance

Patient-Centered Connected Care 2015 Recognition Program Overview. All materials 2016, National Committee for Quality Assurance Patient-Centered Connected Care 2015 Recognition Program Overview All materials 2016, National Committee for Quality Assurance Learning Objectives Introduction to Patient-Centered Connected Care and Eligibility

More information

CROSSWALK: CHANGE CONCEPTS FOR PRACTICE TRANSFORMATION AND 2014 NCQA PCMH TM RECOGNITION STANDARDS

CROSSWALK: CHANGE CONCEPTS FOR PRACTICE TRANSFORMATION AND 2014 NCQA PCMH TM RECOGNITION STANDARDS CROSSWALK: CHANGE CONCEPTS FOR PRACTICE TRANSFORMATION AND 2014 NCQA PCMH TM RECOGNITION STANDARDS 1a. Provide visible and sustained leadership to lead overall cultural change as well as specific strategies

More information

WHAT IT FEELS LIKE

WHAT IT FEELS LIKE PCMH and PCSP WHAT IT FEELS LIKE Presentation Outline Goals of the Patient Centered Medical Home and the Patient Centered Specialty Practice Identifying the Joint Principles Recognition Programs Standards

More information

Patient-Centered Specialty Practice (PCSP) Recognition Program

Patient-Centered Specialty Practice (PCSP) Recognition Program Patient-Centered Specialty Practice (PCSP) Recognition Program Standards Workshop Part 2 2013 All materials 2013, National Committee for Quality Assurance Agenda Part 1 Content of PCSP Standards and Guidelines

More information

ENGAGED LEADERSHIP. TC-02 (Core): Defines practice organizations structure and staff responsibilities/skills to support key PCMH functions.

ENGAGED LEADERSHIP. TC-02 (Core): Defines practice organizations structure and staff responsibilities/skills to support key PCMH functions. Change Concepts for Practice Transformation AND 2014 NCQA PCMH Standards Crosswalk to 2017 NCQA Standards Change Concept Element 2014 NCQA PCMH Standards 2014 --> 2017 2017 NCQA Standards ENGAGED LEADERSHIP

More information

Tips for PCMH Application Submission

Tips for PCMH Application Submission Tips for PCMH Application Submission Remain calm. The certification process is not as complicated as it looks. You will probably find you are already doing many of the required processes, and these are

More information

Part 3: NCQA PCMH 2014 Standards

Part 3: NCQA PCMH 2014 Standards Part 3: NCQA PCMH 2014 Standards Heather Russo, CCE PCMH Consultant September 15, 2015 Advancing Healthcare Improving Health PCMH Standard 4: Care What s New? Management and Support Combined 2011 Standards

More information

NCQA s Patient-Centered Medical Home (PCMH) 2011 Standards 11/21/11

NCQA s Patient-Centered Medical Home (PCMH) 2011 Standards 11/21/11 NCQA s Patient-Centered Medical Home (PCMH) 2011 Standards 11/21/11 28 PCMH 1: Enhance Access and Continuity PCMH 1: Enhance Access and Continuity 20 points provides access to culturally and linguistically

More information

Patient Centered Medical Home. History of PCMH concept. What does a PCMH look like? 10/1/2013. What is a Patient Centered Medical Home (PCMH)?

Patient Centered Medical Home. History of PCMH concept. What does a PCMH look like? 10/1/2013. What is a Patient Centered Medical Home (PCMH)? What is a Patient Centered Medical Home (PCMH)? Patient Centered Medical Home Jeremy Thomas, PharmD, CDE UAMS Department of Pharmacy "an approach to providing comprehensive primary care that facilitates

More information

NCQA PCMH 2017 Standard Two 4/11/18. 6 PCMH Concepts within the standards

NCQA PCMH 2017 Standard Two 4/11/18. 6 PCMH Concepts within the standards Candace Chitty RN, MBA, CPHQ, PCMH-CCE 1 6 PCMH Concepts within the standards 1. Team-Based Care and Practice Organization (TC). 2. Knowing and Managing Your Patients (KM). 3. Patient-Centered Access and

More information

PCMH 2014 Record Review Workbook (RRWB)

PCMH 2014 Record Review Workbook (RRWB) PCMH 2014 Record Review Workbook (RRWB) Purpose of the Record Review Workbook (RRWB) There are three elements in PCMH 2014 that require an accurate estimate of the percentage of patients for whom practices

More information

Part 2: PCMH 2014 Standards

Part 2: PCMH 2014 Standards Part 2: PCMH 2014 Standards Heather Russo, CCE PCMH Consultant September 15, 2015 Advancing Healthcare Improving Health For Practices Recognized at Level 2 or Level 3 under the 2011 Standards Your Guide

More information

Practice Transformation: Patient Centered Medical Home Overview

Practice Transformation: Patient Centered Medical Home Overview Practice Transformation: Patient Centered Medical Home Overview Megan A. Housley, MBA Business Development Director Kentucky Regional Extension Center The Triple Aim Population Health TRIPLE AIM Per Capita

More information

PCC Resources For PCMH

PCC Resources For PCMH PCC Resources For PCMH Tim Proctor Users Conference 2015 Goals and Takeaways Introduction to NCQA's 2014 PCMH. What is it? Why get recognition? Show how PCC functionality and reports can be used for PCMH

More information

Patient-Centered Medical Home (PCMH) All materials 2015, National Committee for Quality Assurance

Patient-Centered Medical Home (PCMH) All materials 2015, National Committee for Quality Assurance Patient-Centered Medical Home (PCMH) 2014 1 All materials 2015, National Committee for Quality Assurance Learning Objectives Introduction to PCMH and Eligibility Overview of the 6 PCMH Standards Highlight

More information

Appendix 4 CMS Stage 1 Meaningful Use Requirements Summary Tables 4-1 APPENDIX 4 CMS STAGE 1 MEANINGFUL USE REQUIREMENTS SUMMARY

Appendix 4 CMS Stage 1 Meaningful Use Requirements Summary Tables 4-1 APPENDIX 4 CMS STAGE 1 MEANINGFUL USE REQUIREMENTS SUMMARY Appendix 4 CMS Stage 1 Meaningful Use Requirements Summary Tables 4-1 APPENDIX 4 CMS STAGE 1 MEANINGFUL USE REQUIREMENTS SUMMARY 1. Use CPOE (computerized physician order entry) for medication orders directly

More information

NCQA s Patient-Centered Medical Home (PCMH) 2011

NCQA s Patient-Centered Medical Home (PCMH) 2011 NCQA s Patient-Centered Medical Home (PCMH) 2011 Johann Chanin, Director, Product Development Mina Harkins, Assistant Vice President, Recognition Programs All materials 2011, National Committee for Quality

More information

Version 11.5 Patient-Centered Medical Home (PCMH) 2014 Reference Guide for Sevocity Users

Version 11.5 Patient-Centered Medical Home (PCMH) 2014 Reference Guide for Sevocity Users Version 11.5 Reference Guide for Sevocity Users Table of Contents Product Support Services... 3 Introduction to PCMH 2014... 4 PCMH 2014 Scoring... 5 PCMH 2014 Meaningful Use Alignment... 7 PCMH 2014 Summary

More information

Clinical Medical Standing Orders (PCMH 1G) Delegation of Duties (NM Medical & Nurse Practice Acts, FTCA) CLIA Waived Testing (CLIA)

Clinical Medical Standing Orders (PCMH 1G) Delegation of Duties (NM Medical & Nurse Practice Acts, FTCA) CLIA Waived Testing (CLIA) Rev. 2/26/2013 REQUIRED POLICY Administration Governance (HRSA, BPHC, NM Licensure) Conflict of Interest (BPHC) Scope of Services/Locations (HRSA, BPHC) Hours of Operations & After Hours Coverage (BPHC,

More information

PCC Resources For PCMH. Tim Proctor Users Conference 2017

PCC Resources For PCMH. Tim Proctor Users Conference 2017 PCC Resources For PCMH Tim Proctor (tim@pcc.com) Users Conference 2017 Agenda Current state of PCMH and what s coming Exploration of how PCC functionality applies to new 2017 PCMH factors PCC Resources

More information

2014 PCMH STANDARDS. Renewals & Annual Data Requirements

2014 PCMH STANDARDS. Renewals & Annual Data Requirements 2014 PCMH STANDARDS Renewals & Annual Data Requirements PCMH Renewal Process Streamlined process for renewal through reduced documentation requirements. Even though some elements do not require documentation,

More information

What You Need to Know About Documentation for the Must Pass Elements for NCQA PCMH Recognition

What You Need to Know About Documentation for the Must Pass Elements for NCQA PCMH Recognition What You Need to Know About Documentation for the Must Pass Elements for NCQA PCMH Recognition Presenters: Steven Bromer, MD and Denise Anderson-Carr, MPH, RD Date: May 22, 2013 Disclaimer Presentation

More information

PCMH 2014 NCQA Standards and Guidelines

PCMH 2014 NCQA Standards and Guidelines PCMH 2014 NCQA Standards and Guidelines Training Objectives Overview of process and timeline including new Renewal Option Overview of 2014 Standards Review updates and new concepts with focus on Must Pass

More information

Welcome to Facilitating Patient-Centered Medical Home (PCMH) Recognition: Standard 1. All materials 2012, National Committee for Quality Assurance

Welcome to Facilitating Patient-Centered Medical Home (PCMH) Recognition: Standard 1. All materials 2012, National Committee for Quality Assurance Welcome to Facilitating Patient-Centered Medical Home (PCMH) Recognition: Standard 1 2012 All materials 2012, National Committee for Quality Assurance Learning Objective Identify the measurement and documentation

More information

Healthcare Effectiveness Data and Information Set (HEDIS)

Healthcare Effectiveness Data and Information Set (HEDIS) Healthcare Effectiveness Data and Information Set (HEDIS) IlliniCare Health is a proud holder of NCQA accreditation as a managed behavioral health organization (MBHO) and prioritizes best in class performance

More information

Transforming a School Based Health Center into a Patient Centered Medical Home

Transforming a School Based Health Center into a Patient Centered Medical Home Transforming a School Based Health Center into a Patient Centered Medical Home April 14, 2010 10:15 11:0 am Eugene F. Sun, MD, MBA Chief Medical Officer Molina Healthcare of New Mexico Outline Molina Healthcare

More information

PCMH 2014 Standards and Guidelines

PCMH 2014 Standards and Guidelines PCMH 2014 Standards and Guidelines 28 2014 PCMH Recognition November 21, 2016 PCMH 1: Patient-Centered Access 29 PCMH 1: Patient-Centered Access 10.00 points provides access to team-based care for both

More information

Milestones and Indicators of Progress: A Reference for Patient-Centered Primary Care Participating Practices

Milestones and Indicators of Progress: A Reference for Patient-Centered Primary Care Participating Practices Milestones and Indicators of Progress: A Reference for Patient-Centered Primary Care Participating Practices How to Use This Guide The following Program Milestones and Indicators of Progress are drawn

More information

PCMH 2011 Standard 1: Elements D, E, F & G. Slide 1

PCMH 2011 Standard 1: Elements D, E, F & G. Slide 1 PCMH 2011 Standard 1: Elements D, E, F & G Slide 1 PCMH Learning Community Project Structure Assessment, Gap Analysis, Workplan Webinar Series Group Technical Assistance Learning Sessions (Face to Face)

More information

Disclaimer This webinar may be recorded. This webinar presents a sampling of best practices and overviews, generalities, and some laws.

Disclaimer This webinar may be recorded. This webinar presents a sampling of best practices and overviews, generalities, and some laws. Disclaimer This webinar may be recorded. This webinar presents a sampling of best practices and overviews, generalities, and some laws. This should not be used as legal advice. Itentive recognizes that

More information

Integrated Care: Considerations for Quality. May 13, 2015 Megan Marx MPA Associate Director

Integrated Care: Considerations for Quality. May 13, 2015 Megan Marx MPA Associate Director Integrated Care: Considerations for Quality May 13, 2015 Megan Marx MPA Associate Director GoToWebinar Housekeeping: Attendee participation Your Participation Join audio: Choose Mic & Speakers to use VoIP

More information

ALL MENTAL HEALTH AND SUBSTANCE USE DISORDER PROGRAMS MUST INCLUDE PSYCHOSOCIAL AND PSYCHIATRIC EVALUATIONS

ALL MENTAL HEALTH AND SUBSTANCE USE DISORDER PROGRAMS MUST INCLUDE PSYCHOSOCIAL AND PSYCHIATRIC EVALUATIONS COUNTY of NASSAU DEPARTMENT OF HUMAN SERVICES Office of Mental Health, Chemical Dependency and Developmental Disabilities Services 60 Charles Lindbergh Boulevard, Suite 200, Uniondale, New York 11553-3687

More information

PCMH 2014 Standards and Guidelines

PCMH 2014 Standards and Guidelines PCMH 2014 Standards and Guidelines 28 NCQA Patient-Centered Medical Home (PCMH) 2014 April 13, 2015 PCMH 1: Patient-Centered Access 29 PCMH 1: Patient-Centered Access 10.00 points provides access to team-based

More information

Dear Kaniksu Patient,

Dear Kaniksu Patient, Dear Kaniksu Patient, Welcome to Kaniksu Health Services (KHS), a Community Health Center that provides quality and affordable medical, pediatric, dental, behavioral health and veteran care, regardless

More information

QUALITY IMPROVEMENT. Molina Healthcare has defined the following goals for the QI Program:

QUALITY IMPROVEMENT. Molina Healthcare has defined the following goals for the QI Program: QUALITY IMPROVEMENT Molina Healthcare maintains an active Quality Improvement (QI) Program. The QI program provides structure and key processes to carry out our ongoing commitment to improvement of care

More information

Physician Practice Connections Patient-Centered Medical Home (PPC-PCMH ) Johann Chanin

Physician Practice Connections Patient-Centered Medical Home (PPC-PCMH ) Johann Chanin Physician Practice Connections Patient-Centered Medical Home (PPC-PCMH ) Johann Chanin Colorado Patient-Centered Medical Home Demonstration Project Meeting January 15, 008 Today NCQA quality measurement

More information

CCBHC Standards of Care

CCBHC Standards of Care CCBHC Standards of Care Mark Disselkoen, MSW, LCSW, LADC CASAT March 7, 2017 Disclaimer The views, opinions, and content expressed in this presentation do not necessarily reflect the views, opinions, or

More information

About the National Standards for CYSHCN

About the National Standards for CYSHCN National Standards for Systems of Care for Children and Youth with Special Health Care Needs: Crosswalk to National Committee for Quality Assurance Primary Care Medical Home Recognition Standards Kate

More information

Measure #130 (NQF 0419): Documentation of Current Medications in the Medical Record National Quality Strategy Domain: Patient Safety

Measure #130 (NQF 0419): Documentation of Current Medications in the Medical Record National Quality Strategy Domain: Patient Safety Measure #130 (NQF 0419): Documentation of Current Medications in the Medical Record National Quality Strategy Domain: Patient Safety 2017 OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS ONLY MEASURE TYPE: Process

More information

Patient Centered Medical Home: Transforming Primary Care in Massachusetts

Patient Centered Medical Home: Transforming Primary Care in Massachusetts Patient Centered Medical Home: Transforming Primary Care in Massachusetts Judith Steinberg, MD, MPH Deputy Chief Medical Officer Commonwealth Medicine UMass Medical School Agenda Overview of Patient Centered

More information

2014 PCMH Standards: How CPCI Can Help with Transformation. CHCANYS Quality Improvement Program November 20, 2014

2014 PCMH Standards: How CPCI Can Help with Transformation. CHCANYS Quality Improvement Program November 20, 2014 2014 PCMH Standards: How CPCI Can Help with Transformation CHCANYS Quality Improvement Program November 20, 2014 Agenda Review of PCMH 2014 Standards and Stage II MU Crosswalk PCMH Transformation and the

More information

Enhancing Outcomes with Quality Improvement (QI) October 29, 2015

Enhancing Outcomes with Quality Improvement (QI) October 29, 2015 Enhancing Outcomes with Quality Improvement (QI) October 29, 2015 Learning Objectives! Introduce Quality Improvement (QI)! Explain Clinical Performance Person-Centered Medical Home (PCMH) Measures! Implement

More information

Oregon's Health System Transformation

Oregon's Health System Transformation Oregon's Health System Transformation MEASUREMENT PERIOD Baseline Year 2011 and Calendar Year 2013 JUNE 24, 2014 TABLE OF CONTENTS Executive Summary...iii 2013 CCO Performance and Quality Pool Distribution...1

More information

Home Health Quality Improvement Campaign

Home Health Quality Improvement Campaign Home Health Quality Improvement Campaign Description of Monthly Report for Improvement in Oral Medications Monthly Report for Improvement in Management of Oral Medications All data displayed illustrate

More information

Medical Management. G.2 At a Glance. G.3 Procedures Requiring Prior Authorization. G.5 How to Contact or Notify Medical Management

Medical Management. G.2 At a Glance. G.3 Procedures Requiring Prior Authorization. G.5 How to Contact or Notify Medical Management G.2 At a Glance G.3 Procedures Requiring Prior Authorization G.5 How to Contact or Notify Medical Management G.6 When to Notify Medical Management G.11 Case Management Services G.14 Special Needs Services

More information

PCMH Standards and Guidelines

PCMH Standards and Guidelines PCMH Standards and Guidelines Team-Based Care and Practice Organization (TC)... 31 Competency A... 31 TC 01 PCMH Transformation Leads... 31 TC 02 Structure and Staff Responsibilities... 31 TC 03 External

More information

2017 Quality Improvement Work Plan Summary

2017 Quality Improvement Work Plan Summary Project Member Service and Satisfaction Commercial Products: Commercial Project Description: To improve member service and satisfaction and increase member understanding of how the member s plan works.

More information

Meaningful Use: Review of Changes to Objectives and Measures in Final Rule

Meaningful Use: Review of Changes to Objectives and Measures in Final Rule Meaningful Use: Review of Changes to Objectives and Measures in Final Rule The proposed rule on meaningful use established 27 objectives that participants would meet in stage 1 of the program. The final

More information

Care Management Policies

Care Management Policies POLICY: Category: Care Management Policies Care Management 2.1 Patient Tracking and Registry Functions Effective Date: Est. 12/1/2010 Revised Date: Purpose: To ensure management and monitoring of patient

More information

CMHC Healthcare Homes. The Natural Next Step

CMHC Healthcare Homes. The Natural Next Step CMHC Healthcare Homes The Natural Next Step Partners in Planning A collaborative effort involving Dept. of Social Services (Mo HealthNet) Dept. of Mental Health Primary Care Association (FQHCs) Coalition

More information

Objectives. Models of Integrated Behavioral Health Care 9/23/2015

Objectives. Models of Integrated Behavioral Health Care 9/23/2015 Models of Integrated Behavioral Health Care Carlton D. Craig, Ph.D. Vernon R. Wiehe Endowed Professor in Family Violence University of Kentucky College of Social Work Carlton.craig@uky.edu (859)-257-6657

More information

INTEGRATION AND COORDINATION OF BEHAVIORAL HEALTH SERVICES IN PRIMARY CARE

INTEGRATION AND COORDINATION OF BEHAVIORAL HEALTH SERVICES IN PRIMARY CARE THE CENTER FOR POLICY, ADVOCACY, AND EDUCATION OF THE MENTAL HEALTH ASSOCIATION OF NEW YORK CITY INTEGRATION AND COORDINATION OF BEHAVIORAL HEALTH SERVICES IN PRIMARY CARE A Presentation at The Community

More information

Community Health Needs Assessment Supplement

Community Health Needs Assessment Supplement 2016 Community Health Needs Assessment Supplement June 30, 2016 Mission Statement, Core Values, and Guiding Social Teachings We, St. Francis Medical Center and Trinity Health, serve together in the spirit

More information

Annual Reporting Requirements for PCMH Recognition Overview & Table Reporting Period: 4/3/2017 3/31/2018

Annual Reporting Requirements for PCMH Recognition Overview & Table Reporting Period: 4/3/2017 3/31/2018 Annual Reporting Requirements for PCMH Recognition Overview & Table Reporting Period: 4/3/2017 3/31/2018 Redesign Goals NCQA is redesigning our PCMH Recognition program. The redesigned program to be launched

More information

Medical Management. G.2 At a Glance. G.2 Procedures Requiring Prior Authorization. G.3 How to Contact or Notify Medical Management

Medical Management. G.2 At a Glance. G.2 Procedures Requiring Prior Authorization. G.3 How to Contact or Notify Medical Management G.2 At a Glance G.2 Procedures Requiring Prior Authorization G.3 How to Contact or Notify G.4 When to Notify G.7 Case Management Services G.10 Special Needs Services G.12 Health Management Programs G.14

More information

Medicare & Medicaid EHR Incentive Programs

Medicare & Medicaid EHR Incentive Programs Medicare & Medicaid EHR Incentive Programs Southwest Regional Health Care Compliance Association Conference February 18, 2011 Travis Broome, Special Assistant for Quality Improvement and Survey & Certification

More information

Guide to Accessing Quality Health Care Spring 2017

Guide to Accessing Quality Health Care Spring 2017 Guide to Accessing Quality Health Care Spring 2017 MolinaHealthcare.com 5771749DM0217 MyMolina MyMolina is a secure web portal that lets you manage your own health from your computer. MyMolina.com is easy

More information

Institutional Handbook of Operating Procedures Policy

Institutional Handbook of Operating Procedures Policy Section: Clinical Policies Institutional Handbook of Operating Procedures Policy 09.01.13 Responsible Vice President: EVP and CEO Health System Subject: Admission, Discharge, and Transfer Responsible Entity:

More information

Improvement Activities Data Validation Criteria

Improvement Activities Data Validation Criteria Activity ID Subcategory Activity Name Activity Description Activity Validation Suggested Documentation (inclusive of dates during the selected continuous 90-day or year Name Weighting long reporting period)

More information

Putting PCMH into Practice: A Transformation Series Care Coordination & Care Transitions (CC) September 12, 2018

Putting PCMH into Practice: A Transformation Series Care Coordination & Care Transitions (CC) September 12, 2018 Putting PCMH into Practice: A Transformation Series Care Coordination & Care Transitions (CC) September 12, 2018 WEBINAR FACILITATOR Hannah Stanfield NCQA PCMH CCE Practice Transformation Coordinator WACMHC

More information

Checklist for Ocean County Community Health Improvement Plan Implementation of Strategies- Activities for Ocean County Health Centers: CHEMED & OHI

Checklist for Ocean County Community Health Improvement Plan Implementation of Strategies- Activities for Ocean County Health Centers: CHEMED & OHI Checklist for Community Health Improvement Plan Implementation of Strategies- Activities for Lead Organizations Activities Target Date Progress to Date Childhood Obesity (4 Health Centers 1-Educate on

More information

PCMH Standards and Guidelines

PCMH Standards and Guidelines PCMH Standards and Guidelines Team-Based Care and Practice Organization (TC)... 31 Competency A... 31 TC 01 PCMH Transformation Leads... 31 TC 02 Structure and Staff Responsibilities... 31 TC 03 External

More information

Welcome to the Agency for Health Care Administration (AHCA) Training Presentation for Managed Medical Assistance Specialty Plans

Welcome to the Agency for Health Care Administration (AHCA) Training Presentation for Managed Medical Assistance Specialty Plans Welcome to the Agency for Health Care Administration (AHCA) Training Presentation for Managed Medical Assistance Specialty Plans The presentation will begin momentarily. Please dial in to hear audio: 1-888-670-3525

More information

Tennessee Health Care Innovation Initiative

Tennessee Health Care Innovation Initiative March 8, 2016 1 Tennessee Health Care Innovation Initiative It s my hope that we can provide quality health care for more Tennesseans while transforming the relationship among health care users, providers

More information

Low Income Pool (LIP) Tier One Milestone (STC-61) Application for Enhancement Projects. Submitted by:

Low Income Pool (LIP) Tier One Milestone (STC-61) Application for Enhancement Projects. Submitted by: 2012-2013 Low Income Pool (LIP) Tier One Milestone (STC-61) Application for Enhancement Projects Submitted by: Florida Health Sciences Center, Inc. d/b/a Tampa General Hospital July 31, 2012 1 1. Applicant:

More information

Patient-Centered Medical Home (PCMH) Transformation and Recognition/Certification Programs

Patient-Centered Medical Home (PCMH) Transformation and Recognition/Certification Programs Patient-Centered Medical Home (PCMH) Transformation and Recognition/Certification Programs Ruth S. Gubernick, PhDc, MPH, PCMH CCE For the NJAAP s Systems Integration Medical Home Project October 27, 2016

More information

Pediatric New Patient Intake Form

Pediatric New Patient Intake Form Name: DOB: Page 1 of 5 Pediatric New Patient Intake Form Patient Information Last Name: First Name: DOB: Home Mobile Preferred (circle) : Home / Cell Email: Gender: Primary Pediatrician: Pediatrician Address:

More information

Adirondack Medical Home Pilot Overview. Dennis Weaver MD MBA November 2, 2010

Adirondack Medical Home Pilot Overview. Dennis Weaver MD MBA November 2, 2010 Adirondack Medical Home Pilot Overview Dennis Weaver MD MBA November 2, 2010 Critical Success Factors Lessons Learned Partnership among all stakeholders is essential Must define common goals and timelines

More information

Health Home Flow Hypothetical Patient Scenario

Health Home Flow Hypothetical Patient Scenario Health Home Flow Hypothetical Patient Scenario Client Background: Soozie SoonerCare Soozie is a single female, age 42, 5'6" tall 215 pounds. She smokes 2 packs of cigarettes a day. At age 24, Soozie was

More information

Nevada County Health and Human Services FY14 Rural Health Care Services Outreach Grant Project Evaluation Report June 30, 2015

Nevada County Health and Human Services FY14 Rural Health Care Services Outreach Grant Project Evaluation Report June 30, 2015 Nevada County Health and Human Services FY14 Rural Health Care Services Outreach Grant Project Evaluation Report June 30, 2015 I. Executive Summary The vision of Nevada County Behavioral Health (NCBH)

More information

VSHP/ Behavioral Health

VSHP/ Behavioral Health VSHP/ Behavioral Health Deb Dukes & Dr Kelly Askins The contact numbers in the presentation apply to WEST Member Services ONLY. New numbers for EAST Member Services will be published and distributed by

More information

Asthma Disease Management Program

Asthma Disease Management Program Asthma Disease Management Program A: Program Content GHC-SCW is committed to helping members, and their practitioners, manage chronic illness by providing tools and resources to empower members to self-manage

More information

REPORTING METRICS FOR INTEGRATION OF PHYSICAL-BEHAVIORAL HEALTH CARE

REPORTING METRICS FOR INTEGRATION OF PHYSICAL-BEHAVIORAL HEALTH CARE 9/26/213 REPORTING METRICS FOR INTEGRATION OF PHYSICAL-BEHAVIORAL HEALTH CARE MARISA DERMAN, MD, MSC (OMH) M. ASHLEY HEALD, MA (UW) OBJECTIVES FOR THIS WEBINAR Review goals/ standards Review mandatory

More information

QUALITY IMPROVEMENT ROUNDTABLE

QUALITY IMPROVEMENT ROUNDTABLE QUALITY IMPROVEMENT ROUNDTABLE 2014 NCQA PCMH STANDARDS TRAINING FOLLOW UP SEPTEMBER 29, 2015 OLYMPIA, WA Advancing Healthcare Improving Health HOUSEKEEPING Asking Questions To ask questions aloud, click

More information

Patient: Gender: Male Female. Mailing Address: Ethnicity: Not Hispanic or Latin Hispanic/Latin Home Phone #:

Patient: Gender: Male Female. Mailing Address: Ethnicity: Not Hispanic or Latin Hispanic/Latin Home Phone #: 5002 Highway 39 N Bldg. A Meridian, MS 39301 Phone: 601-512-0500 Fax: 601-512-0505 Patient Information Patient: Gender: Male Female First Middle Last Primary Language: English Spanish Other Mailing Address:

More information

Promoting Interoperability Measures

Promoting Interoperability Measures Promoting Interoperability Measures Previously known as Advancing Care Information for 2017 and Meaningful Use from 2011-2016 Participants: In 2018, promoting interoperability measure reporting (PI) is

More information

2018 Medication Therapy Management Program Information

2018 Medication Therapy Management Program Information 2018 Medication Therapy Management Program Information What is the Medication Therapy Management Program? The Medication Therapy Management Program is a service for members with multiple health conditions

More information

Arkansas Blue Cross and Blue Shield Patient Centered Medical Home Provider Manual

Arkansas Blue Cross and Blue Shield Patient Centered Medical Home Provider Manual Arkansas Blue Cross and Blue Shield Patient Centered Medical Home Provider Manual 2016 This document is a guide to the 2016 Arkansas Blue Cross and Blue Shield Patient-Centered Medical Home program (Arkansas

More information

Total Cost of Care Technical Appendix April 2015

Total Cost of Care Technical Appendix April 2015 Total Cost of Care Technical Appendix April 2015 This technical appendix supplements the Spring 2015 adult and pediatric Clinic Comparison Reports released by the Oregon Health Care Quality Corporation

More information

Meaningful Use Basics and Attestation Process Guide for Medicare and Medi-Cal. Lori Hack & Val Tuerk, Object Health

Meaningful Use Basics and Attestation Process Guide for Medicare and Medi-Cal. Lori Hack & Val Tuerk, Object Health Meaningful Use Basics and Attestation Process Guide for Medicare and Medi-Cal Lori Hack & Val Tuerk, Object Health 2 3 Agenda Who Qualifies for the EHR Incentive Funds? EHR Incentive Registration Process

More information

Advancing Care Information Measures

Advancing Care Information Measures Participants: Advancing Care Information Measures In 2017, Advancing Care Information (ACI) measure reporting is optional for Nurse Practitioners, Physician Assistants, Clinical Nurse Specialists, CRNAs,

More information

Health Advocacy Tips for Family Caregivers and Care Recipients. An Educational Program of the

Health Advocacy Tips for Family Caregivers and Care Recipients. An Educational Program of the Health Advocacy Tips for Family Caregivers and Care Recipients An Educational Program of the National Family Caregivers ers Association Today s program is designed to better prepare you and your loved

More information

FOLLOW UP STUDY OF HEALTHFIRST SENIOR MEMBERS WITH DIAGNOSES OF DIABETES AND DEPRESSION

FOLLOW UP STUDY OF HEALTHFIRST SENIOR MEMBERS WITH DIAGNOSES OF DIABETES AND DEPRESSION FOLLOW UP STUDY OF HEALTHFIRST SENIOR MEMBERS WITH DIAGNOSES OF DIABETES AND DEPRESSION Deborah Brotman, MD, FACP Chief Medical Officer FEGS Health & Human Services Monday, November 4, 2013 Inspiring Success

More information

PROPOSED AMENDMENTS TO HOUSE BILL 4018

PROPOSED AMENDMENTS TO HOUSE BILL 4018 HB 01-1 (LC ) //1 (LHF/ps) Requested by Representative BUEHLER PROPOSED AMENDMENTS TO HOUSE BILL 01 1 1 1 1 On page 1 of the printed bill, line, after ORS insert.0 and. In line, delete Section and insert

More information

TABLE H: Finalized Improvement Activities Inventory

TABLE H: Finalized Improvement Activities Inventory TABLE H: Finalized Improvement Activities Inventory [We invited comments on the reassignment of improvement activities under alternate subcategories, and on the scoring weights assigned to improvement

More information

Measures Reporting for Eligible Hospitals

Measures Reporting for Eligible Hospitals Meaningful Use White Paper Series Paper no. 5b: Measures Reporting for Eligible Hospitals Published September 5, 2010 Measures Reporting for Eligible Hospitals The fourth paper in this series reviewed

More information

PRINCIPAL DUTIES AND RESPONSIBILITIES:

PRINCIPAL DUTIES AND RESPONSIBILITIES: Position Title: Licensed Clinical Social Worker Union Community Health Center (UNION) is one of the largest FQHC s in New York State, serving approximately 38,000 patients from six locations in the central

More information

ProviderReport. Managing complex care. Supporting member health.

ProviderReport. Managing complex care. Supporting member health. ProviderReport Supporting member health Managing complex care Do you have patients whose conditions need complex, coordinated care they may not be able to facilitate on their own? A care manager may be

More information

Eligibility. Program Structure and Process for Receiving Incentives

Eligibility. Program Structure and Process for Receiving Incentives Overview of Medicare Incentives in the Centers for Medicare & Medicaid Services (CMS) Final Rule on Meaningful Use of Certified Electronic Health Records 1 Eligibility Medicare Eligibility: For Medicare

More information

Russell B Leftwich, MD

Russell B Leftwich, MD Russell B Leftwich, MD Chief Medical Informatics Officer Office of ehealth Initiatives, State of Tennessee 1 Eligible providers and hospitals can receive incentives for meaningful use of certified EHR

More information

Patient Centered Medical Home (PCMH) Training. August 11, 2017

Patient Centered Medical Home (PCMH) Training. August 11, 2017 Patient Centered Medical Home (PCMH) Training August 11, 2017 Wi-Fi Network Name: attwifi Promo Code: rmhp Overview: What is a Patient-Centered Medical Home? Anna Messinger, MHA, PCMH CCE August 11, 2017

More information

Patient Centered Medical Home The next generation in patient care

Patient Centered Medical Home The next generation in patient care Patient Centered Medical Home The next generation in patient care Provider Training Module I OBJECTIVE To explain... What Patient Centered Medical Home is How it works Why it s important Where to begin

More information

Expansion of Pharmacy Services within Patient Centered Medical Homes. Jeremy Thomas, PharmD Associate Professor Department Pharmacy Practice

Expansion of Pharmacy Services within Patient Centered Medical Homes. Jeremy Thomas, PharmD Associate Professor Department Pharmacy Practice Expansion of Pharmacy Services within Patient Centered Medical Homes Jeremy Thomas, PharmD Associate Professor Department Pharmacy Practice What is a Patient Centered Medical Home (PCMH)? "an approach

More information

Meaningful Use Stage 1 Guide for 2013

Meaningful Use Stage 1 Guide for 2013 Meaningful Use Stage 1 Guide for 2013 Aprima PRM 2011 December 20, 2013 2013 Aprima Medical Software. All rights reserved. Aprima is a registered trademark of Aprima Medical Software. All other trademarks

More information

Patient Centered Medical Home 2014 Standards Frequently Asked Questions. Updated November 16, 2015

Patient Centered Medical Home 2014 Standards Frequently Asked Questions. Updated November 16, 2015 Patient Centered Medical Home 2014 Standards Frequently Asked Questions Updated November 16, 2015 Table of Contents Click the page number in the table of contents to navigate to a specific standard, element

More information